NRS 3016 Midterm ATI/Moodle exam with
| | | | | |
correct answers |
. |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 |- |VERIFIED |ANSWER✔✔-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. |- |VERIFIED |ANSWER✔✔-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 |- |VERIFIED |ANSWER✔✔-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 |- |VERIFIED |ANSWER✔✔-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 |- |VERIFIED |ANSWER✔✔-D. |CORRECT: |Identify |intonation |as |a |component |of |verbal |
communication. |Intonation |is |the |tone |of |one's |voice |and |can |communicate |a |variety |of |feelings.
A. |Personal |space |is |a |component |of |nonverbal |communication. |
B. |Posture |is |a |component |of |nonverbal |communication. |C. |Eye |contact |is |a |component |of |nonverbal |
communication.
A |charge |nurse |is |discussing |manifestations |of |schizophrenia |with |a |newly |licensed |nurse. |Which |of |
the |following |manifestations |should |the |charge |nurse |identify |as |being |effectively |treated |by |
first-generation |antipsychotics? |(Select |all |that |apply.) |
A. |Auditory |hallucinations |
B. |Withdrawal |from |social |situations |
C. |Delusions |of |grandeur |
D. |Severe |agitation |
E. |Anhedonia |- |VERIFIED |ANSWER✔✔-. |A. |CORRECT: |Positive |symptoms |of |schizophrenia |(auditory |
hallucinations) |are |effectively |treated |with |first-generation |antipsychotics. |
B. |First-generation |antipsychotics |have |minimal |effectiveness |with |negative |symptoms |of |
schizophrenia |(social |withdrawal). |
C. |CORRECT: |Positive |symptoms |of |schizophrenia |(delusions |of |grandeur) |are |effectively |treated |with |
first-generation |antipsychotics. |
, D. |CORRECT: |Positive |symptoms |of |schizophrenia |(severe |agitation) |are |effectively |treated |with |
first-generation |antipsychotics. |
E. |First-generation |antipsychotics |have |minimal |effectiveness |with |negative |symptoms |of |
schizophrenia |(anhedonia).
A |charge |nurse |is |discussing |mental |status |examinations |with |a |newly |licensed |nurse. |Which |of |the |
following |statements |by |the |newly |licensed |nurse |indicates |an |understanding |of |the |teaching? |(Select |
all |that |apply.) |
A. |"To |assess |cognitive |ability, |I |should |ask |the |client |to |count |backward |by |sevens." |
B. |"To |assess |affect, |I |should |observe |the |client's |facial |expression." |
C. |"To |assess |language |ability, |I |should |instruct |the |client |to |write |a |sentence." |
D. |"To |assess |remote |memory, |I |should |have |the |client |repeat |a |list |of |objects." |
E. |"To |assess |the |client's |abstract |thinking, |I |should |ask |the |client |to |identify |our |most |recent |
presidents." |- |VERIFIED |ANSWER✔✔-A. |CORRECT: |Counting |backward |by |7s |is |an |appropriate |
technique |to |assess |a |client's |cognitive |ability. |
B. |CORRECT: |Observing |a |client's |facial |expression |is |appropriate |when |assessing |affect. |
C. |CORRECT: |Writing |a |sentence |is |an |indication |of |language |ability. |
D. |Asking |the |client |to |repeat |a |list |of |objects |is |appropriate |to |assess |immediate, |rather |than |
remote, |memory. |
E. |Asking |the |client |to |identify |recent |presidents |is |appropriate |to |assess |cognitive |knowledge |rather |
than |abstract |thinking.
A |charge |nurse |is |discussing |mirtazapine |with |a |newly |licensed |nurse. |Which |of |the |following |
statements |by |the |newly |licensed |nurse |indicates |understanding? |
A. |"This |medication |increases |the |release |of |serotonin |and |norepinephrine." |
B. |"I |should |tell |the |client |about |the |likelihood |of |insomnia |while |taking |this |medication." |
C. |"This |medication |is |contraindicated |for |clients |who |have |an |eating |disorder." |
D. |"Sexual |dysfunction |is |a |common |adverse |effect |of |this |medication." |- |VERIFIED |ANSWER✔✔-A. |
CORRECT: |Mirtazapine |provides |relief |from |depression |by |increasing |the |release |of |serotonin |and |
norepinephrine. |
B. |Tell |the |client |about |the |likelihood |of |drowsiness |rather |than |insomnia |when |taking |this |
medication. |
| | | | | |
correct answers |
. |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 |- |VERIFIED |ANSWER✔✔-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. |- |VERIFIED |ANSWER✔✔-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 |- |VERIFIED |ANSWER✔✔-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 |- |VERIFIED |ANSWER✔✔-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 |- |VERIFIED |ANSWER✔✔-D. |CORRECT: |Identify |intonation |as |a |component |of |verbal |
communication. |Intonation |is |the |tone |of |one's |voice |and |can |communicate |a |variety |of |feelings.
A. |Personal |space |is |a |component |of |nonverbal |communication. |
B. |Posture |is |a |component |of |nonverbal |communication. |C. |Eye |contact |is |a |component |of |nonverbal |
communication.
A |charge |nurse |is |discussing |manifestations |of |schizophrenia |with |a |newly |licensed |nurse. |Which |of |
the |following |manifestations |should |the |charge |nurse |identify |as |being |effectively |treated |by |
first-generation |antipsychotics? |(Select |all |that |apply.) |
A. |Auditory |hallucinations |
B. |Withdrawal |from |social |situations |
C. |Delusions |of |grandeur |
D. |Severe |agitation |
E. |Anhedonia |- |VERIFIED |ANSWER✔✔-. |A. |CORRECT: |Positive |symptoms |of |schizophrenia |(auditory |
hallucinations) |are |effectively |treated |with |first-generation |antipsychotics. |
B. |First-generation |antipsychotics |have |minimal |effectiveness |with |negative |symptoms |of |
schizophrenia |(social |withdrawal). |
C. |CORRECT: |Positive |symptoms |of |schizophrenia |(delusions |of |grandeur) |are |effectively |treated |with |
first-generation |antipsychotics. |
, D. |CORRECT: |Positive |symptoms |of |schizophrenia |(severe |agitation) |are |effectively |treated |with |
first-generation |antipsychotics. |
E. |First-generation |antipsychotics |have |minimal |effectiveness |with |negative |symptoms |of |
schizophrenia |(anhedonia).
A |charge |nurse |is |discussing |mental |status |examinations |with |a |newly |licensed |nurse. |Which |of |the |
following |statements |by |the |newly |licensed |nurse |indicates |an |understanding |of |the |teaching? |(Select |
all |that |apply.) |
A. |"To |assess |cognitive |ability, |I |should |ask |the |client |to |count |backward |by |sevens." |
B. |"To |assess |affect, |I |should |observe |the |client's |facial |expression." |
C. |"To |assess |language |ability, |I |should |instruct |the |client |to |write |a |sentence." |
D. |"To |assess |remote |memory, |I |should |have |the |client |repeat |a |list |of |objects." |
E. |"To |assess |the |client's |abstract |thinking, |I |should |ask |the |client |to |identify |our |most |recent |
presidents." |- |VERIFIED |ANSWER✔✔-A. |CORRECT: |Counting |backward |by |7s |is |an |appropriate |
technique |to |assess |a |client's |cognitive |ability. |
B. |CORRECT: |Observing |a |client's |facial |expression |is |appropriate |when |assessing |affect. |
C. |CORRECT: |Writing |a |sentence |is |an |indication |of |language |ability. |
D. |Asking |the |client |to |repeat |a |list |of |objects |is |appropriate |to |assess |immediate, |rather |than |
remote, |memory. |
E. |Asking |the |client |to |identify |recent |presidents |is |appropriate |to |assess |cognitive |knowledge |rather |
than |abstract |thinking.
A |charge |nurse |is |discussing |mirtazapine |with |a |newly |licensed |nurse. |Which |of |the |following |
statements |by |the |newly |licensed |nurse |indicates |understanding? |
A. |"This |medication |increases |the |release |of |serotonin |and |norepinephrine." |
B. |"I |should |tell |the |client |about |the |likelihood |of |insomnia |while |taking |this |medication." |
C. |"This |medication |is |contraindicated |for |clients |who |have |an |eating |disorder." |
D. |"Sexual |dysfunction |is |a |common |adverse |effect |of |this |medication." |- |VERIFIED |ANSWER✔✔-A. |
CORRECT: |Mirtazapine |provides |relief |from |depression |by |increasing |the |release |of |serotonin |and |
norepinephrine. |
B. |Tell |the |client |about |the |likelihood |of |drowsiness |rather |than |insomnia |when |taking |this |
medication. |
