Nội dung text RECALLS 13 - NP5 - KEY
	
		
A. Schedule the patient for audiometric testing and a hearing aid B. Tell the patient that because of his age it is inevitable that his hearing should begin to deteriorate C. Having the patient immediately report the hearing loss to his physician D. Tell the patient the hearing loss is only temporary, when his system adjust to the furosemide his hearing will improve 11-15. Situation. As a new RN, you are for one-month orientation in the orthopedic unit of the hospital. 11. Which of the following methods of documentation uses a chronological, story-telling format? A. Computerized documentation B. Narrative charting C. Focus charting D. PIE charting 12. Which of the following is the key issue in malpractice actions brought against nurses in relation to medical records? A. Failure to document the client’s response B. Failure to document medication and treatment given C. Failure to document appropriately 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. 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 C. Naltrexone B. Serax D. Diazepam Ratio: Lorazepam is given for patients with alcohol withdrawal. 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 C. Quantitative B. Mixed methods 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 C. Skills to implement change B. Motivation 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?