NR 493 FUNDAMENTALS POST EXAM 2024 QUESTIONS AND CORRECT DETAILED ANSWERS COMPLETE SOLUTION GRADED A

NR 493 FUNDAMENTALS POST EXAM 2024 QUESTIONS AND CORRECT DETAILED ANSWERS COMPLETE SOLUTION GRADED A A nurse is bathing a toddler and notices that she has several bruises. Which of the following actions should the nurse take first? Ask the toddler what caused the bruises. Notify the provider. Ask the parents what caused the bruises. Notify social services. - Ask the parents what caused the bruises. A nurse is teaching client about Alcoholics Anonymous AA. Which of the following client statements indicates an understanding of the program's basic concepts? "I am responsible for my alcoholism." "I need to identify things that cause me to be an alcoho lic." "I am powerless about my addiction to alcohol." "I need to see a counselor who will be responsible for my recovery." - "I am powerless about my addiction to alcohol." A nurse is preparing a presentation at a community center about complementary a nd alternative therapies. Which should she describe as programming the mind to override the stress response? Reiki Biofeedback Acupuncture Autogenic training - Autogenic training Autogenic training programs the mind to override the stress response, and is thus a helpful strategy for stress management. A nurse on a mental health unit is caring for pts who have the following depressive disorders. The nurse should identify which of the following diagnoses as presenting the greatest risk for suicide? Premenstrual dysphoric disorder Seasonal affective disorder Recurrent brief depression Minor depression - Recurrent brief depression A client who has recurrent brief depression experiences periodic major depressive episodes and is at greatest risk for suicide during these times. A nurse is caring for a pt who has Alzheimer's disease and is confused. Which cognitive therapy may benefit the pt? Turn the television on at all times. Hang abstract pictures on the walls. Keep familiar personal items at the bedside. Encourage bright glaring lighting in the room. - Keep familiar personal items at the bedside. A nurse is setting goals for a client who has had AIDS for the last 10 years and is at the end of life. Which are re alistic goals? The client will verbalize an understanding of the mode of disease transmission. The client will experience a weight gain of one to two pounds per week. The client will increase attendance at community social activities. The client will receive medication to minimize episodes of breakthrough pain - The client will receive medication to minimize episodes of breakthrough pain. A nurse caring for a client who has a mood disorder and is assessing his readiness for discharge. Which client st atements indicates readiness for discharge? "Right now, I can't bathe myself or dress myself, but I feel good about that." "Going home will be fun, but if it isn't fun, I can always have my mother help me." "I will take my medicines as I should and kno w to call the number you gave me if I have bad thoughts." "Taking care of myself is important, but it's okay if I don't want to do anything." - "I will take my medicines as I should and know to call the number you gave me if I have bad thoughts." A nurs e is discussing Ageism with a newly licensed nurse. Which statements by the newly licensed nurse, indicates understanding? "Ageism refers to a higher level of respect that Eastern cultures give to their elders." "Ageism refers to the stereotype that old er adults are less intelligent than other age groups." "Ageism refers to assumptions about an older adult client based on gender and economic status." "Ageism refers to the increase in physical care required by older adults." - "Ageism refers to the ste reotype that older adults are less intelligent than other age groups." A nurse is providing care for a pt who appears anxious following a recent tragedy. Which statements reflect an adaptive defense mechanism? "I will work out in the gym every time I get mad about what happened." "I do not have anxiety, and I am not sure why you think I do." "I cannot remember anything that happened, and I am okay." "I am not capable of moving past this time in my life." - "I will work out in the gym every time I get mad about what happened." A nurse manager is preparing to confront a staff nurse who is abusing alcohol. Which responses should the nurse manager expect ? Projection Rationalization Repression Denial - Denial A nurse in the ED is caring for a pt who is experiencing acute alcohol w ithdrawal. All of the following interventions are part of the pt care protocol. Which action should the nurse perform first? Implement seizure precautions. Insert an IV access site. Perform a neurological exam. Obtain a blood specimen. - Perform a neurological exam. A nurse is caring for a pt who states, "I have got to get out of this hospital! They have found my address and are coming for my family!" The nurse responds, "Don't worry, no one will harm your fam ily." What type of communication breakdown does this response represent? Providing a passive statement Showing disapproval Offering false reassurance Using a value statement - Offering false reassurance A nurse is caring for a 48 year old who is gr ieving. The pt reports that her husband died seven months ago, that she has lost 30 lbs, and that she has difficulty sleeping. which items of data indicate that theft is experiencing Maladaptive Grieving? The client is 48 years old. The client's husband died seven months ago. The client has lost 30 lb. The client has difficulty sleeping. - The client's husband died seven months ago. One of the defining factors of maladaptive grieving is grief that lasts 6 months or longer after the loss. A nurse i s caring for a pt who is apparently in denial over the loss of a limb in a MVC. Which of the following nurse interventions is appropriate for this pt at this time? Allow the client to continue to deny the situation as part of recovery. Provide the clien t with written information about the phases of loss. Slowly intervene to help the client develop awareness. Suggest that the client accept his physiologic loss. - Slowly intervene to help the client develop awareness. A nurse is caring for a pt who has pelvic fractures and will require bed rest & traction for 4-6 weeks. She is a stay at home mother of three teenagers whose father travels extensively for his job. In planning to assist the family, which effects should the nurse consider the priority in pl anning assistance & referrals for the family? Loss of privacy Decrease in income Changes in family members' roles and tasks Loss of autonomy for the children - Changes in family members' roles and tasks A nurse is caring for an adolescent pt who has a new diagnosis of schizophrenia. The pt's parents are tearful & express feelings of guilt. Which statements by the nurse is appropriate? "You said that you feel guilty about your daughter's diagnosis. Let's talk about what is causing you to feel this way." "You should not feel guilty about your daughter's diagnosis. Schizophrenia is unpreventable." "I'm sure your daughter's diagnosis is very difficult to deal with but everything will be all right once she receives the proper treatment." "Your provider has explained the causes of schizophrenia. Why do you feel guilty about your daughter diagnosis?" - "You said that you feel guilty about your daughter's diagnosis. Let's talk about what is causing you to fee l this way." A nurse is caring for a group of pts who have depression. Which is the most common behavioral finding among these pts? A focus on past failures Slowed body movement A lack of energy Sleep disturbances - A lack of energy A nurse is carin g for a group of adolescent pts on a mental health unit. Which pts should the nurse identify as the highest risk for a suicidal attempt?