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Nursing Practice V

Nursing Practice V

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Wednesday, September 26, 2007
Nursing Practice Test V

Situation: The nurse is interviewing a
handsome man. He is intelligent and very
charming. When asked about his family, he
states he has been married four times. He
says three of those marriages were
"shotgun" weddings. He states he never
really loved any of his wives. He doesn't
know much about his three children. "I've
lost track," he states.

1. If a patient is very resistant in taking
responsibility of his action and asks,
"Can you just give me some
medication?" the best response is:

a. "The medication has too many side
effects."
b. You don't want to take medication, do
you?"
c. Medication is given only as a East resort."

d. "There is no medication specific for your
condition."

2. The patient asks the nurse, "What is
this therapy for anyway. I just don't
understand it." the best reply is:

a. "It keeps you from being put on
medications."
b. "It helps you to change others in the
family."

c. "The purpose of therapy is to help you
change."
d. "No one but professionals can really
understand
3. For patient in group therapy, the goal
is:

a. Exchanging information and ideas
b. Developing insight by relating to others
c. Learning that everyone has problems

d. All of the above

4. In planning care for the patient with a personality disorder, the nurse realizes that this patient will most likely:

a. Not need long-term therapy
b. Not require medication
c. Require anti-anxiety medication

d. Resist any change in behavior

5. The person with an antisocial
personality is participating in therapy
while a patient at a psychiatric hospital.
The nurse\u2019s expectations are that he will:

a. Make a complete recovery
b. Make significant changes
c. Begin the slow process of change

d. Make few changes, if any

6. One of the reasons that persons with
antisocial personalities may marry
repeatedly or get into trouble with legal
authorities is:

a. They usually just don't care
b. They are borderline mentally retarded
c. They are too psychotic to see what\u2019s
going on

d. They do not learn from past mistakes
7. The nurse recognizes that these are
traits of:
a. Bipolar disorder
b. Alcoholic personality
c. Antisocial personality
d. Borderline personality
Situation: The patient with bipolar disorder is
pacing continuously and is skipping meals.

8. Blood levels are drawn on the patient
who has been taking Lithium for about
six months. The present level is 2.1
meq/L. The nurse evaluates this level as:

a. Therapeutic
b. Below therapeutic
c. Potentially dangerous

d. Fatally toxic
9. The priority in working with patient a
thought disorder is:
a. Get him to understand what you're saying
b. Get him to do his ADLs
c. Reorient him to reality
d. Administer antipsychotic medications

10. The most recent Lithium level on
bipolar patient indicates a drop non-
therapeutic level. What associated
behavior does the nurse assess?

a. Ataxia
b. Confusion
c. Hyperactivity
d. Lethargy
11. Adequate fluid intake for a patient on
Lithium is:
a. 1,000 ml per day
b. 1,500 ml per day
c. 2,000 ml per day
d. 3,600 ml per day

12. The physician orders Lithium
carbonate for the bipolar patient. The
nurse is aware that:

a. The patient should be put on a special
diet

b. The medication should be given only at
night
c. A salt-free should be provided for the
patient
d. The drug level should be monitored
regularly

13. The nursing plan should emphasize:
a. Offering him finger foods

b. Telling him he must sit down and eat
c. Serving food in his room and staying with
him
d. Telling him to order fast food of he wants
to eat

Situation: Anna, 25 years old was raped six
months ago states, "I just can't seem to get
over this. My husband and I don't even have
sex anymore. What can I do?"

14. Supportive therapy to the rape victim
is directed at overwhelming feeling that
the victim experiences just after the rape
has occurred?

a. Guilt

b. Rage
c. Damaged
d. Despair

15. Anna asks, "Why do I need to have
pelvic exam?" The nurse explains:
a. "To make sure you're not pregnant."
b. "To see if you got an infection."
c. "To make sure you were really raped."
d. "To gather legal evidence that is
required."

16. In providing support therapy, the
nurse explains that rape has nothing to
do with sexual desires or heeds. The two
most common elements in rape are:

a. Guilt and shame
b. Shame and jealousy
c. Embarrassment and envy

d. Power and anger

17. The rape victim will not talk, is
withdrawn and depressed. The defensive
mechanism being used is:

a. Rationalization
b. Denial
c. Repression
d. Regression
18. The composite picture of rape victim
reveals that most victimized women are:
a. Secretaries
b. Elderly
c. Students
d. Professionals
19. The best intervention is:
a. Tell her it just takes a long time
b. Ask her if her husband is angry
c. Refer her and her husband to sex therapy
d. Tell her she is suffering PTSD

Situation: Obsessions are recurring thoughts
that become prevalent in the consciousness
and may be considered as senseless or
repulsive white compulsion are the repetitive
acts that follow obsessive thoughts.

20. To understand the meaning of the
cleaning rituals, the nurse must realize:
a. The patient cannot help herself
b. The patient cannot change
c. Rituals relieve intense anxiety
d. Medications cannot help

21. Upon admission to the hospital the
patient increases the ritual behavior at
bedtime. She cannot sleep. The treatment
plan should include:

a. Recommending a sedative medication
b. Modifying the routine to diminish her
bedtime anxiety

c. Reminding her to perform rituals early in
the evening
d. Limit the amount of time she spends
washing her hands

22. A patient has been diagnosed with a
personality disorder with .compulsive
traits. Of the following behavior's, which
one would you expect the patient to
exhibit?

a. Inability to make decisions
b. Spontaneous playfulness
c. Inability to alter plans

d. Insistence that things be done his way

23. The patient will not be able to stop her compulsive washing routines until she:

a. Acquires more superego
b. Recognizes the behavior is unrealistic
c. No longer needs them to manage her
feelings of anxiety
d. Regains contact with reality

24. A 48-year-old female patient is
brought to the hospital by her husband
because her behavior is blocking her
ability to meet her family's needs. She
has uncontrollable and constant desire
to scrub her hands, the walls, floors and
sofa. She keeps repeating," Everything is
dirty." This is an example of:

a. Compulsion

b. Obsession
c. Delusion
d. Hallucination

25. The female patient is preoccupied
with rules and regulations. She becomes
upset if others do not follow her lead and
adhere to the rules exactly. This is a
characteristic of which of the following
personality?

a. Compulsive
b. Borderline
c. Antisocial
d. Schizoid

26. In planning care focused on
decreasing the patient's anxiety, what
plan should the nurse have in regards to
the rituals?

a. Encourage the routines
b. Ignore rituals
c. Work with her to develop limits of
behavior
d. Restrain her from the rituals

27. After the patient entered the hospital
she began to increase her ritualistic hand
washing at bedtime and could; not sleep.
The nurse plans care around the fact that
this patient needs:

a. A substitute activity to relieve anxiety

b. Medication for sleeping
c. Anti-anxiety medication such as Xanax
d. More scheduled activities during the day

28. The patient states, "I know all this
scrubbing is silly but I can\u2019t help it:'', this
statement indicates that the patient does
not recognize:

a. What she is doing
b. Why she is cleaning
c. Her level of anxiety
d. Need for medication
Situation: Substance, abuse is a common,
growing health problem in this country.

29. The nurse is monitoring a drug
abuser who states he was given cocaine
and heroine that war cut with cornstarch
or some other kind of powder. He states,
"It was really bad stuff." Which
complication is most threatening to this
patient?

a. Endocarditis
b. Gangrene
c. Pulmonary abscess
d. Pulmonary embolism

30. The chronic drug abuser is suffering
lymphedema in all extremities, but
particularly in the arm where the drug
was obviously injected. There is severe
obstruction of veins and lymphatics. The
nurse suspects the patient used:

a. A dull, contaminated needle

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