nurs 406 test 1 Study Guide Rated A

nurs 406 test 1 Study Guide Rated A+ cardiac neuro behavioral health Patient is receiving an IV infusion of heparin and was started on warfarin therapy the night before. which statement is most correct? A. the patient is receiving a double dose of anticoagulants B. the heparin therapy was ineffective, so the warfarin was started. C. the heparin provides anticoagulation until therapeutic levels of warfarin are reached. D. the heparin and warfarin work together synergistically to provide anticoagulation MASLOWS hierarchy of needs double bind messages the "miracle" question the backbone of a nurse-client relationship is social relationship therapeutic relationship Morally, legally, and ethically trained nurses and nursing students do not have ______________ relationships with patients You are about to initiate your first contact with Becky. Which is the most suitable goal in establishing the therapeutic relationship? •Establish friendship and a sense of fun •Ensure that mutual needs will be met •Establish clear boundaries while identifying patient needs •Ensure two-way communication to give or ask for help Peplau's model of nurse patient relationship You notice that you look forward to talking to Becky because her dark sense of humor reminds you of your best friend in high school. You also begin to make little cynical jokes, hoping to have a good laugh together. What is this relationship showing early signs of? •Accountability •Self-reflection •Transference •Countertransference After your first conversation, Becky withdraws from you again before you've even really begun. Which statement will contribute most to establishing Becky's trust? A."Weren't you complying with your medication regimen?" B."It must be discouraging to be readmitted to the hospital so soon." C."Everyone with bipolar disorder ends up in the hospital occasionally." D."You must take your drugs as prescribed or you will be rehospitalized." Case study: As you prepare for the initial interview with 15-year-old Noah, you learn that he has a history of cutting himself. His parents have separated and are getting a divorce; his father has left and Noah is living with his mother. Noah has been smoking for about a year and a half and his mother suspects that he has come home smelling of marijuana twice now. All three behaviors were ongoing before the father left. Which behavior from Noah would be considered a double-bind message? A.He winks at you and says, "Do you date 15-year-old guys?" B.He puts his head in his hands, shakes it, and snaps, "I don't want to do this. Just get me out of here!" C.He sneers at you and almost purrs as he says, "Oh yes. I will tell you anything you want to know, of course, I will." D.He cries and shakes, jiggling one leg, as he says softly, "Please, let's just not talk about Dad, okay? Noah has made it clear he doesn't want to talk about his dad. But the truth is, as the interview proceeds, he becomes anxious and tries to evade all questions about why he is here. Which type of communication might be most appropriate right now? A.Stop questioning so much and just give him some good advice so he'll trust you. B.Express honest disapproval of his resistance to help. C.Ask him pointblank why he is evading you. D. Ask a miracle question As a nurse assesses a new client, the nurse makes sure the door remains open. Which type of communication factor is this action? A.Environmental B.Relationship C.Personal Becky tells you, "I have something secret to tell you, but you can't tell anyone else." The nurse agrees. What is the likely consequence of the nurse's action? A.Healthy feelings of sympathy by the nurse toward the client. B.Blurred boundaries in the nurse-client relationship. C.Improved rapport between the nurse and client. D.Enhanced trust between the nurse and client A client with a severe allergy has been administered a high dose of antihistamine. The nurse finds that the client is drowsy and dizzy. Which type of need would the nurse prioritize in the client according to Maslow's hierarchy of needs? Safety need Belonging need Self-esteem need Self actualization need EAQs A client who has sustained an accident says, "I have a dream of conquering the world's highest mountain range." To which level of need does the given scenario refer to, according to Maslow's hierarchy of needs? The given scenario relates to the first level that includes physiological needs. The given scenario relates to the fourth level that includes self-esteem needs. The given scenario relates to the final level that includes self-actualization needs. The given scenario relates to the second level that includes safety and security needs. A client says "I feel frustrated because I do not spend enough time with my partner because of my job." According to Maslow's hierarchy of needs, which level of need does the given scenario refer? The given scenario relates to the first level that includes physiological needs. The given scenario relates to the second level that includes safety and security needs. The given scenario relates to the third level that includes love and belonging needs. The given scenario relates to the final level that includes self-actualization needs. A client says, "I do not want to go back to school because I fear that everyone will laugh at me." Which level of need does the given scenario refer to according to Maslow's hierarchy of needs? The given scenario relates to the first level that includes physiological needs. The given scenario relates to the second level that includes safety and security needs. The given scenario relates to the fourth level that includes self-esteem needs. The given scenario relates to the third level that includes love and belonging needs. A nurse is evaluating different situations related to Maslow's hierarchy of needs. Which situations come under the second level of needs? Select all that apply. A client tells the nurse that he or she has no friends A client tells the nurse that he or she is taunted by his or her boss every day. A client tells the nurse that his or her spouse belongs to a criminal gang. A client tells the nurse that he or she does not like interacting with people. A client tells the nurse that he or she lives beside a factory that manufactures harmful chemicals. A nurse working in a postoperative ward assists an older client in getting to the washroom in order to prevent the client from falling. Which level of need did the nurse prioritize in the client according to Maslow's hierarchy of needs? Level 1 Level 2 Level 3 A registered nurse is explaining Maslow's hierarchy of needs to a nursing student, by examining different situations. Which examples mentioned by the nurse belong to the fifth level of needs? Select all that apply. "A client wishes to become the best swimmer in the whole world." "A client tells the nurse that he or she has the urge to urinate every 10 minutes." "A client feels like a failure for not being able to complete college education." "A client tells the nurse that he or she wishes to become a successful engineer despite having dyslexia." "A client who is bedridden requests a physical therapist consultation in order to achieve maximum mobility." A nursing student is citing examples of situations based on Maslow's hierarchy of needs. Which situations belong to the first level of needs? Select all that apply. "A client informs the nurse that he or she is a homeless person." "A client tells the nurse that he or she has been feeling dizzy for two days." "A client tells the nurse that he or she is beaten up repeatedly by a neighbor." "A client tells the nurse that he or she is unable to consume food because of throat pain." "A client informs the nurse that he or she is going to walk one day even after undergoing leg amputation." A registered nurse is teaching a nursing student about Maslow's hierarchy of needs. Which statement made by the nursing student needs correction? "The hierarchy of basic human needs includes five levels of priority." "The second level includes safety and security needs, which involve physical and psychological security." "The fourth level contains love and belonging needs, including friendship, social relationships, and sexual love." "The final level is the need for self-actualization, which includes the ability to solve problems and cope realistically with situations of life." Which level of Maslow's hierarchy of needs is fulfilled by the nurse fitting a client who nearly died of asphyxiation with an oxygen mask? First level Second level Third level Fourth level