Nursing Practice V Practice Exam

A comprehensive set of 100 practice flashcards covering crisis intervention, legal nursing ethics, surgical care, and psychiatric nursing based on the Day 5 Tutorial transcript.

A crisis that is acute but temporary and due to an external source is best described as what?

Dispositional

Which nursing intervention is most appropriate for a client in the early state of crisis?

A. Encourage client to express feelings and emotions related to crisis

B. Provide comforting and supportive presence

C. Offer multiple solutions to the crisis

D. Direct the client to avoid discussing the crisis

Encourage client to express feelings and emotions related to crisis

What is the MAIN objective of crisis intervention?

Ensure patients safety

In the concept of crisis, which of the following is NOT an assumption?

Crisis is a growth-retarding factor to the emotional development of a person

Which of the following is considered the PRIORITY nursing activity for a patient in crisis?

Assessment

Charting done by a nurse provides a comprehensive, sequential record of several factors EXCEPT which one?

Patient diagnosis

According to the transcript, what are the primary reasons for proper documentation?

Facilitates interdisciplinary communication, holds vital patient information, reflects quality/timeliness of care, provides evidence of care, and serves as a legal document in court litigation

The documentation characteristic 'Complaint with standards' refers to what practice?

Specified protocols are dutifully followed

What guideline applies in documentation when a nurse administers drugs prepared by another nurse?

Do not document at all since you did not prepared it

According to the provided situations, which event is a common medico-legal incident requiring an incident report?

Any medication error

What is the most immediate action a nurse should take when a patient falls from bed?

Determine any injury or harm

Regarding the Nurse practice Act of $1991$, which statement is NOT true?

This Act delineates the practice of nursing and midwifery

A nurse who forcibly injects Depo-povera despite a patient's refusal may be sued for what?

Assault

When a 'Do not resuscitate' (DNR) order is in place and the patient develops cardiac arrest, what action does the nurse take?

Basic and advanced life support will not be given

If a nurse starts working in a hospital without a written contract, what is their obligation regarding treatment?

Provide nursing care within the acceptable standard of nursing practice

What does a Pure tone Audiometry procedure measure for a patient?

Hearing activity

Why do antibiotics have limited use in the actual treatment of Mastoiditis?

Antibiotics do not easily penetrate the infected bony structure of the mastoid

What is current MOST common treatment for Mastoiditis?

Mastoidectomy with tympanoplasty

Which specific ear structure is affected in a patient diagnosed with Mastoiditis?

Mastoid air cells

What is recognized as the most common cause of Mastoiditis?

Untreated otitis media

What health teaching should the nurse emphasize to a patient taking benzodiazepines for anxiety?

Patient should not drink alcohol because it potentiates its effect

For a patient taking anticonvulsant drugs like lithium, why must the time of the last dose be recorded accurately?

So that blood level monitoring is accurate

Which of the following is NOT an extrapyramidal symptom ($EPS$) of haldol?

Increased libido

Which condition involves an intense need to move about, often presenting as restlessness and anxiety?

Akathisia

When taking selective serotonin REUPTAKE inhibitors ($SSRI$), when should the nurse advise the patient to take the drug?

First thing in the morning

During a focused assessment for early symptoms of rheumatoid arthritis, what should the nurse look for?

Early morning stiffness of the lower extremities

For a patient with rheumatoid arthritis who cannot do chores and has knee pain when walking, which nursing diagnosis is most appropriate?

Activity intolerance related to fatigue and joint pain

What is the LOWEST priority in the plan of care for a patient in the acute phase of rheumatoid arthritis?

Maintaining usual task

Coagulopathy secondary to long-term $NSAID$ use in osteoarthritis is likely the result of what?

Decreased platelet adhesiveness

What lifestyle change indicates a patient with osteoarthritis understands the health teaching?

Loss weight

According to the transcript, depression is most directly related to what experience?

Having experienced a sense of loss

Which of the following is NOT included in preventive measures for long term depression?

Medication as a treatment alone

Which of the following antidepressants is commonly used for a patient admitted for depression?

Prozac

To prevent recurrence of depression, how long is it recommended to take anti Depressant drugs?

$Six$ months to $two$ years

If a depressed patient suddenly improves their hygiene (takes a bath, combs hair), what is the appropriate nursing reaction?

"I see that you have worn a clean dress and have combed your hair"

In an emergency where a patient is unable to give consent for life-saving treatment, what type of consent is assumed?

Implied consent

What are the three essential components of informed consent according to the notes?

Explanation of procedure/alternatives, discussion of risks/benefits, and confirmation that the patient understands

Treatment of a patient without consent can constitute what legal violation defined as intentional touching?

Battery

Whose primary responsibility is it to obtain informed consent?

Physician

Which scenario qualifies as a biothecal issue in patient management?

A research project that included treating all regular employed personnel not treating all casual employed to compare drug therapy outcome

After delimiting the research problem, what is the priority action for a nurse researcher?

Conduct a literature search on the topic

In research, what term refers to excluding certain participants (e.g., only including nurses with $3$ years experience)?

Delimitation

The statement "Length of service is not associated with the degree of patient safety practices" is an example of what?

Hypothesis

Which research design is most appropriate for finding a relationship between two variables?

Correlational

What type of sampling involves interviewing whoever happens to be in a specific location at a scheduled time?

Convenience

Under Piaget's theory, which behavior is characteristic of functional concrete operational stage?

Feels her own reasoning should agree with the reasoning of others

For a patient who has difficulty tolerating frustration, what is the nurse's goal?

Cope with anxiety

Which historical event mentioned in the transcript most likely leads to post traumatic stress disorder?

Suicide of her mother

Nursing interventions for hypervigilance and worry about a child's safety should address what need?

Psychological security

What environment is most appropriate for a patient receiving social support therapy with mild mental retardation?

With Appropriate support, lives in the community, either independently or in supervised setting

If a patient asks to be discharged against medical advice ($AMA$), what is the nurse's first action?

Notify the physician

How should a nurse document care provided by a nursing assistant?

"Morning care rendered by Grace Go, NA."

If a nurse administers the wrong intravenous fluid, what document must they submit to an immediate supervisor?

Incident Report

In a care plan for a do-not-resuscitate ($DNR$) order, what intervention is EXCLUDED?

Administer lethal doses of medication as patient request

What must the nurse ensure when witnessing a patient signing a consent form for a laminectomy?

Make sure the patient is competent, awake and alert before he/she signs

Who is responsible for obtaining informed consent for elective surgery under general anesthesia?

Surgeon

Which patient statement indicates understanding of the surgeon's explanation of a procedure?

"Now I know what the alternative treatments and procedures are."

If a unit secretary cannot read a physician's handwriting, what is the nurse's BEST action?

Clarify the order by calling the physician

What must the nurse check on the label of a blood bag before transfusing $500\,ml$ of packed $RBC$?

The name on the label with the name on the patient's wristband in the presence of another nurse

What is the most appropriate INITIAL intervention for a wife anxious about her husband's condition?

Allow her to verbalise her feelings and concerns

Who should be involved in quality improvement measures in a healthcare setting?

Everyone

What is the FIRST step a nurse must take to start a nursing improvement project?

Determine the nursing standards

What is the PRIMARY purpose of supervision and delegation in a nursing unit?

Enhances the delivery of quality nursing care

For a patient in skin traction, what is the PRIORITY assessment for a nurse to ensure quality care?

Signs of skin breakdown

A chart audit of patients who developed pressure sores over the past year is which type of audit?

Retrospective

During assessment of a Person Who Uses Drugs ($PWUDs$), what is the MOST APPROPRIATE question to ask?

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

For a student who is substance dependent and failing classes, what is the most appropriate nursing diagnosis?

Ineffective individual coping

What is the physiologic effect of meperidine and codeine?

Relieves pain by increasing pain threshold

Which assessment finding would cause concern for a Meperidine overdose?

Pinpoint pupils

What drug reverses all signs of opioid toxicity?

Naloxone (Narcan)

Which is a characteristic of the $PNA$ Code of Ethics for Nurses?

It emphasizes the independent and collaborative roles of a nurse

What is Ethics NOT concerned with, according to the transcript?

Practice or beliefs of a certain group

Which action violates the right of a patient regarding surgery?

The risks of treatment and facts relating to it should not be told the patient or else he might refuse the surgery

Maintaining patient confidentiality is part of which nurse's obligation?

Ethical and legal obligation

Why is accurate, objective, and legible recording a fundamental requirement for safe practice?

The chart is a means to communicate the progress on the patient's condition

What is the rationale for administering oxygen to a suspected stroke patient?

To prevent hypoxia and hypercapnia

Which complication risk is lessened through oxygen administration in suspected stroke?

Increased intracranial pressure

What is the purpose of a non-contrast $CT$ scan for a patient with sudden numbness and difficulty speaking?

If the event is ischemic or hemorrhagic

What is the focus of the INITIAL assessment for a suspected stroke patient?

Airway patency

If a physician notes a patient has 'contra lateral deficits,' what does this mean?

A right cerebral vessel is involved (or deficit on the opposite side of the brain involvement)

In the public health model, who is considered the "patient"?

Community

What is the focus of primary prevention in the public health model?

The prevention of mental illness in the community

What does 'incidence' refer to in epidemiological studies of mental disorders?

New cases of mental disorder in a population over a specified period of time

Promoting mental health is a primary prevention activity consistent with which principle?

Self-help

How can the incidence of mental disorders be lowered through primary prevention?

Reducing the rate at which new cases of mental disorders develop

Which is NOT a characteristic of malignant neoplasm?

Encapsulated and grows by expansion

Which of the following agents mentioned in the notes is NOT considered a carcinogen?

Certain plasties (as listed in options alongside others like hydrocarbons and viruses)

What is the key to the cure and control of cancer?

Early detection and treatment

Which nutritional guideline is EXCLUDED from recommendations to reduce cancer risk?

Increase total dietary fat intake

Which factor is identified as a specific risk for breast cancer, EXCEPT?

Sexual intercourse at an early stage

Tobacco use increases risk for all cancer conditions EXCEPT which one?

Skin cancer

What is the recommendation for early detection of prostate cancer?

Yearly digital rectal examination for males $50$ years and above

What is the most common discomfort for a client after a proctosigmoidoscopy?

Abdominal

What is considered the most common treatment modality for cancer?

Surgery

What is the most important intervention for a residual limb during the first $24$ hours after below-the-knee amputation?

Elevating the residual limb on a pillow

Which nursing goal takes priority when planning physical mobility following an amputation?

Preventing contractures

What type of exercise best prepares an amputee for using crutches?

Triceps exercises

A client reporting 'tingling' in their removed left toes is experiencing what?

Phantom-limb sensation

What behavior demonstrates understanding of proper residual limb care?

Washes and dries the residual limb daily

What emergency equipment should always be in the room of a patient returning from amputation surgery?

Tourniquet