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
3 | Page D. Diazepam 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 B. Mixed methods C. Quantitative 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 B. Motivation C. Skills to implement change 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? A. Free the environment obstacles B. Offer to read written information C. Ask Mr. Bang, “How can I help you?” D. Identify yourself as you approach Mr. Bang and before you make a physical contact. 37. Which of the following ethical principles are in conflict with this case? A. Autonomy and nonmaleficence B. Respect for person and nonmaleficence C. Distributive justice and respect for person D. Autonomy and beneficence 38. Mr. Bang’s’ driving without license can result in a violation of which ethical principle? A. Respect for person B. Beneficence C. Autonomy D. Nonmaleficence 39. Mr. Bang had a fall needing hospitalization. All his benefits were given to him just like any senior citizen with the same condition. This ethical principle is upheld in this situation: A. Beneficence B. Respect for person C. Autonomy D. Distributive justice 40. Which principle should have pre-eminence as you proceed to work with Mr. Bang A. Autonomy B. Respect for person C. Nonmaleficence D. Beneficence 41-45. Situation. Mrs. Catherine Fernando, a 78 year old widow, was brought to the clinic by her son with the chief complaint of constant confusion, incontinence, and tendency to wander. Mrs. Fernando has a diagnosis of cognitive impairment disorder. 41. The son of Mrs. Fernando informed the nurse that his mother seemed to be inventing stories about certain personal achievements. The nurse identifies this as confabulation and interprets it correctly as ________. A. Indicates a lack of ego-integration B. Results to tendency to lie C. Helps to maintain self-esteem D. Results in poor judgement 42. The nurse asked Mrs. Fernando for her children’s and grandchildren’s names. This is to assess Mrs. Fernando’: A. Remote Memory B. Recent Memory C. Attention Span D. Orientation Status 43. Which of the following outcome criteria would be the MOST APPROPRIATE for Mrs. Fernando? A. Follow an established schedule for activities for daily living. B. Learn new coping mechanisms to handle anxiety. C. Return to an adequate level of functioning. D. Seek out resources in the community for support. 44. The nurse spent time talking to Mrs. Fernando’s son. She gathered that the son is the primary caregiver. To explore and to prevent burn-out in the son, which of the following nursing actions must the nurse do? A. Assess degree of understanding of family systems and coping mechanisms. B. Explore individual dynamics and personal coping. C. Explore the support system available for Mrs. Meneses’s son. D. Identify the spiritual support system of the family. 45. The nursing diagnosis MOST APPROPRIATE for Mrs. Fernando’s son would be _____. A. Sleep pattern disturbance B. Caregiver role strain C. Social isolation D. Risk violence 46-50. Situation. Your patient, Mrs. Doris, who was diagnosed with Alzheimer’s Disease, is soon to be discharged. You scheduled a family conference to discuss some concerns regarding Mrs. Doris’s condition. 46. You explained to the family members that there will be times Mrs. Doris will feel agitated and fatigued. To MINIMIZE if not totally prevent this situation, you would suggest to _______. A. Make mealtime pleasant B. Provide activities for her C. Avoid noisy activities in the house and schedule rest period for her D. Provide a consistent routine for her 47. A family member asked how they can help minimize Mrs. Doris’ disorientation to time. Your answer would be to: