Adult Health Nursing Final Exam
Questions
Course Introduction
Adult Health Nursing focuses on the care of adult patients across the lifespan who are experiencing diverse and complex health problems. This course covers the assessment, planning, implementation, and evaluation of nursing care for adults with acute and chronic medical-surgical conditions. Emphasis is placed on developing clinical judgment, critical thinking, and evidence-based practice skills to promote optimal health outcomes. Students will learn to address physical, psychological, social, and cultural aspects of adult health, and gain experience in interdisciplinary collaboration and patient education to support health promotion, disease prevention, and rehabilitation.
Recommended Textbook
Medical Surgical Nursing Concepts Practice 2nd Edition by Susan C. deWit
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1547 Verified Questions
1547 Flashcards
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Chapter 1: Caring for Medical surgical Patients
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The new nurse demonstrates an understanding of the primary purpose of the state nurse practice act (NPA)by explaining that it acts to:
A)test and license LPN/LVNs.
B)define the scope of LPN/LVN practice.
C)improve the quality of care provided by the LPN/LVN.
D)limit the LPN/LVN employment placement.
Answer: B
Q2) The newly licensed LPN/LVN demonstrates an understanding of employment opportunities when applying to a position in which of the following areas? (Select all that apply.)
A)An outpatient clinic
B)A home health care agency
C)An intravenous therapy team
D)A long-term care facility
E)An ambulatory care unit
Answer: A,B,D,E
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3
Chapter 2: Critical Thinking and Nursing Process
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32 Flashcards
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Sample Questions
Q1) During the admission process,the nurse receives orders for the patient to have arterial blood gases (ABGs)drawn.Which finding from the patient's history may cause concern?
A)Taking ginkgo biloba for the last 6 months
B)Having an increased hematocrit (Hct) level during the last physical exam
C)Being diabetic for 10 years
D)Having a decreased white blood cell (WBC) count
Answer: A
Q2) Step: 2
A)Evaluation
B)Assessment
C)Implementation
D)Planning
E)Nursing diagnosis
Answer: E
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4
Chapter 3: Fluid, electrolytes, acid-base Balance, and
Intravenous Therapy
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The patient has a potassium level of 5.0.The nurse closely monitors the patient for: (Select all that apply.)
A)muscle weakness.
B)cardiac dysrhythmias.
C)decreased reflexes.
D)urinary retention.
E)hypotension.
Answer: A,B,E
Q2) The nurse uses a diagram to demonstrate how in dehydration the water is drawn into the plasma from the cells by the process of:
A)distillation.
B)diffusion.
C)filtration.
D)osmosis. Answer: D
Q3) The nurse explains to the 85-year-old patient with a temperature that,with each degree of fever,the body loses _____% of water. Answer: 10
With each degree of fever,the body has an insensible loss of 10% of its water.
Page 5
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Chapter 4: Care of Preoperative and Intraoperative Surgical Patients
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is performing a preoperative assessment on a patient scheduled for surgery today.The patient reports a history of drinking 2 glasses of wine daily,smoking cigarettes for 20 years,completing a round of corticosteroids for asthma control 2 days ago,and taking the last dose of passion flower extract yesterday.The nurse's best action is:
A)supply the patient with information on a smoking cessation class.
B)warn the patient regarding the dangers of drinking alcohol on a daily basis.
C)provide the patient with information regarding the use of herbal medications.
D)notify the physician immediately regarding the recent use of corticosteroids.
Q2) The nurse working in a surgeon's office is providing preoperative teaching to a patient who is scheduled for a needle breast biopsy.Which statement by the patient demonstrates a need for further preoperative teaching? (Select all that apply.)
A)"This procedure will help the doctor determine if I have breast cancer."
B)"I will most likely have general anesthesia since this is a painful procedure."
C)"The surgeon will need to perform this procedure within the next 24 to 48 hours."
D)"I will have less breast pain after having this procedure performed."
E)"I will not require any further treatment after this procedure is performed."
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Page 6
Chapter 5: Care of Postoperative Surgical Patients
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Sample Questions
Q1) The nurse is caring for a 90-year-old postoperative patient.The nurse notes that the oxygen saturation is frequently dropping below 90%.This is most likely related to:
A)prolonged use of a walker.
B)poor fluid intake.
C)weakened respiratory muscles.
D)increased elasticity of costal cartilages.
Q2) For the surgical patient who complains of excessive gas,the nurse will:
A)offer iced fluids.
B)arrange for large meal servings.
C)provide a straw for drinking fluids.
D)ambulate the patient in the hall.
Q3) A postsurgical patient consumed a cup of ice chips filled to the 120-mL mark,2 oz of broth,and 120 mL of water.In addition,750 mL of IV fluids were infused.The patient voided 650 mL and vomited 100 mL.
What is the total intake for this patient? ________ mL
What is the total output for this patient? ________ mL
Q4) The nurse assesses the musty odor coming from the wound drainage as being indicative of an infection by a(n)____________ organism,such as Pseudomonas or Staphylococcus.
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Chapter 6: Infection Prevention and Control
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Sample Questions
Q1) While assessing an obese resident in a long-term care facility,the nurse finds a red,moist rash under the patient's breasts,in the axilla,and in the inguinal fold.Based on this assessment,the nurse reports to the charge nurse that the resident probably has:
A)a fungal infection.
B)a bacterial infection.
C)an allergic reaction.
D)contact dermatitis.
Q2) The nurse caring for a patient with general sepsis should notify the charge nurse immediately of the patient's:
A)increased lethargy.
B)coughing.
C)elevated blood pressure.
D)cloudy urine.
Q3) The nurse explains that the four lines of defense the body employs to combat infection are __________,__________,__________,and __________.
Q4) The bacteria that are rod-shaped are classified as _________.
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8
Chapter 7: Care of Patients With Pain
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Sample Questions
Q1) When a patient reports pain relief after having received a placebo,the nurse concludes that the patient:
A)was not experiencing pain.
B)is relieved of the anxiety that there is no ready source of pain remedy.
C)is demonstrating "attention-seeking" behavior.
D)is being manipulative.
Q2) The home health nurse cautions the 75-year-old patient that the warm compresses that are used on his swollen elbow should be left in place only for _____ minutes.
A)5 to 10
B)15 to 20
C)25 to 30
D)35 to 40
Q3) Step: 2
A)Transmission
B)Modulation
C)Transduction
D)Perception
Q4) Pain receptors in the skin,connective tissue,bone,joints,and muscles are classified as
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Chapter 8: Care of Patients With Cancer
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Sample Questions
Q1) In planning care for the patient who is on a protocol of bleomycin,an antitumor antibiotic,the nurse will add to the care plan an intervention to:
A)assess hearing acuity.
B)measure urinary output.
C)weigh daily to assess fluid retention.
D)monitor cardiac arrhythmias.
Q2) The nurse explains that metastasis from the original site to a new site is accomplished by malignant cells via: (Select all that apply.)
A)traveling through tissues.
B)"transplantation" via surgical instruments during surgery.
C)entering a body cavity and attaching to an organ.
D)traveling through the lymphatic system.
E)"relocation" from contaminated gloves during surgery.
Q3) The biologic response modifier drugs include: (Select all that apply.)
A)interleukins.
B)colony-stimulating factors.
C)monoclonal antibodies.
D)cyclosporines.
E)gene therapies.
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Page 10
Chapter 9: Chronic Illness and Rehabilitation
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Sample Questions
Q1) The nurse working in a long-term care facility is aware that in order to comply with Medicare guidelines,documentation of assessment findings which measure physical,psychological,and psychosocial functioning are necessary using the _____________________.
Q2) When the nurse is assessing a bed-bound resident,a reddened area over the coccyx that does not blanch is discovered.The best intervention to prevent further skin damage is to:
A)cover with a transparent film dressing.
B)apply warm compress.
C)turn the patient every 2 hours.
D)continue to monitor the area.
Q3) Long-term health care facilities are the center of treatment for people who are: (Select all that apply.)
A)recovering after the most acute phase of their illness is over.
B)receiving rehabilitation after a joint replacement.
C)too weak from primary illness to care for themselves presently.
D)in need of a permanent home because of effects of a chronic condition.
E)under treatment for substance abuse.
Q4) The rehabilitation nurse makes the point that a dysfunction of a specific body part is termed __________.
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Chapter 10: the Immune and Lymphatic Systems
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32 Flashcards
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Sample Questions
Q1) When contrasting active and passive immunity,remember that passive immunity: (Select all that apply.)
A)lasts for several years.
B)stimulates the production of antibodies.
C)prevents further tissue damage.
D)provides temporary immunity from the disease.
E)is given by vaccination.
Q2) The nurse who is working in a flu immunization clinic assesses for a situation with a patient that will require a postponement of immunization,such as:
A)history of asthma.
B)taking herbal remedies such as valerian and ginkgo biloba.
C)diabetes that is poorly controlled.
D)having been given immune globulin 2 weeks ago.
Q3) The bone marrow produces a(n)_______ cell that can differentiate itself to acquire individual characteristics.
Q4) The nurse explains that the immediate response of a person's body that produces an antibody is called the _____________.
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Chapter 11: Care of Patient With Hiv/aids
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33 Verified Questions
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Sample Questions
Q1) The nurse is caring for an immune compromised patient who complains of itching and tingling from below the shoulder on the back around to the chest area,as well as burning and shooting pain,headache,and low-grade fever.The nurse is aware that this patient is most likely experiencing:
A)hepatitis C.
B)shingles.
C)a bacterial infection.
D)cryptococcosis.
Q2) Research shows that 73% of new HIV cases are seen in the minority population largely because of: (Select all that apply.)
A)lack of high-quality, culturally sensitive information about HIV and its prevention.
B)cultural beliefs about sex practices.
C)cost of HIV preventative medications.
D)reduced access to health care.
E)lack of intelligence.
Q3) The nurse stresses that the primary emphasis on controlling HIV is __________.
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Chapter 12: Care of Patients With Immune and Lymphatic Disorders
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Sample Questions
Q1) When collecting data from a patient suspected of having an immune deficiency,which factor(s)should be included? (Select all that apply.)
A)Family history of immune disorders
B)Age
C)Weight gain
D)Alcohol use
E)Exposure to HIV
Q2) The nurse makes a list of conditions that can cause acquired immune deficiency,which includes: (Select all that apply.)
A)chemotherapy.
B)viral infections.
C)smoking.
D)malnutrition.
E)bacterial infections.
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Chapter 13: the Respiratory System
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36 Flashcards
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Sample Questions
Q1) The nurse is aware that the patient is in respiratory failure when the blood gas findings are a PaO<sub>2</sub> of _____ mm Hg and a PaCO<sub>2</sub> of _____ mm Hg.
A)46; 52
B)50; 45
C)52; 42
D)55; 58
Q2) The nurse explains that the purpose of mucus is to:
A)warm the air entering the lungs.
B)trap particles and bacteria.
C)protect the cilia.
D)clean the sinus cavity.
Q3) The nurse uses a visual aid to show the "hinged door" that helps prevent aspiration.This "hinged door" is the __________.
Q4) The nurse uses a visual aid to show the mechanics of inhaling which correctly illustrates:
A)the diaphragm moves down.
B)the negative pressure of the lung converts to positive pressure.
C)muscles contract, pulling the rib cage down.
D)bronchi enlarge.
Page 15
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Chapter 14: Care of Patients With Disorders of the Upper
Respiratory
System
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31 Verified Questions
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Sample Questions
Q1) Common causative organisms for the infection causing sinusitis are: (Select all that apply.)
A)pneumococci.
B)Pseudomonas.
C)staphylococci.
D)Haemophilus influenzae.
E)streptococci.
Q2) The nurse instructs the laryngectomized patient that,in order to warm the inspired air during cold weather,the patient should:
A)place hand over stoma.
B)use scarf to cover stoma.
C)wear moist dressing over stoma.
D)stay in area of humidified air.
Q3) The nurse determines that the patient understands patient teaching regarding esophageal speech when witnessing the patient perform which activity?
A)Inhaling air through the nose and forcing it down the esophagus
B)Relaxing the diaphragm to allow air into the trachea and esophagus
C)Coughing to express air
D)Swallowing air and forcing it back up through the esophagus
Page 16
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Chapter 15: Care of Patients With Disorders of the Lower
Respiratory
System
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Sample Questions
Q1) Step: 3
A)Mast cell-mediated inflammatory response in bronchi
B)Mucus production
C)Plugging of small airways
D)Contact with precipitator
E)Mucosal edema
Q2) A patient who has had a left pneumonectomy to remove a lung cancer is returned to the unit from surgery.The nurse should position the patient in a _____ position.
A)high Fowler's
B)semi-Fowler's
C)right side-lying
D)left side-lying
Q3) The nurse differentiates viral from bacterial pneumonia in that viral pneumonia causes:
A)elevation in white count.
B)consolidation of lung tissue.
C)interstitial inflammation.
D)copious exudate.
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Chapter 16: the Hematologic System
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Sample Questions
Q1) To assure accuracy of a daily measurement of abdominal girth in a patient with ascites,the nurse will: (Select all that apply.)
A)place marks on the lateral sides of the abdomen where the tape is placed.
B)use the same tape every day.
C)measure girth with the tape placed 1 inch above the umbilicus.
D)measure the same area every day.
E)measure girth at the same time every day.
Q2) The lymphatic system is composed of: (Select all that apply.)
A)thymus.
B)lymph glands.
C)lymph channels.
D)spleen.
E)tonsils.
Q3) The stem cells in the marrow are stimulated to make blood cells by the erythropoietin- stimulating factor in the:
A)brain.
B)lung.
C)kidney.
D)liver.
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Page 18
Chapter 17: Care of Patients With Hematologic Disorders
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Sample Questions
Q1) The nurse explains that induction therapy for acute lymphocytic leukemia (ALL)is a(n):
A)intensive protocol of chemotherapy in high doses to achieve remission.
B)long-term protocol with smaller doses of chemotherapy to achieve a cure.
C)2- to 5-year low-dose chemotherapy regimen to reduce painful symptoms.
D)combination of chemotherapy and radiation to achieve remission.
Q2) When assessing a complete blood count (CBC)of a patient with acute lymphocytic leukemia (ALL),the nurse would anticipate large numbers of immature white cells,called
Q3) The nurse evaluates a need for further instruction to the patient with sickle cell anemia when he says:
A)"I know I'm not supposed to drink iced drinks."
B)"I surely do miss my three beers in the afternoon."
C)"I walk every day rather than doing other strenuous exercise."
D)"I am looking forward to my annual ski trip to Colorado."
Q4) The nurse instructs the 20-year-old female patient with sickle cell trait that:
A)the condition will evolve into sickle cell anemia as she ages.
B)all of her children will have sickle cell anemia.
C)the trait will be transmitted to male children only.
D)the trait can be passed on to all children.
Page 19
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Chapter 18: the Cardiovascular System
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Sample Questions
Q1) Following an angiogram,the nurse will assess and record:
A)allergy to dye.
B)range of motion of lower limbs.
C)presence and strength of pedal pulses.
D)nausea.
Q2) The nurse has assessed the patient to have a blood pressure of 140/90,an apical pulse of 82,and a radial pulse of 76.The nurse records a pulse pressure of: A)6.
B)56.
C)82.
D)90.
Q3) When the nurse uses the PQRST tool for pain assessment,the "R" prompts an inquiry about the __________ of the pain.
Q4) The nurse is aware that the eventual outcome of angiotensin on the circulatory system is:
A)vasoconstriction.
B)release of sodium and water to be excreted.
C)increase in blood pressure.
D)decrease in cardiac output.
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Chapter 19: Care of Patients With Hypertension and Peripheral Vascular Disease
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Sample Questions
Q1) The nurse cautions the patient with uncontrolled hypertension that the consequences of the disease will include: (Select all that apply.)
A)threat of a stroke.
B)possible kidney failure.
C)risk for heart attack.
D)probability of congestive heart failure.
E)development of DVT.
Q2) The nurse instructs that the "6 Ps" of arterial disease include: (Select all that apply.)
A)pain.
B)paresthesia.
C)putrefaction.
D)pooling.
E)pallor.
Q3) Peripheral vascular disease (PVD)is characterized by: (Select all that apply.)
A)narrowing of arteries.
B)obstruction of veins.
C)involvement of all extremities only.
D)defective valve function.
E)production of thrombophlebitis.
Page 21
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Chapter 20: Care of Patients With Cardiac Disorders
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Sample Questions
Q1) The patient with severe congestive heart failure (CHF)does not want to take the morphine ordered,stating that he is not in pain and he is fearful of becoming addicted.The nurse can allay anxiety by explaining that the morphine:
A)is given to many people with CHF.
B)can be omitted and relief can be obtained with NSAIDs.
C)is used to relieve anxiety and air hunger.
D)is the only drug that can be used for CHF patients.
Q2) When the nurse assesses an apical pulse of 52,the finding of this arrhythmia is known as _________.
Q3) If there are several tiny spikes in place of P waves on the ECG,the nurse recognizes the arrhythmia as:
A)premature ventricular contraction (PVC).
B)atrial flutter/fibrillation.
C)ventricular tachycardia (VT).
D)premature atrial contraction (PAC).
Q4) The patient suffering from ventricular tachydysrhythmia may benefit from _________________ when medications are not effectively treating the disorder.
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Chapter 21: Care of Patients With Coronary Artery Disease and Cardiac Surgery
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Sample Questions
Q1) The drug alteplase (t-PA)is given to the patient with a myocardial infarction (MI).The nurse is aware the drug will:
A)dissolve the obstruction in the coronary artery.
B)dilate vessels to relieve pain.
C)strengthen cardiac contraction.
D)increase cardiac output.
Q2) The nurse clarifies that the MONA protocol for drug administration in the emergent stage of a myocardial infarction (MI)involves the use of which therapies? (Select all that apply.)
A)Aspirin
B)Morphine
C)Nitrates
D)Antibiotics
E)Oxygen
Q3) The nurse is aware that the patient's cardiac rehabilitation levels of physical activity are designated through ____________ units.
Q4) The nurse uses a diagram to show how obstruction of an artery has caused an area of necrosis called a(n)_________.
Page 23
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Chapter 22: the Neurologic System
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Sample Questions
Q1) The reflex that indicates an abnormality in the motor control pathways from the cerebral cortex is the __________ reflex.
A)Babinski
B)biceps
C)brachioradialis
D)knee jerk
Q2) The nurse is performing a neurologic assessment on a newly admitted head injury patient.Which sign does the nurse recognize as that most indicative of a brainstem injury?
A)Nystagmus
B)Decerebrate posturing
C)Seizure activity
D)Glasgow Coma Scale score of 3
Q3) Step: 2
A)Press on the orbital notch.
B)Press the mandibular angle.
C)Shake gently.
D)Rub sternum.
E)Pinch trapezius.
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Page 24
Chapter 23: Care of Patients With Head and Spinal Cord Injuries
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Sample Questions
Q1) The nurse is aware that the older adult is more at risk for a cranial bleed following a head injury because the older adult has:
A)a smaller brain, which allows for more movement inside the cranium.
B)fragile vessels more likely to rupture.
C)less cerebrospinal fluid to cushion the brain.
D)less flexibility of the meninges to absorb impact.
Q2) The most beneficial and safe positioning of an unconscious patient who has a right-sided closed head injury is:
A)high Fowler's.
B)right side-lying.
C)flat with small pillow under head.
D)head of bed 20 to 30 degrees.
Q3) After an older adult falls,the nurse suspects the development of a subdural hematoma based on which assessment findings? (Select all that apply.)
A)Increasing irritability
B)Complaint of a dull headache
C)Frequent "nodding off" in chair during the day
D)Focal seizures
E)Staggering gait
Page 25
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Chapter 24: Care of Patients With Disorders of the Brain
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Sample Questions
Q1) The dysarthric patient seated in the dining room of the long-term care facility yells,"Poon! Poon! Poon!" with increasing frustration.What is the nurse's best response?
A)"Slow down, I can't understand what you are saying."
B)"Are you asking for a spoon?"
C)"Not being able to speak is frustrating."
D)"If you tell me what you want, I will get it."
Q2) The nurse is caring for a patient who recently suffered a cerebrovascular accident (CVA).The family asks the nurse why their father had a seizure.What is the best response by the nurse?
A)"The seizure was most likely caused by brain cells being deprived of oxygen due to a blood clot in the brain."
B)"The stroke generated a toxin that excites the brain cells."
C)"The stroke causes an alteration in the cells adjacent to the blood clot."
D)"The stroke causes an increase in the depolarization of the brain cells due to the clot formation."
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Chapter 25: Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
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Sample Questions
Q1) The home health nurse caring for a patient with multiple sclerosis (MS)is planning an exercise program with the patient.Which is the best type of exercise for this patient?
A)Swimming
B)Progressive walking
C)Weight training
D)Isometric exercises
Q2) The student nurse is researching relapsing progressive forms of multiple sclerosis.What characteristics would the student discover as typical of this form of the disease? (Select all that apply.)
A)Steady worsening
B)Partial remissions
C)Clear acute relapses
D)Temporary minor improvements
E)Long plateau periods
Q3) The nurse explains that multiple sclerosis (MS)is most likely caused by:
A)environmental factors and genetic predisposition.
B)allergic response to antiviral medications.
C)autoimmune reaction attacking the myelin.
D)bacterial infection of the myelin.
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Chapter 26: the Sensory System: Eye and Ear
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Sample Questions
Q1) The nurse is assessing an 84-year-old patient.Which finding is consistent with aging?
A)Thick cerumen
B)Increased perception of low-frequency sounds
C)Pain in outer ear canal
D)Increased hair on the pinna
Q2) The nurse cautions her teenage daughter that eye cosmetics should be discarded every:
A)2 months.
B)3 months.
C)6 months.
D)year.
Q3) The nurse is caring for a patient who is experiencing diabetes-related visual changes.The nurse correctly explains to the patient that vision-related complications of diabetes are caused by:
A)prolonged periods of hyperglycemia.
B)frequent injections of regular insulin.
C)lens opacity.
D)corneal dryness.
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28
Chapter 27: Care of Patients With Disorders of the Eyes and Ears
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Sample Questions
Q1) Step: 5
A)Intraocular pressure exceeding 25 mm Hg
B)Optic nerve and retina damaged by ischemia
C)Permanent and irreversible vision impairment
D)Overproduction of aqueous humor
E)Continued high intraocular pressure restricting blood flow to optic nerve and retina
Q2) Before enucleation,the patient is taught that,aside from removing the eye,the surgeon will:
A)suture an artificial eye in the socket to preserve normal appearance.
B)suture an implant to eye muscles to which the prosthesis can be attached.
C)place iodoform dressing in the socket to preserve shape for the prosthesis.
D)suture the orbit closed and apply a removable eye patch to wear until a prosthesis is fitted.
Q3) The nurse explains that the classic early warning symptom of a detached retina is:
A)tearing and swelling of the eye.
B)flashing colored lights in the eye.
C)bleeding into the anterior chamber.
D)intense brow pain.
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Chapter 28: the Gastrointestinal System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/14581
Sample Questions
Q1) The nurse is reviewing the charting of a student nurse.The student has documented that bowel sounds are absent.The nurse recognizes that each quadrant must be auscultated for _____ minutes before this is correct.
A)2
B)3
C)4
D)5
Q2) The assessment of bulging flanks on a patient who is supine with knees flexed leads the nurse to assess further for:
A)ascites.
B)bowel obstruction.
C)liver disorder.
D)gallstones.
Q3) Rhythmic squeezing action of intestinal tract
A)Absorption
B)Peristalsis
C)Metabolism
D)Anabolism
E)Catabolism
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Page 30
Chapter 29: Care of Patients With Disorders of the Upper
Gastrointestinal
System
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/14582
Sample Questions
Q1) The nurse documenting the presence of pain in a patient with possible gastric ulcer would anticipate that the pain would occur:
A)in the morning.
B)erratically, without pattern.
C)at bedtime.
D)with meals.
Q2) The nurse preparing a teaching plan for lifestyle changes for the patient with GERD would include:
A)sleeping on the right side on a flat bed.
B)wearing tight belts to reduce reflux.
C)lying down after each meal for 20 minutes.
D)smoking cessation.
Q3) The nurse explains that the laparoscopic adjustable gastric banding surgery is best described as:
A)restrictive.
B)malabsorptive.
C)restrictive/malabsorptive.
D)obstructive.
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Chapter 30: Care of Patients With Disorders of the Lower
Gastrointestinal
System
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14583
Sample Questions
Q1) The nurse urges the patient with diverticulitis to seek treatment because the inflamed bowel wall may:
A)extend the inflammation to the entire bowel.
B)progress into ulcerative colitis.
C)perforate and cause peritonitis.
D)cause appendicitis.
Q2) The nurse is caring for a patient diagnosed with diverticulitis.In response to the patient's complaints of pain,the most likely medication to be used is:
A)meperidine (Demerol).
B)morphine.
C)nalbuphine hydrochloride (Nubain).
D)naloxone (Narcan).
Q3) The nurse lists the contributing factors to developing a hernia,which include: (Select all that apply.)
A)heavy lifting.
B)chronic cough.
C)straining with defecation.
D)ascites.
E)strenuous sexual activity.
Page 32
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Chapter 31: Care of Patients With Disorders of the
Gallbladder,liver,and Pancreas
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/14584
Sample Questions
Q1) The nurse is speaking with a patient who has concerns about the development of cholelithiasis.The nurse correctly includes which risk factors for the condition? (Select all that apply.)
A)Obesity
B)Daily exercise regimen
C)Diabetes mellitus
D)Taking cholesterol-lowering drugs
E)Mexican American ethnicity
Q2) The nurse is caring for a patient diagnosed with hepatitis during the posticteric phase of the condition.When planning care,which intervention should be of the highest priority?
A)Encouraging frequent rest periods
B)Monitoring intake and output
C)Taking a daily weight
D)Encouraging compliance with a low-sodium diet
Q3) In caring for a patient with hepatitis B,the nurse would follow:
A)Standard Precautions.
B)strict isolation.
C)Contact Precautions.
D)surgical asepsis.
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Chapter 32: the Musculoskeletal System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/14585
Sample Questions
Q1) The nurse points out the age-related changes that occur in the musculoskeletal system,which are: (Select all that apply.)
A)increase of bone density.
B)bones are brittle and break easily.
C)bones heal slowly.
D)decrease in muscle mass.
E)tendon sclerosis.
Q2) The nurse is assessing the patient's cane for appropriate length.The nurse affirms that the appropriate cane has been selected when the:
A)hand grip is at the level of the hip.
B)elbow is flexed at 45 degrees when weight is placed on the cane.
C)cane tip is placed touching outside the good foot.
D)rubber tip has been removed when measuring cane length.
Q3) The canal system that runs through the bone and contains the blood and lymph vessels is called the ____________.
Q4) When a joint is obliterated by bony overgrowth,the joint is said to be _________.
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Page 34
Chapter 33: Care of Patients With Musculoskeletal and Connective
Tissue Disorders
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/14586
Sample Questions
Q1) Bone is partially broken and partially bent
A)Complete fracture
B)Comminuted fracture
C)Closed fracture
D)Compound fracture
E)Greenstick fracture
Q2) The nurse instructs a patient going home with a short arm synthetic cast to: (Select all that apply.)
A)cover the cast with a plastic bag when taking a shower.
B)blow warm air into the cast to relieve itching.
C)observe skin at the edge of the cast for irritation or injury.
D)check circulation and sensation in the fingers frequently.
E)move and flex the fingers to stimulate circulation.
Q3) Step: 3
A)Medullary canal is reconstructed.
B)Mature bone cells form ossification.
C)Callus is formed.
D)Granulation tissue is formed.
E)Hematoma is formed between broken ends of bone.
Page 35
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Chapter 34: the Urinary System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/14587
Sample Questions
Q1) When a patient is put on a sulfa drug,the nurse adds interventions to the nursing care plan to increase the daily fluid intake to a minimum of _____ mL/day.
A)1500
B)2000
C)2500
D)3000
Q2) The nurse is discussing bladder health with a patient.During the discussion,the nurse has emphasized the need to void in a timely manner.Which statement by a patient indicates understanding of the rationale behind the recommendations? (Select all that apply.)
A)"Urinating regularly will prevent prolonged exposure of the bladder wall to harmful wastes."
B)"Allowing my bladder to overfill causes the walls to overstretch."
C)"A full bladder can cause undue strain on the urinary sphincters."
D)"The characteristics of urine can change after being in the bladder for overly extended periods."
E)"Pressure from a distended bladder can cause excessive pressure on my colon."
Q3) The basic functional unit of the kidney is the ________.
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Chapter 35: Care of Patients With Disorders of the Urinary System
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14588
Sample Questions
Q1) While the patient is on plasmapheresis,the nurse should monitor for: (Select all that apply.)
A)an allergic reaction.
B)bleeding at the puncture site.
C)a bruit at the shunt site.
D)decreasing blood pressure.
E)signs of hyperkalemia.
Q2) A patient who had a bladder repair following an injury from an automobile accident complains of pain.Which action would be considered an independent nursing intervention that does not require a physician's order?
A)Give an analgesic medication.
B)Apply a cold compress to the surgical site.
C)Give a muscle relaxant.
D)Irrigate the drainage tube.
Q3) Vascular changes related to diabetes mellitus
A)Prerenal ARF
B)Intrarenal ARF
C)Postrenal ARF
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Chapter 36: the Endocrine System
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/14589
Sample Questions
Q1) The nurse lists the age-related changes to the endocrine function as: (Select all that apply.)
A)the pituitary gland becoming larger.
B)metabolism declining.
C)blood glucose levels rising.
D)decreasing level of epinephrine.
E)decreasing level of thyroxine.
Q2) Mineralocorticoids and glucocorticoids are the products of the:
A)adrenal cortex.
B)adrenal medulla.
C)pancreas.
D)hypothalamus.
Q3) The nurse is aware that endocrine disorders are caused by: (Select all that apply.)
A)overproduction of hormone.
B)long periods of limited mobility.
C)underproduction of hormone.
D)severe viral infections.
E)effects of certain drugs.
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Chapter 37: Care of Patients With Pituitary, thyroid, parathyroid, and
Adrenal
Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/14590
Sample Questions
Q1) Pathologic fractures
A)Decreased growth hormone
B)Increased thyroid hormone
C)Decreased follicle-stimulating hormone
D)Decreased thyroid hormone
E)Increased antidiuretic hormone
Q2) Menstrual irregularities
A)Decreased growth hormone
B)Increased thyroid hormone
C)Decreased follicle-stimulating hormone
D)Decreased thyroid hormone
E)Increased antidiuretic hormone
Q3) The nurse recognizes a need for instruction when the patient with a simple goiter says:
A)"The lump on my throat is my enlarged thyroid."
B)"Treatment will stop the enlargement of the goiter."
C)"I am aware this goiter could develop into cancer."
D)"I'm glad my treatment will make this thing go away."
Q4) The nurse's major contribution to the care of a patient with Cushing's syndrome is that of __________ and __________.
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Chapter 38: Care of Patients With Diabetes and Hypoglycemia
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/14591
Sample Questions
Q1) The patient comes to the emergency room with dry hot skin,fruity breath,and deep respirations and is complaining of abdominal pain.The nurse interprets these signs and symptoms as:
A)an insulin reaction.
B)ketoacidosis.
C)rebound hyperglycemia.
D)hypoglycemia.
Q2) At 2:00 AM,the CNA reports that a patient with type 1 diabetes is extremely wet with perspiration,is cool to the touch,and is complaining of hunger.The nurse should:
A)give insulin by sliding scale based on glucometer reading.
B)notify the night supervisor of the patient's deteriorating condition.
C)give 6 ounces of orange juice.
D)ambulate the patient in the hall to use up excess glucose with exercise.
Q3) The nurse would anticipate laboratory values from a patient in ketoacidosis to reveal:
A)increased blood urea nitrogen (BUN).
B)normal or decreased CO2.
C)increased arterial pH.
D)decreased glucose.
Page 40
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Chapter 39: Care of Women With Reproductive Disorders
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/14592
Sample Questions
Q1) The nurse is aware that the premenstrual syndrome (PMS)with its behavioral symptoms occurs during the:
A)follicular ovarian cycle phase.
B)luteal ovarian cycle phase.
C)dismantling stage of the menstrual cycle.
D)proliferative stage of the stage of the menstrual cycle.
Q2) The nurse lists the signs and symptoms of menopause as: (Select all that apply.)
A)hot flashes and flushes.
B)cessation of estrogen production.
C)vaginal dryness.
D)night sweats.
E)irregularity of menses.
F)None of the above.
Q3) The nurse reminds a patient that monthly breast self-examination (BSE)should be conducted one:
A)day after menses has begun.
B)day after menses has stopped.
C)week after menses has begun.
D)week after menses has stopped.
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Chapter 40: Care of Men With Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14593
Sample Questions
Q1) In interviewing a patient who is seeking assistance at the urology clinic for erectile dysfunction,the nurse might begin the interview by saying:
A)"When was the last time you were impotent?"
B)"Do you attempt to have intercourse every week?"
C)"What medications have you tried previously?"
D)"What experiences have you had with erectile dysfunction?"
Q2) The nurse is collecting data from a patient who has come to the ambulatory care clinic with complaints of erectile dysfunction.When reviewing the patient's health history,which finding(s)would provide support for this condition? (Select all that apply.)
A)The patient has a history of iron deficiency anemia.
B)The patient has been treated for irritable bowel syndrome.
C)The patient is taking medications to manage hypertension.
D)The patient is an insulin-dependent diabetic.
E)The patient has a history of bipolar disorder.
Q3) The nurse reminds a 68-year-old man that a man of any age can reproduce if he:
A)can maintain an erection.
B)can ejaculate.
C)has a high sperm count.
D)can participate in intercourse.
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Page 42
Chapter 41: Care of Patients With Sexually Transmitted
Infections
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/14594
Sample Questions
Q1) The nurse outlines reasons why young patients are frequently reluctant to have their sexually transmitted infections (STIs)reported,which are: (Select all that apply.)
A)fear of parental reaction.
B)embarrassment about their condition.
C)fear of reprisal from identified contacts.
D)fear of information becoming public.
E)fear of rejection by peers.
F)None of the above.
Q2) The nurse assessing a patient in the primary stage of syphilis can observe:
A)copious vaginal discharge.
B)generalized skin rash.
C)a hard painless sore on the genitals.
D)appearance of gumma.
Q3) The young woman newly diagnosed with genital herpes is reminded that she should avoid sexual intercourse until:
A)she has been on medication for a week.
B)she no longer has pain on urination.
C)her partner has been on medication and is free of lesions.
D)her lesions are gone.
Page 43
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Chapter 42: the Integumentary System
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/14595
Sample Questions
Q1) The nurse reminds the CNAs that the main chemical that damages skin of the immobilized patient is:
A)urine.
B)medications.
C)skin lotions.
D)laundry soap.
Q2) Contains vessels,nerves,and hair follicles
A)Epidermis
B)Dermis
C)Sebaceous glands
D)Sweat glands
Q3) The student nurse is preparing to document a suspicious area over a bony prominence.Which description would be most appropriate?
A)Reddened area on left hip
B)Reddened, nonblanching area approximately 1 cm ´ 1 cm
C)Suspicious area over left trochanter
D)Nonblanching area over left trochanter 0.8 cm ´ 1.2 cm
Q4) The nurse reminds the junior high school health class that the first line of defense from pathogens for the body is the ____________.
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Chapter 43: Care of Patients With Integumentary Disorders and Burns
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/14596
Sample Questions
Q1) Wound covered with ointment,then covered with layers of gauze saturated with topical medication
A)Open technique
B)Closed technique
C)Escharotomy
D)Allograft
E)Xenograft
Q2) To prevent contractures in the burn patient,the nurse should:
A)assist the patient to ambulate as soon as fluid shift has stabilized.
B)leave the limbs in full extension.
C)stop range-of-motion (ROM) exercises when the patient complains of pain.
D)place the limbs in the flexion position.
Q3) The nurse is providing education about dietary selections that will promote wound healing.The selection of which menu options should be included? (Select all that apply.)
A)Tofu
B)Wheat bread
C)Lean beef
D)Citrus fruits
E)Leafy green vegetables
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Chapter 44: Care of Patients in Disasters or Bioterrorism
Attack
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14597
Sample Questions
Q1) A tornado has touched down 1 mile from the hospital and a tornado warning has been issued with sirens.The nursing staff caring for the 36 patients on the second floor medical-surgical unit should move the patients to:
A)the evacuation center across the street.
B)the hall, closing room doors and windows.
C)their rooms, padding the windows with bed linens.
D)the basement in wheelchairs using the elevators.
Q2) The news reported that a train derailment 5 miles away from the clinic spilled a large amount of liquid chlorine that has been vaporized by the atmosphere.An indication that the chlorine gas is an imminent threat to the clinic would be:
A)sighting of a low-lying green cloud.
B)smelling "almonds" or "burning feathers."
C)sudden nausea.
D)skin blistering.
Q3) Toddler with partial-thickness burns on both legs
A)Red tag: emergent
B)Yellow tag: urgent
C)Green tag: nonurgent
D)Black tag: terminal
Page 46
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Chapter 45: Care of Patients With Trauma or Shock
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/14598
Sample Questions
Q1) The nurse is caring for a patient suspected of having heatstroke.Which findings are consistent with this diagnosis? (Select all that apply.)
A)Bradycardia
B)Tachycardia
C)Irregular pulse patterns
D)Visual disturbances
E)Decreased urinary output
Q2) An 80-year-old woman is brought to the emergency department by her daughter,who found the woman unconscious in her garage sitting in her car.A significant assessment of this patient as to cause of her condition would be:
A)temperature, 97.6° F; pulse, 98; and blood pressure, 110/60.
B)O2 saturation of 78%.
C)cherry red mucous membranes.
D)cold extremities.
Q3) When all five of the contestants in a custard pie-eating contest arrive at the emergency department with vomiting and diarrhea,the nurse suspects that these signs are related to the contamination of the pies by _______________.
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Chapter 46: Care of Patients With Anxiety, mood, and Eating Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/14599
Sample Questions
Q1) The nurse is aware that unless effective intervention occurs for demonstrated anxiety disorders,the anxiety will:
A)be self-limiting.
B)force the person to seek medical intervention.
C)develop into a full-blown psychosis.
D)return at a greater level of severity.
Q2) The nurse assesses the patient for the signs and symptoms that characterize a major depressive disorder,which are: (Select all that apply.)
A)euphoria.
B)psychomotor retardation.
C)indecisiveness.
D)sleep disturbances.
E)suicidal ideation.
Q3) The nurse clarifies that anxiety disorders differ from normal anxiety in that anxiety disorders:
A)develop into suicidal tendencies.
B)are seldom controlled.
C)interfere with effective functioning.
D)make maintenance of relationships impossible.
Page 48
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Chapter 47: Care of Patients With Substance Abuse Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14600
Sample Questions
Q1) Needs substance to prevent symptoms of withdrawal
A)Abuse
B)Psychological dependence
C)Addiction
D)Tolerance
E)Withdrawal
Q2) The wife of an alcoholic tells the nurse,"My husband only drinks on the weekends to relax.He has a very stressful job." The nurse recognizes the defense mechanism of: A)repression.
B)denial.
C)rationalization.
D)identification.
Q3) After detoxification from substance abuse,the patient says,"I feel better than I have in years! All I needed was some rest.I am not an alcoholic." The nurse should respond to this by saying:
A)"What were you doing that got you admitted to the detoxification center?"
B)"Alcoholism has many definitions. What is yours?"
C)"Admitting to alcoholism is hard."
D)"Alcoholism has ruined your life. How can you say you are not an alcoholic?"
Page 49
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Chapter 48: Care of Patients With Cognitive Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/14601
Sample Questions
Q1) The home health nurse assesses a family who is caring for a person with a cognitive deficit for responses that indicates exhaustion,which include: (Select all that apply.)
A)irritability with other family members and the patient.
B)report of sleep disturbances.
C)anger at patient and self.
D)depression.
E)fatigue.
F)None of the above.
Q2) The patient with Alzheimer's wakes up at 2:00 AM moaning and frightened and begs that her husband's coffin be removed from her room.The nurse should:
A)turn light on and say, "There is no coffin here, Mrs. Smith. This is the dresser."
B)leave the light off and shine a flashlight on the dresser and say, "See! No coffin!"
C)turn the light on, assist patient to the bathroom, and say, "This is your dresser."
D)leave the light off and say, "You are in your room, Mrs. Smith."
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Chapter 49: Care of Patients With Thought and Personality Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/14602
Sample Questions
Q1) The nurse points out that negative symptoms of schizophrenia are more difficult to modify.Examples of negative symptoms are: (Select all that apply.)
A)avolition.
B)hallucination.
C)psychomotor retardation.
D)delusions.
E)anhedonia.
Q2) The manipulative patient approaches the nurse and says,"I know it's too early to give me my pain medication,but you are the only one who seems to care.Could you give me my pain medication now?" The best response would be:
A)"The charge nurse is really tough about scheduled medications. She would be very angry with me if I gave you the medication now."
B)"I know how it is when you are in pain. I'll give you your medication early."
C)"Your medication is due in 2 hours. I will be glad to give it to you on schedule."
D)"It makes me feel good to know you are appreciative of our care. Here is your medication."
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