Title RECALLS 13 - NP5 - SC ✅

2 | Page D. Failure to use medical terms 13. You have observed the charge nurse charting treatments and medications prior to actual administration and implementation. Which of the following would be your initial action in this situation? A. Document what you have observed regarding the charge nurse’s behavior B. Talk to the charge nurse about the legal implications of her action and the violation of standards of practice C. Report the charge nurse’s behavior to the nurse manager D. Tell the charge nurse that you have an obligation to report the behavior to the nurse manager= 14. A staff nurse is seen making an entry into an electronic medical record under another nurse’s login. What is the most appropriate thing to do in this situation? A. Tell the staff nurse’s behavior to another nurse B. The staff nurse’s activity should be reported to someone in authority C. Talk to the staff nurse about it D. Just be quiet about the whole thing 15. Which of the following would be your MOST appropriate action when receiving a doctor's order over the phone? A. Have somebody beside you while receiving the doctors order B. Write down the telephone order C. Have the physician sign the telephone order first chance you see him D. Read back or repeat the order the physician gave you 16-20. Situation. As a professional nurse, you meet patients with problems related to sexuality and identity. The following questions relate to this statement. 16. Sex is one topic patients feel uncomfortable discussing with the nurse for which of the following reasons? Patients _______. A. Prefer to discuss sex with health care provider of the same sex B. Assume that sex is something that is not discussed with strangers C. Are mostly knowledgeable about sex and the accompanying problems D. Feel to be embarrassed to introduce the topic of sex 17. A patient tells you that he is transsexual. Knowledge of which of the following is MOST representative as the basis for APPROPRIATE care for this patient? A. Sexual anatomy is not consistent with gender identity B. Sexual attraction is to the individuals with different gender C. Gonadal gender, internal organs, and external genitals are contradictory D. Gender identity is altered by acute psychosis 18. A patient tells you he has a problem related to masturbation. Which of the following is TRUE regarding masturbation? 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 B. Psychological framework C. Biologic 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 B. Serax C. Naltrexone