401 Mastery

A female client was given the diagnosis of schizophrenia and recently has lost her job. She tells the nurse that she has enough money for only two more house payments, and if she does not find a job, she fears she will become homeless. The nurse knows that this client falls into the group of nearly __________ of U.S. citizens who live below the poverty level. 6% 25% 12% 1%

12%

The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement? A. "All my difficulties are related to my drinking." B. "I wouldn't need to drink if I had my family back." C. "My drinking helps me cope with the stress of my job." D. "I drink because I'm lonely."

A. "All my difficulties are related to my drinking."

Which of the following early postoperative observations should be reported immediately? A. "Coffee ground" emesis B. Evidence of pain C. Shivering D. Scanty urine output

A. "Coffee ground" emesis

A patient with quadriplegia resulting from a spinal cord injury says to the rehabilitation nurse, "I'm sick of this therapy! What is an occupational therapist going to do for me? Can she give me an 'occupation'?" What response by the nurse would be the most helpful? A. "Maybe. The occupational therapist recommends adaptive equipment that will make you more independent." B. "No, the voc-rehab counselor helps with employment. The occupational therapist helps train you for improved communication skills." C. "No, but the occupational therapist can show you how to enjoy some recreational activities." D. "Yes, in a way. The occupational therapist provides training that strengthens muscles you can still control."

A. "Maybe. The occupational therapist recommends adaptive equipment that will make you more independent."

At what age does a child typically possess the physiologic, neuromuscular, and psychological maturity necessary to master toilet training? A. 18 to 24 months B. 6 to 10 months C. 10 to 14 months D. 14 to 18 months

A. 18 to 24 months

How long is the average home health care visit by the skilled nurse? A. 30 to 45 minutes B. 20 to 30 minutes C. 10 to 15 minutes D. 45 to 60 minutes

A. 30 to 45 minutes

In performing the preoperative assessment, the nurse discovers that the patient is allergic to latex. What should the nurse do initially? A. Apply a medical alert band to patient's wrist. B. Tag chart with allergy alert. C. Place patient in an isolation room. D. Notify the diet kitchen to omit peaches from diet tray.

A. Apply a medical alert band to patient's wrist.

Where does the nurse recognize that many institutions are now including pain assessment in implementing patient care? A. Assessing vital signs B. Care planning C. Discharge planning D. The initial assessment

A. Assessing vital signs

The licensed nurse can delegate which tasks to the home health assistive personnel? A. Bathing the patient B. Administering an injection C. Teaching about medications D. Assessing ability to void

A. Bathing the patient

The nurse used a diagnosis of impaired cognition for a 40-year-old patient with a brain injury. Which assessment data would support the diagnosis? A. Cannot add three numbers in his head. B. Becomes easily fatigued. C. Frequently becomes violent. D. Is depressed.

A. Cannot add three numbers in his head.

A patient is transferred from the operating room to the recovery room after undergoing an open reduction and internal fixation (ORIF) of his left ankle. Which is the first assessment to make? A. Check airway for patency. B. Check pedal pulse. C. Check ankle dressings for hemorrhage. D. Check intravenous site.

A. Check airway for patency.

What is the defining term for continuous or intermittent pain that does not serve as a warning of tissue damage? A. Chronic B. Acute C. Unrelieved D. Subacute

A. Chronic

Which theory of aging suggests that previously developed coping abilities and the ability to maintain previous roles and activities are critical to adjustment to old age? A. Continuity theory B. Autoimmunity theory C. Disengagement theory D. Wear-and-tear theory

A. Continuity theory

The patient is brought into PACU still unconscious. What should the nurse do when the nurse assesses an oral temperature of 94°F? A. Cover with a warm blanket. B. Notify the charge nurse immediately. C. Do nothing, this is a normal reaction to anesthesia. D. Offer warm fluids through a straw.

A. Cover with a warm blanket.

What is the stage of family development that begins when conception begins and continues through the pregnancy? A. Expectant stage B. Engagement/commitment stage C. Establishment stage D. Parenthood stage

A. Expectant stage

The hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient. What can a hospice volunteer do for a patient and caregiver? A. Give the family respite. B. Be at the family's disposal 16 hours a week. C. Give necessary medication in the absence of the nurse. D. Bathe the patient.

A. Give the family respite.

The nurse is assisting a victim of an accident who requires bandaging of the right lower extremity. What should the nurse do when applying the bandage? A. Leave the toes exposed. B. Bend the knee after bandaging. C. Use sterile material. D. Bandage the extremity tightly.

A. Leave the toes exposed.

What is included when the LVN/LPN completes the Resident Assessment Instrument (RAI)? A. Minimum Data Set, Resident Assessment Protocols, and the RN's signature B. Minimum Data Set (MDS) and the signature of the health care provider C. Resident Assessment Protocols and the signature of the administrator D. Resident Assessment Protocols (RAPs) and the drug list

A. Minimum Data Set, Resident Assessment Protocols, and the RN's signature

A nurse is caring for a patient who requires long-term management for severe pain. What should be the drug of choice for this patient? A. Morphine B. Aspirin C. Oxycodone D. Acetaminophen

A. Morphine

Which medication relaxes the patient's respiratory effort and thus increases the efficiency of the patient's respiratory status? A. Morphine B. Theophylline C. Aminophylline D. Epinephrine

A. Morphine

An American Indian patient requests that an egg yolk be placed in a saucer and put under his bed to absorb the pain. What should the nurse do? A. Place the egg in a saucer under the bed. B. Ask the health care provider for permission. C. Warn that housekeeping staff will remove the egg. D. Explain that medication will relieve the pain better.

A. Place the egg in a saucer under the bed.

A child who has just begun to demonstrate egocentric thinking is in which of the Piaget's stages of cognitive development? A. Preoperational thought B. Concrete operational thought C. Formal operational thought D. Sensorimotor

A. Preoperational thought

The hospice nurse instructs caregivers in repositioning the patient because the patient spends most of the time reclining. What problem can this cause? A. Pressure injuries B. Excoriation C. Contractures D. Bruising

A. Pressure injuries

Which member of the multidisciplinary mental health care team is primarily responsible for evaluating the family of the client, as well as the environmental and social surroundings of the client, and plays a major role in the admission of new clients? A. Psychiatric social worker B. Psychiatric nurse C. Psychiatrist D. Clinical psychologist

A. Psychiatric social worker

What is the term for a long-term and intense form of psychotherapy developed by Sigmund Freud that allows a patient's unconscious thoughts to be brought to the surface? A. Psychoanalysis B. Adjunctive C. Behavior D. Cognitive

A. Psychoanalysis

For physical therapy services to be reimbursed by Medicare, what must be the goal of the therapy? A. Restorative B. Maintenance C. Preventive D. Educational

A. Restorative

A nurse assesses an accident victim who has bright red blood spurting from a laceration on his right forearm. Where will the nurse apply pressure after applying direct pressure and elevating the limb? A. Right brachial artery B. Right ulnar artery C. Right subclavian artery D. Right radial artery

A. Right brachial artery

A child who uses senses and motor abilities to understand the world is displaying characteristics consistent with which stage of Piaget's cognitive development? A. Sensorimotor stage of cognitive development B. Concrete operational stage of cognitive development C. Preoperational stage of cognitive development D. Formal operational stage of cognitive development

A. Sensorimotor stage of cognitive development

In the 1930s, what mental health disorder was electroconvulsive therapy (ECT) most often used to treat? A. Severe depression B. Bipolar disorder C. Schizophrenia D. Violent behavior

A. Severe depression

During an interview with a 15-year-old female client admitted for depression, the nurse is disappointed to learn that the client recently became pregnant and had an abortion. The nurse is contradicting the effective interview guideline of: A. avoiding one's personal values that may cloud professional judgment. B. paying close attention to the client's nonverbal communication. C. avoiding making assumptions. D. setting clear client goals.

A. avoiding one's personal values that may cloud professional judgment.

The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with chronic mental illness in: A. nursing homes. B. residential treatment centers. C. state mental health facilities. D. homeless shelters.

A. nursing homes.

A 35-year-old client with a long history of schizophrenia who often forgets to take his medication is admitted to an inpatient unit after police find him threatening passengers on a bus. This is his fourth admission in 3 months. This frequent re-hospitalization is an example of: A. recidivism. B. symptom exacerbation. C. rejection. D. noncompliance.

A. recidivism.

The National Mental Health Act of 1946 provided a means for funding of programs that promote research on mental health and: A. training of mental health professionals. B. development of mental health clinics in the community. C. treatment for veterans suffering from mental health disorders. D. educating the public about mental illness.

A. training of mental health professionals.

The nurse would include the patient problem of deficient knowledge, postoperative, when the patient scheduled for a bowel resection tomorrow remarks: A. "I will have to put up with dressing changes." B. "I am glad I will get to go home tomorrow evening." C. "I am going to have adequate pain medication after surgery." D. "I know you all are going to make me cough and walk soon after surgery."

B. "I am glad I will get to go home tomorrow evening."

A nurse is caring for a neonate who is 22 in in height. What will the child's expected height be at 1 year? A. 56 in B. 33 in C. 29 in D. 44 in

B. 33 in

How does a perceived loss differ from an actual loss? A. A perceived loss is situational. B. A perceived loss is easily overlooked. C. A perceived loss has a superficial response. D. A perceived loss is more quickly resolved.

B. A perceived loss is easily overlooked.

A nurse is assessing victims in an emergency situation. What will the nurse assess for first? A. Fractures B. Abnormal breathing C. Mobility D. Hemorrhage

B. Abnormal breathing

What should the entire health team focus on during the rehabilitation phase? A. Establishing a support system B. Abstaining from drug use C. Addressing the problems related to addiction D. Seeking and maintaining employment

B. Abstaining from drug use

Which medication would cause surgery to be delayed if it had not been discontinued several days before surgery? A. Analgesic agent B. Anticoagulant agent C. Antibiotic agent D. Antihypertensive agent

B. Anticoagulant agent

While turning a patient who had a bowel resection yesterday, the wound eviscerated. What is the initial nursing intervention? A. Replace the dressing with sterile fluffy pads. B. Apply a warm, moist normal saline sterile dressing. C. Place the patient in the high Fowler's position. D. Give the patient fluids to prevent shock.

B. Apply a warm, moist normal saline sterile dressing.

The nurse is attempting to control bleeding in a patient with a profusely bleeding scalp wound. What is the most effective initial treatment of this bleeding? A. Apply indirect pressure. B. Apply direct pressure. C. Elevate the head. D. Apply an ice pack.

B. Apply direct pressure.

What is the first thing the nurse should do before involving the family in the care of a dying patient? A. Set a caring example. B. Ask family members if they want to assist with care. C. Check the hospital policy on the family giving care. D. Ask the patient if he or she wants family care.

B. Ask family members if they want to assist with care.

A patient with multiple serious injuries sustained in a motorcycle accident is lying beside his wrecked motorcycle unconscious and bleeding when the rescuer arrives at the scene. What will be the rescuer's priority action? A. Assessing blood loss B. Assessing respiratory status C. Obtaining vital signs D. Organizing laypeople at the scene

B. Assessing respiratory status

The hospice nurse requests that the patient designate a primary caregiver for himself. What is true of the primary caregiver? A. Must have power of attorney. B. Assumes ongoing responsibility for health maintenance of the patient. C. Must be a relative. D. Has complete control over the patient's care.

B. Assumes ongoing responsibility for health maintenance of the patient.

Dementia is an organic mental disease secondary to what problem? A. Emotional problems B. Cerebral disease C. Circulatory impairment D. Chemical imbalance

B. Cerebral disease

During a session with a female client with a diagnosis of social phobia, she talks about how proud she is of herself because she was finally able to shop at the grocery store. The nurse documents the events and knows that this would be considered which phase of the nursing process? A. Intervention B. Evaluation C. Planning D. Assessment

B. Evaluation

A patient is admitted to the hospital after receiving a blow to the head. The patient begins to show signs of shock. How should the patient be positioned? A. Flat with the legs elevated B. Flat on the back C. With the head lower than the body D. In a side-lying position

B. Flat on the back

A nurse assessing a 4-month-old infant would expect the infant to do which of the following? A. Creep on the floor at least 30 ft. B. Hold head at a 90-degree angle while prone. C. Walk upright with a waddling gait. D. Crawl up the stairs.

B. Hold head at a 90-degree angle while prone.

In the long-term care facility, health care professionals work together to meet the needs of older adults and to go over the care plan with the resident and family members. What is this approach called? A. Team approach B. Interdisciplinary approach C. Outgoing approach D. Individualized approach

B. Interdisciplinary approach

What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)? A. Blackouts B. Nausea C. Hypertension D. Headaches

B. Nausea

How can a family best assist a toddler who is attempting to feed himself? A. Encourage the child to use a fork. B. Offer the child finger foods. C. Feed the child themselves using a fork. D. Encourage large portions for easier handling.

B. Offer the child finger foods.

The Omnibus Budget Reconciliation Act (OBRA) defines the requirements for which aspect of care as it relates to long-term care? A. Staffing requirements B. Quality of care C. Nutritional support D. Nursing care

B. Quality of care

A patient has pain in the left arm secondary to coronary insufficiency. This is an example of what type of pain? A. Acute pain B. Referred pain C. Subacute pain D. Chronic pain

B. Referred pain

When assisting the older adult who is despondent about the need to leave his home, what technique should the nurse use? A. Ask him if he has a drinking problem. B. Reminisce with the patient and review his life. C. Explore the option of his moving in with someone. D. Assess for hopelessness and helplessness.

B. Reminisce with the patient and review his life.

Which role is an example of an ascribed role? A. Attitude toward homosexuality B. Sex C. Manner of dealing with stress D. Occupation

B. Sex

Medicaid pays for home care services for people who have low incomes. Who administers the Medicaid program? A. Federal government B. State government C. City government D. County government

B. State government

A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime. What is the term applied to this type of delirium? A. Schizophrenia B. Sundowning syndrome C. Dementia D. Disordered thinking

B. Sundowning syndrome

Which is the first step a patient should take to control coughing? A. Cough two or three times without inhaling then relax. B. Take several deep breaths. C. Inhale deeply and hold breath for a count of three. D. Exhale through pursed lips. E. Document exercise and patient reaction. F. Inhale through nose.

B. Take several deep breaths.

Which statement describes the impaired nurse who is in a peer assistance program? A. The nurse has a revoked nursing license. B. The nurse will be allowed to work as a nurse under supervision. C. The nurse does not have to notify her employer. D. The nurse will be reported to the Healthcare Integrity and Protection Data Bank.

B. The nurse will be allowed to work as a nurse under supervision.

What is the role of the hospice medical director? A. To take the place of the patient's attending health care provider B. To function as mediator between the team and the attending health care provider C. To evaluate the appropriateness of the care D. To design and direct the plan of care

B. To function as mediator between the team and the attending health care provider

A pregnant adolescent tells the nurse that she "only drinks a little." How many drinks per day can cause an adverse effect in an infant? A. Three drinks a day B. Two drinks a day C. One drink a day D. Four drinks a day

B. Two drinks a day

What type of fire extinguisher should the nurse use when the oxygen concentrator machine malfunctions and causes an electric fire? A. Type D B. Type C C. Type A D. Type B

B. Type C

A young nurse caring for a dying patient hastens through the care and leaves the room as quickly as possible. What common reaction to the care of the dying is the nurse exhibiting? A. Anxiety B. Withdrawal C. Anger D. Efficiency

B. Withdrawal

The patient is admitted to the emergency department, having suffered frostbite to the hands, which are grayish-white in color. What action should the nurse implement when attempting to warm the hands? A. Run tepid water over the hands to warm slowly. B. Wrap the hands in hot, moist towels. C. Wipe the hands vigorously with a warm towel. D. Have the patient rub the hands together briskly.

B. Wrap the hands in hot, moist towels.

In the early 1960s, a committee appointed by President John F. Kennedy recommended the development of a new approach to the way mental health care was administered, with an emphasis on the introduction of: A. deinstitutionalization of patients. B. community mental health centers. C. state mental health care systems. D. psychotherapeutic drugs.

B. community mental health centers.

The nurse anticipates that the patient will be given ______________anesthesia because of the extensive tissue manipulation involved in a hysterectomy. A. regional B. general C. preoperative D. specific

B. general

A client with a severe, treatment-resistant mental illness has been assigned to an assertive community treatment (ACT) team. An ACT treatment strategy that helps to prevent recurrent hospitalizations for mental health reasons is to meet with the client in the community setting: A. once per week. B. two to four times per week. C. five to six times per week. D. seven to eight times per week.

B. two to four times per week.

The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse? A. "Usually in 8 to 10 hours." B. "She will snap out of it in a day or two." C. "The manifestations may be permanent." D. "Usually in about 2 hours, but the effects will return in 2 to 3 days."

C. "The manifestations may be permanent."

A newborn baby weighs 7 lb at birth. What does the nurse anticipate the baby's weight will be at 1 year of age? A. 14 lb B. 25 lb C. 21 lb D. 17 lb

C. 21 lb

Which theory of aging suggests that the body becomes less able to tolerate the "self"? A. Free radical theory B. Biological programming theory C. Autoimmunity theory D. Wear-and-tear theory

C. Autoimmunity theory

The nurse spends a great deal of time in the room of a dying 12-year-old because the nurse knows that most children are aware of their condition and want the nurse to do which of the following? A. Keep them comfortable. B. Help them eat. C. Care about them. D. Keep them clean.

C. Care about them.

Who was responsible for renewing the hospice philosophy in the 1960s? A. Dorothea Dix B. Florence Nightingale C. Cicely Saunders D. Lillian Wald

C. Cicely Saunders

The nurse teaches noninvasive pain relief techniques, such as guided imagery, biofeedback, and relaxation. What is the primary advantage of these techniques? A. Is most effective. B. Can be done any time. C. Gives the patient some control. D. Does not require a nurse.

C. Gives the patient some control.

In preparation for the return of the surgical patient, the patient's bed and equipment should be in what position? A. Lowest position with side rails elevated with oxygen and suction equipment available B. Lowest position with side rails down on the receiving side C. Highest position with the side rails down on receiving side and up on opposite side D. Highest position with side rails elevated with IV pole and pump at bedside

C. Highest position with the side rails down on receiving side and up on opposite side

After the patient is admitted to the home health services system, a treatment plan is drafted cooperatively with the health care provider and is signed. A separate, detailed care plan is always required for which disciplines? A. Physical therapist B. LPN/LVN C. Home health aide D. Registered nurse

C. Home health aide

The nurse determines clinical death and initiates CPR immediately. How long is resuscitation considered possible? A. If cardiopulmonary arrest has existed for no more 5 minutes B. If cardiopulmonary arrest has existed for no more 3 minutes C. If cardiopulmonary arrest has existed for no more 4 minutes D. If cardiopulmonary arrest has existed for no more 2 minutes

C. If cardiopulmonary arrest has existed for no more 4 minutes

The patient's lower chest has been punctured with a knife that is still in place. What should the nurse's first action be? A. Remove the knife. B. Apply an airtight dressing over the wound. C. Immobilize the knife with dressings and tape. D. Place the patient in a modified Trendelenburg's position.

C. Immobilize the knife with dressings and tape.

Which of the following measures would be included in a teaching plan to instruct new parents on reducing the incidence of sudden infant death syndrome? A. Place infants on their stomach to sleep. B. Bottle-feed an infant at night. C. Keep an infant's room well ventilated. D. Place soft bedding and pillows in an infant's crib.

C. Keep an infant's room well ventilated.

The nurse is trying to reassure a patient who is concerned about receiving addictive drugs. What percentage of patients become addicted to analgesics? A. Less than 6% B. Less than 5% C. Less than 1% D. Less than 0.1%

C. Less than 1%

The nurse reassures a patient that most acute pain is intense and of short duration. How long does can acute pain usually last? A. 1 week B. More than 1 year C. Less than 6 months D. At least 9 months

C. Less than 6 months

What action should the nurse implement when assisting a postoperative patient with pain control and comfort? A. Pull the patient up in bed. B. Restrict fluid and dietary intake. C. Lift the patient up in bed. D. Tighten constricting bandages.

C. Lift the patient up in bed.

What is the stage of family development that begins at the birth or adoption of the first child? A. Engagement/commitment stage B. Establishment stage C. Parenthood stage D. Expectant stage

C. Parenthood stage

What is the termination of tube feedings to a dying patient considered? A. Active euthanasia B. Terminal care C. Passive euthanasia D. Holistic care

C. Passive euthanasia

When the nurse observes a patient experiencing a severe episode of autonomic dysreflexia, what should be the initial intervention? A. Locate the cause of irritation. B. Cover the patient with several blankets. C. Raise the head of the bed to a high Fowler's position. D. Assess the blood pressure.

C. Raise the head of the bed to a high Fowler's position.

The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety? A. Mild B. Panic C. Severe D. Moderate

C. Severe

In which situation might surgery be delayed? A. The admission office is unable to confirm insurance coverage. B. The patient has taken Dilantin today. C. The patient is still taking anticoagulants. D. An illegible signature is on the consent form.

C. The patient is still taking anticoagulants.

What important safety precaution should the home health nurse teach parents in order to prevent burns to small children? A. Turn hot water on first when filling the bathtub. B. Keep side rails up on the crib. C. Turn pot handles on stoves away from reach. D. Never leave them unattended.

C. Turn pot handles on stoves away from reach.

What should the nurse do to decrease the patient's disorientation at night during the detoxification period? A. Wake the patient up every 4 hours to eat a small snack. B. Instruct the patient to orient himself to his surroundings at bedtime. C. Use nightlights and remove extra furniture from the room. D. Place the patient in a room with another recovering patient.

C. Use nightlights and remove extra furniture from the room.

What is the responsibility of the nurse as a witness to informed consent? A. Explain the surgical options. B. Verify the patient's understanding of the procedure. C. Verify/obtain the patient's signature. D. Explain the operative risks.

C. Verify/obtain the patient's signature.

A machinist visits the industrial nurse's clinic with a deep laceration of the thigh. What should be the nurse's first action? A. Splint the thigh and apply tape to approximate the edges. B. Give a tetanus booster injection. C. Wash the laceration with an antiseptic. D. Apply ice and a pressure dressing to the thigh.

C. Wash the laceration with an antiseptic.

The nurse caring for a patient who had an epidural block for a vaginal repair should be alert for: A. complaint of thirst. B. numbness of the perineum. C. a sudden drop in blood pressure. D. a flushing of the face and torso.

C. a sudden drop in blood pressure.

The collection of perceptions, thoughts, feelings, and behaviors that relate to one's size and appearance is called: A. body parameters. B. self-concept. C. body image. D. self-esteem.

C. body image.

In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of mental health because it funded: A. training of mental health professionals. B. development of community mental health clinics. C. construction of psychiatric units in facilities throughout North America. D. research on drugs for the treatment of mental health disorders

C. construction of psychiatric units in facilities throughout North America.

The nurse should tell a paraplegic that the rehabilitation experience will consist of: A. learning to walk. B. developing muscle strength. C. learning new skills to adapt to a different lifestyle. D. relearning former skills.

C. learning new skills to adapt to a different lifestyle.

Neuroleptic drugs are prescribed to treat: A. personality disorders. B. somatoform disorders. C. psychotic disorders. D. anxiety disorders.

C. psychotic disorders.

The nurse is trying to establish an effective relationship with a patient in pain. What is the best statement for the nurse to make when beginning the assessment? A. "Let me give you a backrub and see if it helps." B. "When was your last medication for pain?" C. "I'll check to see if you can have anything." D. "I believe you are in pain."

D. "I believe you are in pain."

What is the time limit for the legal administration of medications? A. 90 minutes B. 30 minutes C. 1 hour D. 2 hours

D. 2 hours

A young mother asks the nurse how long she should wait before introducing solid food to her infant. The nurse explains that breast milk will provide all the nutrition her infant needs for how many months? A. 10 to 12 months B. 2 to 3 months C. 7 to 9 months D. 4 to 6 months

D. 4 to 6 months

In the early 20th century, a frontal lobotomy was a common treatment for violent behaviors. Which description of this procedure is accurate? A. A surgical procedure that drills holes in the front of the skull to drain fluid. B. A procedure that delivers an electrical stimulus to the frontal lobes of the brain. C. A surgical procedure that inserts implants into the frontal lobes of the brain. D. A surgical procedure that severs the frontal lobes of the brain from the thalamus.

D. A surgical procedure that severs the frontal lobes of the brain from the thalamus.

The nurse is assessing a female patient who has become rapidly and exceedingly anxious because her fingernail polish is chipped. What type of anxiety should the nurse conclude that the patient is exhibiting? A. Panic disorder B. Signal anxiety C. General anxiety D. Anxiety traits

D. Anxiety traits

CPR has been initiated on an adult patient. How will the nurse confirm the effectiveness of CPR? A. Assessing an EKG pattern with each compression B. Assuring a compression depth of to 2 in C. Observing pupils that change from pinpoint to dilated D. Assessing a palpable carotid pulse during each compression

D. Assessing a palpable carotid pulse during each compression

When should a nurse administer prescribed analgesic medication when treating a postoperative patient? A. Only when requested by the patient B. Only when requested by the health care provider C. Only when requested by the family D. Before activity

D. Before activity

__________ coping mechanisms are means of successfully solving a problem or reducing one's stress level. A. Maladaptive B. Individual C. Defensive D. Constructive

D. Constructive

The nurse arrives on the scene of a fire. What is the first thing the nurse will do for a burn victim? A. Apply topical ointment. B. Apply dressings. C. Cover with a blanket. D. Cool the burn immediately

D. Cool the burn immediately

Medical social services focus on the emotional and social aspects of illness. What is another area of service? A. Work problems B. Home problems C. Marriage problems D. Crisis intervention

D. Crisis intervention

When a nurse informs a patient's spouse that the patient has died, the spouse states, "You must be mistaken." Which of Kübler-Ross's stages of dying is the spouse demonstrating? A. Depression B. Bargaining C. Anger D. Denial

D. Denial

What is the stage of family development that begins when the couple acknowledges that they are considering marriage? A. Establishment stage B. Parenthood stage C. Expectant stage D. Engagement/commitment stage

D. Engagement/commitment stage

How often should the long-term care facility nurse make rounds and monitor residents for safety? A. Every 6 hours B. Every 4 hours C. Once per shift D. Every 2 hours

D. Every 2 hours

The nurse is giving a backrub to a patient to relieve pain. What pain theory is the nurse using? A. Distraction B. Synergism C. Guided imagery D. Gate control

D. Gate control

What is important for the nurse to determine in order to decrease the risk for injury to a patient? A. If patient can read English B. If patient can dress independently C. If patient is left-handed D. If patient ambulates with assistive device

D. If patient ambulates with assistive device

What is the overall objective of hospice service? A. Relieve the family of the stress of death. B. Relieve symptoms of terminal disease. C. Educate the patient about the process of death. D. Keep the patient comfortable as death approaches.

D. Keep the patient comfortable as death approaches.

The nurse is assessing pain reported by a Latino male patient. What is important for the nurse take into consideration when observing objective data? A. Latino men are suspicious of female caregivers. B. Latino men have a cultural bias against use of narcotics. C. Latino men believe pain is necessary for cure. D. Latino men feel it is unmanly to admit to pain.

D. Latino men feel it is unmanly to admit to pain.

Using Freud's personality theory, what action by a patient indicates a strong ego? A. Apologizes continually. B. Continually boasts of his accomplishments. C. Insists that the TV channel stay tuned to CNN. D. Laughs at himself for being foolish.

D. Laughs at himself for being foolish.

A nurse instructing a group of parents about safety rules for infants and young children should include which of the following measures in the teaching plan? A. Provide the infant with a pillow at night. B. Keep the crib sides up and set the mattress at the highest setting. C. Use a plastic covering on the infant's mattress. D. Remove plants from the child's reach.

D. Remove plants from the child's reach.

The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. What behavior is consistent with this diagnosis? A. States he has a cat under his bed that talks to him. B. Talks excitedly about going home. C. Suspiciously watches the staff. D. Stands on one foot for 15 minutes.

D. Stands on one foot for 15 minutes.

The pain relief intervention that stimulates large cutaneous nerve fibers to "close the gate" is the _________ unit. A. UTI B. PRI C. CTG D. TENS

D. TENS

Why is it important for the hospice nurse to provide time to confer with the patient and family? A. To report changes in the plan of care designed by the team B. To confirm the ongoing reimbursement C. To show concern D. To plan for changes in the scope of care

D. To plan for changes in the scope of care

The nurse explains to a grieving husband that the process of the resolution of the hurt and the reestablishment of his life is called the __________ process. A. acceptance B. denial C. renewal D. grief

D. grief

The nurse acting as a circulating nurse has a responsibility for: A. maintaining count of sponges, needles, and instruments during surgery. B. assisting with surgical draping of the patient. C. identifying and handling surgical specimens correctly. D. observing breaks in sterile technique.

D. observing breaks in sterile technique.