NFDN 2007 Final questions with accurate
answers
3 Categories of Dementia Ans✓✓✓ - Early-onset familial AD (FAD)
- Rapidly progressive dementia Creutzfeldt-Jakob disease
- Later-onset dementia AD Vascular dementia Dementia with Lewy
Bodies (DLB) Frontotemporal dementia (FTD)
4 Phases of a Crisis Ans✓✓✓ - A problem arises that contributes to
increase in anxiety levels
- The usual problem-solving techniques are ineffective
- Trial and error attempts fail
- Crisis
4 phases of crisis
Phase 1 Ans✓✓✓ • A person confronted by a conflict or problem that
threatens the self-concept responds with increased feelings of anxiety.
• The increase in anxiety stimulates the use of problem-solving
techniques and defense mechanisms in an effort to solve the problem
and lower anxiety.
4 phases of crisis
Phase 2 Ans✓✓✓ • If the usual defensive response fails and the threat
persists, anxiety continues to rise and produce feelings of extreme
discomfort.
• Individual functioning becomes disorganized.
,• Trial-and-error attempts at solving the problem and restoring a normal
balance begin.
4 phases of crisis
Phase 3 Ans✓✓✓ • If the trial-and-error attempts fail, anxiety can
escalate to severe and panic levels, and the person mobilizes automatic
relief behaviors, such as withdrawal and flight.
• Some form of resolution (e.g., compromising needs or redefining the
situation to reach an acceptable solution) may be made in this stage.
4 phases of crisis
Phase 4 Ans✓✓✓ • If the problem is not solved and new coping skills
are ineffective, anxiety can overwhelm the person and lead to serious
personality disorganization, depression, confusion, violence against
others, or suicidal behavior.
A client gets upset when you go out for a schedules break stating " you
don't care about me" how would you respond? Ans✓✓✓ I do care but I
have a scheduled break and I will return in 15 mins
A client has a documented history of aggressive outbursts and has been
characterized in the past as having "anger issues". Which medication
would have the most directed effect on the neurochemical Aetiology of
anger and aggression? Ans✓✓✓ Citalopram
A Client is becoming angry agitated and the nurse is increasingly
concerned that the client may become aggressive. What can the nurse do
,to most likely to prevent an episode or aggression? Ans✓✓✓ Avoid
entering the client's personal space until the client becomes calm
A client is experiencing delusions and hallucinations. What is the best
response from the nurse? Ans✓✓✓ Patient safety
A client killed a bird in the backyard, what behaviour is characteristic of
this diagnosis? Ans✓✓✓ antisocial
A Client was just diagnosed with early onset AD. What would be a sign
of this? Ans✓✓✓ - Memory loss
- Problems with LOC
- Behavior and mood changes
- Difficulty performing tasks
A client with an eating disorder has told the nurse, "I know this isn't
healthy. I understand that, but I swear I'll start eating normally once I'm
able to lose this last 5 pounds." What is the nurse's most appropriate
response to the client's statement? Ans✓✓✓ I understand that you're
motivated to lose more weight. It would be very unhealthy for you to
keep losing weight, though
A new nurse asks you why the patient with BPD cut themselves. What is
the best response? Ans✓✓✓ To relieve the stress
, A Nurse is assessing a child who is suspected of having autism spectrum
disorder. When assessing the child's psychosocial status, which area
would be critical to assess? Select all that apply. Ans✓✓✓ - Behaviour
- Communication
A paediatric medical-surgical nurse is caring for a 4-year old girl who
had a bowel obstruction requiring surgery. Members of the care team
agree that the child is unusually "clingy" to staff. The child is
inappropriately affectionate, often seeking out hugs, and attempting to
sit on staff members laps. Which of the following possibilities should
the nurse consider when performing a PMH assessment? Ans✓✓✓ The
child may be neglected in her home environment
A person arrives to the ER Dept. saying they are having a heart attack,
what dx has similar S/S to that of a heart attack? Ans✓✓✓ Panic
Disorder
A PMH nurse is contributing to the interdisciplinary care plan of a 7
year old boy who has been diagnosed with attention deficit hyperactivity
disorder (ADHD), which of the following components should be
included in the care plan? Ans✓✓✓ - Keep a log of the boy's sleeping
patterns
- Closely monitor the boy's appetite and food intake
- Validate the parent's feelings of frustration around raising a child with
ADHA
A PMH nurse is working with a client who has been DX with PPD and
who has sought care for an unrelated physical ailment. The client has
answers
3 Categories of Dementia Ans✓✓✓ - Early-onset familial AD (FAD)
- Rapidly progressive dementia Creutzfeldt-Jakob disease
- Later-onset dementia AD Vascular dementia Dementia with Lewy
Bodies (DLB) Frontotemporal dementia (FTD)
4 Phases of a Crisis Ans✓✓✓ - A problem arises that contributes to
increase in anxiety levels
- The usual problem-solving techniques are ineffective
- Trial and error attempts fail
- Crisis
4 phases of crisis
Phase 1 Ans✓✓✓ • A person confronted by a conflict or problem that
threatens the self-concept responds with increased feelings of anxiety.
• The increase in anxiety stimulates the use of problem-solving
techniques and defense mechanisms in an effort to solve the problem
and lower anxiety.
4 phases of crisis
Phase 2 Ans✓✓✓ • If the usual defensive response fails and the threat
persists, anxiety continues to rise and produce feelings of extreme
discomfort.
• Individual functioning becomes disorganized.
,• Trial-and-error attempts at solving the problem and restoring a normal
balance begin.
4 phases of crisis
Phase 3 Ans✓✓✓ • If the trial-and-error attempts fail, anxiety can
escalate to severe and panic levels, and the person mobilizes automatic
relief behaviors, such as withdrawal and flight.
• Some form of resolution (e.g., compromising needs or redefining the
situation to reach an acceptable solution) may be made in this stage.
4 phases of crisis
Phase 4 Ans✓✓✓ • If the problem is not solved and new coping skills
are ineffective, anxiety can overwhelm the person and lead to serious
personality disorganization, depression, confusion, violence against
others, or suicidal behavior.
A client gets upset when you go out for a schedules break stating " you
don't care about me" how would you respond? Ans✓✓✓ I do care but I
have a scheduled break and I will return in 15 mins
A client has a documented history of aggressive outbursts and has been
characterized in the past as having "anger issues". Which medication
would have the most directed effect on the neurochemical Aetiology of
anger and aggression? Ans✓✓✓ Citalopram
A Client is becoming angry agitated and the nurse is increasingly
concerned that the client may become aggressive. What can the nurse do
,to most likely to prevent an episode or aggression? Ans✓✓✓ Avoid
entering the client's personal space until the client becomes calm
A client is experiencing delusions and hallucinations. What is the best
response from the nurse? Ans✓✓✓ Patient safety
A client killed a bird in the backyard, what behaviour is characteristic of
this diagnosis? Ans✓✓✓ antisocial
A Client was just diagnosed with early onset AD. What would be a sign
of this? Ans✓✓✓ - Memory loss
- Problems with LOC
- Behavior and mood changes
- Difficulty performing tasks
A client with an eating disorder has told the nurse, "I know this isn't
healthy. I understand that, but I swear I'll start eating normally once I'm
able to lose this last 5 pounds." What is the nurse's most appropriate
response to the client's statement? Ans✓✓✓ I understand that you're
motivated to lose more weight. It would be very unhealthy for you to
keep losing weight, though
A new nurse asks you why the patient with BPD cut themselves. What is
the best response? Ans✓✓✓ To relieve the stress
, A Nurse is assessing a child who is suspected of having autism spectrum
disorder. When assessing the child's psychosocial status, which area
would be critical to assess? Select all that apply. Ans✓✓✓ - Behaviour
- Communication
A paediatric medical-surgical nurse is caring for a 4-year old girl who
had a bowel obstruction requiring surgery. Members of the care team
agree that the child is unusually "clingy" to staff. The child is
inappropriately affectionate, often seeking out hugs, and attempting to
sit on staff members laps. Which of the following possibilities should
the nurse consider when performing a PMH assessment? Ans✓✓✓ The
child may be neglected in her home environment
A person arrives to the ER Dept. saying they are having a heart attack,
what dx has similar S/S to that of a heart attack? Ans✓✓✓ Panic
Disorder
A PMH nurse is contributing to the interdisciplinary care plan of a 7
year old boy who has been diagnosed with attention deficit hyperactivity
disorder (ADHD), which of the following components should be
included in the care plan? Ans✓✓✓ - Keep a log of the boy's sleeping
patterns
- Closely monitor the boy's appetite and food intake
- Validate the parent's feelings of frustration around raising a child with
ADHA
A PMH nurse is working with a client who has been DX with PPD and
who has sought care for an unrelated physical ailment. The client has
