Varcarolis Exam 1 Questions and
answers
in which scenario is it most urgent for the nurse to act as a patient advocate - ANSa homeless
adult diagnosed with schizophrenia lives in a community expecting a category 5 hurricane
the nurse interacts with a veteran of World War II. The veteran says, "Veterans of modern wars
whine and complain at the time. Back when i was in service, you kept your feelings to yourself."
The response is - ANS"we now have a better understanding of how trauma affects people and
the importance of research based, compassionate care."
A patient reports to a primary care provider about sleeplessness, constant fatigue, and sadness.
In our current health care climate, what is the most likely treatment approach that will be offered
to the patient? - ANSpsychopharmacological treatment
the nurse prepares outcomes to the plan of care for an adult diagnosed with mental illness.
Which strategy recognizes the current focus of treatment services for this population? - ANSthe
patient and family participate actively in establishing priorities and selecting interventions
which scenerio best demonstrates empathetic caring? - ANSa nurse provides comfort to a
colleague after an error of medication administration
a mentally ill gunman opens fire in a crowded movie theater, killing six people and injuring
others. Which comment about this event by a member of the community most clearly shows the
stigma of mental illness? - ANS"all these people with mental illness are violent and should be
locked up"
the nurse presents a class about mental health and mental illness to a group of fourth graders.
One student asks, "why do people get mentally ill?" Select the nurse's best response. -
ANSsometimes a person's brain does not work correctly because something bad happens or
they inherit a brain problem
an adult experienced a spinal cord injury resulting in quadriplegia 3 years ago and now lives
permanently in a skilled care facility. Which comment by this person best demonstrates
resiliency? - ANS"being paralyzed has taken things from me but it hasnt kept me from being
mentally involved in life"
a nursing assistant says to the nurse, "The shizophrenic in room 226 has been rambling all day.
When considering the nurse's responsibility to manage the ancillary staff, which response
, should the nurse provide? - ANSIt is more respectful to refer to the patient by name than by
diagnosis
Which scenerio meets the criteria for "normal" behavior - ANSa 43 year old man cries privately
for 1 month after the death of his wife
a nurse plans a group meeting for adult patients in a therapeutic milieu. Which topic should be
included? - ANSthe importance of hand washing
considering maslows pyramid which comment indicates an individual is motivated by the highest
level of need. - ANSI help my community by volunteering at a thrift shop that raises money for
the poor
which patient is likely to achieve maximum benefit from cognitive behavioral therapy - ANSadult
experiencing feeling of failure after losing the fourth job in 2 years
an adult plans to attend an upcoming tenth high school reunion. This person says to the nurse,
"i'm embarrased to go, i will not look as good as my classmates. I haven't been successful in my
career" Which comment by the nurse addresses this cognitive distortion? - ANS"Do you thin you
are the only person who has aged and faced difficulties in life?"
A distraught 8 year old girl tells the nurse, "I had a horrible nightmare and was so scared. I tried
going to get in bed with my parents but they said NO. I think i could have gone back to sleep if i
had been with them. Which family dynamic is likely the basis of this child's comment? -
ANSboundaries in the family are rigid
A patient is diagnosed with an abscess in the cerebellum. Which nursing diagnosis has priority
for the plan of care? - ANSRisk for falls related to loss of balance and equilibrium
A patient begins a new prescription for risperdone (Risperdal). Which intervention should the
nurse include in plan of care? - ANSAssess sitting, standing and lying blood pressure daily
Systemic measurement of body weight, body mass index, waist circumference and glucose
levels would be most important for a patient beginning a new prescription for which medication?
- ANSOlanzapine (Zyprexa)
A patient tells the community mental health nurse, "I told my health care provider I was having
trouble sleeping and he prescribe trazodone 50mg every night. I read on the internet that drug is
an antidepressant, but Im not depressed. What should i do? Which response is correct? -
ANS"in low doeses, trazodone helps relieve insomnia. Higher doses are needed for
antidepressant effects to occur."
answers
in which scenario is it most urgent for the nurse to act as a patient advocate - ANSa homeless
adult diagnosed with schizophrenia lives in a community expecting a category 5 hurricane
the nurse interacts with a veteran of World War II. The veteran says, "Veterans of modern wars
whine and complain at the time. Back when i was in service, you kept your feelings to yourself."
The response is - ANS"we now have a better understanding of how trauma affects people and
the importance of research based, compassionate care."
A patient reports to a primary care provider about sleeplessness, constant fatigue, and sadness.
In our current health care climate, what is the most likely treatment approach that will be offered
to the patient? - ANSpsychopharmacological treatment
the nurse prepares outcomes to the plan of care for an adult diagnosed with mental illness.
Which strategy recognizes the current focus of treatment services for this population? - ANSthe
patient and family participate actively in establishing priorities and selecting interventions
which scenerio best demonstrates empathetic caring? - ANSa nurse provides comfort to a
colleague after an error of medication administration
a mentally ill gunman opens fire in a crowded movie theater, killing six people and injuring
others. Which comment about this event by a member of the community most clearly shows the
stigma of mental illness? - ANS"all these people with mental illness are violent and should be
locked up"
the nurse presents a class about mental health and mental illness to a group of fourth graders.
One student asks, "why do people get mentally ill?" Select the nurse's best response. -
ANSsometimes a person's brain does not work correctly because something bad happens or
they inherit a brain problem
an adult experienced a spinal cord injury resulting in quadriplegia 3 years ago and now lives
permanently in a skilled care facility. Which comment by this person best demonstrates
resiliency? - ANS"being paralyzed has taken things from me but it hasnt kept me from being
mentally involved in life"
a nursing assistant says to the nurse, "The shizophrenic in room 226 has been rambling all day.
When considering the nurse's responsibility to manage the ancillary staff, which response
, should the nurse provide? - ANSIt is more respectful to refer to the patient by name than by
diagnosis
Which scenerio meets the criteria for "normal" behavior - ANSa 43 year old man cries privately
for 1 month after the death of his wife
a nurse plans a group meeting for adult patients in a therapeutic milieu. Which topic should be
included? - ANSthe importance of hand washing
considering maslows pyramid which comment indicates an individual is motivated by the highest
level of need. - ANSI help my community by volunteering at a thrift shop that raises money for
the poor
which patient is likely to achieve maximum benefit from cognitive behavioral therapy - ANSadult
experiencing feeling of failure after losing the fourth job in 2 years
an adult plans to attend an upcoming tenth high school reunion. This person says to the nurse,
"i'm embarrased to go, i will not look as good as my classmates. I haven't been successful in my
career" Which comment by the nurse addresses this cognitive distortion? - ANS"Do you thin you
are the only person who has aged and faced difficulties in life?"
A distraught 8 year old girl tells the nurse, "I had a horrible nightmare and was so scared. I tried
going to get in bed with my parents but they said NO. I think i could have gone back to sleep if i
had been with them. Which family dynamic is likely the basis of this child's comment? -
ANSboundaries in the family are rigid
A patient is diagnosed with an abscess in the cerebellum. Which nursing diagnosis has priority
for the plan of care? - ANSRisk for falls related to loss of balance and equilibrium
A patient begins a new prescription for risperdone (Risperdal). Which intervention should the
nurse include in plan of care? - ANSAssess sitting, standing and lying blood pressure daily
Systemic measurement of body weight, body mass index, waist circumference and glucose
levels would be most important for a patient beginning a new prescription for which medication?
- ANSOlanzapine (Zyprexa)
A patient tells the community mental health nurse, "I told my health care provider I was having
trouble sleeping and he prescribe trazodone 50mg every night. I read on the internet that drug is
an antidepressant, but Im not depressed. What should i do? Which response is correct? -
ANS"in low doeses, trazodone helps relieve insomnia. Higher doses are needed for
antidepressant effects to occur."
