2nd semester exam 2
What are the advantages of therapy groups? a. Feedback from peers. b. Treatment of multiple people at one time. c. Promotion of independence in problem solving. d. Provision of an opportunity to practice communication. e. Promotion of a feeling of belonging. f. Promotion of confidentiality.
a. Feedback from peers. b. Treatment of multiple people at one time. d. Provision of an opportunity to practice communication. e. Promotion of a feeling of belonging.
A client has an odorous, purulent wound. How does the nurse best support this client? a. Changes the dressing frequently b. Encourages a diet high in protein c. Suggests whirlpool therapy d. Places room deodorizers in the room
a. Changes the dressing frequently
What term best describes a family dynamic where boundaries are not clear and whose members are overinvolved with each other? a. Clear boundaries b. Enmeshment c. Scapegoating d. Rigid boundaries
b. Enmeshment When boundaries are diffuse, individuals tend to become "enmeshed." As a consequence, it is not clear who is in charge, who is responsible for decisions, and who has permission to act or take charge; family members are often overinvolved with each other.
A client diagnosed with delirium strikes out at a staff member. The nurse can most correctly hypothesize that this behavior is related to which characteristic symptom of delirium? a. Anger b. Fear c. Unmet physical need d. Unmet social interaction
b. Fear
When the group leader suggests that a client "choose the problem that is troubling you most at this time and tell us about it." The leader is promoting what action? a. Insight b. Focusing c. Reframing d. Feedback
b. Focusing Focusing helps the group consider one problem rather than trying to attend to multiple problems at one time.
Using a minute amount of a substance that produces the same symptom as the client's chief symptom, so as to stimulate the body's immune system, is the rationale for which form of complementary therapy? a. Allopathy b. Homeopathy c. Naturopathy d. Orthomolecular therapy
b. Homeopathy
What response demonstrates an effective strategy to encourage a nonparticipating member to speak during a group session? a. "You are letting the group down when you fail to contribute." b. "Your opinions about what just happened are important." c. "You must be feeling safe enough to enter the discussion by now." d. "What you are thinking is very important to the group."
d. "What you are thinking is very important to the group."
Which statement by a client with psoriasis indicates to the nurse that additional teaching about the client's condition is required? a. "A tanning bed will supply the ultraviolet light I need." b. "Medicine can prevent the growth of new skin cells." c. "I can never be cured." d. "Stress can cause my flare-ups."
a. "A tanning bed will supply the ultraviolet light I need."
In teaching a client about skin cancer prevention, which instruction does the nurse include? a. "Avoid sun exposure between 11 a.m. and 3 p.m. b. "Examine your skin quarterly for possible cancerous or precancerous lesions." c. "Wear transparent clothing to protect your skin from the sun." d. "If you feel you must tan, use a tanning bed."
a. "Avoid sun exposure between 11 a.m. and 3 p.m.
Which situation is the best example of a double bind? a. A wife sighs while telling her husband, "You can go out with the boys tonight if it's what you really want to do." b. A mother tells her son, "Under no circumstances will I give you permission to stay out after midnight." c. A roommate states, "I would prefer to have you call if you think you are going to be late for dinner." d. A man says, "I was surprised and delighted when my entry was chosen for an award."
a. A wife sighs while telling her husband, "You can go out with the boys tonight if it's what you really want to do."
A chiropractic practitioner will explain to clients that chiropractic treatments are effective based on what information? a. Adjustments put the spinal column in a normal position allowing improved energy flow. b. Manipulation of soft tissue reduces muscle spasm and produces relaxation. c. The laying on of hands reduces stress and produces relaxation. d. Needle placement modulates the flow of energy along body meridians.
a. Adjustments put the spinal column in a normal position allowing improved energy flow.
When a group member supports and encourages another group member and feels "good" about doing so, which group phenomenon is being demonstrated? a. Altruism b. Catharsis c. Cohesiveness d. Instillation of hope
a. Altruism Altruism involves putting another's needs before one's own.
What is the primary function of the nurse generalist in caring for families? a. Assessing the amount of stress on the system. b. Conducting private family therapy sessions. c. Prescribing psychobiological intervention. d. Determining the new skills the family needs.
a. Assessing the amount of stress on the system.
At what point in the life of a group lasting 12 sessions should confidentiality be explained and discussed? a. At the first session b. As the work phase begins c. Just before the group terminates d. At the time each client is interviewed
a. At the first session
The nurse is teaching a client about decreasing the risk for melanomas and other skin cancers. Which primary prevention technique is most important for the nurse to include? a. Avoiding or reducing skin exposure to sunlight b. Avoiding tanning beds c. Being aware of skin markings and performing skin self-examination d. Wearing SPF 40 sunscreen
a. Avoiding or reducing skin exposure to sunlight
A client with bacteremia associated with a bacterial skin infection is receiving clindamycin (Cleocin) intravenously. Which assessment finding indicates the need for immediate action by the nurse? a. Blood pressure of 88/40 mm Hg b. White blood cell count of 15,000/mm3 c. Oral temperature of 101° F (38.3° C) d. Heart rate of 102 beats/min
a. Blood pressure of 88/40 mm Hg
What is the best method to prevent autocontamination for a client with burns? a. Change gloves when handling wounds on different areas of the body. b. Ensure that the client is in isolation therapy. c. Restrict visitors. d. Watch for early signs of infection.
a. Change gloves when handling wounds on different areas of the body.
A nurse is asked to explain the difference between alternative and complementary therapy. The is the best response? a. Complementary therapy is used in conjunction with conventional Western remedies, whereas alternative therapies replace conventional Western remedies. b. Complementary therapy replaces conventional Western remedies, whereas alternative therapies are used in conjunction with conventional Western remedies. c. Complementary therapy is based on Eastern medicine, whereas alternative therapy has no medical basis. d. Complementary therapy is curative, whereas alternative therapy is palliative.
a. Complementary therapy is used in conjunction with conventional Western remedies, whereas alternative therapies replace conventional Western remedies.
Which factors indicate that a client's burn wounds are becoming infected? a. Dry, crusty granulation tissue b. Elevated blood pressure c. Hypoglycemia d. Edema of the skin around the wound e. Tachycardia
a. Dry, crusty granulation tissue d. Edema of the skin around the wound e. Tachycardia
A client with a foot ulcer says, "I feel helpless." What is the nurse's best response? a. Encourages participation in care of the wound b. Encourages visitors c. Says, "I know how you feel" d. Assures the client that it will be all right
a. Encourages participation in care of the wound
A client with burn injuries states, "I feel so helpless." Which nursing intervention is most helpful for this client? a. Encouraging participation in wound care b. Encouraging visitors c. Reassuring the client that he or she will be fine d. Telling the client that these feelings are normal
a. Encouraging participation in wound care
A family consists of a husband, a wife, their three children, and the wife's mother. This family form is referred to using which term? a. Extended b. Dyadic c. Blended d. Indwelling
a. Extended
Which assessment tool is highly effective in uncovering multigenerational issues in a family? a. Genogram b. Focused interview c. Family function checklist d. Family assessment device
a. Genogram
The nurse anticipates that a client with a deep necrotizing wound caused by a brown recluse spider bite may require which type of healing therapy? a. Hyperbaric oxygen b. Nutrition therapy c. Topical growth factors d. Vacuum-assisted wound closure
a. Hyperbaric oxygen
To position a client's burned upper extremities appropriately, how does the nurse position the client's elbow? a. In a neutral position b. In a position of comfort c. Slightly flexed d. Slightly hyperextended
a. In a neutral position
In nursing, group process theory relates to how to work as an employee within an organization that is often large and complex. Which statement best reflects the need for teams and groups? a. Interdisciplinary work teams are necessary for complex situations. b. The major reason for individuals to join groups is to gain information. c. In all groups, decision making is a joint process, with all members participating. d. Group decision making is cost-effective in all situations.
a. Interdisciplinary work teams are necessary for complex situations.
What are the risks associated with the use of complementary and alternative medicine (CAM) therapies? a. Lack of standards or regulations that ensure safety for herbal products. b. There are no specialized educational programs that focus on CAM therapies. c. Interactions between CAM products and prescribed medication. d. Insurance companies do not always cover these forms of treatment. e. Credentialing is unavailable for most CAM modalities.
a. Lack of standards or regulations that ensure safety for herbal products. c. Interactions between CAM products and prescribed medication. d. Insurance companies do not always cover these forms of treatment.
All nurses must know how to be effective team players, which includes a variety of skills such as technical and functional expertise, problem-solving and decision-making skills, and interpersonal skills. Which of the following statements best reflects this? a. Leaders and managers must be able to function both independently and interdependently with others. b. The formation of a well-functioning group or team is often the work of the leader. c. Nursing staff members must be able to function interdependently with others. d. Members need skills to give input, participate in decision making, share responsibility, and hold the manager accountable for the outcomes of the group.
a. Leaders and managers must be able to function both independently and interdependently with others.
The nursing instructor reviews instructions with the nursing student on caring for an older adult client with a pressure ulcer. What action by the nursing student indicates a need for further instruction about proper skin care for this client? a. Massages bony prominences b. Avoids reddened areas c. Re-positions the client every 1 to 2 hours d. Uses a moisturizing lotion
a. Massages bony prominences
A patient states, "I found out that I was in the section of the research study not actually taking the medicine. I don't understand that, because all my symptoms improved!" This reaction may be related to what concept? a. Mind-body effect b. Meditation c. Homeopathy d. Naturopathy
a. Mind-body effect
The nurse will anticipate application of which medication to treat a client diagnosed with impetigo? a. Mupirocin (Bactroban) b. Benzoyl peroxide (Benoxyl) c. Isotretinoin (Amnesteem) d. Retinoic acid (Renova)
a. Mupirocin (Bactroban)
The nurse cautions a client about the fact that, when using herbal preparations, the client does not know the actual dose being ingested. What is the basis for this caution? a. No manufacturing standardization exists. b. Clients are unreliable resources of medication information. c. Pure drug is cut with impure substances before going on sale in stores. d. Underdosage leads to poor results from herbal supplements.
a. No manufacturing standardization exists.
The advantages of group problem solving over individual problem solving are best described by which of the following? a. Obtaining a wider range of knowledge and information from group members stimulates thinking. Strength in diversity, more individual perspectives, and member's commitment to the decision save time. b. Groups can be positive and constructive, and costs are more because more ideas are generated over an individual effort to solve the problem. c. People with the expertise get together in a group to talk about issues and resolutions, so alternative approaches or options can be planned, and consequences discussed. d. Groups that include ideas from both inside and outside the unit will understand the different aspects of the problem, plan a series of tasks with options to resolve the problem, and together implement the solution faster with role assignment.
a. Obtaining a wider range of knowledge and information from group members stimulates thinking. Strength in diversity, more individual perspectives, and member's commitment to the decision save time.
Which group phase is most influenced and managed by the group leader? a. Orientation b. Working c. Termination d. Post-termination
a. Orientation
The term "perceptual disturbance" refers to difficulty in which area of function? a. Processing information about one's internal and external environment b. Can be one's way of thinking to accommodate new information c. Performing purposeful motor movements d. Formulating words appropriately
a. Processing information about one's internal and external environment
A nurse is asked by a client about the basis for the nutritional treatment of health problems. The best reply would incorporate the information that alternative and complementary therapies are based on what factual information? a. Research-based findings b. Cultural and historical experience c. Consumer satisfaction with the conventional Western healing system d. Consumer dissatisfaction with conventional Western healing methods
a. Research-based findings
At the first therapy session the family's father tells the therapist that "We wouldn't have to be here if our younger son wasn't such a brat. He seems so different from our other son. We never had difficulty with him misbehaving." The other sibling offers "He gets upset pretty easily." The nurse should suspect that the younger son is the focus of which family dynamic behavior? a. Scapegoating b. Boundaries resisting c. Differentiation d. Multigenerational transition
a. Scapegoating
A 62-year-old patient who is recovering from a urinary tract infection that has required hospitalized for delirium. Based on research regarding possible postdelirium complications, what are important areas for the provider to assess regularly after discharge? a. Sleeping habits b. Sexual functioning c. Symptoms of post-traumatic stress d. Depression and level of cognition
a. Sleeping habits
Which supplement may be helpful in managing the symptoms of depression? a. Lavender b. St. John's wort c. Melatonin d. Fish oil e. SAMe
a. St. John's wort d. Fish oil e. SAMe
A 26-year-old client diagnosed with schizophrenia is having difficulty adjusting to the community after hospitalization. His family is dismayed by his poor hygiene and avolition. Which intervention should the nurse suggest? a. The client attending a psychoeducational group b. Close supervision of the client by the family c. Encourage the family to ignore all symptoms except delusions. d. Suggest group home living for the client in order to avoid family burnout.
a. The client attending a psychoeducational group
The family consists of the husband and his wife, their four children, the wife's 21-year-old sister, and client's elderly aunt. Which members are considered the client's nuclear family? a. The parents and their four children. b. The wife and her sister. c. The husband and his aunt. d. The four children and the wife's sister.
a. The parents and their four children.
A client says to the nurse, "I am going to stop taking these antidepressants and start using herbs. What is the most likely reason for the client's decision to use herbals? a. They generally cost less. b. They often produce a faster cure. c. Generally have no side effects. d. They are recommended by trusted folk healers.
a. They generally cost less.
A client has been prescribed clotrimazole (Lotrimin, Mycelex-G) for the treatment of jock itch. To document this diagnosis in the client's medical record, the nurse should use which fungal infection name? a. Tinea capitis b. Tinea cruris c. Tinea corporis d. Tinea pedis
a. Tinea capitis
The client disagrees that her husband should seek a promotion since it will require the family to move. After she discusses the situation with their 12-year-old, the child tells her father she does not want to move. The client has engaged in which form of dysfunction family dynamics? a. Triangulation b. Enmeshment c. A double bind d. Diffuse boundaries
a. Triangulation
Sharing similar experiences in a group setting is referred to using which term? a. Universality b. Imparting information c. Socializing d. Catharsis
a. Universality
The nurse is discussing with a client over-the-counter and prescription topical medications available for treatment of acne. Which drugs are used in the treatment of acne? (Select all that apply.) a. Vitamin A acid (Ascor L 500) b. Clindamycin (Cleocin) c. Benzoyl peroxide (Benoxyl) d. Isotretinoin (Claravis) e. Norethindrone and ethinyl estradiol
a. Vitamin A acid (Ascor L 500) b. Clindamycin (Cleocin) c. Benzoyl peroxide (Benoxyl)
The nurse is teaching a client with loss of sensation and movement in the lower extremities secondary to spinal cord injury about protecting skin integrity. Which daily prevention strategy does the nurse include in the client's teaching plan? a. lift hips off the chair at least every hour b. eat a low-fat diet c. massage reddened areas d. complete pressure map
a. lift hips off the chair at least every hour
Disadvantages of group decision making over individual decision making would include: a. premature decisions. b. delayed decisions. c. individual domination. d. disruptive conflicts. e. timely tracking of outcomes.
a. premature decisions. c. individual domination. d. disruptive conflicts.
A nursing diagnosis appropriate for a client with Alzheimer's disease, regardless of the stage, would be a. risk for injury. b. acute confusion. c. imbalanced nutrition. d. impaired environmental interpretation syndrome.
a. risk for injury.
A client on the psychiatric unit who is scheduled to start group therapy asks the nurse, "What does group work mean? I was told I would be going to group and doing group work." How should the nurse respond to provide the best answer to the client's question? a. "You will attend group therapy and find solutions for each other's problems." b. "You will give and receive feedback from a group of your peers who may also have similar problems to work through." c. "You will share your issues with the group and then split up to work separately on solutions based on the ideas the other members provide." d. "Group work is the work that you do beforehand so you can present it to the group when you meet."
b. "You will give and receive feedback from a group of your peers who may also have similar problems to work through."
Based on the current research, which patient is most likely to develop dementia? a. An office manager in a high-stress environment b. A former boxer and is now a trainer c. A worker in a factory where asbestos is found d. A bartender in a dark underground club/bar
b. A former boxer and is now a trainer
The client at the alcohol treatment center tells his outpatient group, "I went to an oriental medicine place to see if they could do something to help me stay away from alcohol. I ended up with tiny silver rods placed in various spots in my body. They twirled the rods, then removed them. So far I haven't had any cravings since I went there several days ago." The client is describing which integrative therapy? a. Allopathy b. Acupuncture c. Naturopathy d. Chiropractic manipulation
b. Acupuncture
A 78-year-old patient diagnosed with Alzheimer's disease picks up a glass from the bedside table but does not recognize the purpose of the object. This inability is associated with which characteristic of the disorder? a. Apraxia b. Agnosia c. Aphasia d. Agraphia
b. Agnosia
A patient is prescribed bacitracin topical ointment. What does the nurse suspect as the possible diagnosis based on the medication prescribed? a. Parasitic infection b. Bacterial infection c. Viral infection d. Fungal infection
b. Bacterial infection
During a family therapy session the mother says to her daughter, "I would like to know why you took the piece of pie that was left after dinner last night. You knew I wanted it." Later the father tells his daughter, "I know exactly why you did that." The nurse therapist should consider the possibility that the family is demonstrating which boundary issue a. Clear b. Diffused c. Disengaged d. Inflexible
b. Diffused
The nurse on a burn unit has just received change-of-shift report about these clients. Which client does the nurse assess first? a. Adult client admitted a week ago with deep partial-thickness burns over 35% of the body who is reporting pain b. Firefighter with smoke inhalation and facial burns who has just arrived on the unit and whispers, "I can't catch my breath!" c. An electrician who suffered external burn injuries a month ago and is asking the nurse to contact the health care provider immediately about discharge plans d. Older adult client admitted yesterday with partial- and full-thickness burns over 40% of the body who is receiving IV fluids at 250 mL/hr
b. Firefighter with smoke inhalation and facial burns who has just arrived on the unit and whispers, "I can't catch my breath!"
When a delirious client insists that a vacuum hose is a large, poisonous snake, the nurse recognizes that this client is experiencing what characteristic symptom? a. Hallucinations b. Illusion c. Hypervigilant d. Agnosia
b. Illusion
What term is used to describe care that places the attention on a patient's physical, mental, and spiritual needs while focusing on prevention and wellness? a. Orthodox b. Integrative c. Allopathic d. Mainstream
b. Integrative Integrative care is holistic and focuses on the patient and on prevention and wellness.
At what phase of group development would the nurse hear the following interchange? Client 1: "I do not feel comfortable here." Client 2: "I wonder what we are supposed to talk about." Client 3: "Let's ask the leader to explain things again." a. Preorientation b. Orientation c. Working d. Termination
b. Orientation
A nursing student is caring for a client with open-wound burns. Which nursing interventions does the nursing student provide for this client? a. Provides cushions and rugs for comfort b. Performs frequent handwashing c. Places plants in the client's room d. Performs gloved dressing changes e. Uses disposable dishes
b. Performs frequent handwashing d. Performs gloved dressing changes e. Uses disposable dishes
A nuclear family consists of married parents, a 16-year-old daughter, and a 19-year-old son recently diagnosed with schizophrenia. The rest of the family is bewildered with his symptoms and express that they feel lost in knowing how to deal with things. Which of the following approaches to family therapy should the nurse implement at this time to provide support and give information to the family that will help them cope with their son's illness? a. Insight-oriented family therapy b. Psychoeducational family therapy c. Behavioral family therapy d. Multigenerational family therapy
b. Psychoeducational family therapy
A patient diagnosed with borderline personality disorder is attending a court-ordered therapy group. The patient projects an angry affect, does not speak much, except to make a snide comment about another member of the group or the group's leader. What is the best way for the leader to handle this patient's behavior? a. Remove the patient from the group because this behavior is disrupting the group process for other participants. b. Respond neutrally to the patient's comments, ask for group feedback, and talk privately with the patient to form a therapeutic connection. c. Spend an entire group session focused on that patient and try to get him/her to open up to other members in depth. d. Confront the patient firmly each time he/she makes a rude comment and let him/her know they will be taken out of group if the behavior continues.
b. Respond neutrally to the patient's comments, ask for group feedback, and talk privately with the patient to form a therapeutic connection.
The nurse is developing a teaching plan for a client diagnosed with methicillin-resistant Staphylococcus aureus infection. The nurse plans to include which instruction in the client's teaching plan? a. Take daily tub baths using a mild soap. b. The infected area should be covered with a clean, dry bandage. c. Wash the infected areas first, then wash the uninfected areas. d. Use bath sponges or puffs when bathing.
b. The infected area should be covered with a clean, dry bandage.
The nurse working in the same-day-surgery unit has just received report and plans to assess which client first? a. Adult with a basal cell carcinoma excised who needs discharge teaching about wound care b. Young adult who has had rhinoplasty and is swallowing frequently c. Middle-aged adult who reports 7/10 pain after removal of a cyst d. Older adult ready to be transferred to a long-term-care facility after débridement of a pressure ulcer
b. Young adult who has had rhinoplasty and is swallowing frequently
Several clients have been brought to the emergency department after an office building fire. Which client is at greatest risk for inhalation injury? a. Middle-aged adult who is frantically explaining to the nurse what happened b. Young adult who suffered burn injuries in a closed space c. Adult with burns to the extremities d. Older adult with thick, tan-colored sputum
b. Young adult who suffered burn injuries in a closed space
A client diagnosed with Alzheimer's disease looks confused and cannot recall many common household objects by name, such as a pencil or glass. The nurse should document this loss of function using which term? a. araxia b. agnosia c. aphasia d. anhedonia
b. agnosia
The nurse wants to assess a family's rational patterns by creating their genogram. Which statement best describes the purpose of such an analysis? a. "A genogram will assess risk for mental illness in future generations." b. "A genogram is a tool used for deciding on the best type of therapy for your family." c. "A genogram will help me see your family structure, history, and current functioning." d. "A genogram will help us determine the cause of Jeremy's schizophrenia."
c. "A genogram will help me see your family structure, history, and current functioning."
Which statement by a client with psoriasis indicates that teaching about the condition has been effective? a. "I know that I need to avoid warm climates." b. "I must cover up the affected areas to prevent spread to my family." c. "I should practice good handwashing technique." d. "Psoriasis can be cured with steroids."
c. "I should practice good handwashing technique."
A young client has been diagnosed with tinea corporis (ringworm), but the mother would like the child to return to school. To avoid spreading the infection, what does the nurse suggest to the mother? a. "Wash your hands frequently." b. "Your child may return to school, but must be isolated from the rest of the class." c. "Keep the site covered with a bandage." d. "Keep your child out of school until the infection has cleared."
c. "Keep the site covered with a bandage."
When the nurse wishes to obtain assessment data about possible use of complementary substances, which query would have the best potential to yield accurate information? a. "You are taking only the medicines the doctor prescribed and in the amounts prescribed, correct?" b. "Tell me how you take the medicines the doctor prescribed for you." c. "Tell me every pill and supplement you take regularly." d. "What things do you do for yourself to improve your health?"
c. "Tell me every pill and supplement you take regularly."
Which family situation should the nurse assess as warranting a referral for family therapy? a. A couple is having their first child. They say, "It's certainly going to be a change for us." b. A husband and wife are sending a son off to college and planning their daughter's wedding. They say, "Soon we will be back to having an empty nest again." c. A couple is having difficulty dealing with the erratic behavior of their bipolar son. They say, "We're at the end of our rope." d. The parents of a blended family with five children ranging in age from 5 to 15 years say, "It's never quiet, but the disagreements eventually get worked out."
c. A couple is having difficulty dealing with the erratic behavior of their bipolar son. They say, "We're at the end of our rope."
A democratic group leadership style is most appropriate for which purpose? a. 30-minute meetings to discuss unit rules b. Creating meaningful trauma-related artwork c. A group directed toward anger management d. The organization the unit's holiday celebration
c. A group directed toward anger management
A client who is prescribed the drug miconazole (Monistat), a topical antifungal, has MOST likely been diagnosed with which condition? a. Folliculitis b. Eczema c. Candidiasis d. Pruritus
c. Candidiasis
A client asks which herbal tea would be good to drink at bedtime. What should the nurse suggest? a. Green tea b. Black tea c. Chamomile tea d. Peppermint tea
c. Chamomile tea
During morning rounds, the nurse discovers that an older adult client has been incontinent during the night. To protect the skin, what does the nurse do first? a. Apply a barrier cream. b. Assess the are for skin breakdown. c. Clean the client. d. Place the client in a side-lying position.
c. Clean the client.
A discharged obese client will require frequent dressing changes for a skin condition on his left foot. How does the nurse assess whether the client is able to perform this task at home? a. Asks the client if he is squeamish b. Demonstrates how to change the dressing c. Determines whether the client can reach the affected area d. Provides all of the necessary dressing materials
c. Determines whether the client can reach the affected area
What is the group leader's responsibility in the termination phase? a. Allowing members to exchange contact information so they may remain as a support for each other. b. Removing himself or herself from the group so they can function independently. c. Encouraging group members to reflect on progress made while providing group feedback. d. Encouraging group members to fill out evaluation forms so the group leader can further improve his or her therapeutic technique.
c. Encouraging group members to reflect on progress made while providing group feedback.
Which nursing interventions can the nurse working in a long-term care facility delegate to a nursing assistant? a. Use the Braden Scale to determine pressure ulcer risk for a newly admitted client. b. Complete daily sterile dressing changes for a client with a venous leg ulcer. c. Every 2 hours, re-position a client who has had a stroke and is incontinent. d. Admit a newly transferred client who had pedicle flap surgery 1 week ago.
c. Every 2 hours, re-position a client who has had a stroke and is incontinent.
During a family therapy session a wife states, "My husband is always angry. The children and I are always on edge. We can never relax." The nurse identifies the wife's communication technique using which term? a. Placating b. Distracting c. Generalizing d. Manipulating
c. Generalizing
What is the best example of an alternative medical system? a. Psychotropic medication b. Chi adjustment c. Homeopathy d. Allopathy
c. Homeopathy
A 53-year-old patient with a pacemaker implant has been prescribed Coumadin. The patient tells the nurse, "I feel so much better now that I've been taking ginseng to relieve my menopausal symptoms." The nurse's response should be based on what knowledge about ginseng? a. It is an appropriate herbal supplement for this patient. b. It has no proven effect on menopausal symptoms. c. It has anticoagulation effects. d. It is implicated in triggering strokes.
c. It has anticoagulation effects.
The family that consists of a married mother and father and three biological children all living together is referred to using which term? a. Blended family b. Cohabitating family c. Nuclear family d. Other family
c. Nuclear family
Team dynamics will need to be addressed to form an effective team. Select the best strategy to help address the challenges in forming effective teamwork. a. Set group norms on how team members treat each other, how support is demonstrated, how conflict is handled, and the decision-making process to help team members operate with disruptive behaviors. b. Lead group members through "just in time" training to work together to overcome lack of trust and commitment to the team. c. Organize appropriate representation and delegation of authority to the group to help team members avoid confusion about the team's work, accountability, and inattention to results. d. Keep the number of members in groups between 10 and 14, build a structural team, and coach the team to avoid conflict.
c. Organize appropriate representation and delegation of authority to the group to help team members avoid confusion about the team's work, accountability, and inattention to results.
What is the best way for the nurse to prevent a client's stage I pressure ulcer from advancing to stage II? a. Massage the reddened areas. b. Pad the ulcer. c. Promote mobility and/or frequent re-positioning. d. Suggest an egg crate mattress.
c. Promote mobility and/or frequent re-positioning.
Which of the following is a herb commonly used to treat mild depression? a. LMelatonin b. Kava c. St. John's wort d. Chamomile
c. St. John's wort
When several group members always sit together and nod or smirk as others are talking, the leader assesses this behavior using which term? a. Confronting b. Blocking c. Subgrouping d. Imitating
c. Subgrouping
When a client is encouraged to talk with others who have had similar problems, the nurse is suggesting a which type of group? a. Cognitive-behavioral b. Times-limited c. Support group d. Milieu group
c. Support group
Which phase of group therapy does the group deal with feelings associated with separation and loss? a. Orientation b. Working c. Termination d. Post-termination
c. Termination
A female client of childbearing age is prescribed isotretinoin (Amnesteem) for the treatment of severe recalcitrant cystic acne. Which information is MOST important for the nurse to include in the education of the client? a. Health care providers who prescribe this medication must be certified. b. The drug is supplied in oral and buccal forms. c. Use at least two forms of contraception while taking this medication. d. The drug is used in treatment of severe acne.
c. Use at least two forms of contraception while taking this medication.
At what point would the nurse expect a family to demonstrate the greatest dislocation in the family life cycle? a. When the couple is deciding whether to have children b. When the first child enters school c. When a member is diagnosed with multiple sclerosis d. When the couple renegotiates the marital system as a dyad
c. When a member is diagnosed with multiple sclerosis
The nurse is caring for a client prescribed linezolid (Zyvox) for treatment of methicillin-resistant Staphylococcus aureus infection. The nurse plans to monitor the client for which adverse effect of linezolid? a. depression b. hyperglycemia c. hypertension d. incontinence
c. hypertension
A 72-year-old patient is hospitalized diagnosed with pneumonia and experiencing delirium. When the client points to the IV pole and screams, "Get him out of here! He's going to hurt me!", the nurse recognizes the response as a(n) a. hallucination b. delusion c. illusion d. confabulation
c. illusion
The nurse prepares to administer vancomycin (Vancocin) to a client diagnosed with methicillin-resistant Staphylococcus aureus infection. How does the nurse administer this medication? a. by bolus b. IV push c. infused over 60 minutes d. mix with primary IV bag
c. infused over 60 minutes
Which assessment is the nurse's highest priority in caring for a client in the acute phase of burn injury? a. bowel sounds b. muscle strength c. signs of infection d. urine output
c. signs of infection
When a member tells the group, "I think the committee saw how unsure of myself I am. I felt all shaky inside during the promotion interview, just like I am feeling and acting right now." To present reality the leader should provide which response? a. Remain silent and nod slightly to signal that the client should continue. b. Say, "Tell us more about how you are feeling." c. Ask, "Does this shaky feeling occur often?" d. Ask the group to give feedback about how the client appears to them.
d. Ask the group to give feedback about how the client appears to them.
A key quality indicator that might be identified for successful outcome in a medication education group could be that clients will engage in which activity? a. Stating they respect the leader b. Demonstrating a bond among members of the group c. Describe modes of transmission of sexually transmitted diseases d. Confer with health care provider before changing medication regimen
d. Confer with health care provider before changing medication regimen
The members of a family openly tell each other what they are thinking and feeling. A nurse listening to their interchanges would assess their communication using which term? a. Generalizing b. Double-bind c. Disengaged d. Healthy
d. Healthy
A client has been diagnosed with acute anxiety attacks. Which herbal remedy should the nurse caution the client to avoid because of its potential to damage the liver? a. Golden root b. Valerian Root c. Lavender d. Kava
d. Kava
The advanced practice nurse running a group on the adolescent unit makes no attempt to control the topic and makes no comment unless asked a direct question. What leadership style is the nurse implementing? a. Autocratic b. Authoritarian c. Democratic d. Laissez-faire
d. Laissez-faire
A client has had a melanoma lesion removed. For secondary prevention, what is important for the nurse to teach the client? a. Ensure that all lesions are reviewed by a dermatologist or a surgeon. b. Avoid sun exposure c. Perform a total skin self-examination monthly. d. Perform a total skin self-examination monthly with a partner.
d. Perform a total skin self-examination monthly with a partner.
A student nurse is working with an 82-year-old patient diagnosed with dementia. The student is frustrated at times by not knowing how best to care for or communicate with the client. Which of the statement by the student best illustrates best care practice? a. Lighthearted banter: "Carl, you look great today in your new sweater, you handsome devil!" b. Limit setting: "Carl, you cannot yell out in your room. You are upsetting other patients." c. Firm direction: "You will take a shower this morning; there is no debating about it so don't try to argue." d. Positive regard: "Carl, I am glad to be here caring for you today. Let's talk about your plans for the day."
d. Positive regard: "Carl, I am glad to be here caring for you today. Let's talk about your plans for the day."
The group goals are to learn to express feelings comfortably rather than keep them covert. When a group member shares with the group how expressing these feelings makes her feel, she is engaging in what activity? a. Group content b. Confrontation c. Subgrouping d. Providing feedback
d. Providing feedback
During family therapy the family's youngest daughter says, "They care more about my sister because she's older and gets straight As in school." Which nursing diagnosis should be given priority? a. Deficient knowledge b. Parental role conflict c. Defensive coping d. Relational problems
d. Relational problems
When planning care for a burn client, the nurse would anticipate applying which topical medication? a. Lindane (Kwell) b. Erythromycin (E-Mycin) c. Minoxidil (Rogaine) d. Silver sulfadiazine (Sulfadine)
d. Silver sulfadiazine (Sulfadine)
A nurse works with a nuclear family that includes an adult child diagnosed with schizophrenia. The child's mother confides that she and her husband "have not been getting along well." She states that her teenage daughter provides much support to her and claims that "she doesn't really like her dad much anymore and doesn't talk to him." The nurse suspects that the family is experiencing which family dysfunctional dynamic? a. Emotional abuse b. Neglect c. Boundary blurring d. Triangulation
d. Triangulation Triangulation refers to a family "triangle" of three. When the tension in a dyad (two people) builds, a third person (child, friend, or parent) may be brought in by one of the members. This third person of the dyad serves to help lower the tension by solving the crisis or offering understanding.
When the group decision-making procedure is that the entire group decides, whether by a two-thirds vote, simple majority, consensus, or some other process, this is known as: a. delegated decision procedure. b. autocratic decision procedure. c. consultative decision procedure. d. joint decision making.
d. joint decision making.
A girl is overheard saying to her brother, "If you stick up for me with mom and dad, I will forget I heard you planning to sneak out after they are asleep." This can be assessed as what type of communication? a. Manipulative b. Scapegoating c. Generalizing d. Placating
a. Manipulative
Deep tissue wounds, such as chronic pressure ulcers, take longer to heal because they heal by which intention? a. First b. Second c. Third d. Mixed
b. Second
Isotretinoin (Amnesteem) and tretinoin (Retin-A) are common dermatologic drugs used to treat which condition? a. Male pattern baldness b. Fungal infections c. Keloid scarring d. Acne vulgaris
d. Acne vulgaris
