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HONDROS NUR 180 FINAL EXAM |
QUESTIONS & ANSWERS (VERIFIED) |
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(3 SATA)You have a patient with mental and emotional difficulties is sensitive to sound and light. What actions will you take? Correct Answer: 1 .Place the patient in a carpeted room,
- be sure that no lights are flickering,
- provide the patient with recordings of ocean waves and light rain. (3 SATA)You are assessing the coping patterns of a new patient. What data would you expect to find? Correct Answer: 1. Current stressors
- Use of drugs or alcohol
- Recent weight loss (3 SATA) What characteristics will you be looking for in a patient that you suspect has substance abuse disorder Correct Answer: 1. neglect of self care
- impaired family functioning
- increased use of the substance despite negative consequences.
(4 SATA)Which of the following would mental health professionals strive to help patients develop and maintain regarding spiritual care? Correct Answer: 1. Inner strength
- Self awareness
- Life's meaning and purpose 4.Relationships to others (4 SATA)Collecting data of religious beliefs and practices from patients. What should you include? Correct Answer: 1. What role does religion play in your life?
- What is your source of strength and hope?
- What brings you comfort and joy?
- Does your religion have any special days? Patient prescribed Laxopam for anxiety. What indicates needs for further teaching? Correct Answer: "I can take this medication to relieve everyday stress" You have a patient scheduled for surgery and wants to wear a bracelet that has significant meaning to them. When you ask them to remove it, they say they really wish they could wear it during the procedure. What do you do next? Correct Answer: Determine if the item may remain in place during the procedure
You have a patient admitted to the mental health unit. They have toothbrush, toothpaste, and dental floss in their pockets. They perform dental care as often as every 1/2 hour. How do you interpret these actions? Correct Answer: Attempt to relieve anxiety. You have a patient having an acute panic attack. What would you do? Correct Answer: Stay near the patient and reassure them they are safe. You have a patient that has a ritual that includes making and remaking their bed 30 times before they can go to sleep.Most of the time, they do not get into the bed until 3 AM. What action would you take? Correct Answer: Suggest they begin their ritual earlier in the day. Patient arrives in the ER in a severe state of anxiety following a traumatic event. What intervention would you implement? Correct Answer: Remain with the patient in a quiet room What behavior is expected from someone who just received elective convulsive therapy? Correct Answer: Confusion and short-term memory loss
What information would you convey to a patient about the type of therapy that could help treat depression? Correct Answer: Cognitive behavior therapy What actions will you take first for a patient admitted for anxiety? Correct Answer: Making an effort to establish therapeutic rapport Patient has been taking benzodiazepines. How would you expect it to be used after discharge Correct Answer: Prescribed at lower doses as needed What information is essential to teach the patient about MAIO's? Correct Answer: To avoid all foods with thymine Patient beginning antidepressant therapy with first line medication. What information would you prioritize for the patient? Correct Answer: Stopping the medication abruptly could cause discontinuation syndrome. Which mental health disorder does this sound like? "I have always felt this way, and have been sad and negative for as long as I can remember." Correct Answer: Dysrhythmic disorder
What symptom would require immediate action from the nurse for a newly admitted patient has a blood alcohol level of 41%. Correct Answer: CNS depression Patient has moods between wildly euphoric and energetic to deeply melancholy and depressed. What would be your priority? Correct Answer: Symptoms related to bi-polar disorder You are working on a peds unit with a child who's father was recently deployed oversees. Child has been unusually quiet, melancholy, and disturbed sleep patterns. What would you tell the mother? Correct Answer: These are signs of situational depression related to the father leaving. Should return to normal when the father returns. Which intervention would address feelings that frequently occur in survivors of suicide victims Correct Answer: Feelings of guilt, anger, and shame You are working with a patient that has Wernicke's. The nurse anticipates giving thymine to this patient. What will this accomplish? Correct Answer: It will help prevent irreversible brain damage. What is the purpose of giving Naltrexone (Narco)?
Correct Answer: To reverese opioid overdose How would you interpret a patient who is very anxious and irritable with course hand tremors that reports their last drink over an hour ago? Correct Answer: The patient is withdrawing from alcohol and may need treatment to prevent seizures You make it a point to examine an elderly patient for sexual abuse and victimization. What is the rationale? Correct Answer: Sexual abuse for the elderly is often unrecognized by health care providers. What characteristics in a child that has been bullied by a group of teens for the last two weeks? Correct Answer: Depressed mood, headaches, and stomach aches. What are specific signs of elderly abuse or neglect? Correct Answer: Malnourishment, poor hygiene, and unexplained bruises What behaviors would you watch for to maximize personal safety that could result in violence? Correct Answer: Anxiety, frustration, and agitation
What is the goal of screening postpartum mothers for depression? Correct Answer: Early identification and prompt intervention Patient has received several doses of Haldol (Haloperidol). A couple of hours later, they have a stiffly fixed position, lower jaw is thrusted forward and they are drooling. What would you want to give this patient? Correct Answer: You are going to administer diphenhydramine via IM How do you respond to someone who says "the voices are telling me to do things". How would the nurse respond? Correct Answer: What are the voices telling you to do? You have a patient reporting muscle stiffness, diaphoretic, drooling, and having difficulty swallowing. What action would you take? Correct Answer: Immediately notify the healthcare provider. What S&S would you look for in a patient being prescribes Haldol? Correct Answer: Sedation and muscle stiffness You have a patient that doesn't like to take the Haloperidol every day. What medication would you Correct Answer: Requesting an order for Haloperidol Decanoate IM
What would you do for a patient prescribed fluphenazine. Experiencing shuffling, propulsive gait, mask-like face, and drooling. What would you give them? Correct Answer: Benztropine (Cogentin) What action would you take with a patient that prefers to sit alone and often appears to be listening and responding to hallucinations? Correct Answer: Sit down and play a game of cards with the patinet You have a patient that isolates themselves in their room and refuses to participate in group activities. What would you do next? Correct Answer: Spend time talking with the nurse(?) You have a person who is shouting "We are all plotting to destroy you!" How would you respond? Correct Answer: Feeling that people want to destroy you must be very frightening! What would the nurse say to the patient feeling overwhelmed with anxiety? Correct Answer: "What kind of things do you like to do to reduce your stress?" What would you want to tell a patient recently prescribed fluoxetine (prozac)? Correct Answer: May take up to 4 weeks to be effective
How do you respond to a patient that frequently manipulates other patients and staff? Correct Answer: "Tell me what prompted you to act in this manner" Which behavior warrants limit-setting? Correct Answer: Yelling at other patients Preparing to administer oral medications but the patient refuses. How would you respond? Correct Answer: What are your concerns about taking this medication? What action would you take if someone has anxiety related to food consumption? Correct Answer: Ask about how you feel about their appearance? Patient stopped eating 5 months ago. They have lost 25% of their body weight. You ask about how they feel about how they look Which response require further questions? Correct Answer: I am extremely overweight You have a schizophrenic patient who frequently gets up and walks away during interactions with you. What would you do? Correct Answer: You sit at eye level across the table from them, You have a patient who is looking nervously and frequently at the door. How do you respond to this patient?
Correct Answer: "I noticed you keep looking at the door" You have a severely depressed patient being discharged. What action would you take? Correct Answer: Develop a goal directive problem-centered relationship. Patient states "I feel close to you, you are the only true friend I have" How would you respond? Correct Answer: "Our relationship is professional, but let's explore ways to strengthen friendships" Judaism. Patient is dying and requests spiritual beliefs to be followed. What action would you take? Correct Answer: Offer the family assistance with any religious traditions. A woman who has been in an abusive relationship over the last 7 years arrives at the crisis center with her 2 children crying. What do you do? Correct Answer: Direct her to the nearest woman's domestic abuse center You are working with a male client to instill a feeling of self-commitment to improve his self-esteem. What would you do? Correct Answer: Have the client promise himself that he will do the best he can, knowing that failure is a possibility
Which statement is true regarding coping skills? Correct Answer: Limited financial resources can be a risk for coping difficulties You have a patient admitting themselves to a psyche unit and a few days later they request to go home for a "Quinceanera" What would you say? Correct Answer: You would tell the patient she can leave and she will have the physician write the order right away. When reviewing data, which is the priority concern? Correct Answer: Patient expressing feelings of doom and hopelessness. You have a patient having difficulty communicating their medical history. What would you do? Correct Answer: Offer the patient a pen and paper which could help them communicate You are caring for a patient who has alzheimer's having difficulty in time orientation. What will you do to assist the patient to re-orient them? Correct Answer: Create a calendar full of activities, times, dates, and events. You have a patient receiving palliative care. What can you teach the patient? Correct Answer: The goal of palliative care is to relieve symptoms, life-threatening side effects, and diseases.
To prevent liability related to controlled substance (in regards to morphine). What actions by the nurse would need further teaching? Correct Answer: Morphine is NOT a controlled substance and will not be found in locked boxes.
