Title RECALLS 3 (NP5) - STUDENT COPY ✅

What is the most accurate nursing appraisal of the mother’s statement? A. The mother’s expectations of her son are realistic. B. The mother’s concern is reasonable. C. The mother should request a medication adjustment. D. The mother requires further education regarding the client’s diagnosis. Situation - Lizbeth, a 30-year old registered nurse with two children, legally separated from her husband was admitted to the psychiatric unit three weeks ago. 11. You are the nurse attending to Lizbeth. You have observed that she has a habit of washing her hands repeatedly for a long period of time. This is a manifestation of what kind of behavior? A. Negative B. Hyperactive C. Ritualistic D. Nonconformist 12. Lizbeth engages in this behavior to _____. A. protect herself from undesirable people B. relieve her anxiety C. occupy herself with purposeful activity D. call the attention of other 13. A new nurse introduce herself to Lizbeth and asks her name. Lizbeth responds “I am an obsessive- compulsive neurotic. I have had psychoanalysis for ten years. What do you think can you do for me?” Your BEST response would be _____. A. “Can we talk about that Lizbeth?” B. ” I need to know you better Lizbeth” C. ” You seem to feel hopeless” D. ” who was your psychoanalyst?” 14. Lizbeth tells you “That the new nurse makes me angry. Like you, she does not understand what my real problem is”. Your BEST reply would be _____. A. “You seems to be upset. I will come back later” B. “You have the right to be upset when people don’t seem to understand” C. “That’s a common feeling. I understand. Let’s talk about it” D. “I know what your problem is. You are an obsessive-compulsive personality” 15. Diazepam (Valium) was prescribe for Lizbeth. You gave her instructions on effects of the drug. What statement would indicate that Lizbeth needs further health teaching about the medication? A. “I’m so glad I can still eat chocolate while I’m taking this.” B. “I’m so glad no blood tests are necessary while I’m taking this.” C. “I’m so glad Valiums won’t affect my driving skills” D. “I’m so glad I will only have to take this until I learn to be less anxious” SITUATION: You are tasked to care for Zoro, a patient newly diagnosed with obsessive compulsive disorder. You use your knowledge to effectively and safely care for the patient. 16. Zoro is utilizing a defense mechanism commonly used by patients with obsessive compulsive disorder. Which of the following defense mechanisms is this? A. Suppression. B. Repression. C. Undoing. D. Denial. 17. You start your assessment on Zoro. Which behavioral symptom would you expect to assess in this patient? A. The client uses excessive hand washing to relieve anxiety. B. The client rates anxiety at 8/10. C. The client uses breathing techniques to decrease anxiety. D. The client exhibits diaphoresis and tachycardia. 18. Which cognitive symptom would you expect to assess in Zoro who has obsessive compulsive disorder? A. Compulsive behaviors that occupy more than 4 hours per day. B. Excessive worrying about germs and illness. C. Comorbid abuse of alcohol to decrease anxiety. D. Excessive sweating and an increase in blood pressure and pulse. 19. Zoro is leaving his home for the first time in a year. He arrived in the unit wearing a surgical mask and white gloves. He states, “The germs in here are going to kill me”. Which correctly written nursing diagnosis addresses Zoro’s problem? A. Social isolation R/T fear of germs AEB continually refusing to leave the home. B. Fear of germs R/T obsessive-compulsive disorder. C. Ineffective coping AEB dysfunctional isolation R/T unrealistic fear of germs. D. Anxiety R/T the inability to leave home, resulting in dysfunctional fear of germs. 20. Zoro has been in your care in the psychiatric unit for 4 days now for the treatment of their OCD. Which outcome takes priority for the patient at this time? A. The client will use a thought-stopping technique to eliminate obsessive and/or compulsive behaviors. B. The client will stop obsessive and/or compulsive behaviors in order to focus on activities of daily living. C. The client will seek assistance from the staff to decrease obsessive and/or compulsive behaviors. D. The client will use one relaxation technique to decrease obsessive and/or compulsive behaviors. Situation - Ms. Ligaya Co is a chief nurse in a secondary level hospital with nursing staff consisting of registered staff nurses, nursing assistants and aides. 21. Ms. Co stresses the importance of promoting ‘esprit d corps’ among the nursing staff. Which of the following statement indicates that they understand the meaning of the term? A. “In order that we achieve the goals of the institute, we must follow the directives coming from above.” B. “We will ensure that all resources we need are available when needed” C. “Let’s work together in harmony; we need to be supportive of one another.” D. “We need to show our competence to the higher management level.” 22. She assert the importance of promoting a positive organizational culture among the nursing staff. Which of the following behaviors indicate that this has been attained? A. Obedient and uncomplaining B. Powerful and oppositional C. Competitive and perfectionist D. Caring and nurturing with one another 23. Ms. Co is a visionary strategist, and desires to be a committed leader. Which of the following types of leadership do these behaviors reflect? A. Servant B. Transactional C. Connective D. Transformational 24. She knows that as a leader, she has to strategize in order to create followership in response to authority. This capacity to act or the strength to accomplish a goal is referred to as _____. A. power B. accountability C. responsibility D. authority 25. Ms. Co gathered the nursing staff and other health care worker in the hospital who support the idea of having a meeting to discuss problems that affect the delivery of care and to agree to speak with one voice. This power mechanism is called ______. A. coalition B. upward appeal C. rationality D. assertiveness SITUATION: You apply your knowledge on concepts of psychosocial health to patients assigned to you in the ward. 2 | Page