NUR 213- EXAM 3 ACTUAL EXAM
QUESTIONS AND CORRECT
ANSWERS GUARANTEED
SUCCESS!!!
A moderately depressed client who was hospitalized 2 days ago
suddenly begins smiling and reporting that the crisis is over. The client
says to the nurse, "I'm finally cured." How should the nurse interpret this
behavior as a cue to modify the treatment plan?
1.
Suggesting a reduction of medication
2.
Allowing increased "in-room" activities
3.
Increasing the level of suicide precautions
,4.
Allowing the client off-unit privileges as needed - ANSWER- 3
(pt who is moderately depressed and has only been in the hospital 2
days is unlikely to have such a dramatic cure. When a depression
suddenly lifts, it is likely that the client may have made the decision
to harm himself or herself. Suicide precautions are necessary to
keep the client safe)
The emergency department nurse is caring for an adult client who is a
victim of family violence. Which priority instruction should be included
in the discharge instructions?
1.
Information regarding shelters
2.
Instructions regarding calling the police
3.
Instructions regarding self-defense classes
4.
,Explaining the importance of leaving the violent situation - ANSWER-
1
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.
Which is the most appropriate nursing response?
1.
"You need to try to be realistic. The rape did not just occur."
2.
"It will take some time to get over these feelings about your rape."
3.
"Tell me more about the incident that causes you to feel like the rape just
occurred."
4.
"What do you think that you can do to alleviate some of your fears about
being raped again?" - ANSWER- 3
(trash response irl though)
, A client is admitted to the mental health unit after an attempted suicide
by hanging. The nurse can best ensure client safety by which action?
1.
Requesting that a peer remain with the client at all times
2.
Removing the client's clothing and placing the client in a hospital gown
3.
Assigning to the client a staff member who will remain with the client at
all times
4.
Admitting the client to a seclusion room where all potentially dangerous
articles are removed - ANSWER- 3
Which behavior observed by the nurse indicates a suspicion that a
depressed adolescent client may be suicidal?
1.
The adolescent gives away a DVD and a cherished autographed picture
of a performer.
2.
QUESTIONS AND CORRECT
ANSWERS GUARANTEED
SUCCESS!!!
A moderately depressed client who was hospitalized 2 days ago
suddenly begins smiling and reporting that the crisis is over. The client
says to the nurse, "I'm finally cured." How should the nurse interpret this
behavior as a cue to modify the treatment plan?
1.
Suggesting a reduction of medication
2.
Allowing increased "in-room" activities
3.
Increasing the level of suicide precautions
,4.
Allowing the client off-unit privileges as needed - ANSWER- 3
(pt who is moderately depressed and has only been in the hospital 2
days is unlikely to have such a dramatic cure. When a depression
suddenly lifts, it is likely that the client may have made the decision
to harm himself or herself. Suicide precautions are necessary to
keep the client safe)
The emergency department nurse is caring for an adult client who is a
victim of family violence. Which priority instruction should be included
in the discharge instructions?
1.
Information regarding shelters
2.
Instructions regarding calling the police
3.
Instructions regarding self-defense classes
4.
,Explaining the importance of leaving the violent situation - ANSWER-
1
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.
Which is the most appropriate nursing response?
1.
"You need to try to be realistic. The rape did not just occur."
2.
"It will take some time to get over these feelings about your rape."
3.
"Tell me more about the incident that causes you to feel like the rape just
occurred."
4.
"What do you think that you can do to alleviate some of your fears about
being raped again?" - ANSWER- 3
(trash response irl though)
, A client is admitted to the mental health unit after an attempted suicide
by hanging. The nurse can best ensure client safety by which action?
1.
Requesting that a peer remain with the client at all times
2.
Removing the client's clothing and placing the client in a hospital gown
3.
Assigning to the client a staff member who will remain with the client at
all times
4.
Admitting the client to a seclusion room where all potentially dangerous
articles are removed - ANSWER- 3
Which behavior observed by the nurse indicates a suspicion that a
depressed adolescent client may be suicidal?
1.
The adolescent gives away a DVD and a cherished autographed picture
of a performer.
2.
