A 24-year old woman was injured in a car accident. She has
fractured her femur and pelvis and needs to be in a wheelchair.
At her discharge meeting she reports that 75% of her work is at
her computer, which can be done from home and she believes
her team will be able to use Zoom for their meetings. Which
model of health is this client most likely describing to you as
most effective for her?
a.
Clinical
b.
Role performance
c.
Adaptive
d.
Eudaemonistic Correct Answers b
A client discussing his recent suicide attempt says: "I had to do
it. I just couldn't take it anymore." The best reply for the nurse
is:
a.
"Tell me more about how you're feeling."
b.
"It sounds as though things were very difficult for you. Can you
tell me what it is that you couldn't take?"
c.
"You really didn't have to do it - there are many other solutions
to problems."
d.
"You felt you had no other alternatives?" Correct Answers b
,A client is admitted to the acute care unit with a diagnosis of
"Major Depression: severe, single episode". The nurse assesses
the client and identifies the client's altered nutrition related to
poor nutritional intake as a major concern. What is the most
appropriate nursing intervention related to this diagnosis?
a.
Explaining to the client the importance of a good nutritional
intake.
b.
Weighing the client 3 times per week before breakfast.
c.
Reporting the nutritional concern to the psychiatrist and
obtaining a nutritional consultation as soon as possible.
d.
Consulting with the nutritionist, offering the client several small,
frequent meals per day, and scheduling brief nursing interactions
with the client during these times. Correct Answers d
A depressed client is ready for discharge. The nurse feels
comfortable that the client has a good understanding of the
disease process when the client states which of the following:
a.
"I'll never let this happen to me again. I won't let my boss or my
job or my family get to me."
b.
"It's important for me to eat well, exercise, and to take my
medication. If I begin to lose my appetite or not sleep well, I've
got to get in to see my primary care provider.
c.
,"I've learned that I am a good person and that I am worthy of
giving and receiving love. I don't need anyone, I have myself to
rely on."
d.
"I don't know what happened to me. I've always been able to
make decisions for myself and for my business. I don't ever
want to feel so weak or vulnerable again." Correct Answers b
A friend shares with you that they have just been diagnosed with
a skin condition that will require long-term treatment with cream
and avoiding sun exposure to avoid serious changes in skin
texture. They express disappointment in learning about this
diagnosis because it will mean they won't be able to participate
with friends in outdoor activities as they have in the past to
avoid sun exposure. Your friend states "I think I need to explore
some different activities with some of my other friends to
replace hiking and going to the beach."
Based on these facts, which dimension of health is your friend
focusing on most due to this new health condition?
a.
Physical
b.
Social
c.
Mental
d.
Spiritual Correct Answers b
A nurse assesses a client with the admitting diagnosis of
"bipolar I disorder: current episode mania". Which of the
, following symptoms presented by the client requires the nurse's
immediate intervention?
a.
Outlandish behaviors and inappropriate dress.
b.
Grandiose delusions of being a royal descendent of King Arthur.
c.
Nonstop physical activity and poor nutritional intake.
d.
Incessant talking that includes sexual innuendoes and teasing of
the staff. Correct Answers c
then a & d
then b
A nurse is caring for a client who has bipolar disorder. The
client states "I am very rich, and I feel I must give my money to
you." Which of the following responses should the nurse make?
a.
"I am here to provide care and cannot accept this from you."
b.
"Why do you think you feel the need to give money away?
c.
"I can request your Case Manager discuss appropriate charity
options with you."
d.
"You should know that giving away your money is
inappropriate." Correct Answers a
A nurse is caring for a client who has bipolar disorder. Which of
the following is the priority nursing action?
a.