Recalls 7 NP 5

C. It can mean suicide

Depression is often overlooked especially adults because of the belief that it is normal for older adults to be less active, less engaged and somatically preoccupied. Which of the following repercussions of this belief warrant the MOST urgency for health care professionals to consider?

A. Older persons suffer in silence, remaining either undiagnosed or misdiagnosed

B. Greater risk for developing heart disease

C. It can mean suicide

D. Longer hospital stays and decreased ability to follow health regimens

C. Psychological safety and security

Lea is reluctant to be interviewed by the nurse. In order to assess mental health issues, it is MOST important for the nurse to create an environment of:

A. Kind firmness and control

B. Respect, compassion and reassurance

C. Psychological safety and security

D. Privacy and confidence

B. 2-3 weeks

Older adults like  Lea respond slowly to antidepressants, and clinicians should assess for response at:

A. 8-12 weeks

B. 2-3 weeks

C. 4-6weeks

D. 12-16 weeks

C. Pearson’s coefficient of correlation

One of the statistical approaches to be used by the researcher in analyzing whether a relationship exists between the number of depressive symptoms and motivation to lose weight is:

A. Chi square test

B. Analysis of covariance

C. Pearson’s coefficient of correlation

D. Product moment correlation

A. Difficulty developing stable relationships

From the behavior of Justine, the nurse infers that a fundamental issue is Jelly’s:*

A. Difficulty developing stable relationships - manipulative behavior

B. Inability to learn from past experiences

C. Withdrawn attention

D. Suspiciousness and mistrustful of others - paranoid

D. Organizing book clubs for interaction.

In the unit, it is not common to hear loud bangs and thuds with yelling, screaming, and cursing of these children with the company of Jelly. A therapeutic activity that the staff can provide is:

A. Leisurely and active gardening.

B. Active ball games that are not competitive.

C. Sports that foster cooperation and teamwork.

D. Organizing book clubs for interaction.

.B. 1 month

Characteristic features of posttraumatic stress disorder include hyperarousal, i.e., exaggerated startle response, numbing effects and re-experiencing physiological and psychological reactions. The nurse notes that the duration of these symptoms MUST persist for at least:

A. 2 days

B. 1 month

C 2 weeks

D. 3 days

C. Psychodrama

A group strategy that allows processing of emotional effects of traumatic exposure is:

A. Alcoholic anonymous

B. Milieu therapy

C. Psychodrama - focuses on emotion

D. Avoidance behavior

B. Acknowledge and overcome strong emotions

Nurses may perceive clients like  Kia with strong countertransference reactions and feelings of frustration, betrayal, anger, and disgust. To work therapeutic with clients who self -mutilate, it is MOST important for nurses to:

A. Do - self disclosure and solicit understanding from clients

B. Acknowledge and overcome strong emotions

C. Suppress reactions to maintain professionalism

D. Engage in constructive activities to dissipate strong emotions. - dissipate = i-alis

 

A. Offer sympathy, and additional attention to the behavior while cleaning the wound

Kia has a pattern of “cutting ” as a self – mutilating act. All of the following are therapeutic interventions EXCEPT:

refrain from providing additional attention to behavior because it can be thought of as attention causing secondary gain

A. Offer sympathy, and additional attention to the behavior while cleaning the wound

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

C. Assess her developmental level and experience

Which of the following is a necessary initial step in determining interventions for  Kia?*

ADPIE

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

C. Developing of a trust relationship

The nurses involved in the care of  Kia 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

C. Lower extremities

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

C. A form of documentation for professional development

The nurse did a process recording of an interaction with Aubrey. The following descriptions about process recording are true EXCEPT:*

A. Recording of the verbatim account of the entire interaction, including verbal and non-verbal

B. Tool to improve interpersonal communication techniques

 

C. A form of documentation for professional development

D. Helps the nurse in analyzing content of interaction

C. A form of documentation for professional development

Aubrey asked the nurse if she may have a photocopy of her records. The nurse is aware that client records belong to the:

A. Health facility

B. Health team members

C. Family of the client

D. Client

C. Know the condition and needs of all the patients assigned to the team

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

B. Directing and assisting team members

As team leader, Nurse Louise 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

A. Anuria

While reviewing about Eskalith, you know that severe lithium toxicity is manifested by:*

A. Anuria

B. Severe diarrhea

C. Apathy

D. Muscle twitching

C. Twisting of the torso

Patient Cielo’s chart states that dystonia is noted on her while taking antipsychotic medications. Which manifestations do you expect to see?

A. Dysphagia, facial grimacing

B. Oculogyric crisis, increased heart rate, drooling

C. Twisting of the torso

D. Drowsiness, restlessness

C. At the same time each morning

Fluoxetine is prescribed to Patient John Mark. How should it be administered?

A. On full stomach

B. On an empty stomach

C. At the same time each morning

D. At the same time each evening

A. CNS stimulants

A mother of a child with ADHD asked you the most effective medication in controlling the disorder. Your answer would be: 

A. CNS stimulants

B. CNS depressants - benzodiazepines (anxiety pt)

C. Donepezil

D. Rivastigmine

C. Dilate the pupils

The admitting order include: Phacoemulsification with intraocular lens implantation surgery right eye local anesthesia 7:00AM OPD. Start Sanmyd – P Ophthalmic Solution 1 drop every 5 minutes to right eye once the client is admitted. The client demonstrates understanding of the pre–operative medication when she states that the administration to eye drops:

A. Reduce intraocular pressure

B. Minimize swelling

C. Dilate the pupils

D. Relieve pain

D. Precautions regarding self-harm

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

A. Tremors, seizures, nausea, vomiting, and confusion

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 - catatonia

C. Bizarre behavior like hallucinations and delusions

D. Agranulocytosis, jaundice, signs of infection

B. Pain is relieved by myringotomy

The following are correct statements regarding mastoiditis EXCEPT:

A. Results from untreated chronic or acute otitis media

B. Pain is relieved by myringotomy

C. Mastoidectomy with tympanoplasty is the most common treatment

D. Abducens and facial cranial nerve damage is a possible complication.

D. Position the client prone for drainage.

After some clearance, Fidel underwent mastoidectomy. Some postoperative interventions include the following except

A. Prepare for wound dressing change 1 day postoperatively - positive

B. Bed rest with bedside commode privileges for 24 hours as prescribed

C. Monitor for signs of meningitis and for other complications

D. Position the client prone for drainage. - head musr be elevated with pillows, or lying on unaffected side

C. Van Kaam

This method requires that intersubjective agreement be reached with other expert judges. 

A. Colaizzi

B. Giorgi

C. Van Kaam

D. Warm and cool

A. Colaizzi

This method calls for a validation of results by returning to study participants. 

A. Colaizzi

B. Giorgi

C. Van Kaam

D. Warm and cool

B. Giorgi

This method relies solely on researchers. The proponent believes that it is inappropriate either to return to participants to validate findings or to use external judges. 

A. Colaizzi

B. Giorgi

C. Van Kaam

D. Warm and cool

C. Confirmability

According to Lincoln and Guba, this refers to the potential for congruence between two or more independent people about the data’s meaning. 

A.Credibility

B. Dependability

C. Confirmability

D. Transferability

A. Minimize environmental stimuli

A relative accompanying the client asks the nurse if he can bring the client to the cafeteria for a snack before going straight to his room. Which of the following measures should the nurse use why the client should directly get to his room?

A. Minimize environmental stimuli

B. Client is anxious and needs rest

C. Require isolation precaution

D. Rest in a priority to promote healing

C. Neck stiffness

A day after admission the client becomes restless and anxious. The nurse assesses further the client and notices nuchal rigidity. The nurse knows that nuchal rigidity is:

A. Resistance to extension of the neck while hip is flexed

B. Lockjaw

C. Neck stiffness

D. Flexion of the neck and knees in response to hip flexion

C. Can potentially cause both physical and psychological dependence

Valium (Diazepam) is prescribed to Rhodora, an extremely anxious client. She is afraid to take this drug because she heard that it is addicting. The nurse’s responses is based on the knowledge that anti-anxiety drugs:

A. May result in physical but not psychological dependence

B. Rarely causes dependence

C. Can potentially cause both physical and psychological dependence

D. May result in psychological but not physical dependence

C. Impaired social interaction

George was observed to be extremely withdrawn. What is the appropriate nursing diagnosis for the patient?

A. Disturbed thought process - only when the situation mentions delusions, or disorganized thinking

B. Complicated grieving

C. Impaired social interaction

D. Self-care deficit

D. Assist him to focus

When asked about his relationship with his mother, he said that she left the rest of the family after his father died. A therapeutic response would be to:*

A. Confront him his evasive response

B. Remain quiet

C. Change the subject

D. Assist him to focus

B. Nongenetic variables in schizophrenogenesis

Twin studies have repeatedly demonstrated high concordancy rates (50%). The fact that there is not 100% concordancy suggest:

A. Maternal exposure to great stress

B. Nongenetic variables in schizophrenogenesis

C. Infection during pregnancy

D. Exposure to toxins prenatally

D. Ignore signs and symptoms of traumatic exposure

Among helping professionals and first responders to stressful and traumatic incidents, like calamities, fires, typhoons and crime scenes, the individuals who are MOST likely to fall to substance abuse are those who:

A. Have history of trauma in the past

B. Tell their stories to friends and relative

C. Rely on self-help to cope with their experiences

D. Ignore signs and symptoms of traumatic exposure

D. Provide detoxification Intervention for alcohol and substance abuse

Nurses can do the following EXCEPT:

A. Establish a peer support group in the community.

B. Provide alternative methods to handle stresses inherent in trauma work

C. Conduct debriefing or incident stress management

D. Provide detoxification Intervention for alcohol and substance abuse - detoxification interventions include medication

C. Cerebral anoxia lasting longer than 20 minutes causes irreversible damage.

The following are true regarding brain attack except:

A. It can be caused by thrombosis or embolism

B. The use of oral contraceptive increases the risk of having a brain attack

C. Cerebral anoxia lasting longer than 20 minutes causes irreversible damage. - 4-6 minutes baga

D. Airway patency is always a priority.