EXAM #5 PRACTICE QUESTIONS

Model of intensive case management (ICM)

Reduced readmissions Reduced ER visits Reduced acute outpatient and inpatient admissions

Gatekeeping

Don't allow visitors who cause additional stress to the patient

A female client with obsessive-compulsive disorder has become immobilized by her elaborate handwashing and walking rituals. Which feelings does the nurse recall are often the basis of obsessive-compulsive disorder?

Anxiety and guilt

Which feature in the client indicates hypersecretion of adrenocorticotrophic hormone?

moon face

Negligent referrals

not turning pt, neglecting to give the pt a laxative during shift

Which statement is true regarding cortisol?

ortisol stimulates gluconeogenesis

A client is admitted for hypertension, and serum electrolyte studies have yielded abnormal results. The scheduled workup includes a scan for an aldosteronoma. What gland is affected in aldosteronoma?

Adrenal cortex

Which hormonal deficiency reduces the growth of axillae and pubic hair in female clients?

Adrenocorticotropic hormone

Ethical Issues

Autonomy Beneficence Fidelity Justice Non-maleficence Veracity

What does the nurse recall is the major defense mechanism used by an individual with a phobic disorder?

Avoidance

What intervention should the nurse implement when caring for a client 24-hours post-thyroidectomy?

Check the sides of the operative site dressing and the back of neck

An 84-year-old woman is admitted to the hospital with a diagnosis of dementia of the Alzheimer type. What does the nurse know about this disorder?

Cognitive problem that is a slow and relentless deterioration of the mind

Addicted clients commonly expect discrimination and lack of empathy from others. How can the nurse best overcome these expectations?

Demonstrating a nonjudgmental attitude

A client has a tentative diagnosis of Cushing syndrome. What physical symptoms will the client exhibit?

Hypertension and moon face

Which model demonstrated a consistent reduction in ER visits, readmissions, and acute outpatient and inpatient admissions in multiple studies?

Intensive case management

A client who has been admitted with a diagnosis of schizophrenia says to the nurse, "Yes, it's March. March is Little Women. That's literal, you know." What do these statements illustrate?

Loosening of association

Which clinical manifestation is found in a client with a deficiency of adrenocorticotropic hormone?

Malaise and lethargy

Distributive outcomes

One party gains benefit at others expense

A client who has had a subtotal thyroidectomy does not understand how hypothyroidism can develop when the problem was initially hyperthyroidism. On what fact should the nurse base her response?

There may not be enough thyroid tissue to supply adequate thyroid hormone.

A client with hyperthyroidism asks the nurse about the tests that will be prescribed. Which diagnostic tests should the nurse include in a discussion with this client?

Thyroid-stimulating hormone (TSH) assay and triiodothyronine (T3)

Integrative outcomes

a solution can be found that benefits all the parties

A client who is taking an oral hypoglycemic daily for type 2 diabetes develops the flu and is concerned about the need for special care at home. What should the nurse instruct the client to do?

ake the oral hypoglycemic pill, drink warm fluids, and check blood sugar before meals and at bedtime