Exam Three Quiz Questions Flashcards
(30 cards)
On the first day of a client’s alcohol detoxification, which nursing intervention should take priority?
Strongly encourage the client to attend 90 Alcoholics Anonymous (AA) Meetings in 90 days
Educate the client about the biopsychosocial consequences of alcohol abuse
Administer ordered lorazepam (Ativan) in a dosage according to protocol
Provide thiamine supplements to prevent Wernicke-Korsakoff syndrome
Administer ordered lorazepam (Ativan) in a dosage according to protocol
A client diagnosed with a gambling disorder asks the nurse about medications that may be ordered by the physician to treat this disorder. The nurse would give the client information on which medications?
Lithium carbonate (Eskalith) and naltrexone (ReVia)
Escitalopram (Lexapro) and clozapine (Clozaril)
Citalopram (Celexa) and olanzapine (Zyprexa)
Haloperidol (Haldol) and ziprasidone (Geodon)
Lithium carbonate (Eskalith) and naltrexone (ReVia)
Which client statement indicates a knowledge deficit related to a substance use disorder?
“Marijuana is like smoking cigarettes. Everyone does it. It is essentially harmless.”
“Although it is legal, alcohol is one of the most widely abused drugs in our society.”
“Tolerance to heroin develops quickly.”
“Flashbacks from lysergic acid diethylamine (LSD) use may reoccur spontaneously.”
“Marijuana is like smoking cigarettes. Everyone does it. It is essentially harmless.”
The nurse holds the hand of a client who is experiencing alcohol withdrawal. The nurse is assessing for which condition?
Course tremors
Emotional strength
Wernicke-Korsakoff Syndrome
Tachycardia
Course tremors
Which medications would the nurse most likely administer to a client who has a recent history of opiate withdrawal?
Methadone (Dolophine) and clonidine (Catapres)
Haloperidol (Haldol) and acamprosate (Campral)
Naloxone (Narcan) and naltrexone (ReVia)
Disulfiram (Antabuse) and lorazepam (Ativan)
Methadone (Dolophine) and clonidine (Catapres)
A nurse is assessing a pathological gambler. What would differentiate this client’s behavior from the behaviors of a non-pathological gambler?
Pathological gamblers have abnormal levels of neurotransmitters, whereas non-pathological gamblers do not
Pathological gambling occurs more commonly among women, whereas non-pathological gambling occurs more commonly among men
Pathological gambling generally runs an acute course, whereas non-pathological gambling runs a chronic course
Pathological gambling is not related to stress relief, whereas non-pathological gambling is related to stress relief
Pathological gamblers have abnormal levels of neurotransmitters, whereas non-pathological gamblers do not
Which nursing statement exemplifies the process that must be completed by a nurse in the pre-introductory phase prior to caring for clients diagnosed with substance use disorders?
“Because of my father’s alcoholism, I need to examine my attitude towards these clients.”
“I need to review the side effects of the medications used in the withdrawal process.”
“I need to take charge when dealing with clients diagnosed with substance use disorders.”
“I need to educate the client on strategies for maintaining abstinence.”
“Because of my father’s alcoholism, I need to examine my attitude towards these clients.”
A nursing instructor is teaching nursing students about cirrhosis of the liver. Which statement by nursing students about hepatic encephalopathy indicates successful teaching?
“This condition results from a rise in serum ammonia, leading to impaired mental functioning.”
“This condition is caused by the accelerated conversion of ammonia to urea in the liver.”
“In this condition, an excessive amount of serous fluid accumulates in the abdominal cavity.”
“A diet rich in protein will promote hepatic healing.”
“This condition results from a rise in serum ammonia, leading to impaired mental functioning.”
A nurse is preparing a staff education session about the impaired nurse and the consequences of this impairment. Which statement by a staff member indicates successful teaching?
“Some state boards of nursing administer the treatment program themselves, while others refer the nurse to other resources.”
“The state board of nursing must be notified with subjective documentation of impairment. “
“All state boards of nursing have passed laws that, under any circumstances, do not allow impaired nurses to practice.”
“After a return to practice, a recovering nurse may be closely monitored for 1-2 weeks.”
“Some state boards of nursing administer the treatment program themselves, while others refer the nurse to other resources.”
A lonely, depressed divorce female has been self-medicating with small amounts of cocaine for the past year to feel better. When giving report to the next shift, which term should the nurse use to best describe this individual’s situation?
Psychological addiction
Codependence
Substance-induced mood disorder
Intoxication
Psychological addiction
Which behavioral approach would a nurse use when caring for children diagnosed with disruptive behavior disorders?
Reinforcing positive actions to encourage repetition of desirable behavior
Involving parents in designing and implementing the treatment process
Administering psychotropic medications to improve quality of life
Providing opportunities to learn appropriate peer interactions
Reinforcing positive actions to encourage repetition of desirable behavior
When planning care for a client, which medication classification would a nurse recognize as effective in the treatment of Tourette’s syndrome?
Antipsychotic medications
Monoamine oxidase inhibitor (MAOI) medications
Anti-epileptic medications
Tricyclic antidepressant (TCA) medications
Antipsychotic meds
A nurse is educating the family of an 8-year-old female client with moderate IDD on realistic expectations for their child. Which of the following statements by the mother would indicate effective teaching?
“My daughter’s deficits will only be evident at school.”
“My daughter will not be capable of performing any self-care activities, so I will need to stop working in order to care for her.”
“My daughter may never be capable of living independently, but the goal is to maximize her potential.”
“My daughter will be capable of achieving her dream of becoming a veterinarian as long as she has appropriate accommodations throughout her education.”
“My daughter may never be capable of living independently, but the goal is to maximize her potential.”
A nurse assesses an adolescent client diagnosed with conduct disorder who, at the age of 8, was sentenced to juvenile detention. How would the nurse interpret this assessment data?
Childhood-onset conduct disorder is caused by a difficult temperament, and the child is likely to outgrow these behaviors by adulthood
Childhood-onset conduct disorder has no treatment or cure, and children diagnosed with this disorder are likely to develop progressive oppositional defiant disorder
Childhood-onset conduct disorder is more severe than the adolescent-onset type, and these individuals likely develop antisocial personality disorder in adulthood
Childhood-onset conduct disorder is diagnosed only when behaviors emerge before the age of 5, and, therefore, improvement is likely
Childhood-onset conduct disorder is more severe than the adolescent-onset type, and these individuals likely develop antisocial personality disorder in adulthood
A kindergarten student is frequently violent towards other children. A school nurse notices bruises and burns on the child’s face and arms. Which other symptom would indicate to the nurse that the child may have been physically abused?
The child shrinks at the approach of adults
The child is frequently absent from school
The child is delayed in physical and emotional development
The child begs or steals food or money
The child shrinks at the approach of adults
In planning care for a child diagnosed with autism spectrum disorder (ASD), which would be a realistic client outcome?
The client will establish trust with at least one caregiver by day 5
The client will communicate all needs verbally by discharge
The client will participate with peers in a team sport by day 4
The client will perform most self-care tasks independently by discharge
The client will establish trust with at least one caregiver by day 5
Which of the following findings would a nurse identify that would contribute to a client’s development of ADHD? (Select all that apply)
The client had low birth weight
The client has a sibling diagnosed with ADHD
The client has been diagnosed with dyslexia
The client is lactose intolerant
The client’s father was a smoker
The client had low birth weight
The client has a sibling diagnosed with ADHD
After an adolescent diagnosed with attention deficit-hyperactivity disorder (ADHD) begins methylphenidate (Ritalin) therapy, a nurse notes that the adolescent loses 10 pounds in a 2-month period. What is the best explanation for this weight loss?
Side effects of methylphenidate cause nausea, and, therefore, caloric intake is decreased.
The pharmacological action of methylphenidate causes a decrease in appetite.
Increased ability to concentrate allows the client to focus on activities rather than food.
Hyperactivity seen in ADHD causes increased caloric expenditure.
The pharmacological action of methylphenidate causes a decrease in appetite.
A nurse is working in a pediatric clinic. After assessing the following patients, the nurse correctly identifies which one is more likely having separation anxiety?
A 6-year-old girl who complains of stomach aches every morning before kindergarten
A 16-year-old girl who cries when her mother grounds her for 2 weeks
A 12-year-old boy who quits karate classes because his friend in the class moved away
A 2-year-old boy who cries whenever his father leaves the room
A 6-year-old girl who complains of stomach aches every morning before kindergarten
Which of the following pieces of assessment data is not considered to be a core symptoms of Autism Spectrum Disorder (ASD)?
Impairment in communication and imaginative activity
Intellectual deficits
Impairment in social interaction
Restricted activities and interests
Intellectual deficits
The nurse is educating an elderly couple about the impact of aging on sexuality. Which of the following statements by the couple indicates successful teaching?
“By the age of 85, both men and women lose the ability to achieve orgasm but can still find some pleasure in sexual intercourse.”
“Testosterone gradually decreases with age, which may decrease the quantity of ejaculate but not the viability of the sperm.”
“An increase in vaginal secretions after menopause can make sexual activity more pleasurable for women.”
“We can engage in some types of intimacy, but sexual activity should be avoided due to risks of injury.”
“Testosterone gradually decreases with age, which may decrease the quantity of ejaculate but not the viability of the sperm.”
An older, emaciated client is brought to an emergency department by the client’s caregiver. The client has bruises and abrasions on shoulders and back in multiple stages of healing. When the client is directly asked about these symptoms, which type of client response would the nurse anticipate?
The client may deny or minimize the injuries
The client will honestly reveal the nature of the injuries
The client will be asked to be placed in a nursing home
The client may have forgotten what caused the injuries
The client may deny or minimize injuries
When making a distinction as to whether an elderly patient has confusion related to delirium or other Neurocognitive Disorder (NCD), what information would be of particular value?
The patient’s level of motor activity
Evidence of spasticity or flaccidity
How long the symptoms have been present
The patient’s current living situation
How long sx have been present
Which statement by the nurse indicates that teaching has been effective regarding various theories of aging?
“The effects of sunlight do not affect the aging process.”
“Genetics is not considered to be a factor in a person’s lifespan or longevity.”
“Accelerated functioning of the immune system can affect the aging process.”
“An individual’s previously established coping abilities and personality traits predict how they will adjust to the aging process.”
“An individual’s previously established coping abilities and personality traits predict how they will adjust to the aging process.”
