Spring Final Exam: Questions And Answers Verified 100% Correct

Spring Final Exam: Questions And Answers Verified 100% Correct 1. A patient diagnosed with functional neurological symptom disorder is undergoing CBT (Cognitive behavioral therapy) for intrapsychic conflicts. He said to the nurse that his arms do not feel like a part of him. Further, he asks the nurse “what could this feeling be caused by and am I all right?” the most therapeutic response would be: RIGHT ANSWER: your arms looks alright. This strange feeling you have concerning your arms is a part of your illness 2. The psychologist started the therapy session with this question “how have things been since we last met?” the nursing student observing this conversation understands that the psychologist is practicing based on the concepts of: RIGHT ANSWER: interpersonal psychotherapy 3. A recently retired female executive was admitted to the hospital because she was no longer able to function effectively at home. Her behavior included an uncontrollable urge to chant long prayers for many hours. You are assigned to care for this patient during the early part of her hospitalization. In your initial contact with her, you will focus on: OR allowing plenty of time to 24. Recently, a child diagnosed with intellectual disability by dark despair and confusion has scored 47 on her IQ test. Her parents contacted a local agency that serves the developmentally disabled and asked for a suggestion regarding her potential. which nursing statement reflects the best estimate of the client’s eventual level of development? RIGHT ANSWER: “she may eventually function at about second-grade level” 25. A client suffering from agoraphobia tells you “that was a terrible feeling of panic I had yesterday. I’m somewhat afraid to talk about it.” What is your best response? OR 26. A 16-year-old client diagnosed with schizophrenia experiences command hallucinations to harm others. The client’s parents ask a nurse, “what are command hallucinations? which is the most appropriate nursing responses? RIGHT ANSWER: your child has false perceptions ANSWER: explore her feelings about being hospitalized complete the rituals. ANSWER: “what were you doing yesterday when you first noticed the feeling?” practice deep breathing exercises when you experience panic symptoms This study source was downloaded by from CourseH on :45:54 GMT -06:00 27. A kindergarten student is timid and shy. A school nurse notices open wound in his elbow. What another symptom should indicated to the nurse that the child might have been psychically neglected? ANSWER: the child overreacts at the approach of adults OR the child begs or steals food or money 28. The nursing instructor is explaining the etiology of illness anxiety disorder from a psychodynamic perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred? RIGHT ANSWER: “They express personal worthlessness through physical symptoms, because physical problems are more acceptable than psychological problems.” Then to feel something is wrong with self 29. A patient has told the nurse that when she leaves the hospital, she will attend a new high school, as her family moved to another part of the city. The patient says to the nurse “I’ll have to get to know a new group of teachers and kids. Do you think they will like me?” the best response the nurse can make would be: RIGHT ANSWER: you seem concerned about what they will think of you 30. A nurse working in hospice is proving end of life care to clients and families from many cultural and religious minority groups. These cultural guidelines related to bereavement practices are anticipated except? RIGHT ANSWER: providing advice related to funeral rituals is an important responsibility of the nurse 31. A nurse is working with the client who has somatic syndrome disorder. In order to diagnose somatic symptom disorder: ANSWER: the client spends an excessive amount of time and energy to hide their symptoms OR the client has more physical symptoms and psychosocial symptoms 32. A depressed client attempts suicide. Shortly before the attempt, he made several remarks. Which of these should have forewarned the nurse of his action? RIGHT ANSWER: “it’s really rough going, and I wonder if it’s really worth trying.” 33. Which of the following symptoms must be present to diagnose a manic episode? RIGHT ANSWER: elevated expansive or irritable mood 34. What symptoms should a nurse use to differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)? RIGHT ANSWER: Depersonalization is commonly seen in panic disorder and absent in GAD. 35. Patients with alcoholism may develop Korsakoff’s psychosis. Which of these symptoms are associated with this condition? RIGHT ANSWER: confabulation and amnesia 36. The client with dependent personality traits mentions to the nurse “I’m still on unit restrictions and I’d really like to start attending off unit activities. Would you ask the doctor to upgrade my privileges?” the best response by the nurse would be: RIGHT ANSWER: that’s a good topic for you to take up with your doctor. You’ll be meeting at 2pm This study source was downloaded by from CourseH on :45:54 GMT -06:00 37. When assessing a 2-year-old child suspected with autistic disorder, the nurse should be particularly alert for: RIGHT ANSWER: failure to develop interpersonal skills 38. You are working with a client who is in acute manic phase. He has difficulty sleeping, with only 0-2 hours of sleep recorded by the night shift nurse. Which of the following would you write as a complete nursing diagnosis using North American Nursing Diagnosis Association (NANDA) classification? RIGHT ANSWER: Insomnia r/t sensory overload as evidenced by lack of adequate sleep (0-2 hours) 39. A client is admitted to the emergency department with complaints of sudden hyper arousal and panic symptoms. Which monoamine should the nurse associate with the production of these symptoms? RIGHT ANSWER: increased levels of norepinephrine 40. A patient and her roommate are in their room. While passing by, a nurse hears them arguing. The manic patients says, “you are a pig. I hate you.” The roommate answers “what right do you have you say that.” And starts to cry. Which of this intervention by the nurse would be appropriate? ANSWER: enter and say to the manic person “you’ve upset your roommate. She is crying.” OR enter and say “it sounds as if you were both upset” 41. A client believes she has a brain tumor despite numerous diagnostic tests that show no evidence of a tumor. She tells her nurse “people with brain tumors vomit. Yesterday I vomited all day. I know I have a brain tumor.” The approach that fosters cognitive restructuring:” ANSWER: “Let’s see if there are any other possible explanations for your vomiting.” OR you do not have a brain tumor, the more you talk about it, the more reinforces your illogical thinking. Well talk about it 42. The client is a 25-year-old pregnant mother of two children under the age of 6. She is a very protective mother and will not allow her children to play outdoors for fear of tick bites. She is worn out from cleaning the house from top to bottom every day. She asks the nurse how she can stop worrying so much. What is the most appropriate response for the nurse? RIGHT ANSWER: "Tell me your concerns about the children playing in your backyard." 43. A client in the middle stage of NCD has difficulty communicating because of cognitive deterioration. Which nursing intervention is appropriate to improve communication? RIGHT ANSWER: verbalize the nurse’s perception of the implied communication 44. The nurse should make it a priority to ask while performing an admission interview for a client with a suspected diagnosis of dissociative identity disorder: RIGHT ANSWER: “have you been unable to remember how you came to be in a certain place?” 45. A client has been diagnosed as having blindness related to functional neurological symptom (conversion) disorder. She displays indifference regarding the conversion symptom. The nurse states, “I can’t understand why the client doesn’t seem more anxious about her symptom.” The understanding that should guide planning is that her: