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
39. Robin stated that she has been investigating alternative therapies to treat her disease. Which of the following interventions is most appropriate? A. Encourage the therapy if it is not contraindicated by the medical regimen. B. Tell the client only the health-care provider should discuss this with him. C. Ask how his significant other feels about this deviation from the medical regimen. D. Suggest the client research an investigational therapy instead. 40. You enter Robin’s room after her diagnosis of acute exacerbation of MS. You find her crying. Which of the following statements is the most therapeutic response you can make as her nurse? A. “Why are you crying? The medication will help the disease.” B. “You seem upset. I will sit down and we can talk for awhile.” C. “Multiple sclerosis is a disease that has good times and bad times.” D. “I will have the chaplain come and stay with you for a while.” SITUATION: You are caring for patient Luffy who has seizures. You apply your knowledge on concepts of seizures to better assess, diagnose, plan, and evaluate their condition. 41. Luffy is sitting in the chair when suddenly, his entire body went rigid with his arms and legs contracting and relaxing. He is not aware of what’s going on and is making guttural sounds. Which of the following actions should you implement first? A. Push aside any furniture. B. Place the client on his side. C. Assess the client’s vital signs. D. Ease the client to the floor. 42. Luffy is scheduled for an electroencephalogram (EEG) to help diagnose a seizure disorder. Which of the following preprocedure teaching should you implement? A. Tell the client to take any routine antiseizure medication prior to the EEG. B. Tell the client not to eat anything for eight (8) hours prior to the procedure. C. Instruct the client to stay awake for 24 hours prior to the EEG. D. Explain to the client that there will be some discomfort during the procedure. 43. Luffy just had a 3 minute seizure. He has no apparent injuries, is oriented to name, place, and time but he is very lethargic and just wants to sleep. Which of the following interventions should you implement? A. Perform a complete neurological assessment. B. Awaken the client every 30 minutes. C. Turn the client to the side and allow the client to sleep. D. Interview the client to find out what caused the seizure. 44. Which statement by Luffy indicates that he understands factors that may precipitate his seizure activity? A. “It is all right for me to drink coffee for breakfast.” B. “My menstrual cycle will not affect my seizure disorder.” C. “I am going to take a class in stress management.” D. “I should wear dark glasses when I am out in the sun.” 45. Luffy is prescribed the anticonvulsant phenytoin (Dilantin) for his seizure disorder. Which statement indicates that Luffy understands the discharge teaching regarding this medication? A. “I will brush my teeth after every meal.” B. “I will check my Dilantin level daily.” C. “My urine will turn orange while on Dilantin.” D. “I won’t have any seizures while on this medication.” SITUATION: You are a new nurse assigned in the operating room. You will apply your knowledge on perioperative nursing to effectively and safely handle patients in this area. 46. You are preparing your patient for an upcoming surgery. Which of the following interventions should you implement first? A. Check the permit for the spouse’s signature. B. Take and document intake and output. C. Administer the sedative. D. Complete the preoperative checklist. 47. You are conducting an interview with the surgical patient in the holding area. Which of the following information should you report to the anesthesiologist? Select all that apply. I. The client has loose, decayed teeth. II. The client is experiencing anxiety. III. The client smokes two (2) packs of cigarettes a day. IV. The client has had a chest x-ray which does not show infiltrates. V. The client reports using herbs. A. I, II, III, IV B. II, III C. I, III, V D. III, V 48. The circulating nurse intervenes when she notices which of the following violations of surgical asepsis? A. Surgical supplies were cleaned and sterilized prior to the case. B. The circulating nurse is wearing a long sleeve sterile gown. C. Masks covering the mouth and nose are being worn by the surgical team. D. The scrub nurse setting up the sterile field is wearing artificial nails. 49. The following statements are not an expected outcome for the postoperative client who had a general anesthesia, except? A. The client will be able to sit in the chair for 30 minutes. B. The client will have a pulse oximetry reading of 97% on room air. C. The client will have a urine output of 30 mL per hour. D. The client will be able to distinguish sharp from dull sensations. 50. Which of the following problems should you identify as the priority for a patient who one day postoperative? A. Potential for hemorrhaging. B. Potential for injury. C. Potential for fluid volume excess. D. Potential for infection. 51. Antibiotics have limited use in the actual treatment of Mastoiditis because________. A. Tissue destruction is extensive B. It is a long-term treatment C. Antibiotics do not easily penetrate the infected bony structure of the mastoid D. Culture has to be done to identify which antibiotic is most effective for the treatment of Mastoiditis Situation– You are a staff nurse in a government hospital being transferred to the Psychiatric Unit. You were required to equip yourself by attending the enhancement program on Crisis Intervention. To assess your knowledge and skills on the subject you were given a pre-test. 52. A crisis that is acute but temporary and due to an external source is__________. A. Developmental B. Transitional C. Traumatic D. Dispositional 53. The MAIN objective of crisis intervention is to_____________ A. Make the person realize his/her mistakes B. Ensure patient’s safety C. Return the person to the root of the crisis to identify the cause D. Eliminate the stressor 54. Which of the following is NOT an assumption in the concept of crisis? A. Crisis is acute and resolved within a short period of time B. All individuals experience a crisis C. Crisis is a growth-retarding factor to the emotional development of a person D. Specific identifiable events precipitate a crisis 55. Which of the following nursing interventions is the most appropriate for a client who is in the early state of crisis? 4 | Page