UPDATE EXAM 60 QUESTIONS WITH MULTIPLE
CHOICES VERIFIED & REVISED ANSWERS
(NEW)!!
• Mental status assessment using the 'batomi' formation is a useful nursing assessment tool
because it tells you
a) Whether or not a client has a mental illness
b) Details about an individual's feeling state and cognitive functioning
c) Whether a mental illness is organic or functional in origin
d) The history of a clients symptoms and his response to stress - CORRECT ANSWER: b)
Details about an individual's feeling state and cognitive functioning?
(perhaps from old exam, don't think Batomi Function exists anymore)
• The nursing goal for performing passive range of motion exercises for an unconscious client
such as josie would be to
a) Preserve muscle mass
b) Prevent bone demineralisation
c) Increase muscle tone
d) Maintain joint mobility - CORRECT ANSWER: d) Maintain joint mobility
• When assessing josies respiratory status, which of the following symptoms may be an early
indicator of hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
,d) Hypotension - CORRECT ANSWER: a) Cyanosis
• When the nurse performs oral hygiene for josie, whilst she is still unconscious, which of the
following actions would be most
a) Use manual instead of mechanical ventilation
b) Keep suction apparatus available
c) Place josie in a prone position
d) Wear sterile gloves - CORRECT ANSWER: d) Wear sterile gloves?
A 34 year old Japanese tourist, takayuki hamadi, is admitted to the hospital after experiencing
multiple trauma as a result of an automobile accident. He has three fractured ribs, a hairline
fracture of the pelvis, a compound fracture of his right tibia and fibula, and soft tissue injuries.
He is in severe pain when he arrives on the unit after emergency surgery
• Takayuki reports severe pain and requests frequent medication. A nursing assistant expresses
her surprise, saying, 'i thought asian people were very stoic about pain. ' your initial course of
action should be
a) Reprimand her immediately and apologise to takayuk's family
b) Discuss her behaviour with her after you leave the room
c) Do nothing as takayuk's understanding of English is poor
d) Report her to the charge nurse - CORRECT ANSWER: b) Discuss her behaviour with her
after you leave the room?
A client expresses the belief that he is the illegitimate son of a famous family. This is an example
of
a) Paranoid thinking
b) Pressure of speech
, c) A delusion of grandeur
d) Ideas of reference - CORRECT ANSWER: c) A delusion of grandeur
A client who has been admitted for treatment of a depressive illness says he doesn't want to
attend group activities. The reason such a client would be encouraged to attend is that
a) He is less likely to dwell on depressive ideas while he is involved in a group activity
b) It is an expectation that all clients attend group activities while in hospital
c) Involvement in group activities is the only way to overcome feelings of depression
d) Attendance at group activities is essential to monitor the effectiveness of medication -
CORRECT ANSWER: a) He is less likely to dwell on depressive ideas while he is involved in a
group activity?
Encourages learning and coping with advice from those who are living it?
A client who is committed under the mental health act (1992) is discharged from hospital on
leave. When visited by the community mental health nurse he refused his injection of
antipsychotic medication which is due that day. The best initial approach to this would be to
a) Explain that this will mean his immediate return to hospital
b) Visit again the next day and attempt to persuade the client to accept his medication
c) Inform the medical staff so that the clients legal status can be changed
d) Explore with the client alternative forms of treatment to medication - CORRECT ANSWER:
If discharged on leave and still committed under the act
a) a) Explain that this will mean his immediate return to hospital
A client who is subject to a community treatment order section 29 of the mental health act (1992)
must