Quiz 7
A male client with delirium becomes disoriented and confused in his room at night. The best initial nursing intervention is to: a. move the client next to the nurse's station b. use and indirect light source and turn off the television c. keep the television and a soft light on during the night d. play soft music during the night and maintain a well lit room
A male client with delirium becomes disoriented and confused in his room at night. The best initial nursing intervention is to: Answer: b. use and indirect light source and turn off the television
Persisting dementia is associated with: A. Imbalanced sodium B. Alcohol C. Sun exposure D. Water intoxication
Persisting dementia is associated with: Answer: B. Alcohol
The cholinesterase inhibitors physostigmine (Antilirium) has been shown to a) enhance cognitive functioning b) reduce signs of agitation and aggression c) decrease episodes of hallucinations, thought disturbances and wandering d) improve memory
The cholinesterase inhibitors physostigmine (Antilirium) has been shown to Answer: a) enhance cognitive functioning >>>A Antilirium is used for the treatment of cognitive function for those with dementia
The physician tells family members that their father, who is experiencing confusion and memory loss, has a reversible form of dementia. Which is the likely cause of this disorder? a) Multiple sclerosis. b) Multiple small brain infarcts. c) Electrolyte imbalance. d) HIV disease
The physician tells family members that their father, who is experiencing confusion and memory loss, has a reversible form of dementia. Which is the likely cause of this disorder? Answer: c) Electrolyte imbalance.
The public health model focuses on which types of prevention? (Select all that apply) a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Reflective prevention
The public health model focuses on which types of prevention? (Select all that apply) Answers: a. Primary prevention b. Secondary prevention c. Tertiary prevention
The term "sundowning" is a phenomenon in which dementia symptoms seem to worsen in the late afternoon and evening. Sundowning is most likely found in which stage of dementia? a. Stage 1 b. Stage 3 c. Stage 5 d. Stage 6
The term "sundowning" is a phenomenon in which dementia symptoms seem to worsen in the late afternoon and evening. Sundowning is most likely found in which stage of dementia? Answer: d. Stage 6
True/False: Cognitive symptoms of depression include confabulation, disoriented to time and place, symptoms get worse as the day progresses and concentration is impaired?
True/False: Cognitive symptoms of depression include confabulation, disoriented to time and place, symptoms get worse as the day progresses and concentration is impaired? Answer: False. Each is listed under dementia on page 435 table 24-1.
What is not a predisposing factor for both delirium and dementia: 1.Multiple etiologies 2. General medical conditions 3. HIV disease 4.Substance induced
What is not a predisposing factor for both delirium and dementia: Answer: 3- HIV disease; it is only a predisposing factor for dementia
What toxins can lead to substance-induced persisting amnestic disorder? (Select all that apply) A) Lead B) hydrogen peroxide C) Mercury D) Hairspray E) Carbon monoxide
What toxins can lead to substance-induced persisting amnestic disorder? (Select all that apply) Answer: A, C, E A) Lead C) Mercury E) Carbon monoxide
Which of the following symptoms is not seen in dementia of the Alzheimer's type? 1. Agoraphobia 2. Apraxia 3. Aphasia 4. Agnosia
Which of the following symptoms is not seen in dementia of the Alzheimer's type? ANSWER: 1:Agoraphobia
those with delirium have a ............ higher probability of developing dementia? 23% 43% 63% 83%
those with delirium have a ............ higher probability of developing dementia? Answer: 63%
A client diagnosed with Alzheimer's disease is taking Donepezil (Aricept) in order to improve his cognitive functioning. Knowing that this drug can have serious adverse effects, which of the following requires immediate intervention by the nurse? A. Diarrhea B. Drowsiness C. Confusion D. Coffee ground emesis
A client diagnosed with Alzheimer's disease is taking Donepezil (Aricept) in order to improve his cognitive functioning. Knowing that this drug can have serious adverse effects, which of the following requires immediate intervention by the nurse? Answer: D. Coffee ground emesis
A client is newly diagnosed with the second stage Alzheimer's disease. Which cognitive change would a nurse observe? a.) Memory disturbance (Answer) b.) Confabulation c.) Apraxia d.) Inability to plan or organize
A client is newly diagnosed with the second stage Alzheimer's disease. Which cognitive change would a nurse observe? Answer: a.) Memory disturbance
A client with Alzheimer's disease has a self-care deficit related to his cognitive impairment. He has difficulty dressing himself. The best action for the nurse to take is to: A. Have the client wear hospital gowns. B. Explain to the client why he should dress himself. C. Give the client step-by-step instructions for dressing himself. D. Allow enough time for the client to dress himself.
A client with Alzheimer's disease has a self-care deficit related to his cognitive impairment. He has difficulty dressing himself. The best action for the nurse to take is to: Answer: C. Give the client step-by-step instructions for dressing himself.
A major difference between normal and maladaptive grieving has been identified by which of the following? a. there are no feelings of depression in normal grieving. b. there is no loss of self-esteem in normal grieving. c. normal grieving has to last longer than 1 yr. d. in normal grief the person does not show anger towards the loss.
A major difference between normal and maladaptive grieving has been identified by which of the following? Answer: b. there is no loss of self-esteem in normal grieving.
A nurse in the emergency department is caring for a young female victim of sexual assult. The client's physical evidence has been collected. The nurse notes that the client is withdrawn, confused, and at times physically immobile. These behaviors are interpreted by the nurse as: a. signs of depression b. normal reactions to a devistating event c. evidence that the client is a high suicide risk d. indicative of the need for hospital admission
A nurse in the emergency department is caring for a young female victim of sexual assult. The client's physical evidence has been collected. The nurse notes that the client is withdrawn, confused, and at times physically immobile. These behaviors are interpreted by the nurse as: Answer: b. normal reactions to a devistating event
A priority nursing diagnosis for the client experiencing altered perception, extreme agitation, and acute confusion is: a.Disturbed sensory perception b.Impaired verbal communication c.Altered role performance d. Risk for injury
A priority nursing diagnosis for the client experiencing altered perception, extreme agitation, and acute confusion is: Answer: D risk for injury
A school nurse notices bruises and scars on a child's body. The nurse suspects that the child is being physically abused. How should the nurse proceed with this information? 1. as a health-care worker, report the suspicion to the Department of Health and Human Services 2. check the child again in a week and see if there are any new bruises 3. meet with the child's parents and ask them how the child got the bruises 4.initiate paperwork to have the child placed in foster care
A school nurse notices bruises and scars on a child's body. The nurse suspects that the child is being physically abused. How should the nurse proceed with this information? ANSWER: 3-meet with the child's parents and ask them how the child got the bruises
A young women has been transported to the ED. She has been physically and sexually assulted. After medical stabilization, what is the next priority intervention? a. Notify her nearest family memeber b. Ask her for details of what happened c. Check her clothing for evidence of blood or semen d. Tell her she needs to call a counselor's office and make an appointment as soon as possible ANSWER: C
A young women has been transported to the ED. She has been physically and sexually assulted. After medical stabilization, what is the next priority intervention? Answer: c. Check her clothing for evidence of blood or semen
Albert, a nursing student, is learning the different types of prevention. Which statement by Albert indicates a need for Further teaching regarding Primary Prevention? A. I should remove harmful forces within the environment. B. I should help my patient increase their ability to deal with stressors. C. I should initiate effective treatment promptly for mental health illness. D. I should identify the populations at the greatest risk for mental illness.
Albert, a nursing student, is learning the different types of prevention. Which statement by Albert indicates a need for Further teaching regarding Primary Prevention? Answer: C-I should initiate effective treatment promptly for mental health illness. (This is Secondary Prevention)
All of the following are autonomic manifestations of delirium EXCEPT: A. Sweating B. Flushed face C. Dilated pupils D. Bradycardia
All of the following are autonomic manifestations of delirium EXCEPT: Answer: D. - bradycardia
All of these stages are part of Elisabeth Kubler-Ross' grief process EXCEPT? a. Denial b. Anger c. Bargaining d. Reorganization
All of these stages are part of Elisabeth Kubler-Ross' grief process EXCEPT? Answer: d. Reorganization
Amnestic disorder is associated with all of the following predisposing factors, EXCEPT, a) Alcohol b) Sedatives, hypnotics, anxiolytics c) Medications such as anticonvulsants, itrathecal methotrexate d) Environmental substances such as dihydrogen monoxide .
Amnestic disorder is associated with all of the following predisposing factors, EXCEPT, Answer: D- dihydrogen monoxide=water Toxins that do predispose one to amnestic disorder include lead, mercury, carbon monoxide, organophosphate insecticides, and industrial solvents
An alzheimer patient that talks in confabulatory way is in what stage of Alzheimers? a. Stage 7 b. Stage 6 c. Stage 4 X d. stage 5
An alzheimer patient that talks in confabulatory way is in what stage of Alzheimers? Answer: c. Stage 4
An elderly client, newly admitted to a nursing home, refuses to participate in activities of daily living (ADLs). Which nursing intervention would best help the client to be as independent as possible in meeting self-care needs? a. Assign a variety of caregives so that one person does not do everything for the client. b. Establish a specified amount of time for completion of ADLS. c. Set client expectations at the beginning of each day. d. Structure the ADLs to mirror previous home routines
An elderly client, newly admitted to a nursing home, refuses to participate in activities of daily living (ADLs). Which nursing intervention would best help the client to be as independent as possible in meeting self-care needs? Answer: d. Structure the ADLs to mirror previous home routines
An example of primary prevention is: A. Group counseling for bipolar patients B. Teaching clients daily living skills and encouraging independence C. Teaching stress management techniques to the community D. Shelters for abused persons ANSWER: C
An example of primary prevention is: Answer: C. Teaching stress management techniques to the community
An injured child comes into the ED with his parents. When interviewing the parents, which of the following is the strongest indicator that child abuse may be suspected? A. The family is of a lower-class B. The injury is not consistent with the history or the child's age C. The child's parents are argumentative and demanding with ED nurses D. The parents are telling different stories
An injured child comes into the ED with his parents. When interviewing the parents, which of the following is the strongest indicator that child abuse may be suspected? Answer: B. The injury is not consistent with the history or the child's age
An inmate tells the forensic nurse, "Yesterday we were all in 'lock-down'." Which interpretation of this prison slang is accurate? a.) Prisoners have a free movement period. b.) Prisoners are confined to their cells. (Answer) c.) Prisoners are under constant suspicion. d.) Prisoners are not allowed to use the recreation yard.
An inmate tells the forensic nurse, "Yesterday we were all in 'lock-down'." Which interpretation of this prison slang is accurate? Answer: b.) Prisoners are confined to their cells.
An overabundance of ______ and _______ appear in the brains of individuals with AD. a) Plaques and apolipoprotein E epsilon 4 B) Tartar and Plaques C) Tau protein and Tangles D) Plaques and Tangles
An overabundance of ______ and _______ appear in the brains of individuals with AD. Answer: D) Plaques and Tangles
Betty lost her husband 2 years ago. She repeatedly tells her daughter, "If only I had been there when he stopped breathing I could have saved him." According to Kubler-Ross's stages of grief, this is an example of which stage? a. denial b. anger c. bargaining d. depression
Betty lost her husband 2 years ago. She repeatedly tells her daughter, "If only I had been there when he stopped breathing I could have saved him." According to Kubler-Ross's stages of grief, this is an example of which stage? Answer: c. bargaining
Clients with delirium differs from dementia in that: 1. Experience a slow, insidious onset of symptoms 2. Are very attentive to their environment 3. Respond to questions appropriately and correctly 4. Have fluctuating consciousness
Clients with delirium differs from dementia in that: Answer: 4. Have fluctuating consciousness
Delerium is different than dementia in that it is characterized by: (select all that apply) a) is a little problem b) can not be fixed c) last for a long time d) lasts a little while e) has many problems f) can be fixed once problem is found
Delerium is different than dementia in that it is characterized by: (select all that apply) Answer: a) is a little problem d) lasts a little while f) can be fixed once problem is found
Delirium has multiple predisposing factors, which of those listed below is NOT a predisposing factor? a. substance-induced b. Huntington's disease c. substance-withdrawal d. general medical conditions, such systemic infections and metabolic disorders
Delirium has multiple predisposing factors, which of those listed below is NOT a predisposing factor Answer: b. Huntington's disease is a predisposing factor of dementia
Delirium is related to which of the following: (select all that apply) A. Impaired hearing B. Chronic Disease C. Brain structure D. Milk allergies E. Sleeping too much
Delirium is related to which of the following: (select all that apply) Answer: A. Impaired hearing B. Chronic Disease C. Brain structure
Dementia is a slow and progressive disorder in which the dementia itself is the major sign of some organic brain disease not directly related to any other organic illness or it could be related to another disease or condition. What is the most common symptom of dementia? a. Ataxia b. Dysarthria c. Amnesia d. Impulsivity e. Non of the above
Dementia is a slow and progressive disorder in which the dementia itself is the major sign of some organic brain disease not directly related to any other organic illness or it could be related to another disease or condition. What is the most common symptom of dementia? Answer: c. Amnesia
Elderly individuals often experience a convergence of losses, the timing of which makes it impossible for the aging individual to complete the grief process in response to one loss before another occurs. What term is used to describe this situation? a. Prolonged grieving b. Distorted grief response c. Bereavement overload d. Delayed grief response
Elderly individuals often experience a convergence of losses, the timing of which makes it impossible for the aging individual to complete the grief process in response to one loss before another occurs. What term is used to describe this situation? Answer: c. Bereavement overload
For psychiatric nurses, a major difference between caring for clients in the community and caring for clients in the hospital is that A) treatment is negotiated rather than imposed in the community setting B) fewer ethical dilemmas are encountered in the community setting C) cultural considerations are less important during treatment in the community D) the focus in the community setting is solely on managing symptoms of mental illness
For psychiatric nurses, a major difference between caring for clients in the community and caring for clients in the hospital is that Answer: A) treatment is negotiated rather than imposed in the community setting
For psychiatric nurses, a major difference between caring for clients in the community and caring for clients in the hospital is that A) treatment is negotiated rather than imposed in the community setting B) fewer ethical dilemmas are encountered in the community setting C) cultural considerations are less important during treatment in the community D) the focus in the community setting is solely on managing symptoms of mental illness
For psychiatric nurses, a major difference between caring for clients in the community and caring for clients in the hospital is that Answer: A) treatment is negotiated rather than imposed in the community setting
True/False: Forensic nurses deal with assignments in mass disasters and public health & safety.
Forensic nurses deal with assignments in mass disasters and public health & safety. Answer: True
Fred, a homeless person, has just come to live in the shelter. The shelter nurse is assigned to his care. Which of the following is a priority intervention on the part of the nurse? A) referring john to a social worker B) developing a plan of care for john C) conducting a behavioral and needs assessment on Fred. D) helping john apply for social security benefits
Fred, a homeless person, has just come to live in the shelter. The shelter nurse is assigned to his care. Which of the following is a priority intervention on the part of the nurse? Answer: C) conducting a behavioral and needs assessment on Fred. (Townsend, 2012, pg 914)
From a Psychological theory perspective, which of the following predisposes an individual to be abusive? a) A car accident which resulted in brain trauma. b) Dopamine, Norepinephrine, and Serotonin levels c) Imitation of a role model, who has a predisposition toward aggressive behavior. (ANSWER) d) Possible hereditary factor
From a Psychological theory perspective, which of the following predisposes an individual to be abusive? Answer: c) Imitation of a role model, who has a predisposition toward aggressive behavior. (ANSWER)
In admitting a client who is diagnosed with Alzheimer's to the unit, which is the highest priority? a. Place the client with a roommate b. Place the client without a roommate c. Place the client close to the nurses station d. Place the client away from the nurses station
In admitting a client who is diagnosed with Alzheimer's to the unit, which is the highest priority? Answer: c. Place the client close to the nurses station
Secondary prevention includes all of the following except... a. Teaching a class in parent effectiveness training. (Primary) b. Leading a group for drug rehabilitation c. Providing care and shelters for those who have been abused d. Referring a grieving widow to a support group
Secondary prevention includes all of the following except... Answer: a. Teaching a class in parent effectiveness training. (Primary)
The doctor has prescribed haloperidol (Haldol) 2.5 mg. I.M. for an agitated client. The medication is labeled haloperidol 10 mg/2 ml. The nurse prepares the correct dose by drawing up how many milliliters in the syringe? a. 0.3 b. 0.4 c. 0.5 d. 0.6
The doctor has prescribed haloperidol (Haldol) 2.5 mg. I.M. for an agitated client. The medication is labeled haloperidol 10 mg/2 ml. The nurse prepares the correct dose by drawing up how many milliliters in the syringe? Answer: c. 0.5
The most important element of care for an emergency department nurse to provide to a rape survivor is A) encouraging the client to give a complete report of the incident B) helping the client to make a decision about where she will go after leaving the emergency department C) providing the telephone number of a 24-hour hotline D) assuring confidentiality
The most important element of care for an emergency department nurse to provide to a rape survivor is Answer: D) assuring confidentiality
The most important element of care for an emergency department nurse to provide to a rape survivor is A) encouraging the client to give a complete report of the incident B) helping the client to make a decision about where she will go after leaving the emergency department C) providing the telephone number of a 24-hour hotline D) assuring confidentiality
The most important element of care for an emergency department nurse to provide to a rape survivor is Answer: D) assuring confidentiality
True/False: The number of people with dementia is growing because more people now survive into middle age and beyond.
The number of people with dementia is growing because more people now survive into middle age and beyond. Answer: True
The relevant events that can be associated with delirium are: a.An infection b.Old age c.Depression d.Adolescence
The relevant events that can be associated with delirium are: Answer: A an infection
The syndrome of symptoms associated with dementia can be brought on by a TBA is what kind of dementia? a. Dementia due to Parkinson's disease b. Dementia of Alzheimer's type c. Vascular Dementia d. Dementia Due to Head Trauma X e. all of the above
The syndrome of symptoms associated with dementia can be brought on by a TBA is what kind of dementia? Answer: d. Dementia Due to Head Trauma
To become a Psychiatric / Mental health Advanced Practice Registered nurse (APRN-PMH) a registered nurse must have which of the following degrees (Select all that applies) : A- Associates Degree B- Bachelors Degree C- Masters Degree D- Doctorates Degree
To become a Psychiatric / Mental health Advanced Practice Registered nurse (APRN-PMH) a registered nurse must have which of the following degrees (Select all that applies) :Answer: C & D to have an APRN-PMH you must have either a Masters or a Doctorates degree.
True/False: Patients with delirium, dementia, and amnestic disorders have a clinically significant deficit in cognition or memory.
True/False: Patients with delirium, dementia, and amnestic disorders have a clinically significant deficit in cognition or memory. Answer: True
True/False: The initial symptom in Alzheimer's Disease is usually personality change whereas the initial symptom in Pick's diease is memory impairment.
True/False: The initial symptom in Alzheimer's Disease is usually personality change whereas the initial symptom in Pick's diease is memory impairment. Answer: False, the initial symptom in Pick's disease is usually personality change; whereas the initial symptom in AD is memory impairment (p. 429).
True/False: having delirium can increase the length of a hospital stay for non-related issues. true or false? TRUE
True/False: having delirium can increase the length of a hospital stay for non-related issues. Answer: TRUE
True/False:Amnesia is differentiated from dementia because of the type of confabulation and other disturbance of higher cortical function.
True/False:Amnesia is differentiated from dementia because of the type of confabulation and other disturbance of higher cortical function. Answer: FALSE- Amnesia is differentiated from dementia because there is no impairment of thinking or judgement, no other disturbance of higher cortical function
What will the nurse commonly note in the clinical picture of dementia? a. Memory loss for events in the distant past. b. Quarrelsome behavior directly related to lack of blood supply to the brain c. increased resistance to change d. Insight into ones situation, its probable cause, and its consequence
What will the nurse commonly note in the clinical picture of dementia? Answer: c. increased resistance to change
When a victim of physical and sexual assault is admitted to the ED, his or her clothing is an important aspect of potential criminal evidence. Which os the following are correct procedures in the preservation of clothing as evidence? (SELCT ALL THAT APPLY) A) remove the clothing from the victim B) shake the clothing to remove anything that is adhering to it C) place each separate piece of clothing into a plastic bag D) seal each bag E) date, time, and sign each bag
When a victim of physical and sexual assault is admitted to the ED, his or her clothing is an important aspect of potential criminal evidence. Which os the following are correct procedures in the preservation of clothing as evidence? (SELCT ALL THAT APPLY) Answers: A) remove the clothing from the victim D) seal each bag E) date, time, and sign each bag **Townsend, 2012, pg 935
Which are phases that are in the cycle of battering? Select all that apply: a. Tension-Building Phase b. Divorce Phase c. Acute Battering Incident d. Guilt Phase e. Honeymoon Phase
Which are phases that are in the cycle of battering? Select all that apply: Answers: a. Tension-Building Phase c. Acute Battering Incident e. Honeymoon Phase
Which drug helped lead to deinstituationalization and a larger need for community healthcare for those with mental illness? a.Prozac b.Haldol c. Lithium d.Thorazine
Which drug helped lead to deinstituationalization and a larger need for community healthcare for those with mental illness? Answer: d.Thorazine
Which medicine should not be used in sedating elderly clients? a. Benzodiazepines b. Non-benzodiazepines sedative-hypnotics c. Barbiturates d. Antidepressants
Which medicine should not be used in sedating elderly clients? Ans: C. Barbiturates should not be used in elderly clients (p. 448)
Which of the following are contributing factors to homelessness among the mentally ill? A. Lack of affordable health care B. Deinstitutionalization C. Addiction Disorders D. All of the above
Which of the following are contributing factors to homelessness among the mentally ill? Answer: D. All of the above>>>>> Lack of affordable health care Deinstitutionalization Addiction Disorders
Which of the following are examples of primary prevention nursing interventions? (Select all that apply) a. teaching parenting skills and child development to prospective new parents b. referring a married couple for sex therapy c. teaching physical and psychosocial effects of alcohol/drugs to junior high school students d. providing education and support to unemployed or homeless individuals e. leading a group of adolescents in drug rehabilitation
Which of the following are examples of primary prevention nursing interventions? (Select all that apply) Answers: a. teaching parenting skills and child development to prospective new parents c. teaching physical and psychosocial effects of alcohol/drugs to junior high school students d. providing education and support to unemployed or homeless individuals ~Are all "aimed at at reducing the incidence of mental disorders within the population" (Townsend, 2009, p. 748)
Which of the following help to slow the progression of Alzheimer's disease? (select all that apply) a. Vitamin E b.Lutein c. Fish oil d. Dopamine e.Estrogen
Which of the following help to slow the progression of Alzheimer's disease? (select all that apply) Answer: a. Vitamin E c. Fish oil e.Estrogen
Which of the following is a true statement about the population in U.S. prisons and jails? 1.Females constitute about half of the total inmate population 2.HIV disease is more prevalent in the general population than in the inmate population 3.There is a disparity in U.S. prisons in the treatment of male and female prisoners 4.About a third of the U.S. prison and jail population has some form of mental health problem
Which of the following is a true statement about the population in U.S. prisons and jails? Answer: 3.There is a disparity in U.S. prisons in the treatment of male and female prisoners
Which of the following is not a predisposing factor of delirium? A. Substance withdrawl B. General Medical Condition C. Genetics D. Substance intoxication
Which of the following is not a predisposing factor of delirium? Answer: C. Genetics
Which of the following is not considered a maturational crisis? A) Marraige B) Retirement C)Poverty D) Parenthood Answer: C- poverty is considered a situational crisis
Which of the following is not considered a maturational crisis? Answer: C- poverty is considered a situational crisis
Which of the following is not true regarding grieving by an adolescent? 1.Adolescents may not show their true feelings about the death 2.Adolescents tend to have an immortal attitude 3.Adolescents do not perceive death as inevitable 4.Adolescents may exhibit acting out behaviors as part of their grief
Which of the following is not true regarding grieving by an adolescent? Answer: 3.Adolescents do not perceive death as inevitable
Which of the following may be predisposing factors of dementia? a) Creutzfeldt-Jakob disease b) Huntington's disease c) Parkinson's disease d) all of the above e) none of the above
Which of the following may be predisposing factors of dementia? Answer:d) all of the above > Creutzfeldt-Jakob disease Huntington's disease Parkinson's disease
Which of the following outcome criteria is appropriate for the client with dementia? a. The client will return to an adequate level of self-functioning. b. The client will learn new coping mechanisms to handle anxiety. c. The client will seek out resources in the community for support. d. The client will follow an establishing schedule for activities of daily living.
Which of the following outcome criteria is appropriate for the client with dementia? Answer: d. The client will follow an establishing schedule for activities of daily living.
Which of the following reflects the control of Medicare costs by setting forth pre-established amounts that would be reimbursed for specific diagnoses? A. National Mental Health Act B. Diagnosis-Related Groups (DRGs) C. Deinstitutionalization D. Mental Health Diagnosis Act2
Which of the following reflects the control of Medicare costs by setting forth pre-established amounts that would be reimbursed for specific diagnoses? Answer: B. Diagnosis-Related Groups (DRGs)
Which of the following terms describes to following statement? "Elderly individuals who experience multiple losses, such as spouse, friends, independent functioning, home and personal possessions, in a relatively short time". A. Anticipatory grieving B. Bereavement overload C. Cultural relativity D. Incomprehensibility ANSWER: B
Which of the following terms describes to following statement? "Elderly individuals who experience multiple losses, such as spouse, friends, independent functioning, home and personal possessions, in a relatively short time". Answer: B. Bereavement overload
Which symptom is the most likely indicator to a child being sexually abused? A. Reports a lack of attachment to parents. B. Has unexplained burns, bites, bruises, broken bones, or black eyes. C. Begs or steals money. D. Reports nightmares and bedwetting.
Which symptom is the most likely indicator to a child being sexually abused? Answer: D- Reports nightmares and bedwetting. (Townsend, p.863)
Who created the mental health reform of establishing a number of hospitals for the mentally ill? a. Linda Richards b. Dorthea Dix c. Benjamin Rush d. William Tuke
Who created the mental health reform of establishing a number of hospitals for the mentally ill? Aswer: b. Dorthea Dix
You are the appointed school nurse at a middle school when you begin to notice a 13 year old girl has recently lost a great deal of weight unexpectedly within the last month or two, and is not as social in the group of friends you are used to seeing her with. You begin to hear other teacher's remarks of her grades steadily and rapidly declining. The physical education teacher reports that the girl refuses to dress out for PE anymore, and consistently wears sweaters and long shirts even when hot and sunny outside. Considering your nursing knowledge, you acknowledge that these changes are: a. normal occurrences for a changing teenage girl in middle school b. signs and symptoms of low self-esteem c. characteristics of sexual abuse d. reason for further investigation into the child's situation and/or recent experiences
You are the appointed school nurse at a middle school when you begin to notice a 13 year old girl has recently lost a great deal of weight unexpectedly within the last month or two, and is not as social in the group of friends you are used to seeing her with. You begin to hear other teacher's remarks of her grades steadily and rapidly declining. The physical education teacher reports that the girl refuses to dress out for PE anymore, and consistently wears sweaters and long shirts even when hot and sunny outside. Considering your nursing knowledge, you acknowledge that these changes are: Answer: d. reason for further investigation into the child's situation and/or recent experiences
You are the next door neighbor to a Filipino family who just lost their 4 year old daughter in a tragic car accident on your street, where the girl was pronounced dead at the scene. You witnessed the accident so you know that it happened eight days ago. Every day since the accident you have witnessed 50-100 people coming in and out of the family's home crying with and for the family, but the family still has not yet had a funeral for their daughter. Due to your knowledge of the grief process you know that these actions are representative of: a. a distorted (exaggerated) grief response b. a state of denial in their refusal to have not yet held funeral services c. a normal length of time to grieve over the unexpected and difficult loss of a young child. d. traditional customs held in Filipino culture following the loss of a loved one.
You are the next door neighbor to a Filipino family who just lost their 4 year old daughter in a tragic car accident on your street, where the girl was pronounced dead at the scene. You witnessed the accident so you know that it happened eight days ago. Every day since the accident you have witnessed 50-100 people coming in and out of the family's home crying with and for the family, but the family still has not yet had a funeral for their daughter. Due to your knowledge of the grief process you know that these actions are representative of: Answer: d. traditional customs held in Filipino culture following the loss of a loved one.
