New Zealand Nursing State Final Exam Actual Questions and Answers with complete solution

New Zealand Nursing State Final Exam Actual Questions and Answers with complete solution The nurse observes that Josie's right eye does not close totally. Based on this finding, which of the following nursing interventions would be most appropriate a) Making sure josie wears dark glasses to avoid photosensitivity b) Irrigate her right eye with saline each duty to avoid dryness c) Instilling neomycin eye drops to prevent conjunctivitis d) Tape the eyelid down to keep it closed between cares d) Tape the eyelid down to keep it closed between cares ? • 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 d) Maintain joint mobility • 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 d) Wear sterile gloves? • 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 a) Cyanosis 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 b) Discuss her behaviour with her after you leave the room? • 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 b) Details about an individual's feeling state and cognitive functioning? (perhaps from old exam, don't think Batomi Function exists anymore) Persons with an acute psychotic illness have most difficulty in a) Meeting dependency needs b) Maintaining grooming and personal hygiene c) Distinguishing between reality and unreality d) Displaying personal feelings c) Distinguishing between reality and unreality People who have a personality disorder a) Frequently progress to a psychotic illness b) Become psychotic under severe stress c) Are known as borderline personalities d) Have ongoing difficulties in relating to others d) Have ongoing difficulties in relating to others Neurotic disorders are associated with a) Inadequacy and poor stress management b) Maladaptive behaviour related to anxiety c) Inability to cope with demands and perceived stress d) Family patterns of inappropriate behaviour c) Inability to cope with demands and perceived stress Which of the following statements about tardive dyskinesia is true a) Symptoms are often permanent and do not improve with antiparkinsonian medication b) Symptoms will diminish as the client adjusts to long term treatment c) Clients are seldom concerned abut features of tardive dyskinesia d) Antiparkinsonian medication will suppress the main features of tardive dyskinsesia None of these are correct. Potentially a) Symptoms are often permanent and do not improve with antiparkinsonian medication They don't improve with antiparkinson's medication but there is medication that has been specifically developed for treatment of TD symptoms. Memory loss associated with old age a) Has a sudden onset and affects both long term and short term memory b) Has a gradual onset and affects mainly long term memory c) Has a gradual onset and affects mainly short term memory d) Has a sudden onset and affects mainly short term memory Incorrect options for answer. Gradual onset - mostly episodic (autobiographical events (times, places, associated emotions, and other contextual who, what, when, where, why knowledge) and a small amount of short term memory A social factor contributing to the incidence of eating disorders is a) economic disadvantage b) educational disadvantage c) gender stereotyping d) unemployment c) gender stereotyping? The most common features of chronic organic psychosis are a) fluctuating confusion and disorientation b) persistent elated mood and hyperactivity c) thought blocking and concrete thinking d) social withdrawal and paranoid ideation a) fluctuating confusion and disorientation Phobia is best described as a) a fear related to an identifiable traumatic event in ones life b) an irrational fear of a specific situation or object c) a series of repetitive behaviours designed to relieve anxiety d) a general sense of impending doom d) systematic desensitisation (or flooding) However it is dependent on the person and phobia so medication or CBT/relaxation may be more appropriate The best definition of a crisis is a) any event which causes anxiety b) a life event which is perceived as a threat to self esteem c) a traumatic event for which coping behaviours are inadequate d) a situation which is traumatic and involves a significant loss d) a situation which is traumatic and involves a significant loss Forensic psychiatry is the area of mental health care which is concerned with individuals who a) have been committed to hospital because they would not voluntarily accept treatment b) are not considered to be capable of caring for themselves in a non custodial environment c) have been charged with an offence to undergo a psychiatric examination or treatment d) are mentally ill and considered to be a danger to themselves or to the public a) have been charged with an offence to undergo a psychiatric examination or treatment) Anxiety is best described as a) mild form of psychosis b) disorder of mood c) response to stress d) distorted sense of perception c) response to stress Which of the following is common feature of anxiety a) Paranoid delusions b) Social withdrawal c) Impaired concentration d) Auditory hallucinations c) Impaired concentration (obviously depending on the type of anxiety and person. Social withdrawal isn't exactly wrong either) A comparison of maori and non maori suicide rates shows that a) Maori are less likely to commit suicide b) Maori are much more likely to commit suicide c) There is no difference between maori and non maori suicide rates d) There are differences but they are not statistically significant b) Maori are much more likely to commit suicide