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Nội dung text RECALLS 13 - NP5 - SC



3 | Page D. Diazepam 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 B. Mixed methods C. Quantitative 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 B. Motivation C. Skills to implement change 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 His driver’s license has been revoked.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? A. Free the environment obstacles B. Offer to read written information C. Ask Mr. Bang, “How can I help you?” D. Identify yourself as you approach Mr. Bang and before you make a physical contact. 37. Which of the following ethical principles are in conflict with this case? A. Autonomy and nonmaleficence B. Respect for person and nonmaleficence C. Distributive justice and respect for person D. Autonomy and beneficence 38. Mr. Bang’s’ driving without license can result in a violation of which ethical principle? A. Respect for person B. Beneficence C. Autonomy D. Nonmaleficence 39. Mr. Bang had a fall needing hospitalization. All his benefits were given to him just like any senior citizen with the same condition. This ethical principle is upheld in this situation: A. Beneficence B. Respect for person C. Autonomy D. Distributive justice 40. Which principle should have pre-eminence as you proceed to work with Mr. Bang A. Autonomy B. Respect for person C. Nonmaleficence D. Beneficence 41-45. Situation. Mrs. Catherine Fernando, a 78 year old widow, was brought to the clinic by her son with the chief complaint of constant confusion, incontinence, and tendency to wander. Mrs. Fernando has a diagnosis of cognitive impairment disorder. 41. The son of Mrs. Fernando informed the nurse that his mother seemed to be inventing stories about certain personal achievements. The nurse identifies this as confabulation and interprets it correctly as ________. A. Indicates a lack of ego-integration B. Results to tendency to lie C. Helps to maintain self-esteem D. Results in poor judgement 42. The nurse asked Mrs. Fernando for her children’s and grandchildren’s names. This is to assess Mrs. Fernando’: A. Remote Memory B. Recent Memory C. Attention Span D. Orientation Status 43. Which of the following outcome criteria would be the MOST APPROPRIATE for Mrs. Fernando? A. Follow an established schedule for activities for daily living. B. Learn new coping mechanisms to handle anxiety. C. Return to an adequate level of functioning. D. Seek out resources in the community for support. 44. The nurse spent time talking to Mrs. Fernando’s son. She gathered that the son is the primary caregiver. To explore and to prevent burn-out in the son, which of the following nursing actions must the nurse do? A. Assess degree of understanding of family systems and coping mechanisms. B. Explore individual dynamics and personal coping. C. Explore the support system available for Mrs. Meneses’s son. D. Identify the spiritual support system of the family. 45. The nursing diagnosis MOST APPROPRIATE for Mrs. Fernando’s son would be _____. A. Sleep pattern disturbance B. Caregiver role strain C. Social isolation D. Risk violence 46-50. Situation. Your patient, Mrs. Doris, who was diagnosed with Alzheimer’s Disease, is soon to be discharged. You scheduled a family conference to discuss some concerns regarding Mrs. Doris’s condition. 46. You explained to the family members that there will be times Mrs. Doris will feel agitated and fatigued. To MINIMIZE if not totally prevent this situation, you would suggest to _______. A. Make mealtime pleasant B. Provide activities for her C. Avoid noisy activities in the house and schedule rest period for her D. Provide a consistent routine for her 47. A family member asked how they can help minimize Mrs. Doris’ disorientation to time. Your answer would be to:
4 | Page A. Encourage talking with friends on the phone B. Place clocks and calendars at prominent places C. Keep windows wide open D. Provide adequate lighting especially in hallways, stairways and bathrooms 48. A concern regarding physical safety came up during the conference. You would recommend to________. A. Always close the doors and windows B. Provide adequate lighting especially in hallways, stairways and bathrooms C. Use non-verbal communication D. Reduce noises and distractions 49. A family member expressed that they may not have the ability to care for Mrs. Doris. Your MOST APPROPRIATE answer would be ________. A. “I will call Mrs. Doris’ doctor to explain to you more about Alzheimer’s Disease”. B. “What information regarding Alzheimer Disease has been given to you by her doctor. C. “Do you want to discuss with me specific concerns that bother you most?” D. “I will refer your case to the social worker” 50. You pointed out to the family that an important aspect of Mrs. Doris’ is the promotion of adequate nutrition. To address this concern, you would suggest to: A. Provide adequate lightning in the dining room B. Reduce noises and distractions during mealtime C. Do some active exercise before mealtime D. Keep mealtime pleasant and serve foods similar to her 51-55. Situation. You are the Quality Assurance Officer of your hospital. The following questions relate to this statement. 51. As the Quality Assurance Officer, you developed a group of nurses to conscientiously use the current evidence in managing patients with rheumatoid arthritis. This is an example of _______. A. Evidence-based practice B. Purposive sampling C. Research utilization D. Random sampling 52. Based on the initial research findings, Sterillium, an alcohol-based hand disinfectant is more effective than the traditional brush-stroke hand scrub method. You recommend its use by the nurses in the OR. This is an example of ______. A. Generalizability of results B. Evidence-based practice C. Dissemination of research findings D. Research utilization 53. One of your programs as a Quality Assurance Officer is to develop the research culture in the Nursing Service Department. What would be the best and easiest thing to do to encourage the nursing personnel to participate in research? A. Teaching them statistical procedures commonly applied in research B. Letting them do a critical analysis of a research topic C. Doing a review of related literature and studies D. Asking them to participate in gathering data 54. You were asked to present the most frequently occurring causes of sentinel events for the last six months as the basis for the patient safety program. What measure of central tendency are you going to use in this situation? A. Mode B. Median C. Research utilization D. Analysis of variance 55. You want to determine the difference in the coping skills among adolescents diagnosed with drug abuse as a basis of a gender specific program on coping skills. What will be your sampling technique to answer the research problem? A. Stratified sampling B. Purposive sampling C. Convenience sampling D. Random sampling 56-60. Situation. In interdisciplinary care of a psychiatric patient: Each number of the health item has his/her roles and functions. The following questions relate to this statement. 56. Which of the following is NOT an ingredient of the collaboration process? A. Negotiations between each member of the health team to conceptualize new ways of solving problems B. Communication techniques used by each health team member C. Receptively and respect for each health team member’s contribution D. Active and assertive contribution from each member of the health team 57. The MOST important steps in interdisciplinary team building is _________. A. Define disciplinary and individual roles and responsibilities B. Use disciplinary treatment plan C. Specify conflict resolution procedures D. Communicate regularly, openly and clearly 58. Which of the following is NOT a BARRIER to interdisciplinary collaboration? A. Personal qualities of the individual health care team member that promote shared problem solving B. Inequality of power and status C. Inappropriate education and training of mental health team members D. Role conflict 59. The element of collaboration essential in developing further psychiatric nursing is ________. A. Link between nursing theory and clinical practice through research B. Use of informatics C. Collaborative practice D. Utilization of evidence-based nursing interventions 60. The mental health team member is responsible for helping patients to receive the needed services is the __________. A. Case worker B. Psychologist C. Social worker D. Psychiatric nurse 61-65. Situation. You are a staff nurse in the Neurologic Unit of the Hospital. You are taking care of patients with different neurological conditions. The following questions refer to this statement. 61. Dan, a 24 year old stuntman, was admitted to your unit unconscious, after falling from a horse. Tentative diagnosis of Spinal Cord Injury was the cause of? A. Motor Vehicle Crashes B. Sports C. Violence D. Falls 62. The final diagnosis for Dan is Spinal Cord Injury, Anterior Cord Syndrome. Which of the following is NOT a characteristic of this condition? A. Loss of motor power B. Loss of pain and temperature sensations C. Pronounced sensory loss in the upper extremities D. Preserved position, vibration and touch sense 63. Patients suffering from Spinal Cord Injury are at risk for hypotension. This risk is attributable to ______. A. Volume depletion B. Pulmonary overload C. Loss of reflexes D. Fluid depletion 64. Patients with Spinal Cord Injury benefit from rehabilitation. Which of the following is NOT a goal of rehabilitation? A. To promote independence B. To prevent infection C. To reduce morbidity D. To maximize function recovery 65. Which of the following can be used as a guide when establishing the functional ability of a patient with Spinal Cord Injury?

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