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Content text RECALLS 13 - NP5 - KEY



A. Masturbation is a manifestation of psychological imbalance B. Masturbation is a way people learn about their sexual response C. Most people do not masturbate when they become adults D. Teen-age masturbation affects academic achievement 19. A male patient is beginning to take an antidepressant medication. What information should the nurse include in her health teaching as to its side effects? A. Decreased sexual desire B. Better performance in sexual activities C. Premature ejaculation D. Better performance in bed 20. A female patient reports having dyspareunia. The MOST APPROPRIATE for the nurse to ask is ______. A. “Do you have pains in your breast when you have coitus?” B. “Have you had these spasms since you became sexually active?” C. “Do you usually have pains before your period begins?” D. “Have you talked with your partner about this discomfort?” 21-25. Situation. Mr. Wil, a 43 years old writer, was diagnosed with narcolepsy. 21. All of the following are characteristic signs/symptoms of Narcolepsy EXCEPT: A. Excessive daytime sleepiness B. Sleep-onset Rapid Eye Movement (REM) periods C. Disturbed nocturnal sleep D. Cessation of breathing for 10 seconds 22. Patients diagnosed with Narcolepsy are given Methylphenidate (Ritalin). The rationale for giving this drug is to _______. A. Lengthen sleep hours B. Improve alertness C. Improve daytime drowsiness D. Control cataplexy 23. Good sleep hygiene is given emphasis when counseling a narcoleptic patient. Which of the following is NOT considered as such? Encourage the patient to _______. A. Do active exercises B. Ensure a quality sleep environment C. Avoid daytime naps D. Avoid stimulants such as caffeine, nicotine and alcohol near bedtime. 24. Depression and decreased quality of life are frequently reported to be experienced by narcoleptic patients. Which of the following is NOT a major contributory factor to these two conditions? A. A healthy ego B. Disrupted social and occupational roles C. A strong superego D. Low self-esteem 25. Cataplexy is experienced by many narcoleptic patients. Which of the following BEST DESCRIBES this condition? A. Lapse of awareness B. Occurs at sleep onset C. Experienced upon awakening D. Sudden loss of muscle tone 26-30. Situation. Mr. JK, a 35 year old dancer consulted at the Out-Patient Department with the chief complaints of disorientation, abdominal pain, nausea, and excessive perspiration. He claimed to be seeing his mother and heard her calling his name. Upon admission the vital signs were: T = 38.5 degrees centigrade; PR = 110/min; BP = 130/90. Mr. JK is a known alcoholic. 26. Which of the following frameworks does not support the cause of substance abuse? A. Physiologic framework C. Biologic framework B. Psychological framework D. Socio-cultural framework 27. For the nurse to establish a therapeutic relationship with and providing treatment for a client with substance related disorder, he/she must have:
A. Knowledge of assessment tools used to determine if substance abuse exist B. Knowledge of existing programs to help people with substance abuse disorder C. Self-awareness about substance use and abuse D. Information on patient’s beliefs about drug and alcohol use 28. Mr. JK’s clinical manifestation were manifestations of: A. Impending brain attack B. Impending heart attack C. Severe alcohol withdrawal D. Severe anxiety 29. For cases like that of Mr. JK’s, the physician will most likely order ______. A. Ativan C. Naltrexone B. Serax D. Diazepam Ratio: Lorazepam is given for patients with alcohol withdrawal. 30. You want to find out the coping skills among young adults with substance abuse disorder. Which research method will you utilize to answer the research question? A. Survey C. Quantitative B. Mixed methods D. Qualitative 31-35. Situation. Inadequate resources in health care and unhealthy conditions in the workplace cause work stress among nurses. The nurse’s work environment plays a vital role in her ability to provide quality patient care. The following questions relate to this situation. 31. Burnout is a phenomenon that is best characterized by ____________. A. Conflict between personal and professional life B. Emotional exhaustion, depersonalization, and reduced personal accomplishment C. Increased absenteeism and fast turn-over of nurses due to toxic work environment D. Growing dissatisfaction due to changing career expectations 32. Lifestyle modification begins with _______. A. Learning how to read food labels and eating the right kinds of food B. Recognizing the impact of unhealthy habits C. Constructive and positive attitudes in life D. Regular daily exercise 33. Elmo is a young adult nurse who smokes 5 to 10 cigarette sticks a day. He is a well-informed nurse on the “smoking cessation program”. As a next step to his lifestyle change, Elmo needs _______. A. Information C. Skills to implement change B. Motivation D. Commitment 34. A common response to an unhealthy work environment is physical tension which can be overcome by progressive muscle relaxation. Basically, this involves: A. Listening to a relaxation audio program for auto-suggestion B. Releasing muscles from tension C. Active physical exercise to unwind like aerobics exercise D. Focusing to an image to relax 35. Nurses and patients are increasingly getting empowered by learning stress management. All of these are bio-behavioral interventions in stress management EXCEPT: A. Progressive muscle relaxation B. Pharmacotherapy C. Mindful meditation D. Guided imagery 36-40. Situation. Mr. Bang, a 75 year old retired politician has been recently diagnosed as legally blind. His driver’s license has been revoked. You have seen him driving alone to the local grocery store several times. 36. Which of the following nursing actions would be your priority during your initial interaction with Mr. Bang?

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