QUESTION 61 A patient with hypochondriasis would exhibit which characteristic? a. Fearful response to loud noises. b. Shortness of breath and

Question Answered QUESTION 61A patient with hypochondriasis would exhibit which characteristic? a. Fearful response to loud noises. b. Shortness of breath and palpitations. c. Frequent visits to the doctor for the same complaint. d. Constant crying and excessive sleeping.QUESTION 62Which assessment data is associated with a patient who has the medical diagnosis of Anorexia Nervosa?a. Eating eight small meals a day.b. Eating large amounts of unhealthy food.c. Eating and inducing vomiting immediately after.d. Eating minimal amounts of food and fluid.QUESTION 63Which is the appropriate action by the RN when a client treated for depression states, “I am all better now, I feel great?”a. Watchfully observe for suicidal ideation.b. Transfer the client to a private room.c. Prepare the client for discharge home.d. Hold the next dose of anti-anxiety medication.QUESTION 64A client with Obsessive-Compulsive Disorder washes his hands 20-30 times per day and they are raw and bleeding. What would be an appropriate question for the RN to ask this client?a. “Can you describe how you feel when you wash your hands?”b. “Are your hands actually soiled that many times a day?”c. “What is making you feel so anxious?”d. “Why do you keep washing your hands so many times a day?”QUESTION 65The RN making a home visit is teaching the family of a patient who has a diagnosis of Dementia how to care for the patient. Which information must be included in the teaching plan?a. Encouraging the patient to live alone.b. Taking away the car keys.c. Providing mobility aids for showering.d. Allowing the patient to cook meals independently.QUESTION 66A toddler has been brought to the Emergency Room by the parents. Upon assessment the RN notices round-shaped burn marks on the upper arms and thighs of the patient. What is the legal responsibility of the RN at this time?a. Identify the marks as cigarette burns and confront the parents.b. Call the police and have the parents arrested.c. Contact child protective services and detain the child from discharge.d. Treat the patient and follow-up with child protective services once the family has returned home.QUESTION 67The RN has selected Chronic low self-esteem as the priority nursing diagnosis for a client admitted with a medical diagnosis of Depression. Which intervention is appropriate for this nursing diagnosis?a. Ensure environment is safe.b. Assess stage of grieving process.c. Establish trusting relationship.d. Maintain close observation.QUESTION 68What is the RN’s most appropriate response to a client who is experiencing a Post-Traumatic Stress Disorder (PTSD) reaction?a. “You are safe here and in good hands.”b. “You probably think you are back in a war zone.”c. “It’s not that bad, try to relax.”d. “Tell me what you are experiencing right now.”QUESTION 69A client with Borderline Personality Disorder has been exhibiting frequent, violent temper outbursts on the mental health unit. Which outcome would be most appropriate for this client?a. Client will express anger appropriately.b. Client will stop exploiting others on the unit.c. Client will be able to express his emotions.d. Client will interact with others on the unit.QUESTION 70Which data would the RN expect to assess for a patient with Alzheimer’s Disease? Select all that apply.a. Safety due to wandering. b. Increase in alertness. c. Decline in short-term memory. d. Depressed affect. e. Ability to read books.  QUESTION 71A client’s health record indicates Stage 4 Alzheimer’s disease with recent episodes of confabulation. The RN instructs the LPN on the team to report if which of the following client behaviors is noticed? a. Exhibits short-term memory loss. b. Makes up things to fill in memory gaps. c. Acts in an inappropriate manner. d. Becomes disoriented at night.QUESTION 72What is the appropriate RN response when the family of a patient diagnosed with Alzheimer’s Disease asks the RN why it is necessary to have referrals to other types of healthcare providers?a. “Symptoms will get worse and then improve.”b. “There will be a change in cognition and ability to function.”c. “The care involves excessive work for one provider.”d. “Alzheimer’s will impact vital physical functioning.”QUESTION 73Which nursing intervention is appropriate to use for the nursing diagnosis Deficient knowledge related to initiation of new medications for treatment of anxiety?a. Consult the health care provider to come and explain the medications.b. Provide written materials about the medication.c. Administer all medications on time.d. Ask the family to explain the medication to the patient.QUESTION 74Which assessment supports the presence of alcohol intoxication?a. Slow, steady gaitb. Intense focus on workc. Pale faced. NystagmusQUESTION 75Which assessment findings indicate to the RN that a client is exhibiting symptoms of a moderate anxiety reaction?a. Chest pain, diaphoresis and fear of dying.b. Increased perception and restlessness.c. Palpitations and hyperventilation.d. Trembling, decreased concentration and gastric discomfort.QUESTION 76 In which circumstance would it be appropriate for the RN to breach confidentiality? a. A family member is requesting protected health information. b. A neighbor asks the RN why the patient was admitted.c. A patient is a danger to themselves or others.d. A newspaper phones the hospital seeking information.QUESTION 77 Following hospitalization, an older adult patient starts to wander the halls and becomes confused during the evening hours. The RN would anticipate the use of which medication to treat the symptoms? a. galantimine (Razadyne) b. haloperidol (Haldol) c. fluoxetine (Prozac) d. clonazepam (Klonopin)QUESTION 78A client with hypertension who takes a beta-blocker has been started on an MAOI after a poor therapeutic response to other classes of antidepressant medication. The RN educates the client the interaction of these two (2) medications could result in which side effect? a. Seizures b. Bradycardia c. Increased bleeding d. TachycardiaQUESTION 79What is the appropriate RN response to the adult daughter of a patient with the medical diagnosis of Alzheimer’s Disease who asks the RN when the newly prescribed medication, donepezil (Aricept), will begin prevention of further degeneration for her mother?a. If this drug does not prevent deterioration, others can be prescribed.”b. “The drug does not alter the progress of the disease but temporarily relieves symptoms.”c. “It will take at least three months for the medication to take full effect.”d. “Blood tests will need to be performed periodically to ensure the correct dosage.”QUESTION 80What is the appropriate nursing action for the RN to take when caring for a patient with Anorexia Nervosa who insists on chewing each bite of food 25 times before swallowing? a. Consult with the dietician for other food choices. b. Talk to the patient about why this is occurring. c. Tell the patient it is not necessary to chew that many times. d. Do nothing as this ritual helps decrease anxiety. Health Science Science Nursing NUR 212 Share QuestionEmailCopy link Comments (0)