NUR 158 chapter 38 - 4 || 100% Error-free Answers.
A 22-year-old client has been admitted to the hospital for an appendectomy. In the evening after
successful surgery, the client began getting progressively anxious, twitching and is now flicking
"bugs" off of the arms. Which disorder would the nursing assistant suspect this individual is now
exhibiting?
Withdrawal
Posttraumatic stress disorder (PTSD)
Depression
Bipolar disorder correct answers Posttraumatic stress disorder (PTSD)
A 29-year-old person who has moderate intellectual disability is recovering in the hospital from
burns received in a kitchen accident. In the time on the unit, the individual has established a
reputation as a cheerful person in spite of the recent injuries. How should the nursing assistant
respond to the observation of noticing the individual grimacing and making occasional groans?
Sit at the person's bedside and touch his or her shoulder gently.
Inform the nurse that the person may be in pain.
Give the person a back rub.
Offer the person a cold drink of water. correct answers Inform the nurse that the person may be
in pain.
A 31-year-old client with schizophrenia is admitted to the hospital because of the exacerbation of
symptoms brought on by the decision to stop taking necessary medications. Which response
should the nursing assistant prioritize when this client says there is a small man who lurks in the
halls of the hospital and spies on him?
"Don't worry. You can trust me to protect you from him."
"If you take your medications, your delusions will decrease."
"You're seeing things that aren't there. How do you think we should deal with this?"
"That sounds very stressful for you. Do you want to come to the lounge for a bit?" correct
answers "That sounds very stressful for you. Do you want to come to the lounge for a bit?"
, A 48-year-old individual who was diagnosed several months ago with clinical depression was
asked by a spouse to come for a walk around the neighborhood. Which response would suggest
this individual may be using conversion as a defense mechanism?
"I can't tonight. I'm feeling too down to get up and do anything."
"Not tonight. I feel like I've got one of my migraines coming on."
"I know what you're trying to do, and I wish you'd quit pushing me to do things."
"Why don't you see if one of the kids wants to go with you?" correct answers "Not tonight. I feel
like I've got one of my migraines coming on."
A client has been admitted to the hospital with a stroke that has resulted in dysphagia. What
member of the rehabilitation team is likely to have the most expertise in working with this client
to restore the ability to swallow?
Nursing assistant
Registered nurse
Occupational therapist
Speech--language pathologist correct answers Speech--language pathologist
A client has been admitted to the medical unit of the hospital because of the exacerbation of
signs and symptoms of AIDS. Which action best respects this client's rights?
Informing the other clients that there is a client with AIDS on the unit
Flagging the front of the client's medical chart with a diagnosis
Using standard precautions when providing care for the client
Arranging a visit from a clergy member or spiritual advisor before checking with the client
correct answers Using standard precautions when providing care for the client
A client has been diagnosed with clinical depression. Which statement should the nursing
assistant prioritize if asked by the client for information about clinical depression?
The frequency of clinical depression decreases with age.
Clinical depression is an uncommon mental illness.
Clinical depression is a risk factor for suicide.
A 22-year-old client has been admitted to the hospital for an appendectomy. In the evening after
successful surgery, the client began getting progressively anxious, twitching and is now flicking
"bugs" off of the arms. Which disorder would the nursing assistant suspect this individual is now
exhibiting?
Withdrawal
Posttraumatic stress disorder (PTSD)
Depression
Bipolar disorder correct answers Posttraumatic stress disorder (PTSD)
A 29-year-old person who has moderate intellectual disability is recovering in the hospital from
burns received in a kitchen accident. In the time on the unit, the individual has established a
reputation as a cheerful person in spite of the recent injuries. How should the nursing assistant
respond to the observation of noticing the individual grimacing and making occasional groans?
Sit at the person's bedside and touch his or her shoulder gently.
Inform the nurse that the person may be in pain.
Give the person a back rub.
Offer the person a cold drink of water. correct answers Inform the nurse that the person may be
in pain.
A 31-year-old client with schizophrenia is admitted to the hospital because of the exacerbation of
symptoms brought on by the decision to stop taking necessary medications. Which response
should the nursing assistant prioritize when this client says there is a small man who lurks in the
halls of the hospital and spies on him?
"Don't worry. You can trust me to protect you from him."
"If you take your medications, your delusions will decrease."
"You're seeing things that aren't there. How do you think we should deal with this?"
"That sounds very stressful for you. Do you want to come to the lounge for a bit?" correct
answers "That sounds very stressful for you. Do you want to come to the lounge for a bit?"
, A 48-year-old individual who was diagnosed several months ago with clinical depression was
asked by a spouse to come for a walk around the neighborhood. Which response would suggest
this individual may be using conversion as a defense mechanism?
"I can't tonight. I'm feeling too down to get up and do anything."
"Not tonight. I feel like I've got one of my migraines coming on."
"I know what you're trying to do, and I wish you'd quit pushing me to do things."
"Why don't you see if one of the kids wants to go with you?" correct answers "Not tonight. I feel
like I've got one of my migraines coming on."
A client has been admitted to the hospital with a stroke that has resulted in dysphagia. What
member of the rehabilitation team is likely to have the most expertise in working with this client
to restore the ability to swallow?
Nursing assistant
Registered nurse
Occupational therapist
Speech--language pathologist correct answers Speech--language pathologist
A client has been admitted to the medical unit of the hospital because of the exacerbation of
signs and symptoms of AIDS. Which action best respects this client's rights?
Informing the other clients that there is a client with AIDS on the unit
Flagging the front of the client's medical chart with a diagnosis
Using standard precautions when providing care for the client
Arranging a visit from a clergy member or spiritual advisor before checking with the client
correct answers Using standard precautions when providing care for the client
A client has been diagnosed with clinical depression. Which statement should the nursing
assistant prioritize if asked by the client for information about clinical depression?
The frequency of clinical depression decreases with age.
Clinical depression is an uncommon mental illness.
Clinical depression is a risk factor for suicide.
