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Nursing Practice V

Nursing Practice V

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Published by: stuffednurse on Nov 18, 2008
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07/21/2013

 
NURSING PRACTICE V
-
Care of Clients with physiologic and PsychosocialAlterations (Part C).SITUATIONALSituation 1
– Jimmy developed this goal for hospitalization. “To get a handle on mynervousness.” The nurse is going to collaborate with him to reach hisgoal. Jimmy was admitted to the hospital because he called his therapistthat he planned to asphyxiate himself with exhaust from his car butfrightened instead. He realized he needed help.1. The nurse recognized that Jimmy had conceptualized his problem and the nextpriority goal in the care plan is:
A.
help the client find meaning in his experience
B.
help the client to plan alternatives
C.
help the client cope with the present problem
D.
help the client to communicate2. The nurse is guided that Jimmy is aware of his concerns of the “here and now”when he crossed out which item from this “list of what to know”.
A.
anxiety laden unconscious conflicts
B.
subjective idea of the range of mild to severe anxiety
C.
early signs of anxiety
D.
physiologic indices of anxiety3. While Jimmy was discussing the signs and symptoms of anxiety with his nurse, herecognized that complete disruption of the ability to perceive occurs in:
A.
panic state of anxiety
B.
severe anxiety
C.
moderate anxiety
D.
mild anxiety4. Jimmy initiates independence and takes an active part in his self care with thefollowing EXCEPT:
A.
agreeing to contact the staff when he is anxious
B.
becoming aware of the conscious feeling
C.
assessing need for medication and medicating himself 
D.
writing out a list of behaviors that he identified as anxious5. The nurse notes effectiveness of interventions in using subjective and objectivedata in the:
A.
initial plans or orders
B.
database
C.
problem list
D.
progress notes
Situation 2
– A research study was undertaken in order to identify and analyze adisabled boy’s coping reaction pattern during stress.
 
6. This study which is an in depth study of one boy is a:
A.
case study
B.
longitudinal study
C.
cross-sectional study
D.
evaluative study7. The process recording was the principal tool for data collection. Which of thefollowing is NOT a part of a process recording?
A.
Non verbal narrative account
B.
Analysis and interpretation
C.
Audio-visual recording
D.
Verbal narrative account8. Which of these does NOT happen in a descriptive study?
A.
Exploration of relationship between two or more phenomena.
B.
Explanation of relationship between two or more phenomena.
C.
Investigation of a phenomenon in real life context.
D.
Manipulation of variable9. The investigator also provided the nursing care of the subject. The investigator isreferred to as a/an:
A.
Participant-observer
B.
Observer researcher
C.
Caregiver
D.
Advocate10. To ensure reliability of the study, the investigator’s analysis and interpretationswere:
A.
subjected to statistical treatment
B.
correlated with a list of coping behaviors
C.
subjected to an inter-observer agreement
D.
scored and compared standard criteria
Situation 3
– During the morning endorsement, the outgoing nurse informed thenursing staff that Regina, 35 years old, was given Flurazepam(Dalmane) 15mg at 10:00pm because she had trouble going to sleep.Before approaching Regina, the nurse read the observation of the nightnurse.11. Which of the following approaches of the nurse validates the data gathered?
A.
“I learned that you were up till ten last night, tell me what happenedbefore you were finally able to sleep and how was your sleep?”B. “Hmm.. You look like you had a very sound sleep. That pill you weregiven last night is effective isn’t it?”C. “Regina, did you sleep well?”D. “Regina, how are you?”
 
12. Regina is a high school teacher. Which of these information LEAST communicateattention and care for her needs for information about her medicine?
A.
Guided by a medication teaching plan, go over with her the purpose,indications and special instructions, about the medication and provide her achecklist
B.
Provide a drug literature.
C.
Have an informal conversation about the medication and its effects
D.
Ask her what time she would like to watch the informative video about themedication.13. The nurse engages Regina in the process of mutual inquiry to provide anopportunity for Regina to:
A.
face emerging problems realistically
B.
conceptualize her problem
C.
cope with her present problem
D.
perceive her participation in an experience!4. Which of these responses indicate that Regina needs further discussion regardingspecial instructions?
A.
“I have to take this medicine judiciously”
B.
“I know I will stop taking the medicine when there is advice from the doctorfor me to discontinue.”
C.
“I will inform you and the doctor any untoward reactions I have.”
D.
“I like taking this sleeping pill. It solves my problem of insomnia. I wish I cantake it for life.”15. Regina commits to herself that she understood and will observe all the medicineprecautions by:
A.
affixing her signature to the teaching plan that she has understood thenurse
B.
committing what she learned to her memory
C.
verbally agreeing with the nurse
D.
relying on her husband to remember the precautions
Situation 4
– The nurse-patient relationship is a modality through which the nursemeets the client’s needs.16. The nurse’s most unique tool in working with the emotionally ill client is his/her
A.
theoretical knowledge
B.
personality make up
C.
emotional reactions
D.
communication skills17. The psychiatric nurse who is alert to both the physical and emotional needs of clients is working from the philosophical framework that states:
A.
All behavior is meaningful, communicating a message or a need.
B.
Human beings are systems of interdependent and interrelated parts.
C.
Each individual has the potential for growth and change in the direction of positive mental health.

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