psych class 1st quiz

A nurse teaches a teenager who is undergoing chemotherapy about the need for special mouth care because of the potential for lesions. What statement by the teenager leads the nurse to conclude that the instructions have been understood?

"I'll use a soft-bristled toothbrush to clean my teeth."

The parents of a 2-year-old child are watching the nurse administer the Denver II Developmental Screening Test to their child. They ask, "Why did you make our child draw on paper? We don't let our child draw at home." What is the best response by the nurse?

"It lets us test the child's ability to perform tasks requiring the hands."

While observing a mother visiting her preterm son in the neonatal intensive care nursery, the nurse notes that she has not yet begun the bonding process. Which statement by the mother supports the nurse's conclusion?

"It's such a tiny baby."

After surgery for a ruptured appendix, a 12-year-old child is receiving morphine for pain control by way of a patient-controlled analgesia (PCA) infusion. A bolus of morphine can be delivered every 6 minutes. A parent will be staying with the child during the immediate postoperative period. What statement indicates to the nurse that the instructions about the PCA pump have been understood?

"She needs to push the PCA button whenever she needs pain medication

A 5-year-old-child is undergoing chemotherapy. The mother tells the nurse that the child is not up to date on the required immunizations for school. What is the best response by the nurse?

"This isn't the best time to finish the immunizations, because your child's immune system is suppressed."

The night nurse reports that a young client with paranoid schizophrenia has been awake for several nights. The day nurse reviews the client's record and finds that this client did not have an interrupted sleep pattern disorder before transfer from a private room to a four-bed room 3 days ago. What factor should the nurse identify as most likely related to the client's sleeplessness?

fear of the other clients

Which client assessment finding should the nurse document as subjective data?

pain rating of 5

Morphine via an epidural catheter is prescribed for a client after abdominal surgery. The client asks the nurse why this medicine is necessary. What primary rationale does the nurse give for the administration of an opioid analgesic after abdominal surgery?

pain relief

On a visit to the well-baby clinic the parents are upset because their 9-month-old infant has severe diaper rash; one parent wants to know how to treat it and prevent it from recurring. What cause of diaper dermatitis should the nurse include when answering the parent's question?

prolonged contact with an irritant

During a critical incident stress debriefing (CISD) session conducted by the nurse for clients affected by a natural disaster, a client says, "The worst thing that happened on that day was that my child was severely injured and I was not in a position to help. I would like to forget that day as soon as possible. It was the most painful experience of my life." Which phase of CISD does this indicate?

reaction phase

Three days after a stressful incident a client can no longer remember why it was stressful. The nurse, in relating to this client, can be most therapeutic by identifying that the inability to recall the situation is an example of what defense mechanism?

repression

Methylphenidate has been prescribed for a 7-year-old child with attention deficit-hyperactivity disorder (ADHD) and is to be taken with meals. What rationale does the nurse provide for the parents about the timing of medication administration?

ritalin depresses the appetite

A client is diagnosed as having expressive aphasia. Which type of impairment does the nurse expect the client to exhibit?

speaking or writing

A nurse identifies that a client seems to be depressed after a thymectomy for treatment of myasthenia gravis. Which nursing action is most appropriate at this point?

talk with the clients about prognosis and emphasize activites the client is stilla ble to perfrom

The husband of a young mother who has attempted suicide tells the nurse that he told his wife he would bring their 26-month-old daughter to visit his wife and asks if that would be possible. What is the best response by the nurse?

tell me what your wife said when you asked

Which information should the nurse include in the discharge teaching of a postpartum client?

the prenatal kegel tightening exercises should be continued

A client with myasthenia gravis has been receiving neostigmine and asks about its action. What information about its action should the nurse consider when formulating a response?

blocks the action of cholineserase

Which drug is contraindicated in clients with eating and seizure disorders?

burpropion

What is the priority nursing care in the immediate postoperative period for a toddler with a newly applied hip spica cast?

checking the toddlers peripheral circulation

A nurse counseling a client on the inpatient psychiatric unit responds to a statement made by the client by stating, "I'm confused about exactly what is upsetting you. Would you go over that again, please?" What is the nurse using?

clarifying

A nurse evaluates that a client with chronic kidney disease understands an adequate source of high biologic-value (HBV) protein when the client selects which food from the menu?

cottage cheese

which statement about primary anxiolytic drugs requies correction

dezodiazpaines block gmma aminobutyric acid receptros

The nurse is preparing discharge instructions for a client who was prescribed enalapril for treatment of hypertension. Which instruction is appropriate for the nurse to include in the client's teaching?

dont change positions suddenly

client becomes anxious after being scheduled for a colostomy. What is the most effective way for the nurse to help the client?

enocurage the client to express feelings

What critical thinking skill is applicable when knowledge and experience is used to care for clients?

evaluation

A nurse is caring for a preschooler who is being prepared for surgery. What does the nurse expect to have the most influence on the child's response to hospitalization?

fear of bodily harm

Monitoring vital signs, particularly the blood pressure and the rate and quality of the pulse, is essential in detecting physiologic adaptations in a preschool child with nephrotic syndrome. Which clinical manifestation should the nurse be able to detect from these vital signs?

hypovolemia

A client who is receiving phenytoin to control a seizure disorder questions the nurse regarding this medication after discharge. How will the nurse respond?

"Antiseizure drugs will probably be continued for life."

A 10-year-old child with recently diagnosed asthma is receiving information about the use of a peak expiratory flow meter (PEFM). The nurse knows that the child understands how to use the PEFM when she makes which statement?

"I have to blow out as fast and hard into the machine as I can."

A 14-year-old teenager with type 1 diabetes wants to go out to eat with friends after a volleyball game. The teenager asks the school nurse whether this is permissible on the insulin/diet/exercise regimen that has prescribed. How should the nurse respond?

"I'll teach you how to determine the amount of carbohydrates in different fast foods."

The nurse should first discuss terminating the nurse-client relationship with a client during which phase?

0rientation phase, when a contract is established

When talking with the nurse, a client with a mood disorder says, "I feel rotten. I feel useless. I can't think straight. I feel overwhelmed by everything. I don't know if I can go on." What should the nurse document when describing this encounter?

Client stated, "I feel rotten. I feel useless. I can't think straight. I feel overwhelmed by everything. I don't know if I can go on."

An 18-year-old adolescent who was diagnosed with new-onset type 1 diabetes mellitus has stress and reports not having a menstrual cycle for a long time. Which condition is the adolescent experiencing?

Hypogonadotropic amenorrhea

A client is having a tonic-clonic seizure. Which is a priority nursing action?

Taking measures to prevent injury

The newborn's total body response to noise or movement is often distressing to the parents. What should the nurse explain about this response?

This reflexive response is an expected part of development.

A client with a long history of cardiovascular problems, including angina and hypertension, is scheduled to have a cardiac catheterization. During preprocedure teaching, what does the nurse explains to the client is the major purpose for catheterization?

To visualize the disease process in the coronary arteries

A nurse is caring for a client with an obsessive-compulsive disorder. What is the basis for the obsessions and compulsions?

Unconscious control of unacceptable feelings

A nurse from the pediatric clinic who is strongly opposed to any chemical or mechanical method of birth control is asked to work in the family planning clinic. What is the most professional response that this nurse could give to the requesting supervisor?

i would prefer another assignment that is not contrary to my beliefs

A client with multiple sclerosis is admitted to the hospital. The client's exacerbations have become more frequent and more severe. One day, the client's partner confides to the nurse, "Life is getting very hard and depressing, and I am upset with myself for thinking about a nursing home." After listening to the partner's concerns, which is the best response by the nurse?

joining a support group of people who are coping with this problme may be helpful

Which action correlates with the relevance strategy of the motivational learning model proposed by John Keller?

linking the persons need, interests and motives for learing

An adult client is brought to the emergency department after an accident. The client has limitations in mental functioning related to Down syndrome. How can the nurse best assess the client's pain level?

pain faces

During the first meeting of a therapy group, the members become quite uncomfortable. The nurse notes frequent periods of silence, tense laughter, and nervous movement in the group. What does the nurse conclude about these responses?

they are expected group behaviors becasue relationships havent been established

While being admitted for a lumpectomy the client begins to cry and says, "I found the lump a few months ago, but I didn't go to the doctor because of what it could be." How should the nurse reply?

this has been frightening for you

After 5 years of unprotected intercourse, a childless couple comes to the fertility clinic. The husband tells the nurse that his parents have promised to make a down payment on a house for them if his wife gets pregnant this year. What is the nurse's best response to this comment?

this must be very difficutl for you with this added pressure

A client who has been taking a conventional antipsychotic for several days comes to the clinic complaining of neck spasms. The figure illustrates the client's physical status observed by the nurse. What extrapyramidal side effect has the client developed?

torticollis

A client is admitted to the hospital for a total hip replacement. Included in the primary healthcare provider's prescriptions is a prescription for digoxin 2.5 mg by mouth daily. The nurse knows that digoxin is supplied in 0.125 mg tablets. What should the nurse do?

verify the perscripition with the primary healthcare provider