NURSING Week 3 Prep-U: Cognition and Interpersonal Relationships Answered Exam Questions New update 2022/2023

• A client who had been drinking heavily over the weekend could not remember specific events of where the client had been or what the client had done. The nurse interprets this information as indicating that the client experienced which condition? o tolerance o delirium tremens o blackout o Hangover • Parents of a newborn with Down syndrome are tearful when they tell the nurse that the diagnosis was a surprise to them. Which statement by the parents indicates that they have some understanding of Down syndrome? o "Children with Down syndrome often become violent when they experience hormonal changes during puberty." o "At some point during their lifespan, children with Down syndrome will need to be institutionalized." o “There’s a broad spectrum of mental capabilities and physical characteristics of children with Down syndrome.” o "Children with Down syndrome are often fearful of strangers and have difficulty making friends." • The nurse completes teaching the family of a client with Alzheimer’s disease. The client has been admitted to a psychiatric unit and is awaiting placement to a long-term care facility. Which statement indicates to the nurse that the family understands the prognosis for the client? o “We are investigating herbal and vitamin therapy.” o “What supports are available for the long term?” o “Does another hospital have a better treatment?” o “We are waiting for this medicine to kick in so they can go back home.” • Family members and friends stage an intervention for an alcoholic adolescent. The intervention is successful when the adolescent: o says, "I'm sorry. I'll never drink again." o is motivated to enter an alcohol rehabilitation program. o breaks down and cries. o is willing to talk with the friends. • The client sees no connection between her liver disorder and her alcohol intake. She believes that she drinks very little and that her family is making something out of nothing. The nurse interprets these behaviors as indicative of the client’s use of which defense mechanisms? o reaction formation o denial o rationalization o Displacement • When assessing an adolescent for scoliosis, what should the nurse ask the client to do? o Sit in a chair while lifting the feet and legs to a right angle with the trunk. o Lie flat on the floor and extend the legs straight from the trunk. o Bend forward at the waist with arms hanging freely. o Stand against a wall while pressing the length of the back against the wall. • A client with a new diagnosis of human immunodeficiency virus (HIV) tells the nurse, “I did not think drinks, dinner, and great sex would lead to a life-threatening disease.” Which of the following is a therapeutic response by the nurse? o “Have you considered suing the person who infected you?” o “New medications will make this disease manageable for you.” o “This sounds distressing for you. What questions do you have?” o “Next time you go on a date, you need to carry personal protection.” • A child is undergoing testing to rule out a diagnosis of Kawasaki disease. Which test results would support this diagnosis? Select all that apply. o thrombocytopenia o elevated C-reactive protein levels o hematuria o leukocytosis o decreased erythrocyte sedimentation rate • When caring for a client with myasthenia gravis, the nurse should assess the client for which manifestations of cholinergic crisis? Select all that apply. o decreased secretions and saliva o ptosis o respiratory rate of 6 breaths/min and irregular rhythm o increased heart rate o fasciculation o abdominal cramps • A nurse is caring or a client who has experienced frontal lobe damage in a car accident. Which psychosocial behaviors are indications of this damage? Select all that apply. o fewer spontaneous facial expression o a change in personality o a disinterest in family relationships o inability to go out in public settings o overt sexual behavior o difficulty controlling temper