NR668 Week 1 Exam Questions AND Correct Answers
A PMHNP discovers her colleague is diverting scheduled
medications to self-medicate anxiety. The PMHNP reports the
concerns to the colleagues supervisor.
what ethical principle? - ✔✔Contributions to Healthcare
Environments
Rationale: The PMHNP recognizes signs/symptoms of
psychiatric disorders in the workplace reporting peer
observations to leadership. The PMHNP helps address
problems faced by colleagues that impact client safety or
violate public trust, including substance abuse.
A PMHNP speaks at a school board meeting about the need
develop policies to expand mental health services for
underserved students.
what ethical principle? - ✔✔Promotion of the Nursing
Profession
Rationale: The PMHNP participates in policy development and
implementation that recognizes PMH disorders as treatable
and ensures that nursing care is delivered with respect to
human needs and values without prejudice.
,Abdomen Assessment for a Pregnant Patient - ✔✔-Organs and
masses
-Fetal movement
-Uterine contractility
-Fundal height
-Auscultate fetal heart tones
Adventitious lung Sounds - ✔✔• Wheezes: Narrow airway,
musical quality: Asthma, COPD.
• Rhonchi: Rattling. Think secretions.
• Stridor: Musical. Upper airway partial obstruction.
• Crackles: Opening of alveoli collapsed by fluid. CHF.
-Transmitted voice sounds:
• Bronchophony: "99" normally muffled. Clear voice sounds
may indicate consolidation (i.e. PNA).
• Egophony: "eee" normally muffled. A nasal "Ay" sound may
indicate consolidation (i.e. PNA).
Angina/Ischemia/Infarction - ✔✔-MI
• most complain of chest pain
• cardinal sign: worsens with activity, relieved with rest
• biomarker: troponin
,Anterior posterior diameter should be _____ the transverse
diameter. - ✔✔less
approaches to policymaking - ✔✔-Rational Approach
-Incremental Approach
-Policy-Stream Approach
-Stage-Sequential Approach
approaches to policymaking: Incremental Approach - ✔✔-
involves achieving large, broad-based policy changes by
slowly implementing small changes over time.
approaches to policymaking: Policy-Stream Approach - ✔✔-
used to identify the interplay between three streams of
influence: problems, policies, and politics.
-Advocates work to align the streams to provide a window of
opportunity for change.
approaches to policymaking: Rational Approach - ✔✔-
comprehensive & involves defining a problem, setting goals,
analyzing all alternatives, & making a choice among
alternatives on rational grounds.
-Policy concerns best approached using this model are large
in scope, affect multiple players, & involve layers of
stakeholders.
, approaches to policymaking: Stage-Sequential Approach - ✔✔-
provides a cyclical approach with specific stages, including
agenda setting, policy formation, program implementation, &
policy evaluation.
Atrial Fibrillation - ✔✔irregularly irregular rhythm
-pt may complain of:
• palpitations
• skipped beats
• vague chest discomfort
-tx
• anticoagulants to prevent thromboembolism & stroke
• beta blockers for rate control
avoid lithium if patient has _________ disease - ✔✔renal
Basic Lab Values - ✔✔• WBC 4800 - 10,800
• ANC 1.5 - 8 or (1,500 - 8000/mm3)
• RBC 4.00 - 5.10
• MCV 78.0 - 102 fL
• Hemoglobin 12.1 - 15.7 g/dl
• Hematocrit 35.0 - 45.0 %
• PLT 150k - 400k
A PMHNP discovers her colleague is diverting scheduled
medications to self-medicate anxiety. The PMHNP reports the
concerns to the colleagues supervisor.
what ethical principle? - ✔✔Contributions to Healthcare
Environments
Rationale: The PMHNP recognizes signs/symptoms of
psychiatric disorders in the workplace reporting peer
observations to leadership. The PMHNP helps address
problems faced by colleagues that impact client safety or
violate public trust, including substance abuse.
A PMHNP speaks at a school board meeting about the need
develop policies to expand mental health services for
underserved students.
what ethical principle? - ✔✔Promotion of the Nursing
Profession
Rationale: The PMHNP participates in policy development and
implementation that recognizes PMH disorders as treatable
and ensures that nursing care is delivered with respect to
human needs and values without prejudice.
,Abdomen Assessment for a Pregnant Patient - ✔✔-Organs and
masses
-Fetal movement
-Uterine contractility
-Fundal height
-Auscultate fetal heart tones
Adventitious lung Sounds - ✔✔• Wheezes: Narrow airway,
musical quality: Asthma, COPD.
• Rhonchi: Rattling. Think secretions.
• Stridor: Musical. Upper airway partial obstruction.
• Crackles: Opening of alveoli collapsed by fluid. CHF.
-Transmitted voice sounds:
• Bronchophony: "99" normally muffled. Clear voice sounds
may indicate consolidation (i.e. PNA).
• Egophony: "eee" normally muffled. A nasal "Ay" sound may
indicate consolidation (i.e. PNA).
Angina/Ischemia/Infarction - ✔✔-MI
• most complain of chest pain
• cardinal sign: worsens with activity, relieved with rest
• biomarker: troponin
,Anterior posterior diameter should be _____ the transverse
diameter. - ✔✔less
approaches to policymaking - ✔✔-Rational Approach
-Incremental Approach
-Policy-Stream Approach
-Stage-Sequential Approach
approaches to policymaking: Incremental Approach - ✔✔-
involves achieving large, broad-based policy changes by
slowly implementing small changes over time.
approaches to policymaking: Policy-Stream Approach - ✔✔-
used to identify the interplay between three streams of
influence: problems, policies, and politics.
-Advocates work to align the streams to provide a window of
opportunity for change.
approaches to policymaking: Rational Approach - ✔✔-
comprehensive & involves defining a problem, setting goals,
analyzing all alternatives, & making a choice among
alternatives on rational grounds.
-Policy concerns best approached using this model are large
in scope, affect multiple players, & involve layers of
stakeholders.
, approaches to policymaking: Stage-Sequential Approach - ✔✔-
provides a cyclical approach with specific stages, including
agenda setting, policy formation, program implementation, &
policy evaluation.
Atrial Fibrillation - ✔✔irregularly irregular rhythm
-pt may complain of:
• palpitations
• skipped beats
• vague chest discomfort
-tx
• anticoagulants to prevent thromboembolism & stroke
• beta blockers for rate control
avoid lithium if patient has _________ disease - ✔✔renal
Basic Lab Values - ✔✔• WBC 4800 - 10,800
• ANC 1.5 - 8 or (1,500 - 8000/mm3)
• RBC 4.00 - 5.10
• MCV 78.0 - 102 fL
• Hemoglobin 12.1 - 15.7 g/dl
• Hematocrit 35.0 - 45.0 %
• PLT 150k - 400k
