exam 2 HW questions (concepts)

(EAQ) Which question would the nurse ask to obtain information about a bulimic client's intake habits and patterns? 1 "Are you trying to control other people through the use of food?" 2 "When you socialize, do you find that you eat more than when you eat by yourself?" 3 "Do you find yourself eating more right before the beginning of your menstrual cycle?" 4 "How often are you eating in response to your feelings rather than because you're hungry?"

"How frequently are you eating in response to your feelings rather than because you're hungry?

(EAQ) Which are the characteristics of the phallic stage, per Freud's psychoanalytical model of personality development? Select all that apply. One, some, or all responses may be correct. 1 A child may develop an oedipal complex. 2 A girl may experience "penis envy" feelings. 3 The genital organs are the focus of pleasure. 4 Sexual urges revive and are directed to an individual outside the family circle. 5 A child begins to realize that the mother or parent is something separate from the self.

"In this stage, a child may develop an oedipal complex."" In this stage, a girl may experience 'penis envy' feelings. "In this stage, the genital organs are the focus of pleasure.

(EAQ) When the primary health care provider prescribes "bathroom privileges only" for a client with an exacerbation of heart failure, the client becomes irritable and asks why bed rest is needed. Which response by the nurse is best? 1. "Why do you want to be out of bed? "2. "Bed rest plays a role in most therapy. "3. "Rest helps your body direct energy toward healing. "4. "Would you like me to ask your primary healthcare provider to change the prescription?"

"Rest helps your body direct energy toward healing."

(EAQ) Which response would the nurse make to help a depressed client who is crying? 1 "Does crying help?" 2 "I know that you're upset." 3 "Tell me what you're feeling now." 4 "Do you want to tell me why you're crying?

"Tell me what you're feeling now."

A family member of a patient diagnosed with bipolar disorder asks what behaviors would indicate the beginnings of a manic phase. What is the best response by the nurse? -"The person may sleep more, have trouble completing hygiene needs, and have a poor appetite." -"The person may have sudden spikes in blood pressure and crave foods that are sweet or salty." -"The person may have excess energy, talk a lot, feel restless, and spend too much money." -"The person may experience decreased energy and interest in activities beginning in the winter months."

"The person may have excess energy, talk a lot, feel restless, and spend too much money."

A patient has been prescribed a selective serotonin reuptake inhibitor (SSRI) antidepressant. After taking the new medication, the patient states, "This medication isn't working. I don't feel any different." What is the best response by the nurse? -"I will call your care provider. Perhaps you need a different medication." -"Don't worry. We can try taking it at a different time of day to help it work better." -"It usually takes a few weeks for you to notice improvement from this medication." -"Your life is much better now. You will feel better soon."

-"It usually takes a few weeks for you to notice improvement from this medication."

Which statements are true regarding anxiety? (Select all that apply.) Anxiety is a response to stress. Anxiety is uncommon in women. Anxiety can cause elevations in blood pressure and heart rate. Many conditions are exacerbated by stress and anxiety. Patients with anxiety respond well to relaxation techniques. Children are at the highest risk for anxiety.

-Anxiety is a response to stress. -Anxiety can cause elevations in blood pressure and heart rate. -Many conditions are exacerbated by stress and anxiety. -Patients with anxiety respond well to relaxation techniques.

(EAQ) Which action would the nurse take to minimize psychological stress in an anxious client who has been admitted to the psychiatric unit? -Explain in detail the therapies being used .-Learn what is of particular importance to the client. -Advise the client that the nurse is in charge of the client's situation. -Avoid the discussion of any areas that may be emotionally charged.

-Learn what is of particular importance to the client.

The nurse is implementing a nonpharmacological intervention for a patient with anxiety. Which intervention is most appropriate? -Increasing caffeine intake -Decreasing physical activity -Limiting noise or music in the room -Performing abdominal breathing exercises

-Performing abdominal breathing exercises

Which statement by a nursing student about the effects of the fight or flight response indicates a need for further education? -Pupils constrict when a patient is anxious. -The heart races when a patient experiences anxiety. -Peristalsis slows as the patient decides whether to fight back. -The patient may complain of dry mouth when anxious.

-Pupils constrict when a patient is anxious.

(EAQ) Which intervention would the nurse include when developing a plan of care for an older client with dementia? A. Explain to the client the details of the regimen. B. Demonstrate interest in the client's various likes and dislikes. C. Be firm when dealing with the client's attitudes and behaviors. D. Provide consistency in carrying out nursing activities for the client.

. Provide consistency in carrying out nursing activities for the client.

(EAQ) Which manifestation is an adverse effect of intravenous lorazepam? Select all that apply. One, some, or all responses may be correct. 1 Amnesia 2 Drowsiness 3 Sleep driving 4 Blurred vision 5 Respiratory depression

1 Amnesia 2 Drowsiness 3 Sleep driving 4 Blurred vision 5 Respiratory depression

(EAQ) Which of these statements about language development in children ages 12 to 36 months are true? Select all that apply. One, some, or all responses may be correct. 1. 24-month-old children use pronouns. 2. 18-month-old children use approximately 25 words. 3. 24-month-old children speak in four-word sentences. 4. 24-month-old children have a vocabulary of up to 500 words. 5. 36-month-old children learn to use five or six new words each day.

24-month-old children use pronouns. 36-month-old children learn to use five or six new words each day.

(EAQ) Which nursing objective would be essential for a client who is demonstrating manic-type behavior by being demanding and hyperactive? 1Easing the client's feelings of guilt 2Maintaining a supportive, structured environment 3Pointing out reality through continued communication 4Broadening the client's contacts with other people on the unit

2Maintaining a supportive, structured environment

Which of the following is true with regard to sleep and rest in older people? Select all that apply. A. Older people often have difficulty falling asleep B. Older people often have difficulty waking from sleep C. Older people require more sleep D. Older people often awaken frequently from sleep

A. Older people often have difficulty falling asleep D. Older people often awaken frequently from sleep

(EAQ) In comparing assessment findings in clients with vascular dementia and dementia of the Alzheimer type, which factor is unique to vascular dementia? 1 Memory impairment 2 Abrupt onset of symptoms 3 Difficulty making decisions 4 Inability to use words to communicate

Abrupt onset of symptoms

Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (Select all that apply.) Assess for bradycardia. Ask about epigastric pain. Observe for increased appetite. Check for elevated blood glucose levels. Monitor for a decrease in respiratory rate.

Ask about epigastric pain. Observe for increased appetite. Check for elevated blood glucose levels.

(EAQ) Which is a similarity between Havighurst's stage-crisis and Erikson's psychosocial development theories? Correct1 Both theories are based on developmental tasks. 2 Both theories incorporate eight stages of development. 3 Both theories are based on psychosexual development. 4 Both theories emphasize that a child's growth is directed by gene activity.

Both theories are based on developmental tasks.

The nurse is assessing a patient's anxiety related to stress. Which changes reflect the short-term physiological response to stress? (Select all that apply.) -Cortisol is released, increasing glycogenesis and reducing fluid loss. -Immune system functioning decreases, and the risk of cancer increases. -Corticosteroid release increases stamina and impedes digestion. -Muscular tension, blood pressure, and triglyceride levels increase. -Epinephrine is released, increasing the heart and respiratory rates. -Risk of depression, autoimmune disorders, and heart disease increases.

Cortisol is released, increasing glycogenesis and reducing fluid loss. Corticosteroid release increases stamina and impedes digestion. Muscular tension, blood pressure, and triglyceride levels increase. Epinephrine is released, increasing the heart and respiratory rates.

A patient recently admitted to the hospital has been diagnosed with delirium. The family of the patient asks the nurse to explain what delirium is. How should the nurse respond? Delirium is reversible with treatment of the underlying cause. Delirium is progressive and has no known cure. Delirium affects a specific area of cognitive functioning. Delirium indicates the onset of a cerebrovascular accident.

Delirium is reversible with treatment of the underlying cause

(EAQ) Which short-term goal would be appropriate for a client with phobias about elevators and large crowds who comes to the clinic for help because of feelings of depression related to these fears? 1 Riding an elevator without anxiety when accompanied by the nurse 2 Describing the thoughts and feelings experienced in terrifying situations 3 Experiencing an elevation of mood and relief from feelings of depression 4 Identifying the early childhood conflicts that resulted in the development of these fears

Describing the thoughts and feelings experienced in terrifying situations

(EAQ) Which therapy would have the highest success rate for people with phobias? 1 Desensitization involving relaxation techniques 2 Insight therapy to determine the origin of the fear 3 Psychotherapy aimed at rearranging the maladaptive thought processes 4 Psychoanalytic exploration of repressed conflicts of an earlier developmental phase

Desensitization involving relaxation techniques

According to Piaget, which statement describes the concrete operation stage? 1During this stage, children have egocentric thoughts. 2During this stage, children are able to perform mental operations. 3During this stage, children learn to think with the use of symbols and mental images. 4During this stage, children develop an action pattern for dealing with the environment.

During this stage, children are able to perform mental operations.

(EAQ) Which action would the nurse take when a young adult client becomes very agitated after the parents' visit? 1 Take the client to the coffee shop for a treat. 2 Distract the client by providing a unit activity. 3 Limit the client's future contact with the parents. 4. Explore the client's response to the parents' behavior

Explore the client's response to the parents' behavior

(EAQ) As a group leader for depressed clients, which primary concern would the nurse be prepared to manage when it is learned that a client hid suicidal urges and died by suicide several days ago? A) Remorse of the staff for failing to anticipate and prevent suicide B) Guilt of group members because they could not prevent another's suicide C) Lack of concern over the suicide expressed by several members in the group D) Fear by some members that their own suicidal urges may go unnoticed and that they may go unprotected

Fear by some members that their own suicidal urges may go unnoticed and that they may go unprotected

(EAQ) Which approach would the nursing staff take to fulfill the nutritional needs of a client experiencing periods of extreme mania and hyperactivity? 1 Accepting that the client will eat when hungry 2 Allowing the client to prepare meals to eat when desired 3 Frequently offering high-calorie snacks that the client can hold 4 Leaving food in the client's room that can be eaten when desired

Frequently offering high-calorie snacks that the client can hold

(EAQ) The nurse would identify which medication as the most common cause of extrapyramidal side effects (EPSs)? 1 Clozapine 2 Haloperidol 3 Risperidone 4 Aripiprazole

Haloperidol

A client just had a total hip replacement and is experiencing restlessness and changes in mentation. Which complication would the nurse consider the client may be experiencing based on these responses? 1 Bladder spasms 2 Polycythemia vera 3 Hypovolemic shock 4 Pulmonary hypertension

Hypovolemic shock

(EAQ) Which strategy would the nurses use to minimize aggressive behaviors from the client with a neurocognitive disorder? A. Limit the time staff and the client spend together. B. Follow an outline of consequences for uncooperative behavior. C. Use the client's preferences as a reward or a punishment. D. Identify nursing staff members whom the client prefers.

Identify nursing staff members whom the client prefers.

(EAQ) Which characteristic about confusion would the nurse keep in mind when an older client with Alzheimer disease is admitted to a long-term care facility? 1 Occurs with a transfer to new surroundings 2 Will be unchanged despite reality orientation 3 Is a common finding and expected with normal aging 4 Results from brain changes that make interventions futile

Occurs with a transfer to new surroundings

A community health nurse is preparing a course on protecting cognitive function. Which population group should the nurse target for teaching? Older male adults with diabetes Older female adults who are overweight Young adults living in school dormitories Adolescents attending summer camps

Older male adults with diabetes

(EAQ) Which response would the nurse make during the last interview before discharge, when the client who has follow-up therapy sessions says, "There are a few things that bother me that I've told no one"? 1 "The purpose of our getting together is to discuss your problems." 2 "Do you want to work on those during the few minutes we have left?" 3 "What kind of problems have you not shared with me during our time together?" 4 "One purpose of continuing counseling is to allow you to discuss things that bother you."

One purpose of continuing counseling is to allow you to discuss things that bother you."

The nurse is caring for a patient newly diagnosed with major depressive disorder. What typical signs and symptoms would the nurse expect? (Select all that apply.) -Poor eye contact -Increased fever -Appetite changes -Increased white blood cell count -Slowed speech

Poor eye contact Appetite changes Slowed speech

The nurse is establishing a therapeutic environment for a patient admitted with dementia and influenza. Which intervention would be important for the nurse to implement? Keep a radio on all the time to provide sound for the patient. Decrease patient confusion by limiting verbal interactions. Limit family visits to one person for 30 minutes per day. Provide a quiet environment in a private room.

Provide a quiet environment in a private room.

(EAQ) The nurse understands which as the primary reason oxazepam is given during detoxification? 1 Prevents injury and protects the client when seizures occur 2 Enables the client to sleep and eat better during periods of agitation 3 Encourages the client to cooperate with and accept treatment for alcoholism 4 Reduces the anxiety-tremor state and prevents more serious withdrawal symptoms

Reduces the anxiety-tremor state and prevents more serious withdrawal symptoms

(EAQ) Which childhood problem has legal and emotional aspects? School phobia Fear of animals Fear of monsters Sleep disturbances

School phobia

A patient coming to the health clinic for a blood pressure check reports to the nurse that she just does not have the energy to go out much in winter but looks forward to gardening in summer. The nurse realizes that this patient is describing a major symptom of what condition? -Anxiety -Seasonal affective disorder -Medication side effects -Antisocial personality

Seasonal affective disorder

A patient who is at a health clinic reports a sore throat and is exhibiting signs of depression. The nurse administers a basic screening for depression. What level of prevention is the nurse performing? -Primary prevention -Secondary prevention -Tertiary prevention -Modified prevention

Secondary prevention

(EAQ) Which action would the nurse take for a toddler with autism spectrum disorder who is sitting in a corner, rocking and spinning a top? 1 Hold the toddler to provide a sense of security. 2 Stroke the toddler's arm gently to gain the child's attention. 3 Wait for the toddler to make the initial contact before moving close. 4 Sit with the toddler while watching the spinning top to provide a nonintrusive presence.

Sit with the toddler while watching the spinning top to provide a nonintrusive presence.

(EAQ) Which activity would the nurse ask an older adult client to do when testing short-term memory? A. Subtract serial sevens from 100. B. Copy one simple geometric figure. C. State three random words mentioned earlier in the examination. D. Name two common objects when the nurse points to them.

State three random words mentioned earlier in the examination.

the nurse is reviewing the needs of a patient with cognitive impairment. What is the priority concern the nurse should address? Promoting at least 6 hours of sleep a night Encouraging an oral intake of 1200 calories per day Managing the patient's pain from arthritis Supervising medication administration

Supervising medication administration

(EAQ) Which intervention would the nurse include in a plan of care for a client with an anxiety disorder? 1 Promoting the suppression of anger by the client 2 Supporting the verbalization of feelings by the client 3 Encouraging the client to limit anxiety-related behaviors 4 Restricting the involvement of the client's family during the acute phase

Supporting the verbalization of feelings by the client

(EAQ) Which legal aspect would be indicated when a nurse informs the nosy, hyperactive client, "Unless you're quiet, you'll be isolated and put in restraints, if necessary"? 1 The information given to the client is actually considered assault. 2 The client's behavior is to be expected and should be ignored. 3 Clients who are hyperactive need to be restrained for their own protection. 4 Clients who are disruptive and hyperactive cannot be expected to understand instructions.

The information given to the client is actually assault.

(EAQ) During the first meeting of a therapy group, members exhibit frequent periods of silence, tense laughter, and nervous movements. Which conclusion would the nurse make? 1 They require active leader intervention to relieve signs of obvious stress. 2 They indicate unhealthy group processes and an unwillingness to relate openly. 3 They are expected group behaviors because relationships are not yet established. 4 They should be addressed immediately so members will not become too uncomfortable.

They are expected group behaviors because relationships are not yet established.

(EAQ) Which intervention would be essential for the nurse to take for a hyperactive client? 1 Using a firm but caring and consistent approach 2 Anticipating and physically controlling the hyperactivity 3 Allowing the client to choose the activities in which to participate 4 Letting the client know that the staff will not tolerate overactive behavior

Using a firm but caring and consistent approach

(EAQ) Which side effect would the nurse include when preparing a teaching plan for a client prescribed sertraline? 1 Seizures 2 Agitation 3 Tachycardia 4 Agranulocytosis

agitation

A 90-year-old patient is admitted to the hospital. Shortly after admission, the family notices that the patient is exhibiting disorientation and agitation. When the family asks the nurse about the behavior, the nurse states that the patient is at risk for developing which common complication of hospitalization in older adults? Delirium Dementia Alzheimer disease Sundowner syndrome

delirium

(EAQ) Which short-term nursing objective would be essential for a client with agoraphobia who is admitted to the psychiatric unit of a local hospital? 1. Feeling safe in the unit 2. Increasing self-esteem 3. Going out unaccompanied 4. Feeling comfortable in groups

feeling safe in the unit

(EAQ) A student is anxious about an upcoming examination but is able to study intently and does not become distracted by a roommate's talking and loud music. What level of anxiety is demonstrated by the student's ability to shut out the distractions? Mild Panic Severe Moderate

mild

(EAQ) Which issue is the main problem for a client who is withdrawn and declines participation in situations that require communication with others? 1 Personal identity 2 Social interaction 3 Sensory perception 4 Verbal communication

social interaction