RECALLS 3 - NP5 | 暗記メーカー

RECALLS 3 - NP5

100問 • 5ヶ月前

CILENEY

通報

問題一覧

Attention deficit hyperactivity disorder (ADHD) is characterized by NOT of the following?

A. Mental retardation

Which of the following would the nurse expect to see as symptoms in child with ADHD, except:

A. Moody, sullen and pouting behavior

Sandro is taking pemoline(Cylert) for ADHD. The nurse must be aware which of the following side effects?

D. Elevated liver function test results

An effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorder is _______.

D. consistent limit setting

Nursing diagnosis commonly used when working with Sandro is __________.

D. risk for injury

Which of the following statements indicates that the client needs further teaching?

D. I'm so glad I can have pizza as long as I don't order pepperoni.

Patient's health teaching for Lamotrigine (Lamictal) should include which of the following?

C. Report any rashes to your doctor immediately.

Which of the following health teaching concern for the nurse as discharged plan for suicidal patient who had been taking tricyclic antidepressant drugs for 2 weeks and now ready to go home?

C. The nurse will evaluate the risk for suicide by overdose of tricyclic antidepressant.

A patient is to take Lithium regularly after being discharged. The MOST important information to impart to the patient and his family is that the patient should _______.

D. have an adequate intake of sodium

The patient with a diagnosis of Schizophrenia who has been taking Clozapine will inform the patient's family that the positive effect of this drug is ______.

D. patients energy level and involvement in activities goes up.

A safe patient environment includes following factors EXCEPT _______.

A. socio-economic needs

As an individual, which of the following is an INTERNAL variable affecting health status, belief, or practices?

A. Genetics

Falls are one of the leading environmental hazards reported in her facilities. One of the MOST common occurrences that precipitate a patient fall is _______.

B. leaving the side rails down

In case a patient falls, the nurse FIRST responsibility is to _______.

A. assess the patient's injury

In healthcare facility, a planned program of loss prevention and liability control refers to _______.

C. risk management

A nurse is conducting physical assessment, which of the following is INAPPROPRIATE action in this stage?

A. Insert intravenous cannula

Mark is scheduled for an EEG after having a seizure for the first time. What is the BEST patient preparation instruction before the procedure?

D. "Avoid stimulants and alcohol for 24 to 48 hours before the test."

Which of the following manifestation should the nurse APPROPRIATELY observe during generalized seizures?

A. Loss of consciousness, dilated pupils, and muscular stiffening, B. Jerking movements of all extremities.

What is the FIRST Priority which the nurse must observe in caring for patient with seizure?

A. Safety

Phenytoin (Dilantin) has been prescribed for a patient. Based on an understanding of the medicine, what is the APPROPRIATE nursing instruction of the nurse?

B. Administer good oral hygiene

After formulating and delimiting the research problem, which following will be a PRIORTTY action of Gloria?

A. Develop the theoretical framework of the study

Gloria decides to include only nurses who have a minimum three year’s experience as psychiatric nurses. Which of the following terms refer to this?

D. Delimitation

The statement “The length of service is not associated with the degree of patient safety practices of staff nurses" is an example of a/an ________.

C. Hypothesis

Which of the following research designs is MOST APPROPRIATE for this study if the aim is to find a relationship between two variables in the study?

D. Correlational

She plans to interview the Psyche Nurse Manager about the patient safety practices of the nurses. What type of sampling includes those who happens to be in the conference room where the activity is scheduled?

C. Convenience

A cognitive assessment of Belle indicated that according to Piaget's theory she was functioning at the concrete operational stage. Which of these behaviors would the nurse observe in Belle?

A. Thinks logically and sees possibilities.

Belle has difficulty tolerating frustration. The GOAL of the nurse is to assist Belle to ________.

A. increase her self-esteem

Which of the following historical data MOST probably led to a post-traumatic stress disorder?

B. Suicide of her mother.

Given her problems of hyper vigilance and worry that something terrible will happen to her child, nursing interventions should be aimed at addressing her needs for _________.

C. psychological security

In terms of social support therapy, which of these is the MOST APPROPRIATE and therapeutic?

A. with appropriate support, lives in the community, either Independently or in a supervised setting.

A patient asks to be discharged from the health care facility against medical advice(AMA). What should the nurse do?

A. Notify the physician.

A nursing assistant in assigned to provide morning care to a patient. How should the nurse document care given by the nursing attendant?

C. "Morning care provided by G.G., nursing assistant".

A nurse administers the wrong intravenous fluid to a patient. She should accomplish which of the following documents to be submitted to her immediate supervisor?

B. Incident report

When developing a care plan for a patient with a do-not-resuscitate order, the nurse should NOT Include which intervention on the care plan?

D. Administer lethal doses of medication as patient request.

A patient is to undergo a laminectomy in the morning. The physician asks the nurse to witness the patient's signing of the consent form. What is the BEST action the nurse?

D. Make sure the patient is competent, awake and alert before he/she signs the consent form.

A patient is having elective surgery under general anesthesia. Who is responsible for obtaining the informed consent?

A. Surgeon

Which statement by the patient indicates that the he understands the explanation of the surgeon?

B. “Now I know what alternative treatments and procedure are.”

The wait secretary who transcribes the physicians order asks them to interpret an order because she cannot read the writing. The nurse BEST action in to _______.

B. clarify the order by calling the physician

The physician orders to transfuse 500ml packed RBC blood postoperatively. The nurse must check the name on the label of the blood with the name on the patient’s _____.

B. Wristband in the presence of another nurse

The patient's wife is so anxious about the condition of her husband. The MOST appropriate INITIAL intervention for the nurse to make is to _____.

D. allow her to verbalize her feelings and concern

Who should be involved in quality improvement measures?

A. Everyone

To start a nursing improvement project, what is the FIRST step that nurses most keep in mind?

B. Determine the nursing standards

To achieve organized work flow in the unit the staff must be aware of the head nurse's role. What is the PRIMARY purpose of supervision delegation?

A. Enhances the delivery of quality nursing care

To ensure quality nursing care to a patient in skin traction, what is the PRIORITY Intervention that a nurse has to assess frequently?

B. Signs of skin breakdown

The nursing team plans to do chart audit project on post-op patients who had developed pressure sores at the Orthopedic unit over the past year to present. What type of audit is?

A. Retrospective

You are a Drug Abuse Treatment and Rehabilitation Center Nurse. During the assessment of a newly admitted Person Who Uses Drugs(RWUDS) named Korino, which of the following is the MOST APPROPRIATE question to ask?

D. Ask Korino about the amount of drug used and its effect and how long he had been using.

Upon data collection he had been falling three times in his math class and Korino was known for substance dependence for three years. What is the MOST APPROPRIATE nursing diagnosis for him?

D. Impaired judgement

Korino has been using meperidine and codeine for personal consumption. Which of the following does the nurse understand as the effect of these drugs?

B. Relieves pain by increasing pain threshold.

Which assessment by the nurse would cause a concern for Meperidine overdose?

A. Respiration rate of 12 bpm.

What drug should the nurse prepare for administration to reverse all signs of toxicity?

B. Naloxone (Narcan)

The nurse asks the patient, "What do you fear MOST about your surgery tomorrow?" This is an example of which communication technique?

C. Seeking clarification

The patient made the following statement to the nurse, “My doctor just told me that he cannot save my leg and that I need to have an above-the-knee-amputation." Which response by the nurse is MOST APPROPRIATE?

A. "Tell me more."

A nurse is communicating with the attending physician about medical intervention prescribed for a patient-post spine surgery. Which statement is INDICATIVE of a collaborative relationship?

B. "I am worried about Mrs. Santos' blood pressure. It is not decreasing even with the new antihypertensive medication."

An 80-years-old male, admitted for emergency suturing of the foreheads sustained from accident tall while gardening under local sedation. He was just received in the ward. Which nursing intervention is APPROPRIATE to facilitate effective communication with this patient?

A. Talk to the patient when fully awake and inform him and family events which may occur post-surgery.

The nurse who uses appropriate therapeutic listening skills will which BEST behavior?

D. Absorb both the content, and the feeling which patient is conveying.

Which of the following actions is INAPPROPRIATE for a nurse leader to apply in a work setting?

B. Modifies his own behavior favoring the needs of individual staff.

In problem solving, the head nurse must know what is the MAJOR characteristic of negotiation?

A. Be positive in your approach since optimism gives further favorable results.

Applying multidisciplinary approach of patient care, which among the members of the multidisciplinary team that the nurse would MOST likely collaborate with when the patient is at risk of fall due to an impaired gait?

B. Physical therapist

The nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing. A nursing is resistant to the change and is not taking an active part in facilitating the process of change. Which is the BEST approach in dealing with the nurse?

C. Talk and encourage verbalizing feelings of the change.

Which among the members of the multidisciplinary team that the nurse would be BEST to collaborate with when the patient can benefit the use of leg prosthesis?

B. Physical therapist

Which of the following statements should Nurse Cora consider as TRUE with anorexia nervosa?

C. Cultures linking beauty to thinness increase risk of the illness.

Karen is being assessed for eating disorder. Which option is suggestive of anorexia nervosa?

D. Unrealistic perception of body size

Nurse Cora is working with Karen. Even though Karen has been eating all her meals and snacks, her weight has remained unchanged for a week. Which nursing intervention is APPROPRIATE for Karen?

A. Supervise Karen closely for 2 hours after meals and snacks.

One morning, as Nurse Cora entered Karen's room, she noticed that the patient was engaging in rigorous push-ups. Which nursing action MOST APPROPRIATE?

C. Interrupt her and offer to take her for a walk.

Which of the following is the INITIAL goal for treating the severely malnourished patient with anorexia nervosa?

D. Correction of electrolyte imbalances

While taking nursing history on Annie, what will be the response of the patient that indicates her present condition?

D. Her hearing loss has become worse with each succeeding pregnancy.

Annie states. "I'm afraid to let my children out of my sight now that I can't hear them." What is the nurse's BEST response?

A. “Tell me about your fears of losing contact with your children now that you can’t hear them.”

What should be APPROPRIATE the nursing care plan for Annie having otosclerosis?

A. Substitute meaningful sensory input by the use of other senses.

The day after surgery, Annie expresses concern that hearing is not good as it was before admission. What is the BEST nurse action?

C. Reassure Annie that it is temporary loss due to post op edema and ear packing

What post-operative teaching will the patient strictly follow?

D. Stress that hair washing should be avoided immediately after surgery.

Sandy should be placed in which of these positions for meals?

C. Semi-fowlers

The nurse did preoperative teaching to Sandy who's admitted for hip replacement surgery. Which statement of Sandy indicates the need for further preoperative teaching?

A. “I’ll rest in bed for 2 to 3 hours after surgery."

The physical therapist orders exercises of Sandy's left hip, knee and foot to gradually increase range of motion to the left hip. The nurse cab BEST assist Sandy by ________.

C. administering an analgesic before the exercises

Sandy should be instructed to avoid _________.

D. adducting her left leg

Sandy asks the nurse if her new joint will function normally. The nurse can BEST answer this by saying that the ______.

B. new joint will function almost as well as a normal joint, if you perform your exercises faithfully

A patient is brought to the hospital by his officemates because he kept on blaming his immediate superior of getting him fired from his job.Ethical problems may arise when diagnosing psychiatric patients because of ___.

C. subjectivity

The nurse is administering psychotropic medication to the patient. The patient refused to take the medication. Which of the following situations would guide the nurse where a patient refuses medication?

C. Can refuse this medication if he has not been deemed incompetent by formal legal procedures

Which of the following is a basic safeguard to ethical practice by the nurse in providing care to patients with borderline personality disorders who are extremely provocative and manipulative?

C. Practicing self-awareness constantly

The patient verbalizes to the nurse about the thought of “threatening to kill his wife”. The nurse is in a dilemma whether to tell the wife about this conversation. Given this situation, which of the following is the appropriate action of the nurse?

A. Alert immediately the proper authorities regarding the threat to safeguard the safety of the wife.

The psychiatric diagnosing of patients is a morally charged issue and the assigning of diagnosis may be an ethical issue. The role of the nurse in diagnosing psychiatric patient is important because nurses are ___.

B. Planners of psychiatric nursing care

Her diagnosis of obsessive compulsive disorder constantly does repetitive cleaning. The nurse knows that this behavior is probably MOST basically an attempt to

A. A decrease the anxiety to a tolerable level

What response should the nurse use in dealing with this behavior?

B. Supply her with paper tissue to help her function until her anxiety is reduced.

Signs such as using tissues to doorknobs develop because the patient is _____.

A. unconsciously controlling unacceptable impulses or feelings

Therapeutic treatment for Mrs. Juan. should be directed towards helping her to ____.

D. understand her behavior is caused by unconscious impulses that she fears

The nurse plans to educate the entire family about obsessive compulsive disorder. Which of the following plans would be MOST effective?

C. The nurse educates the entire family at the same time about the disease and medications to treat it.

When human needs are taken away or not met for some reason, a person experiences loss. Using Maslow's hierarchy of human needs, which one of the following will the nurse consider a loss in case of death?

A. Loss of security and a sense of belonging

Vangie, 73 years old, comorbid with hypertension and asthma died of COVID. Ariel grieved and mourned to the loss of his mother's untimely death. He is now aware that his mother is one of those 13, 425 deaths. The nurse will consider at what stage of the grieving process is Ariel experiencing?

D. Acceptance

Which of the following gives cues to the nurse that the patient may be grieving for a loss?

C. Sad affect, anger, anxiety, and sudden change of mood

Which of the following situations will the nurse consider as risk factors for complicated grief?

B. Death of a spouse, child, death by suicide.

As a nurse, which of the following are the critical factors for successful integration of loss during the grieving process?

D. The patient's adequate perception, adequate support, and adequate coping

Ms. Diaz learns that some leaders are transactional leaders. Which of the following does NOT characterize a transactional leader?

B. Inspires others with vision

Ms. Diaz finds out that some managers have benevolent-authoritative style of management. Which of the following behaviors will she exhibit MOST likely?

A. Have condescending trust and confidence in their subordinates

Ms. Diaz knows that there are external forces that influence changes in his unit. Which of the following is NOT an external force?

C. Low morale of staff in his unit

After discussing the possible effects of the low patient satisfaction rate, the staff started to list down possible strategies to solve the problems head-on. Should they decide to vote on the best change strategy, which of the following strategies is referred to this?

A. Majority rule

The nurse asks the aide to weigh a patient. Later, the nurse discovered that a patient had been weighed who was supposed to be on rest. This situation violates which of the following rights of delegation?

B. Right direction and communication

Which of the following clinical manifestations would the nurse expect to find when performing admission assessment for Guillain-Barré syndrome?

B. Ascending paralysis with ataxia.

What is the MOST APPROPRIATE nursing diagnosis for a patient with Guillain-Barré syndrome?

A. Self-care deficit related to neuromuscular impairment.

What is the priority of care for a patient diagnosed with Guillain-Barré syndrome?

A. Maintenance of respiratory function

In planning the nursing care for this patient, what is the most important nursing intervention a nurse must do?

C. Assess patient for respiratory distress.

100

What symptom is an indicator of cranial nerve involvement in Guillain-Barré syndrome?

A. Difficulty of speaking and chewing

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