Title RECALLS 2 - NP4 - SC ✅

42. Nurse Mirasol assesses the skin of the patient. Which phase of skin changes occur FIRST and are usually painless and symmetrical? A. Indurative B. Primary C. Curative D. Edematous 43. Nurse Mirasol writes a nursing diagnosis for the patient. Which of the following is a PRIORITY nursing diagnosis? A. Social isolation B. Impaired skin integrity C. Disturbed body image D. Low self-esteem 44. Nurse Mirasol assists the patient in coping with the disorder. During the early stages of a chronic disease, patients tend to focus on which of the following behaviors? A. Understanding the disease process B. Impact on lifestyle changes C. Interpretations of symptoms D. Schedule of medications 45. Nurse Mirasol prepares a discharge plan of care for the patient. Which of the following objectives are MOST appropriate? The patient should _______________. 1. Try to prevent breakdown of the skin and ulceration 2. Avoid activities that trigger pain 3. Modify diet to include legumes 4. Avoid exposure to extreme cold temperature A. 1, 2, 3, 4 B. 1, 2, 3 C. 1, 2, 4 D. 2, 3, 4 Situation 10- Nurse Bessie is a nurse manager of trauma unit. She supervises the staff nurses and regularly holds conferences with them and other unit personnel. In one meeting she reorients the staff nurses on their various functions. She cites clinical situations related to a nurses dependent, interdependent, and collaborative functions. 46. An interdependent function of nurse is when the nurse _______: A. Irrigates a feeding tube that appears obstructed. B. Gives ice chips to a client who has an order of NPO. C. Applies a dry sterile dressing to an abdominal incision. D. Helps a client choose foods rich in protein from an ordered diet. 47. A nurse decides to give a partial bath to a client instead of a complete bath. The nurse is working __________: A. Independently B. Interdependently C. Dependently D. Collaboratively 48. A nurse works with a skin care team. The nurse is functioning _________: A. Dependently B. Interdependently C. Collaboratively D. Independently 49. A nurse initiates a visit from member of the clergy for a terminally ill client. The nurse is functioning ___________: A. Interdependently B. Collegially C. Independently D. Dependently 50. When a nurse uses a straight catheter to obtain a urine specimen for laboratory test, the nurse is functioning ________: A. Dependently B. Interdependently C. Independently D. Collegially Situation 11- Marie, an oncology nurse assists in the care of patients with cancer. 51. One of her patients is a 50-year old female named Marcela is in the terminal stage of breast cancer. She tells Nurse Marie. “I have given responses of Nurse Marie is MOST therapeutic? A. “You have given up hope?” B. “You should talk to your physician about your fears of dying.” C. “You should talk about dying with your spiritual adviser.” D. “You should not give up hope. There are research studies being done to cure cancer.” 52. Marcela says to Nurse Marie. “ I don’t like to spend my final days on earth in a hospital.” The BEST response of Nurse Marie would be : A. “Can you please tell me more how you are feeling right now?” B. “I know how you feel. It must be hard to know that you are dying.” C. “If I were in your place, I should have refused being admitted to the hospital knowing that I will die soon. D. “What is it that you don’t like being in the hospital?” 53. Marcela tells Nurse Marie that her younger sister was recently diagnosed with cancer. She is concerned because she is aware that breast cancer “ runs in the family” but she could not recall any family member diagnosed with bone or lung cancer. Nurse Marie’s BEST response would be: A. “ I am sorry to hear about your sister. I think you should meet with all of your family members and share with them their increased risk for developing lung and bone cancer.” B. “ Apparently your sister is so unfortunate . it is rare to have three such unrelated cancers at one time.” C. “ I think it is important for you to be tested for lung cancer as soon as possible , because it has hereditary link.” D. “ I am sorry to hear about your sister’s recant diagnosis. Most probably your sister has a breast cancer that has metastasized or spread to the bone and lungs.” 54. Nurse Marie has another patient, Cena who was recently diagnosed with ductal cell carcinoma of the breast. Her oncologist described Cena’s cancer as T2, N1, Mx. Cena asked Nurse Marie to repeat to her what “ all those letters and numbers mean.” Nurse Marie replies that it means the following: A. Two tumours present, one lymph node involved, and many sites of metastasis. B. One large tumour present, nodal involvement in one region, and metastasis was present. C. Two tumours present, one lymph node involved and metastasis was present. D. One tumor present, which is larger than 2.5 centimeters, nodal involvement in one region, and metastasis was unable to be determined. 55. Patient Cena tells Nurse Marie “How did I acquire breast cancer?” Nurse Marie explains that there are risk factors that may have contributed to her condition. Which of the following statements is TRUE concerning the risk factors for breast cancer? A. Hormones are not a risk factor for breast cancer. B. Other types of cancer history have no correlation with breast cancer. C. Ethnicity is a risk factor. D. Environment is not a risk factor for breast cancer. Situation 12 – A 35-year old female client presents herself in the outpatient Department with complaints of rashes particularly on the face, across the bridge of the nose and on the cheeks. The client is suspected of having systematic lupus erythematous (SLE). She is admitted to the female medical unit. 56. The nurse writes a care plan for the client. The Nurse is aware that this disorder is a/an ________. A. disease caused by over exposure to sunlight B. Local rash that occurs as a result of allergy. C. inflammatory disease of collagen contained in connective tissues. D. disease caused by the continuous release of histamine in the body. 4 | Page