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Exam (elaborations)

Sherpath Questions with CORRECT Answers (Verified Update)

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Sherpath Questions with CORRECT Answers (Verified Update)

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Sherpath Questions with CORRECT Answers (Verified Update)

Q1: A patient is experiencing hypervigilance, nightmares, and flashbacks. These symptoms have
contributed to the patient's impulsiveness and an overwhelm- ing urge to cause self-harm. If
this patient expresses suicidal thoughts, what should the health care team member do?
A. Provide medications and use grounding techniques, relaxation, and trau- ma-focused
cognitive behavioral therapy to relieve symptoms.
B. Expect these symptoms in patients with PTSD and advise the patient that the acute care
setting is safe.
C. Initiate suicide precautions and seek a psychiatric consult.
D. Ask the patient to promise to tell the health care team member before engaging in
self-harming behaviors.
Answer: C. Initiate suicide precautions and seek a psychiatric consult.


Q2: The health care team member should develop a plan of care using which approach?
A. Develop a plan when the time comes for discharge and the family comes to pick up the
patient.
B. Facilitate shared decision making to promote the patient's sense of main- taining control
of the environment and care.
C. Tell the patient what needs to be done, starting at the time of admission.
D. Focus on mental health rather than physical concerns or somatic pain.
Answer: B. Facilitate shared decision making to promote the patient's sense of main- taining control
of the environment and care.


Q3: An adult patient is experiencing frequent flashbacks about being abused during childhood.
What should be the health care team member's initial ac- tion?
A. Offer reassurance and ask if the patient would like prescribed as-needed medication.
B. Report the abuse to the county's social services department.
C. Require the patient to talk to a domestic abuse counselor before discharge.
D. Tell the patient to try to forget it because it happened such a long time ago.
Answer: A. Offer reassurance and ask if the patient would like prescribed as-needed medication.


Q4: Some states require reporting abuse of vulnerable adults as well as children. Talking to a
domestic abuse counselor is optional, not required, but should be encouraged. Patients must
deal with past abuses before they can move on, and counseling should be recommended at
discharge. A health care team member needs to check vital signs on an unstable patient who
is sleeping. What should be done to wake the patient?
A. Lean over the bed and shout the patient's name loudly.
B. Say the patient's name in a calm but progressively louder voice.
C. Shake the patient's arm or shoulder and then stand back.
D. Wait until the patient wakes up in a few hours.
Answer: B. Say the patient's name in a calm but progressively louder voice.

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