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D. Arrange for the client to participate in social activities. 9. Which of the following nursing actions would be more appropriate when speaking with this client about the trauma she experienced? A. Listen attentively B. Request the client write what is being said C. Ask question to convey an interest in the details D. Obtain validation of what the client says from another party 10. Which of the following nursing actions would you include in the plan of care for this client who keeps saying that the trauma she experienced was just a case of bad luck? A. Assist the client in defining the experience as a trauma B. Encourage the client to verbalize the experience C. Work with the client to accept positive and negative feelings Situation 3 – One of the competencies expected of you as a beginning professional nurse is to have a positive attitude toward research. 11. You plan to study the effectiveness of films in teaching active exercises to post stroke patients. Which of the following research designs will give you the most confidence to answer the research problem? A. Time- series design B. Non-equivalent control group design C. One-group pre-test, post-test design D. Post-test only, control group design 12. Which of the following sampling techniques is the most appropriate to answer a research question on the effectiveness of active exercise on the mobility of post stroke patients? A. Convenience sampling B. Purposive sampling C. Quota sampling D. Random sampling 13. You want to develop a tool for measuring the level of consciousness of stroke patients. This is what type of research? A. Historical study B. Case study C. Comparative study D. Methodological study 14. You want to examine the difference in the eating behaviors between two groups of high school students. Which of the following research designs would you use to answer the research question? A. Case study B. Correlation study C. Comparative design D. Survey study 15. In a study on the relationship between personality make-up and obesity, a Pearson r=.8 would mean: A. A high, negative correlation B. A moderate, positive correlation C. A high, positive correlation D. A low, positive correlation Situation 4- Ella, a 10-year old grade four pupil in a private school has just lost her best friend, Lory, who died of Leukemia. Her mother brought her to the emergency room who reported that Ella has been gloomy and often expresses feeling of joining Lory in heaven. 16. Which of the following is the precipitating factor for Ella’s feeling of wanting to die? A. The death of Lory B. Her age C. Her authoritative mother D. Her fear of death 17. Ella’s feeling of joining Lory in heaven is manifestation of: A. Suicidal intent B. Suicidal threat C. Paranoia D. Suicidal ideation 18. Ella state “I will hang myself”. This is a manifestation of: A. Denial B. Suicidal threat C. Suicidal intent D. Paranoia 19. Which of the following is the best predictor of adolescents attempting suicide? A. Depressed mood B. Joyful mood C. Feeling of euphoria D. Feeling of hopelessness 20. Ella state “I wish I were dead. I cannot stand anymore not having Lory around.” Your most appropriate nursing action would be: A. Do nothing because Ella will not do it B. Refer Ella to your supervisor C. Stay with Ella D. Explore Ella’s feeling Situation 5- You are a staff nurse in the Out-Patient Department. Mrs. D brought her 9-year old daughter Bianca for consultation. Bianca is complaining of sore throat, muscle tenderness, weakness of the arms and a general feeling of not being well. The attending physician’s impression is Infectious Polyneuritis. 21. Initially, what assessment data would be the BEST IMPORTANT for you to make? A. Exposure to an infectious disease B. Difficulty in swallowing C. Difficulty in urinating D. Diet intake for the last 24 hours 22. Bianca was admitted to the Pediatric ward. What would be your PRIORITY nursing action when caring for her? A. Providing a diversional activity for Bianca B. Evaluating Bianca’s bilateral muscle strength C. Making a game of range-of motion exercise D. Assessing Bianca’s ability to follow simple commands 23. The pediatric ward nurse ask Bianca to cough every now and then. She also assesses Bianca’s speech for decreased volume and clarity, the underlying rationale for these assessments is to determine the ________. A. Regression to an earlier developmental phase B. Involvement of facial and cranial nerves C. Increased intracranial pressure D. Inflammation of the larynx and epiglottis 24. Assessment findings revealed that Bianca has weak gag and cough reflexes. During this acute phase of Bianca’s illness, which of the following problems should receive the HIGHEST PRIORITY? A. Impaired swallowing related to neuromuscular impairment. B. Risk for infection due to an altered immune system C. Ineffective breathing pattern to neuromuscular impairment D. Total urinary incontinence related to fluid losses 25. Bianca was placed on a medical ventilator. Which of the following nursing actions should the ward nurse give emphasis to? A. Turning Bianca slowly and gently from side to side to prevent respiratory complication B. Engaging Bianca in vigorous passive range-of-motion 2 | Page

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