NUR 180 - Final Exam QUESTIONS WITH ANSWERS

NUR 180 - Final Exam QUESTIONS WITH
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ANSWERS

The LPN has a patient with mental and emotional difficulties who is
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sensitive to sound and light.
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What actions will the LPN take?
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- Place the patient in a carpeted room
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- Make sure lights are not flickering
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- Dim lights
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- Provide the patient with recordings of ocean waves & light rain (soothing
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sounds)




The LPN is assessing the coping patterns of a new patient.
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What data would the LPN expect to find?
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- Current stressors
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- Drug or alcohol abuse
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- Weight changes
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What characteristics will the LPN be looking for in a patient that is
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suspected of having a substance abuse disorder?
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- Neglect of self care
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- Impaired family functioning
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,- |\ Increased use despite negative consequences |\ |\ |\ |\



- |\ Poor judgement|\



- |\ Increased accidents |\



- |\ Frequently absent from work |\ |\ |\



- |\ Loss of job |\ |\




Substance abuse interventions |\ |\




- Educate on disease process
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- Encourage to live in present & not past
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- Encourage problem solving
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Alcohol abuse |\




- |\ Withdrawal S/S 8 hrs after last drink |\ |\ |\ |\ |\ |\



- |\ Irritability, hand tremors |\ |\



- |\ May need benzodiazepines (Ativan)
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- |\ Aversion therapy using Antabuse (Disulfiram)
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Antabuse

- Disulfiram
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- No cologne, perfume, cough syrup, mouthwash
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Which of the following would mental health professionals strive to help
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patients develop & maintain regarding spiritual care?
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- |\ Inner strength |\



- |\ Self awareness
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- |\ Life's meaning & purpose
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- |\ Relationships with others |\ |\




Collecting data of religious beliefs & practices from patients.
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What should the LPN include?
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- What role does religion play in your life?
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- What is your source of strength & hope?
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,- What brings you comfort and joy?
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- Does your religion have any special days?
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Patient prescribed Laxopam for anxiety.
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What indicates a need for further teaching?
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I can take this medication to relieve everyday stress
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Patient scheduled for surgery who wants to wear a bracelet that has
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significant religious meaning. When the LPN asks them to remove it, they
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say they really wish they could wear it during the procedure.
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What does the LPN do next?
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Determine if the item may remain in place during the procedure
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Muslim patient wishing to face MECCA.
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What position should the nurse place the patient's bed?
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South east direction from US
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Patient is a Jehovah's Witness, and the physician orders 2 units of blood
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ASAP. She refuses to sign the consent form.
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What should the LPN do next?
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- Notify supervisor/physician STAT
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- Report patient's refusal
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Nurses & spirituality |\ |\




- Fail to recognize patient needs
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- Nursing program insufficient
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- Nurse feels inadequate & should still be discussed w/ patient
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Elderly patient that recently lost a loved one & would like to attend a grief
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meeting but does not drive, cannot afford a taxi, doesn't wish to burden
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family or friends.
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What would the LPN do next?
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Offer to acquire information about senior services that may help the patient
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, Dying patient & family reports that the dying patient is speaking to a
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deceased loved one. Family comes to the nurses station concerned about too
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much pain medication.
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How should the nurse respond?
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Normal sign of approaching death & it is important that we do all we can to
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keep her pain tolerable
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Patient prescribed Fluoxetine.
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Which response indicates further teaching is needed?
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I must take this medication with a full meal
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Patient admitted to the mental health unit. They have a toothbrush,
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toothpaste, and dental floss in their pockets. They perform dental care as
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often as every 1/2 hour.
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How does the LPN interpret these actions?
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Attempt to relieve anxiety |\ |\ |\




Patient having an acute panic attack.
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What should the LPN do?
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- Stay near the patient
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- Reassure them that they are safe
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Patient who has a ritual that includes making and remaking their bed 30
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times before they can go to sleep. Most of the time, they do not get into the
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bed until 3 AM.
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What action should the LPN take?
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Suggest the patient begin their ritual earlier in the day
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