HC3B Exam 3

The nursing student is comparing the causative agents of hyperthermia and hypothermia. Which causative agent is common to both conditions? 1. Alcohol 2. Barbiturates 3. Phenothiazines 4. Cardiovascular disease

1. Alcohol

According to the Piaget's theory, which behavior does a nine-year-old child show? 1. Logical reasoning 2. Concrete thinking 3. Object permanence 4. Imaginary audience

2. Concrete thinking

A client in a mental health facility is demonstrating manic-type behavior by being demanding and hyperactive. What is the nurse's major objective? 1. Easing the client's feelings of guilt 2. Maintaining a supportive, structured environment 3. Pointing out reality through continued communication 4. Broadening the client's contacts with other people on the unit

2. Maintaining a supportive, structured environment

Which stage of Piaget's theory of cognitive development does the nurse observe in a preschooler? 1. Sensorimotor 2. Preoperational 3. Formal operations 4. Concrete operations

2. Preoperational

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

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

According to Erikson's theory, at which stage does a child start to have fantasies and an active imagination? 1. Trust versus mistrust 2. Initiative versus guilt 3. Identity versus role confusion 4. Autonomy versus sense of shame and doubt

2. Initiative versus guilt

What concept of death should a nurse expect a 4-year-old child to have? 1. Cessation of life 2. Reversible separation 3. Only affects old people 4. Force takes one away from family

2. Reversible separation

Which action would the nurse think should be excluded to prevent staff from having posttraumatic stress disorder (PTSD) during a mass casualty assessment? 1. To work less than 12 hours 2. Encourage and motivate team members 3. To work continuously without any breaks 4. To discuss feelings with the team members

3. To work continuously without any breaks

A client who is admitted to the high-risk unit with severe preeclampsia anxiously asks the nurse, "Will my baby be all right?" How should the nurse respond? 1. "There is no way of telling at this time what the outcome will be." 2. "Your baby probably will be all right. It's protected by the amniotic fluid." 3. "If you follow your primary healthcare provider's instructions, everything will progress normally." 4. "We'll be constantly monitoring your baby's condition. I'll let you listen to the baby's heartbeat."

4. "We'll be constantly monitoring your baby's condition. I'll let you listen to the baby's heartbeat."

The nurse notes that a client has mild hypothermia based on what body temperature? 1. 29 °C 2. 30 °C 3. 33 °C 4. 35 °C

4. 35 °C

Which is the adverse effect of haloperidol? 1. Ataxia 2. Asthenia 3. Insomnia 4. Gynecomastia

4. Gynecomastia

A client who was involved in a near-fatal automobile collision arrives at the mental health clinic with complaints of insomnia, anxiety, and flashbacks. The nurse determines that the client is experiencing symptoms of crisis. What is the nurse's initial intervention? 1. Focusing on the present 2. Identifying past stressors 3. Discussing a referral for psychotherapy 4. Exploring the client's history of mental health problems

1. Focusing on the present

A client with hypothermia is brought to the emergency department. What treatment does the nurse anticipate? 1. Core rewarming with warm fluids 2. Ambulation to increase metabolism 3. Frequent oral temperature assessments 4. Gastric tube feedings to increase fluid volume

1. Core rewarming with warm fluids

The registered nurse is teaching a group of student nurses about preventing post-traumatic stress disorder (PTSD) during a mass casualty event. Which statement made by the student nurse indicates effective learning? 1. "I should take a break whenever needed." 2. "I should not work more than 18 hours per day." 3. "I should monitor my own stress level and performance." 4. "I should avoid talking about my feelings with managers or staff."

1. "I should take a break whenever needed."

Which of these statements about language development in children ages 12 to 36 months are true? Select all that apply. 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.

1. 24-month-old children use pronouns. 5. 36-month-old children learn to use five or six new words each day.

The student nurse is learning about the developmental characteristics of vision. Which major developmental characteristics does an infant start exhibiting around age 6 weeks? Select all that apply. 1. Having binocular vision 2. Having doll's eye reflex 3. Having visual acuity 20/40 to 20/60 4. Having peripheral vision to 180 degree 5. Having strabismus if binocular vision is absent

1. Having binocular vision 4. Having peripheral vision to 180 degree

What childhood problem has legal as well as emotional aspects and cannot be ignored? 1. School phobia 2. Fear of animals 3. Fear of monsters 4. Sleep disturbances

1. School phobia

Which drugs are used as the first-line treatment for posttraumatic stress disorder (PTSD)? Select all that apply. 1. Sertraline 2. Paroxetine 3. Phenelzine 4. Venlafaxine 5. Amitriptyline

1. Sertraline 2. Paroxetine

Arrange the order of tests chronologically to be performed to determine the neurologic status of a client. 1. Speak in normal voice 2. Shake the client gently 3. Apply painful stimuli 4. Speak in loud voice

1. Speak in normal voice 2. Speak in loud voice 3. Shake the client gently 4. Apply painful stimuli

The nurse who works in a birthing unit understands that newborns may have impaired thermoregulation. Which nursing interventions may help prevent heat loss in the newborns? Select all that apply. 1. The nurse keeps the newborn covered in warm blankets. 2. The nurse keeps the newborn under the radiant warmer. 3. The nurse places the newborn on the mother's abdomen. 4. The nurse measures the newborn's temperature regularly. 5. The nurse encourages the mother to feed the newborn well to maintain the fluid balance

1. The nurse keeps the newborn covered in warm blankets. 2. The nurse keeps the newborn under the radiant warmer. 3. The nurse places the newborn on the mother's abdomen.

The nurse assesses for what client symptoms that indicate hyperthermia? Select all that apply. 1. Vasodilation 2. Dry and flushed skin 3. Pale and cyanotic skin 4. Decreased capillary refill 5. Decreased urinary output

1. Vasodilation 2. Dry and flushed skin 5. Decreased urinary output

The student nurse is performing a rapid baseline assessment using a disability mnemonic (AVPU) in a client with drug abuse. Which parameters should the student nurse consider for proper assessment? Select all that apply. 1. Level of anxiety 2. Reaction to pain 3. Response to voice 4. Body temperature 5. Evidence of assault

2. Reaction to pain 3. Response to voice

What characteristic of anxiety is associated with a diagnosis of conversion disorder? 1. Free-floating 2. Relieved by the symptom 3. Consciously felt by the client 4. Projected onto the environment

2. Relieved by the symptom

What developmental skills does a preschooler exhibit? Select all that apply. 1. Personal identity 2. Specific reasoning 3. Increased curiosity 4. Magical thinking 5. Understanding of others

2. Specific reasoning 3. Increased curiosity 4. Magical thinking

Which client body temperatures are indicative of moderate hypothermia? Select all that apply. 1. 80° F (26.7° C) 2. 84° F (28.9° C) 3. 88° F (31.1° C) 4. 92° F (33.3° C) 5. 96° F (35.6° C)

3. 88° F (31.1° C) 4. 92° F (33.3° C)

A 65-year-old man is admitted to a mental health facility with a diagnosis of substance-induced persisting dementia resulting from chronic alcoholism. When conducting the admitting interview, the nurse determines that the client is using confabulation. What does the nurse recall precipitates the client's use of confabulation? 1. Ideas of grandeur 2. Need for attention 3. Marked memory loss 4. Difficulty in accepting the diagnosis

3. Marked memory loss

Which reactions does a nurse expect of a 4-year-old child in response to illness and hospitalization? 1. Anger, resentment over depersonalization, and loss of peer support 2. Boredom, depression over separation from family, and fear of death 3. Out-of-control behavior, regression to overdependency, and fear of bodily mutilation 4. Intense panic, loss of security over separation from parents, and low frustration tolerance

3. Out-of-control behavior, regression to overdependency, and fear of bodily mutilation

The student nurse is learning about cognitive development in preschoolers. Which is characteristic of cognition in 4-year-olds? 1 Beginning to question what parents think 2 Egocentricity in thought and behavior 3. Phase of intuitive thought 4 Beginning ability to view concepts from another perspective

3. Phase of intuitive thought

Which psychosocial change is least likely to be seen in preschoolers? 1. Preschoolers suck their thumbs during stress. 2. Preschoolers feel guilty for behaving inappropriately. 3. Preschoolers feel happy if there is a newborn in the family. 4. Preschoolers are curious to know more about surroundings.

3. Preschoolers feel happy if there is a newborn in the family.

A nurse is caring for a client with a somatoform disorder. What should the nurse anticipate that this client will do? 1. Write down conversations to facilitate the recall of information. 2. Monopolize conversations about the anxiety being experienced. 3. Redirect the conversation with the nurse to physical symptoms. 4. Start a conversation asking the nurse to recommend palliative care.

3. Redirect the conversation with the nurse to physical symptoms.

What characteristics develop in an adolescent according to Piaget's theory of cognitive development? Select all that apply. 1. The individual shows animism. 2. The individual is able to understand the process of reversibility. 3. The individual develops the ability to reason with respect to possibilities. 4. The individual develops action patterns for dealing with the environment. 5. The individual demonstrates feelings and behaviors characterized by self-consciousness

3. The individual develops the ability to reason with respect to possibilities. 5. The individual demonstrates feelings and behaviors characterized by self-consciousness

The victims of a natural disaster are brought to the emergency department and found to be suffering from hypothermia. What is most likely to be the core body temperature of the hypothermic victim in whom shivering is diminished or absent? 1. 104° F (40°C) 2. 95° F (35°C) 3. 89.6° F (32°C) 4. 82.4° F (28°C)

4. 82.4° F (28°C)

According to Erikson's stages of life, what is the stage when a child begins walking, feeding, and using the toilet? 1. Trust versus mistrust 2. Initiative versus guilt 3. Identity versus role confusion 4. Autonomy versus sense of shame and doubt

4. Autonomy versus sense of shame and doubt

The nurse is caring for a client with Alzheimer disease who exhibits behaviors associated with hyperorality. To meet the client's need for a safe milieu, what instructions will the nurse give the staff to monitor the client? 1. At meals to help prevent choking 2. For the presence of mouth ulcers 3. To prevent injury caused by hot foods 4. For attempts at eating inedible objects

4. For attempts at eating inedible objects

While receiving betamimetic (tocolytic) therapy for preterm labor the client begins to experience muscle tremors and exhibit signs of nervousness. She reports, "My heart is racing." The nurse identifies that the client's pulse rate is 110 beats/min and regular. What should the nurse do next? 1. Discontinue the medication as per protocol. 2. Notify the primary healthcare provider that preterm labor has restarted. 3. Obtain the client's laboratory results for electrolyte levels. 4. Reassure the client that these are expected side effects of the medication.

4. Reassure the client that these are expected side effects of the medication.