Tiêu đề RECALLS 11 - NP5 - SC ✅

3 | Page B. Care for the wounds in a matter-of-fact manner C. Allow the client to express angry feelings D. Problem-solve the situation with the client 29. Which of the following is a necessary initial step in determining interventions for Nina? A. Explore her coping behaviors B. Determine the meaning of her personal crisis C. Assess her developmental level and experience D. Let her identify current stressors 30. The nurses involved in the care of Nina feel caught in a bind because there is a need to rescue in the event that she cuts herself again and a need not to be manipulated by her. It is MOST therapeutic for the nursing team to recognize: A. Being strict regarding imposition of external controls B. Writing a “no cutting on self” contract C. Developing of a trust relationship D. Taking self- responsibility by signing a waiver Situation: Children are unique requiring specialize nursing care. To nurse a child, health care professional need to be aware that children are physically smaller and their bones grow and mature at different rates. 31. A 10-month-old infant has developmental dysplasia of the hip following confirmation of the diagnosis by ultrasonography. She is placed in Pavlik Harness. Which of the following should you expect the infant to be positioned? A. Supine B. Trendelenburg C. Flexed abduction D. Flexed adduction 32. With the application of the harness, the nurse should keep in mind the following EXCEPT? A. Assess skin daily. B. The baby should wear the harness at all times except while bathing C. Harness should be worn above the clothing continually. D. Instructing the parents on the practicalities of daily care and continuous support 33. The infant did not respond to treatment with Pavlik Harness. A surgical program is undertaken. She was admitted into hospital for a 1-week period of gallows traction. The mother asks the nurse what Gallows traction is. The nurse responds correctly if she states: A. It is a skin traction applied to the legs which are flexed at a 90-degree angle at the hips. B. The child’s head provides counter traction. C. Type of traction with the legs in an extended position D. Uses skin traction on the lower leg and a padded sling under the knee 34. The nurse should pay particular attention to which part of the body of the infant in gallows traction? A. Back B. Hips C. Lower extremities D. Skin 35. The tractions is removed after 1 week and the infant is bathed prior to surgery. Which of the following constitute this intervention? A. Bathing is necessary for hygienic measures B. Cleanse the skin and allows for the gentle removal of the adhesive traction C. Allows for adequate physical preparation D. A routine procedure prior to surgery to prevent complications Situation: Nurse Liza functions as a team leader and coordinates a small group of nurses in the psychiatric unit to provide care to a small group of patients. 36. As coordinator of the team her main function is to: A. Allow team members to practice high degree of authority B. Encourage the growth and training of each member C. Know the condition and needs of all the patients assigned to the team D. Assume responsibility of the team for planning, directing and evaluating the patient’s care 37. As team leader, Nurse Liza assumes which of the following duties? A. Assessing patients and planning care B. Directing and assisting team members C. Giving direct patient care D. Coordinating patient activities 38. Nurse Liza’s team is using a team nursing model. Weighing things, this model has advantages and also disadvantages. Of the following choices, which one is the ADVANTAGE: A. Use of each team member special expertise in caring for patients B. Direct patient care provided by a few nurses C. Team leader direct the team for effective care D. Provide total patient care 39. To make team nursing succeed, nurse Liza as coordinator of the team MUST possess which of the following? 1. Good communication skills 2. Delegation ability 3. Strong clinical skills 4. Create a cooperative working environment A. 2,3,and 4 B. 1 and 3 C. all except 4 D. all 40. Nurse Liza brings together the members to work as a group. She has successfully accomplished teamwork by means of: A. Expertise of each member B. Well define goals and objectives of the team C. Clinical skills of team members D. Adequate planning and control Situation: Romina, age 19, was admitted with acute pyelonephritis and has elevated temperature. The nurse on duty reported that she refused acetaminophen and has had only sips of fluid to supplement her IV therapy. The patient appears sad and has remained in bed with the covers over her head most of the day. Her history includes a psychiatric hospitalization two years ago for major depressive disorder. She was started on antidepressant medication. 41. Depressed mood or loss of interest in pleasure and activities in depressive disorder is with duration of at least: A. A month B. Two weeks C. 2-3 days D. one week 42. Romina has been withdrawn and appears sad. Which of the following approaches validate your initial impression? A. “I noticed that you've been withdrawn. Describe your mood for me” B. “what happened that brought your sadness?” C. “in a scale of 1 - 10, 10 being the highest, what level is your feeling sad?” D. “how long have you been feeling sad?” 43. Romina describes feeling like her body is “numb” and feels “helpless to do anything to feel better”. The nursing diagnosis is: A. Anxiety B. Risk for injury C. Acute confusion D. Powerlessness 44. Structuring a therapeutic environment places urgency in providing: A. Cheerful environment to counteract depression B. Access to security personnel C. Adequate fluids and nutrition D. Precautions regarding self-harm 45. Romina is being treated with SSRI; /selective serotonin reuptake inhibitor. The nurse watches for serotonin syndrome characterized by: A. Tremors, seizures, nausea, vomiting, and confusion B. Robot like inflexible movements C. Bizarre behavior like hallucinations and delusions