Answer Choices:
a. Home safety inspections
b. Monitoring of self-care abilities
c. Screening for cancer, hypertension, and diabetes
d. Determination of adequacy of a patient’s support system
Answer:
c. Screening for cancer, hypertension, and diabetes
Question: A patient diagnosed with severe and persistent mental illness who recently moved to a homeless shelter says, “My life is out of control. I’m like a leaf at the mercy of the wind.” The nurse formulates the diagnosis Powerlessness. Outcomes will focus on which goal?
Answer Choices:
a. Instilling hope
b. Controlling anxiety
c. Planning social activities
d. Developing personal autonomy
Answer:
d. Developing personal autonomy
Question: A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction at the beginning of the interview, what should the nurse address?
Answer Choices:
a. Initiate a neurological assessment.
b. Assess if the patient can hear the spoken word clearly.
c. Suggest that the patient lie down in a darkened room to rest.
d. Administer medication to relieve the patient’s pain prior to the assessment.
Answer:
b. Assess if the patient can hear the spoken word clearly.
Question: A parent diagnosed with schizophrenia and her 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a shelter volunteer. The child says, “My three friends and I got an A on our school science project.” The nurse can assess that the child is demonstrating what characteristic?
Answer Choices:
a. Resiliency
b. Shy temperament
c. Early posttraumatic stress disorder
d. Uses intellectualization to deal with problems
Answer:
a. Resiliency
Question: Before working with patients regarding sexual concerns, what is a prerequisite for providing nonjudgmental care?
Answer Choices:
a. Sympathy
b. Assertiveness training
c. Sexual self-awareness
d. Effective communication
Answer:
c. Sexual self-awareness
Question: A clinic nurse is assessing a patient who is suspected of having an undiagnosed depressive disorder. Nursing assessment should include collection of information regarding what focus?
Answer Choices:
A. Use of other prescribed medications and over-the-counter products
B. Evidence of pseudoparkinsonism or tardive dyskinesia
C. A history of psoriasis and any other skin disorders
D. A current immunization status
Answer:
A
Question: Which interventions should the nurse plan for a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD)? (Select all that apply.)
Answer Choices:
a. Tendency for genetic transmission
b. Prevention strategies related to substance abuse
c. Negative reinforcement strategies to help modify behaviors
d. Selective serotonin reuptake inhibitors (SSRIs) are usually prescribed for hyperactivity
e. Cognitive therapy may help resolve internalized negative beliefs about self
Answer:
a. Tendency for genetic transmission
b. Prevention strategies related to substance abuse
e. Cognitive therapy may help resolve internalized negative beliefs about self
Question: The father of a child diagnosed with schizophrenia says, “I lost my job, so we have no health insurance.” The mother says, “I must watch this child all the time. Without supervision, our child becomes violent and destructive.” A sibling says, “My parents don’t pay attention to me.” These comments signify what related stress?
Answer Choices:
a. Life-cycle stressors
b. Psychobiological issues
c. Family burden of mental illness
d. Stigma associated with mental illness
Answer:
c. Family burden of mental illness
Question: A 15-year-old adolescent is referred to a residential program after an arrest for theft and running away from home. At the program, the adolescent refuses to participate in scheduled activities and pushes a staff member, causing a fall. Which approach by the nursing staff would be most therapeutic?
Answer Choices:
a. Neutrally permit refusals.
b. Coax to gain compliance.
c. Offer rewards in advance.
d. Establish firm limits.
Answer:
d. Establish firm limits.
Question: The child most likely to receive propranolol to manage tremors is one diagnosed with which disorder?
Answer Choices:
a. Attention-deficit/hyperactivity disorder (ADHD)
b. Posttraumatic stress disorder (PTSD)
c. A motor disorder
d. Separation anxiety
Answer:
c. A motor disorder
Question: What is the highest priority for assessment by nurses caring for older adults who self-administer medications?
Answer Choices:
A. Overuse of medications for acute cystitis
B. Misuse of antihypertensive medications
C. Trading medications with others
D. Anticholinergic effects
Answer:
D
Question: A nurse assesses the four children below. Which assessment findings should prompt the nurse to refer the child for further evaluation?
Answer Choices:
a. A 4-year-old who stuttered for 3 weeks after the birth of a sibling.
b. A 9-month-old who does not eat vegetables and likes to be rocked.
c. A 3-month-old who cries after feeding until burped and sucks a thumb.
d. A 3-year-old who is mute, passive toward adults, and twirls while walking.
Answer:
d. A 3-year-old who is mute, passive toward adults, and twirls while walking.
Question: When a 5-year-old child is disruptive, the nurse says, “You must take a time-out.” The expectation is that the child will demonstrate what behavior?
Answer Choices:
a. Go to a quiet room until called for the next meal.
b. Slowly count to 20 before returning to the group activity.
c. Sit on the edge of the activity until able to regain self-control.
d. Sit quietly on the lap of a staff member until able to apologize for the behavior.
Answer:
c. Sit on the edge of the activity until able to regain self-control.
Question: An older adult with a history of major depressive disorder has taken an antidepressant daily for 3 years. The patient tells the nurse, “I want to stop taking this medication. I don’t think I need it anymore.” What is the nurse’s best response to assure safety the patient’s safety?
Answer Choices:
A. “Why do you think you don’t need this medication anymore?”
B. “Have you talked with your family members about this decision?”
C. “If you stop the medication, your depression will return worse than ever.”
Answer:
A
Question: If an older adult patient must be physically restrained, who is responsible for the patient’s safety?
Answer Choices:
a. Nurse assigned to care for the patient.
b. Nursing assistant who applies the restraint.
c. Health care provider who ordered the restraint.
d. Family member who agrees to the application of the restraint.
Answer:
a. Nurse assigned to care for the patient.