Tiêu đề DIAGNOSTIC EXAM - NP5 (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 3 | nurse, “Why are you still here and wait for me to talk? Go and talk to someone else!” What is the most appropriate response of the nurse to the client’s remarks? A. “I am interested in you and I wish to help you.” B. “If that is what you wish, I will come back later when you already feel better.” C. “I am the nurse assigned to you and it is my duty to help you. I hope you’ll let me.” D. “Okay. I will now go.” 29. Annually, there is an estimated of 500,000 cases of suicide attempts among teenagers globally. Upon assessment and interview with the client, Nurse Manzano observed the presence of fresh cuts on both wrists. What is the most appropriate action of the nurse? A. Ignore the observation and continue with the assessment. B. Explore the reason behind having the cuts and document the findings. C. Appropriately document the observation. D. Ask the client to stop hurting himself and never cut his wrists again. 30. During nurses' rounds, Nurse Manzano observed James lying on his bed, facing the wall, rocking himself on fetal position while humming a song. The nurse notes this behavior as: A. Flat affect and apathy B. Severe regression C. A side effect of antidepressant D. Autism Situation: Nurse Gelo is assigned in the Psychiatry unit. In dealing with several clients, therapeutic communication is a vital skill that a nurse should possess. This includes the interpretation of both verbal and nonverbal cues portrayed by the client and using therapeutic communication as a nursing intervention. 31. Jana, one of Nurse Gelo’s clients, reports having thoughts of being followed by several dwarves to get him for his treasures. Given that this shows the client’s disturbed thought process, which is the most appropriate response by the nurse? A. “It seems that these thoughts are frightening you.” B. “You need to calm down, come with me, you better join the group activity now.” C. “I do not see any dwarves in here right now” D. “Are you okay? Tell me more about it.” 32. During a one-on-one session, Clara, a newly admitted person, told Nurse Gelo: “My calling is to eliminate all the provocative sluts in this world. I will be able to protect my husband with that”. Knowing that the unit has several attractive women in it, what should the nurse do initially after he has heard this statement from the patient? A. Organize a group meeting and tell all the female clients to dress simple and less provocatively. B. Ask the other female clients to avoid Clara for their safety. C. Ask Clara to inform the staff if she has negative thoughts and feelings toward other clients in the unit. D. Tell Clara that if she hurts anyone in the group, she will be restrained and kept in a separate room alone. 33. A client is observed to be talking alone, looking frightened, and backing away from the window. He then signaled Nurse Gelo to run away from the window. Which of the following reasons explain why doing as the client requests is contraindicated? A. The action will make the client feel complete control over the nurse. B. This will give the client an idea that the action is a nonverbal agreement to his false ideas. C. The nurse will spoil the client by responding that way to his request. D. The client might think that the nurse is making fun of him. 34. A female client is being admitted to the Psychiatry Emergency Department at 2 o’clock in the morning. During the assessment, the client is very depressed and showed a history of sleeping pills, non accidental overdose, weight loss of 12 pounds in the past two weeks, sleeping 2 hours a night and poor hygiene. She then verbalized, “I will never be good enough for everyone, they are all better off without me.” Which of the following should be the initial reply of the nurse client’s statement? A. “Oh no. I see that you are a very great person and I think everyone loves you!” B. “What makes you think that way?” C. “Are you thinking about hurting yourself?” D. “What do you mean when you say you are not good enough?” 35. An old client who is diagnosed with paranoid schizophrenia is found pacing back and forth in the hall. He then stopped and looked outside the window and returned back to pacing even faster with a worrisome face. What is the most appropriate statement for the nurse to make? A. “I can see that you’ve been pacing and looking afraid. Can you tell me how you feel?” B. “Are you okay? I can tell something is wrong. Tell me something about it.” C. “Please stop pacing back and forth, you might be bothering other clients.” D. “Would you like to join the ball game in the court right now? Looks like you have a lot of energy today.” Situation: In the year 2013, Typhoon Haiyan, one of the strongest typhoons in the Philippine history, hit the country. An approximate of 6,000 casualties was recorded and has caused unimaginable damages never been seen before on almost one-third of the country. 36. In dealing with clients experiencing post-traumatic stress disorder, which of the following approaches is inappropriate? A. Statements of reassurance and simple reorientation to the client to prevent ideas of self-mutilation and suicide B. Establishment of a trusting relationship which conveys a sense of respect and consistent empathic approach to help the client tolerate the pain felt C. Promote the client’s highest level of functioning and maintenance of emotional and psychological dependence D. Acceptance of the client’s reaction to the event and his ongoing distress 37. The following are diagnostic criteria for PTSD. Which one is incorrect? A. Aloof and feeling numb B. Daydreaming and imagery C. Onset 6 months after the traumatic event D. Presence of intrusive reenactment of the events in memories 38. During the rescue of victims in such disastrous events, some clients remain silent and refuse to talk. In this case, it will be non-therapeutic and ineffective if the nurse would: A. Acknowledge that the reaction is normal and they are not to blame as you understand them B. Tell the client that they need to speak up immediately about how they feel so that they can already feel better C. Maintain regular contact with the victims, greet them and offer help once in a while D. Even if they did not talk, tell the victims that you are not angry or upset 39. Red Cross is one of the rescuing organization who responded during the Typhoon Haiyan. After the rescuing process, the organization undergone a formal and routine evaluation of what went well and what should be refined in the future processes in their emergency response. This process provides overall meaning and a degree of closure to the involved parties. This is called the: A. Critical Incidence Stress Debriefing B. Operational debriefing C. Stress debriefing D. Large-scale demobilization and informational briefings