Tiêu đề RECALLS 12 - NP5 - SC ✅

2 | Page 11. Nurse Rico is aware that the major advantage of observation over interview is that _____________. A. Observation may be recorded and scrutinized later B. Observations enable the recording of actual behaviors, rather than subjects' interpretations C. Observation is scientific, unlike interviews which necessary involve personal interactions D. Observations are unbiased and do not elicit reactions in human subjects. 12. Participant observation may be defined as: A. The observation of participants in the study B. The observation of the researcher’s input to a study C. Participation in a group while studying it D. The study of observational and clinical techniques 13. One of the major problems associated with the use of participant observation as a research strategy is that: A. It is more expensive than experimental approaches to implement. B. It does not allow "in-depth" study of any phenomena C. The results cannot be replicated D. May cause unrest among samples Situation: Two weeks ago, Alice began to exhibit manic behavior. She appears to be jumping from one topic to another and is very talkative. Excited as she was, she has not eaten or slept for 3 days. Nurse Queenie was assigned in the psychiatric ward when an incident occurred involving Alice and another patient.  14. While inside the psychiatric ward, Alice threatens to hit another patient. The most appropriate response from Nurse Queenie would be? A. "Stop that. No one did anything to provoke an attack by you." B. "If you do that one more time, you will be secluded immediately." C. "Do not hit anyone. If you are unable to control yourself, we will help you." D. "You know we will not let you hit anyone. Why do you continue this behavior?" 15. Nurse Queenie plans to establish a nursing diagnosis which applies to Alice. With the nursing diagnosis of imbalanced nutrition: less than body requirements, related to insufficient caloric intake and hyperactivity as evidenced by 5-pound weight loss in 4 days, the most appropriate outcome for the patient will be to: A. Ask staff for assistance with feeding within 4 days B. Drink six servings of a high-calorie, high-protein drink each day C. Consistently sit with others for at least 30 minutes at mealtime within 1 week D. Consistently wear appropriate attire for age and sex within 1 week while in the psychiatric unit 16. Alice develops mania after discontinuing lithium. New prescriptions are written to resume lithium twice daily and begin olanzapine (Zyprexa). Nurse Queenie understands that the addition of Olanzapine to the medication regimen will: A. Minimize the side effects of lithium B. Bring hyperactivity under rapid control C. Enhance the antimanic actions of lithium D. Provide long-term control of hyperactivity 17. During a manic episode, Nurse Queenie will initiate what initial nursing intervention as a priority? A. Allow the patient to act out his or her feelings. B. Set limits on the patient’s behavior as necessary. C. Provide verbal instructions to the patient to remain calm. D. Restrain the patient to reduce hyperactivity and aggression. 18. Desmond, diagnosed with bipolar disorder, has been hospitalized for 7 days. He has taken lithium 6 times daily. Throughout confinement, Nurse Sky observed increased agitation, pressured speech, poor personal hygiene, hyperactivity, and bizarre clothing. What is the Nurse Sky’s best intervention? A. Educate the patient about the proper ways to perform personal hygiene and coordinate clothing. B. Continue to monitor and document the patient's speech patterns and motor activity. C. Ask the health care provider to prescribe an increased dose and frequency of lithium. D. Consider the need to check the lithium level. The patient may not be swallowing medications. Situation: Mila is set undergo cataract removal of the left eye. Nurse Kiara is assigned to assist her in the process. The following question applies.  19. Which drug should Nurse Kiara anticipate from the surgeon to administer given the situation? A. Atropine Sulfate (Tropin) B. Glycopyrrolate (Robinul) C. Acetazolamide (Diamox) D. Pralidoxime (Protopam) 20. Nurse Kiara should instruct Mila on activities that can impact her intraocular pressure. After an eye surgery all of the following activities greatly increases the client's intraocular pressure, EXCEPT? A. Sneezing, coughing and blowing the nose B. Straining to have a bowel movement C. Wearing tight shirt collars D. Sexual intercourse 21. On one hand, Nurse Kiara also knows that increased intracranial pressure (ICP) is manifested by which earliest sign? A. Abnormal respiratory pattern B. Rising systolic and widening pulse pressure C. Contralateral hemiparesis and ipsilateral dilation of the pupils D. Progression from restlessness to confusion and disorientation to lethargy Situation: Nurse Coraline is tasked to manage the case of Mr. Tirso, a 62-year-old patient, who was brought to the hospital due to right sided weakness and slurring of speech. 22. Nurse Coraline takes the pharmacologic regimen into consideration for the Mr. Tirso. Which statement is incorrect in the management of a client with cerebrovascular accident (CVA)? A. Osmotic diuretics and corticosteroids are given to decrease cerebral edema B. Anticonvulsants are given to prevent seizures C. Thrombolytics are most useful within three hours of an occlusive CVA D. Aspirin is used in the acute management of a complete ischemic stroke. Situation: Kendrick, a 20-year-old fine arts student thinks that his roommate is trying to poison him. He was admitted in the psychiatric ward because this has affected his performance in school and his classmates were afraid that he might hurt them. Nurse Maya is assigned during his stay. The following questions apply. 23. Kendrick refused all hospital meals for 3 days already. Nurse Maya is planning on ways in order to feed him. Which intervention is most likely to be acceptable to the patient? A. Allow Evan to have supervised access to food vending machines B. Allow Evan to telephone a local restaurant to deliver meals C. Offer to taste each portion on the tray for Evan D. Begin tube feedings or total parenteral nutrition for Evan 24. Kendrick blurted out "The voices are bothering me. They yell and tell me I'm bad. I have got to get away from them." The most appropriate response from Nurse Maya would be _____________. A. "Do you hear the voices often?" B. "Do you have a plan for getting, away from the voices?" C. "I will stay with you. Focus on what we are talking about, not the voices."