NURS 355 FINAL EXAM REVIEW
QUESTIONS AND ANSWERS; GRADED A+
A 35-year-old woman is being assessed related to suspected
battering. In interviewing this patient, it is important for the
nurse to keep in mind that: - correct answer- all
noted injuries should be thoroughly and explicitly documented,
abuse survivors may conceal their injuries to reduce future
assaults, the nurse's demeanor should be one of concern and
caring
A 73-year-old woman with pneumonia becomes agitated after
being admitted to the intensive care unit through the emergency
department. She is placed in soft restraints when she continues
to try to leave her bed despite being too weak to walk. During
her first 24 hours in the ICU, the patient varies from somnolent
to agitated, and from laughing to angry. Her daughter reports
that the patient "was never like this at home." What is the most
likely explanation for the situation? - correct answer-
The patient is experiencing delirium secondary to the
pneumonia.
A diabetic patient is to have a midthigh amputation of his left
leg. He tells the nurse, "I guess I'll be called 'Gimpy' after the
surgery. My life is really going to change when I can't carry out
, my exercise program anymore. It sure won't be the same." What
do these comments suggest the patient is experiencing? -
correct answer- Loss and grief
The nature of the surgery, which involves the loss of a major
portion of his body and the potential for major changes in the
mobility this individual has been accustomed to, creates a major
loss for the patient. When there is a significant loss, the patient
experiences a grief response, which is what is beginning to be
addressed here. There are no data to support denial, depression,
or spiritual distress.
A nurse interviews a patient abducted and raped at gunpoint by
an unknown assailant. The patient says, "I can't talk about it.
Nothing happened. I have to forget." What is the patient's
present coping strategy? - correct answer- Denial
The patient's statements reflect use of denial, an ego defense
mechanism. This mechanism may be unconsciously used to
protect the person from the emotionally overwhelming reality of
the rape. The patient's statements do not reflect somatization,
repression, or projection.
A nurse, Sarah, responds to loud, angry voices coming from the
day room, where she fins that Mr. Christopher is pacing and
QUESTIONS AND ANSWERS; GRADED A+
A 35-year-old woman is being assessed related to suspected
battering. In interviewing this patient, it is important for the
nurse to keep in mind that: - correct answer- all
noted injuries should be thoroughly and explicitly documented,
abuse survivors may conceal their injuries to reduce future
assaults, the nurse's demeanor should be one of concern and
caring
A 73-year-old woman with pneumonia becomes agitated after
being admitted to the intensive care unit through the emergency
department. She is placed in soft restraints when she continues
to try to leave her bed despite being too weak to walk. During
her first 24 hours in the ICU, the patient varies from somnolent
to agitated, and from laughing to angry. Her daughter reports
that the patient "was never like this at home." What is the most
likely explanation for the situation? - correct answer-
The patient is experiencing delirium secondary to the
pneumonia.
A diabetic patient is to have a midthigh amputation of his left
leg. He tells the nurse, "I guess I'll be called 'Gimpy' after the
surgery. My life is really going to change when I can't carry out
, my exercise program anymore. It sure won't be the same." What
do these comments suggest the patient is experiencing? -
correct answer- Loss and grief
The nature of the surgery, which involves the loss of a major
portion of his body and the potential for major changes in the
mobility this individual has been accustomed to, creates a major
loss for the patient. When there is a significant loss, the patient
experiences a grief response, which is what is beginning to be
addressed here. There are no data to support denial, depression,
or spiritual distress.
A nurse interviews a patient abducted and raped at gunpoint by
an unknown assailant. The patient says, "I can't talk about it.
Nothing happened. I have to forget." What is the patient's
present coping strategy? - correct answer- Denial
The patient's statements reflect use of denial, an ego defense
mechanism. This mechanism may be unconsciously used to
protect the person from the emotionally overwhelming reality of
the rape. The patient's statements do not reflect somatization,
repression, or projection.
A nurse, Sarah, responds to loud, angry voices coming from the
day room, where she fins that Mr. Christopher is pacing and
