foundations cpa 5 (practice questions)

a female victim of a sexual assault is being seen in the crisis center. the client states that she still feels "as though the rape just happened yesterday," even though it has been a few months since the incident. what is the most appropriate nursing response? - "you need to try to be realistic. The rape did not just occur." - "it will take some time to get over these feelings about your rape." - "tell me more about the incident that causes you to feel like the rape just occurred." - "what do you think that you can do to alleviate some of your fears about being raped again?"

"tell me more about the incident that causes you to feel like the rape just occurred."

the nurse is caring for a patient in the terminal stage of leukemia. which statement indicates that the patient is experiencing the anger stage of the Kubler-Ross theory of grief and mourning? - "i knew this would happen to me some day." - "i know someday or another we all have to die." - "this was the doctor's fault for not finding this earlier." - "i will find the best treatment from well-known doctors."

"this was the doctor's fault for not finding this earlier"

a client is admitted with a recent history of severe anxiety following a home invasion and robbery. during the initial assessment interview, which statement made by the client would indicate to the nurse the possible diagnosis of PTSD? (SATA) - "i'm afraid of spider." - "i keep reliving the robbery." - " i see his face everywhere i go." - "i don't want to eat anything right now." - "i might have died over a few dollars in my pocket." - "i have to wash my hands over and over again many times."

- "i keep reliving the robbery." - " i see his face everywhere i go." - "i might have died over a few dollars in my pocket."

in a case in which a client suffers from spiritual distress, of what client feelings should the nurse be aware? (SATA) - a feeling of doubt about self and others - a feeling of being cheated - a feeling of lonliness - a feeling of loss of faith - the desire to kill others

- a feeling of doubt self and others - a feeling of loneliness - a feeling of loss of faith

the nurse works with patients in a psychiatric clinic. which conditions may cause disenfranchised grief in patients (SATA) - death of a sibling - death of a pet - death of a parent - death of an ex spouse - death of a married lover

- death of a pet - death of an ex spouse - death of a married lover

the nurse finds that a client shows signs of the alarm stage of the general adaptation syndrome. what are the signs and symptoms of this stage? (SATA) - increased heart rate - low blood pressure - constricted pupils - increased blood glucose levels - increased mental alertness

- increased heart rate - increased blood glucose levels - increased mental alertness

a client asks about acupuncture as a means to relieve pain. which information should the nurse provide to the client about acupuncture? (SATA) - it is effective for musculoskeletal pain - it is helpful for management of epilepsy - it is less effective for cancer pain - it helps to control bleeding disorders and skin infections - it carries the risk of spreading HIV due to the absence of aseptic procedures

- it is effective for musculoskeletal pain - it is less effective for cancer pain - it carries the risk of spreading HIV due to the absence of aseptic procedures

the nurse is assessing the client with PTSD after witnessing a person robbed at gunpoint, who was shot and killed. what would be the findings in this client? (SATA) - nightmares of the robbery - flashbacks of the robbery - significant weight loss - difficulty sleeping at night - seeing strange faces at night

- nightmares of the robbery - flashbacks of the robbery - difficulty sleeping at night

the nurse suggests that a patient receive a palliative care consultation for symptom management related to anxiety and increasing pain. what should the nurse tell the family member about palliative care? (SATA) - hospice and palliative care are the same thing. - palliative care is for any patient, any time, any disease, in any setting. - palliative care strategies are primarily designed to treat the patient's illness. - palliative care interventions relieve the symptoms of illness and treatment. - palliative care is provided only at the end of life, but unlike hospice care, it is focused strictly on comfort of the patient

- palliative care is for any patient, any time, any disease, in any setting. - palliative care interventions relieve the symptoms of illness and treatment.

which examples of nursing interventions are based on complementary and alternative therapies (CAT)? - the nurse researches herbs that may stimulate the clients immune system - the nurse encourages the client to join a yoga class - the nurse administers pain medication prescribed by the HCP - the nurses schedules diagnostic tests for the client - the nurse teaches the client how to use imagery during labor - the nurse uses progressive relaxation breathing to relieve anxiety

- the nurse researches herbs that may stimulate the clients immune system - the nurse encourages the client to join a yoga class - the nurse teaches the client how to use imagery during labor - the nurse uses progressive relaxation breathing to relieve anxiety

the nurse tries to calm down a client diagnosed with cancer. the nurse asks the client to have faith in God; however, the client turns out to be an atheist. what does an atheist believe? - supernatural power governs the universe - God is the ultimate being in the universe - God does not exist - sins from the past have to be faced in the current life

God does not exist

a nurse works in an office that follows the allopathic philosophy of medicine. for which client would this type of medicine be most effective? - a client whose spinal cord was severed in a diving accident - a client who suffers with anxiety issues - a client diagnosed with COPD - a client who has rheumatoid arthritis

a client whose spinal cord was severed in a diving accident

when meditation therapy is used, nurses should monitor clients' medications carefully. the effects of which drugs may be augmented by meditation? - prednisone and antibiotics - insulin and vitamins - cough syrups and aspirin - antihypertensive and thyroid-regulating medications

antihypertensives and thyroid-regulating medications

the nurse is planning care for a group of clients who have requested the use of complementary health modalities. which client is not a good candidate for imagery? - pregnant client - hypertensive client - client with PTSD - pediatric client

client with PTSD

which ego defense mechanism does the nurse suspect in the client who smashes the computer screen when experiencing high levels of stress? - denial - regression - compensation - displacement

displacement

according to the attachment theory, which action represents disorganization and despair? - feeling lethargic and loss of appetite - emotional outbursts of tearful sobbing - separating oneself from the lost relationship - endless examination of how and why the loss has occurred

endless examination of how and why the loss has occurred

which cultural group is associated with the belief in the sanctity of life and health as a balance between God and medicine? - sikhism - judaism - hinduism - buddhism

hinduism

the nurse is caring for a 45-year-old female client who has been scheduled to undergo a cholecystectomy. the client insists on having a female surgeon. people of which religion are most likely to exhibit this behavior? - hinduism - judaism - buddhism - islam

islam

the nurse is providing postmortem care. which action is the priority? - locating the patient's clothing - providing culturally and religiously sensitive care in body preparation - transporting the body to the morgue as soon as possible to prevent body decomposition - providing all postmortem care to protect the family of the deceased from having to see the body

providing culturally and religiously sensitive care in body preparation

the nurse is reviewing the assessment data of a client. admission documentation states the client is experiencing anxiety as a result of situational crisis. the nurse determines which event may cause this type of crisis? - witnessing a murder - the death of a loved one - a fire that destroyed the client's home - a recent rape episode experienced by the client

the death of a loved one