NRS 3016 Midterm ATI/Moodle Questions With Complete
Solutions
. A nurse in an acute mental health facility is communicating
with a client. The client states, "I can't sleep. I stay up all night."
The nurse responds, "You are having difficulty sleeping?"
Which of the following therapeutic communication techniques is
the nurse demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
D. Restating Correct Answers D. CORRECT: Restating allows
the nurse to repeat the main idea expressed.
A. Offering general leads allows the nurse to take the direction
of the discussion.
B. Summarizing enables the nurse to bring together important
points of discussion to enhance understanding.
C. Focusing concentrates the attention on one single point.
. A nurse is making a home visit to a client who is in the late
stage of Alzheimer's disease. The client's partner, who is the
primary caregiver, wishes to discuss concerns about the client's
,nutrition and the stress of providing care. Which of the
following actions should the nurse take?
A. Verify that a current power of attorney document is on file.
B. Instruct the client's partner to offer finger foods to increase
oral intake.
C. Provide information on resources for respite care.
D. Schedule the client for placement of an enteral feeding tube.
Correct Answers A. A power of attorney document does not
address the client's care or the concerns of the caregiver.
B. Clients in late-stage Alzheimer's disease are at risk for
choking and are unable to eat without assistance. Offering finger
foods is not an appropriate action.
C. CORRECT: Providing information on resources for respite
care is an appropriate action to provide the client's partner with a
break from caregiving responsibilities.
D. Placement of an enteral feeding tube is appropriate only with
a prescription from the provider following a discussion that
includes the provider, nurse, client's partner, and possibly social
services and additional family members
"Dry as a bone, red as a beat, hot as a hare, blind as a bat, and
mad as a hatter" describes the symptoms of:
Select one:
a.
,Lithium toxicity
b.
Serotonin Syndrome
c.
Anticholinergic toxicity
d.
Neurleptic melignant syndrome Correct Answers C.
Anticholinergic toxicity is a potentially fatal condition
characterized by skin that is hot, dry and flushed, blurred vision,
and CNS effects (hallucinations and delirium). Death can result
from respiratory depression caused by the blockage of
muscarinic cholinergic receptors.Many of the psychiatric drugs
have anticoloinergic side effects, especially the tricyclic
antidepressants and phenothiazine antipsychotics.These should
be used coautiously in older adults and in patients taking
multiple drugs with anticholinergic properties.
A 22-year old college student presented to the ER with
hypertension (BP= 200/110), tachycardia, cramping,
hyperreflexia, and myoclonus. He was taking phenelzine
(Nardil) and had been out to a restaurant with friends. What is
the most likely food/drink that could have interacted with the
medication?
Select one:
a.Eggs
, b.
Grapefruit juice
c.
Red wine
d.
Cucumbers Correct Answers C.
Monoamine inhibitors (MAOIs) inhibit the enzyme (MAO) that
breaks down monoamine neurotransmitters (i.e., dopamine,
norephinephrine, serotonin) once they have been pumped back
into the presynaptic cell. While taking MAOIs, certain foods and
alcohol that are high in the amino acid tyramine (aged, pickled,
processed) can cause a severe hypertensive crisis and should be
avoided. Alcohol (specifically beer and red wine) should be
avoided or should be limited to only 4 ounces per day.
A charge nurse is conducting a class on therapeutic
communication with a group of newly licensed nurses. Which of
the following aspects of communication should the nurse
identify as a component of verbal communication?
A. Personal space
B. Posture
C. Eye contact
D. Intonation Correct Answers D. CORRECT: Identify
intonation as a component of verbal communication. Intonation
Solutions
. A nurse in an acute mental health facility is communicating
with a client. The client states, "I can't sleep. I stay up all night."
The nurse responds, "You are having difficulty sleeping?"
Which of the following therapeutic communication techniques is
the nurse demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
D. Restating Correct Answers D. CORRECT: Restating allows
the nurse to repeat the main idea expressed.
A. Offering general leads allows the nurse to take the direction
of the discussion.
B. Summarizing enables the nurse to bring together important
points of discussion to enhance understanding.
C. Focusing concentrates the attention on one single point.
. A nurse is making a home visit to a client who is in the late
stage of Alzheimer's disease. The client's partner, who is the
primary caregiver, wishes to discuss concerns about the client's
,nutrition and the stress of providing care. Which of the
following actions should the nurse take?
A. Verify that a current power of attorney document is on file.
B. Instruct the client's partner to offer finger foods to increase
oral intake.
C. Provide information on resources for respite care.
D. Schedule the client for placement of an enteral feeding tube.
Correct Answers A. A power of attorney document does not
address the client's care or the concerns of the caregiver.
B. Clients in late-stage Alzheimer's disease are at risk for
choking and are unable to eat without assistance. Offering finger
foods is not an appropriate action.
C. CORRECT: Providing information on resources for respite
care is an appropriate action to provide the client's partner with a
break from caregiving responsibilities.
D. Placement of an enteral feeding tube is appropriate only with
a prescription from the provider following a discussion that
includes the provider, nurse, client's partner, and possibly social
services and additional family members
"Dry as a bone, red as a beat, hot as a hare, blind as a bat, and
mad as a hatter" describes the symptoms of:
Select one:
a.
,Lithium toxicity
b.
Serotonin Syndrome
c.
Anticholinergic toxicity
d.
Neurleptic melignant syndrome Correct Answers C.
Anticholinergic toxicity is a potentially fatal condition
characterized by skin that is hot, dry and flushed, blurred vision,
and CNS effects (hallucinations and delirium). Death can result
from respiratory depression caused by the blockage of
muscarinic cholinergic receptors.Many of the psychiatric drugs
have anticoloinergic side effects, especially the tricyclic
antidepressants and phenothiazine antipsychotics.These should
be used coautiously in older adults and in patients taking
multiple drugs with anticholinergic properties.
A 22-year old college student presented to the ER with
hypertension (BP= 200/110), tachycardia, cramping,
hyperreflexia, and myoclonus. He was taking phenelzine
(Nardil) and had been out to a restaurant with friends. What is
the most likely food/drink that could have interacted with the
medication?
Select one:
a.Eggs
, b.
Grapefruit juice
c.
Red wine
d.
Cucumbers Correct Answers C.
Monoamine inhibitors (MAOIs) inhibit the enzyme (MAO) that
breaks down monoamine neurotransmitters (i.e., dopamine,
norephinephrine, serotonin) once they have been pumped back
into the presynaptic cell. While taking MAOIs, certain foods and
alcohol that are high in the amino acid tyramine (aged, pickled,
processed) can cause a severe hypertensive crisis and should be
avoided. Alcohol (specifically beer and red wine) should be
avoided or should be limited to only 4 ounces per day.
A charge nurse is conducting a class on therapeutic
communication with a group of newly licensed nurses. Which of
the following aspects of communication should the nurse
identify as a component of verbal communication?
A. Personal space
B. Posture
C. Eye contact
D. Intonation Correct Answers D. CORRECT: Identify
intonation as a component of verbal communication. Intonation
