Tiêu đề RECALLS 9 - NP5 - SC ✅

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. 25. 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: You apply your knowledge on concepts of psychosocial health to patients assigned to you in the ward. 26. You are attending a seminar regarding coping skills. You were asked about the beneficial effects of humor. You respond to the question appropriately based on which of the following documented beneficial effects of humor? A. Lessened depression B. Increased relaxation C. Reduced aggression D. Improved sleep 27. As a knowledgeable nurse, you know that body image is the subjective view an individual has about his or her physical appearance including body shape, size, weight, and proportions. Which of the following conditions would put a patient at risk for disturbed body image? A. Urinary tract infection B. Hyperlipidemia C. Rheumatoid arthritis D. High blood pressure 28. You are a preoperative nurse preparing a client for an upcoming surgery. While you’re preparing this patient, you inform them of what they can expect after surgery and how their pain will be controlled postoperatively. Which of the following stress management techniques is being utilized in this scenario? A. Relaxation B. Guided imagery C. Progressive muscle relaxation D. Anticipatory guidance 29. An elderly patient you’re caring for is about to be discharged. Which of the following statements, if made by the patient, would indicate that they lack a support system at home? A. “My sister and her husband are taking me home today.” B. “My church members have been sending cards and letters while I have been in the hospital.” C. “I am not sure how I am going to get to the grocery store after I get home.” D. “My neighbor is retired. We visit and have our meals together every day.” 30. You are to assess a newly admitted patient regarding their health care practices. As a culturally competent nurse, which of the following factors would you include in your assessment? I. Health-seeking behaviors II. Responsibility for health care III. Folklore practices IV. Barriers to health care A. I B. III C. I, II, IV D. I, II, III, IV SITUATION: You are caring for various patients with substance abuse disorder of methamphetamines. You utilize your knowledge to help care for these patients. 31. You are assessing a patient diagnosed with substance abuse disorder. They stated, “My wife causes me to abuse methamphetamines. She uses methamphetamine and she also expects me to.” As a knowledgeable nurse, you know that the patient is using which of the following defense mechanisms? A. Rationalization. B. Denial. C. Minimization. D. Projection. 32. The mother of one of your patients who are newly admitted to the mental health unit expresses her concern that his son may be using methamphetamine. Which physical examination findings are consistent with methamphetamine abuse by the client? A. Hypotension and bradycardia B. Bruises and scrapes on the extremities C. Constricted pupils and fatigue D. Anorexia and recent weight loss 33. One of the patients you’re caring for in the unit is in methamphetamine withdrawal. When caring for this patient, the most appropriate intervention by the nurse should be to? A. Administer sedatives routinely to prevent seizures. B. Allow the client to sleep and eat as desired. C. Administer antipsychotic medications to manage hallucinations. D. Encourage involvement in the treatment milieu. 34. You are assessing one of the patients in your unit who abuses methamphetamine. The patient appears not to be willing to give up the usage of the drug, as evidenced by their statement, “I do not plan to quit meth. I can work for days when I am high.” Which of the following is your best response to the patient’s statement? A. “You’ll exhaust yourself doing that.” B. “You can’t see the real problem yet because you are in denial.” C. “You think using drugs helps you?” D. “Good point. You probably work long hours while you are on meth.” 35. One of your patients regularly uses projection to protect themselves against the negative realities resulting from their methamphetamine use. Which of the following statements will the nurse most likely document when the patient uses projection as a coping mechanism? A. “My dad and I don’t get along because he thinks that I’m a failure.” B. “I can’t go back to work. I’d be so embarrassed for anyone to find out I’ve been in treatment.” C. “I’m not giving up alcohol, just the methamphetamine. I never had a problem with alcohol.” D. “Everything will be all right again if I can just stop using drugs.” SITUATION: You are caring for Robin, a patient diagnosed with Multiple Sclerosis. The following questions apply. 36. Robin is scheduled for a magnetic resonance imaging (MRI) scan of the head. Which of the following information should you relay to Robin about the test? A. The client will have wires attached to the scalp and lights will flash off and on. B. The machine will be loud and the client must not move the head during the test. C. The client will drink a contrast medium 30 minutes to one (1) hour before the test. D. The test will be repeated at intervals during a five (5)- to six (6)-hour period. 37. Robin stated her frustration regarding her recent diagnosis of MS. She states, “I do not understand how I got this disease. Is it genetic?” On which statement should you base your response? A. Genetics may play a role in susceptibility to MS, but the disease may be caused by a virus. B. There is no evidence suggesting there is any chromosomal involvement in developing MS. C. Multiple sclerosis is caused by a recessive gene, so both parents had to have the gene for the client to get MS. D. Multiple sclerosis is caused by an autosomal dominant gene on the Y chromosome, so only fathers can pass it on. 38. Which of the following issues presented by Robin is of most importance to you at this time as her primary nurse? A. She refuses to have a gastrostomy feeding. B. She wants to discuss if she should tell her fiancé. C. She tells the nurse life is not worth living anymore. D. She needs the flu and pneumonia vaccines. 3 | Page