Title PRE-INTENSIVE - NP5 - SC ✅

11. An initial appropriate nursing diagnosis is: A. Impaired social interaction B. Ineffective individual coping C. Impaired Adjustment D. Anxiety Moderate 12. Obsessive compulsive disorder is BEST described by: Uncontrollable impulse to perform an act or ritual repeatedly: A. Recurring unwanted and disturbing thoughts alternating with a behaviour. B. Pathological persistence of unwilled thought, feeling or impulse C. Persistent thoughts D. According to DSM-IV, obsessions are recurrent and persistent thoughts, ideas, impulses or images that are experienced as intrusive and senseless. Reference:Keltner, Psychiatric Nursing 3 rd edition page 428 13. The defense mechanism used by persons with obsessive compulsive disorder is undoing and it is best described in one of the following statements: A. Transfer of emotions associated with a particular person, object or situation to another less threatening person, object or situation. B. Unacceptable feeling or behaviour are kept out of awareness by developing the opposite behaviour or emotion. C. Consciously unacceptable instinctual drives are diverted into personally and socially acceptable channels D. Something unacceptable already done is symbolically acted in reverse. 14. To be more effective, the nurse who cares for persons with obsessive compulsive disorder must possess one of the following qualities: A. Consistency B. Patience C. Friendliness D. Compassion 15. Person with OCD usually manifest: A. Fear B. Apathy C. Suspiciousness D. Anxiety Situation: Last November 8, 2013, Supertyphoon Haiyan (Yolanda) left behind a path of destruction on one-third of the Philippines, claiming many lives and causing unimaginable damages never been seen before. 16. The following are the characteristic manifestation of post traumatic stress disorder except: A. anhedonia B. extreme attachment with other people C. unresponsiveness to surroundings D. flashbacks 17. All but one of the following is not a diagnostic criteria for the diagnosis of PTSD except A. repetitive , intrusive recollection of reenactment of the event in memories B. numbing feeling C. day time imagery or dreams D. onset after 6 months of a traumatic event 18. When the nurse is dealing with clients with PTSD, which of the following approaches is inappropriate? A. consistent empathic approach to help the clients tolerate the emotional pain B. simple reorienting , reassuring statements to prevent suicidal ideation C. trusting relationship to convey a sense of respect, acceptance of their distress and belief in clients’ reactions D. promote and maintenance dependence and the clients’ highest level of functioning 19. For victims who refuse to talk whether angry, or remain mute and silent, the nurse should do the following except: A. maintain regular contact and greet them B. acknowledge that you understand they are not to blame C. tell them you will not return to him so he should as well speak up D. tell them that you are not upset or angry because they did not talk 20. Rehabilitation of children after a disaster may include all except: A. letting the child to be close to adults who are familiar to them B. organize story telling session , singing songs and games C. avoid touching, hugging and reassuring them verbally D. involve them in activities like drawing and painting where they can express their emotions Situation: Meniere’s disease is more common in adults in their 40s, with symptoms usually beginning between the ages of 20s and 60 years. It appears equally common in both gender and most clients have a familial history of meniere’s disease. 21. A 42-year-old woman, Milagros with a diagnosis of Meniere’s disease is seen in the clinic. The nurse would expect the client to complain of: A. Discharge from the ear, pain, and conductive deafness. B. Vertigo, tinnitus, and neurosensory hearing loss. C. Fever, ear noises, and headache D. Severe headache, enlarged lymph nodes, and fever 22. The nurse is assessing a patient diagnosed with Meniere’s disease. Which of the following patient statements would require further teaching by the nurse? A. “I smoke one pack of cigarette per day.” B. .“When I have vertigo, I keep my eyes open and stare straight ahead.” C. “I have a continuous, low-pitched roar in my left ear.” D. d,“I continue to feel dizzy after the vertigo goes away.” 23. The nurse finds a patient with Meniere’s disease leaning over the sink in the room and clutching it with both hands. After determining that the patient is having an acute attack, which of the following actions should the nurse take FIRST? A. Help the patient back to bed and place a pillow on either side of the patient’s head. B. Have the patient lie down where he is and check the patient’s vital signs and pupil’s response to light. C. Give the patient an emesis basin and massage the neck over the area of the carotid arteries. D. Notify the physician and prepare to administer atropine sulfate subcutaneously. 24. During an acute attack of Meniere's disease, the nurse can most likely anticipate administering which of the following drugs? A. Corticosteroids B. Nonsteroidal anti-inflammatory drugs C. Antihistamines D. Diuretics 25. What important client teaching should the nurse provide regarding the client’s diet? A. Instruct to avoid foods rich in protein B. Teach the client to read food labels C. Instruct the client to limit salt intake at 2 grams per day D. Encourage to have a high fiber diet Situation: A 50 years old male client arrived in the emergency room with complaints of frequent headaches. Left side body weakness and difficulty in balancing. An MRI was conducted and result shows a brain tumor. 26. The patient has undergone a supratentorial craniotomy to obtain tissue sample for biopsy. What immediate nursing action should be done after the procedure? A. Lying flat in bed B. Neurologic checks and vital signs every 4 hours C. Limiting fluids to 1.5-2 L in 24 hours D. Allowing no pillows under the head 27. Drainage on a craniotomy dressing must be measured and marked. Which of the following should be reported immediately to the doctor? A. Bloody drainage 2 | Page