NRS 316 Final Exam – Questions With Accurate
Solutions
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Terms in this set (74)
A 16-year-old patient comes to the d
free clinic and is diagnosed with a
sexually transmitted infection. The Sexually transmitted infections are spread mainly by
patient states that she contracted this sexual contact. The patient displays knowledge
disease by holding hands with deficit about the modes of transmission for syphilis.
someone who has syphilis. What is the
most appropriate nursing diagnosis
for this patient?
a) Alteration in comfort related to
impaired skin integrity
b) Fear related to complications
c) Noncompliance with treatment
regimen related to age
d) Knowledge deficit related to
modes of transmission
Which of the following would be c&d
considered a primary prevention
strategy for coping with the stress of a a. Taking buspirone (an antianxiety agent) is a tertiary
four-week re-quarantine for COVID strategy as it implies the individual has an anxiety
transmission prevention? select all that disorder and is being treated for anxiety.
apply b. 3-4 glasses of wine to get to sleep could lead to
a. Taking medication for a stress further health challenges, indicates there is a
related disorder related to COVID-19. problem with sleep/relaxation and places the
b. Drinking 3-4 glasses of wine with individual at increased risk for developing.
dinner to relax at night. c. Finding a new hobby that helps you to relax is
c. Developing a new hobby to focus considered to be a positive way to focus time and
time. add to a schedule.
d. Writing haiku poetry. d. Journaling, writing poetry, writing stories are all
considered to be positive strategies for coping with
stress and prevent heightened anxiety.
,You are caring for a client who has d
been using fentanyl patches that they
acquire on the streets and states that The appropriate nursing diagnosis for this client is
they continue to use this illicit drug dependence secondary to opiate use". Psychological
because they "suffer and feel lousy" dependence is defined as the person's need to
and feel achy and tired with diarrhea continue the use of the substance to avoid any
when they try to stop taking it. Which unpleasant feelings and experiences that can occur
nursing diagnosis is the most when the substance is not taken. Amphetamines and
appropriate for this client? hallucinogenic drugs like LSD are often associated
a. Psychological dependence with psychological dependence.
secondary to opiate use Substance abuse, simply defined, is one's
b. Substance abuse secondary to overindulgence of an addictive substance which can
opiate use be alcohol, prescription drugs and/or illicit, illegal
c. Addiction secondary to opiate use drugs. Substance abuse does not include prescribed
d. Physical dependence secondary to medications, such as narcotic pain medications, that
opiate use are being used for medical reasons; however, these
same medications when used after there is no longer
a medical need to use them is considered substance
abuse.
naloxone nursing implications OD treated with Naloxone - works by blocking the
opioid neuroreceptor sites reversing the effect of
opiates
may need to be administered several times before
reversing the effects can be used orally, intranasally
Monitor client condition - vital signs particularly
respirations
Elevated pain levels as narcotic effect is reversed -
need to assess pain levels
, Opiate Relapse Prevention Methadone (Dolophine)
Medications Completely activates opiate receptors, blocking high
and ↓ cravings
Have to be in a program to receive, closely
monitored
Buprenorphine (Subutex) or
Buprehorphine/Nalaxone (Suboxone) Mu opioid
receptor partial agonist
Have to be in beginning of w/d to start or else it puts
the pt into w/d
Do not need to be in a program
Naltrexone (ReVia)
Competitively binds with opiate receptors, blocking
the high, go back to the Dopamine transmission
As the nurse in a primary care clinic, a
which cultural concern would you
integrate into your psychological The concern related to the client's cultural reluctance
assessments of a client with suicidal to report psychological symptoms because of some
ideation? possible culturally based stigma associated with
a. The concern related to the client's psychiatric mental health disorders which is a barrier
cultural reluctance to report to assessment because the client fears being
psychological symptoms, including stigmatized and rejected when divulging
suicidal ideation because of some psychological data including anxiety and other
possible culturally based stigma symptoms.
associated with psychiatric mental The lack of financial and health insurance resources
health disorders, including suicidal to pay for psychological care, the lack of social
thinking. support systems, and the client's apathy are barriers
b. Concerns revolving around the lack to psychological care but these factors are not a
of financial and health insurance barrier to a psychological assessment and these
resources to pay for psychological factors are not cultural, but instead social and
care. psychological.
c. Concerns related to the compliance
with psychological treatment
regimens because of the client's lack
of social support systems.
d. The concern related to the
culturally based client apathy about
nursing care and nursing assessments.
Solutions
Save
Terms in this set (74)
A 16-year-old patient comes to the d
free clinic and is diagnosed with a
sexually transmitted infection. The Sexually transmitted infections are spread mainly by
patient states that she contracted this sexual contact. The patient displays knowledge
disease by holding hands with deficit about the modes of transmission for syphilis.
someone who has syphilis. What is the
most appropriate nursing diagnosis
for this patient?
a) Alteration in comfort related to
impaired skin integrity
b) Fear related to complications
c) Noncompliance with treatment
regimen related to age
d) Knowledge deficit related to
modes of transmission
Which of the following would be c&d
considered a primary prevention
strategy for coping with the stress of a a. Taking buspirone (an antianxiety agent) is a tertiary
four-week re-quarantine for COVID strategy as it implies the individual has an anxiety
transmission prevention? select all that disorder and is being treated for anxiety.
apply b. 3-4 glasses of wine to get to sleep could lead to
a. Taking medication for a stress further health challenges, indicates there is a
related disorder related to COVID-19. problem with sleep/relaxation and places the
b. Drinking 3-4 glasses of wine with individual at increased risk for developing.
dinner to relax at night. c. Finding a new hobby that helps you to relax is
c. Developing a new hobby to focus considered to be a positive way to focus time and
time. add to a schedule.
d. Writing haiku poetry. d. Journaling, writing poetry, writing stories are all
considered to be positive strategies for coping with
stress and prevent heightened anxiety.
,You are caring for a client who has d
been using fentanyl patches that they
acquire on the streets and states that The appropriate nursing diagnosis for this client is
they continue to use this illicit drug dependence secondary to opiate use". Psychological
because they "suffer and feel lousy" dependence is defined as the person's need to
and feel achy and tired with diarrhea continue the use of the substance to avoid any
when they try to stop taking it. Which unpleasant feelings and experiences that can occur
nursing diagnosis is the most when the substance is not taken. Amphetamines and
appropriate for this client? hallucinogenic drugs like LSD are often associated
a. Psychological dependence with psychological dependence.
secondary to opiate use Substance abuse, simply defined, is one's
b. Substance abuse secondary to overindulgence of an addictive substance which can
opiate use be alcohol, prescription drugs and/or illicit, illegal
c. Addiction secondary to opiate use drugs. Substance abuse does not include prescribed
d. Physical dependence secondary to medications, such as narcotic pain medications, that
opiate use are being used for medical reasons; however, these
same medications when used after there is no longer
a medical need to use them is considered substance
abuse.
naloxone nursing implications OD treated with Naloxone - works by blocking the
opioid neuroreceptor sites reversing the effect of
opiates
may need to be administered several times before
reversing the effects can be used orally, intranasally
Monitor client condition - vital signs particularly
respirations
Elevated pain levels as narcotic effect is reversed -
need to assess pain levels
, Opiate Relapse Prevention Methadone (Dolophine)
Medications Completely activates opiate receptors, blocking high
and ↓ cravings
Have to be in a program to receive, closely
monitored
Buprenorphine (Subutex) or
Buprehorphine/Nalaxone (Suboxone) Mu opioid
receptor partial agonist
Have to be in beginning of w/d to start or else it puts
the pt into w/d
Do not need to be in a program
Naltrexone (ReVia)
Competitively binds with opiate receptors, blocking
the high, go back to the Dopamine transmission
As the nurse in a primary care clinic, a
which cultural concern would you
integrate into your psychological The concern related to the client's cultural reluctance
assessments of a client with suicidal to report psychological symptoms because of some
ideation? possible culturally based stigma associated with
a. The concern related to the client's psychiatric mental health disorders which is a barrier
cultural reluctance to report to assessment because the client fears being
psychological symptoms, including stigmatized and rejected when divulging
suicidal ideation because of some psychological data including anxiety and other
possible culturally based stigma symptoms.
associated with psychiatric mental The lack of financial and health insurance resources
health disorders, including suicidal to pay for psychological care, the lack of social
thinking. support systems, and the client's apathy are barriers
b. Concerns revolving around the lack to psychological care but these factors are not a
of financial and health insurance barrier to a psychological assessment and these
resources to pay for psychological factors are not cultural, but instead social and
care. psychological.
c. Concerns related to the compliance
with psychological treatment
regimens because of the client's lack
of social support systems.
d. The concern related to the
culturally based client apathy about
nursing care and nursing assessments.
