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Exam (elaborations)

Nursing 212 Exam Questions With 100% Correct Answers

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Nursing 212 Exam Questions With 100% Correct Answers...

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Nursing 212
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Nursing 212 Exam Questions With
100% Correct Answers


A nurse is working in the emergency room when a police officer walks in with rape
victim to be examined. If goal is to reduce clients anxiety, which interventions would be
appropriate? SATA

A. Admit the client to the treatment area right away

B. Encourage client to undergo exam immediately in order to get it behind her?

C. Assure the client of safety in the exam room

D. Touch client early on demonstrating the nurse is supportive.

E. Allow third party to be present if client request it?

F. Ask factual questions to determine the type of assault? - Answer * Admit the client to
treatment area right away.
* Assure the client of safety in the exam room
* Allow third party to be present if client request it.
* Ask factual questions to determine the type of assault.

Which of the following is the best action for the nurse to take when assessing a child
who might be abused?

a. Confront the parents with the facts and ask them
what happened.
b. Consult with a professional member of the health
team about making a report.
c. Ask the child which of his parents caused this injury.
d. Say or do nothing; the nurse has only suspicions, not
evidence. - Answer b.

Consult with a professional member of the health team about making a report.

Which of the following assessment findings might indicate elder self-neglect?

a. Hesitancy to talk openly with nurse
b. Inability to manage personal finances

,c. Missing valuables that are not misplaced
d. Unusual explanations for injuries - Answer b.
Inability to manage personal finances

Which type of child abuse can be most difficult to treat effectively?

a. Emotional
b. Neglect
c. Physical
d. Sexual - Answer a.
Emotional

Women in battering relationships often remain in those relationships as a result of faulty
or incorrect beliefs. Which of the following beliefs is valid?

a. If she tried to leave, she would be at increased risk
for violence.
b. If she would do a better job of meeting his needs, the
violence would stop.
c. No one else would put up with her dependent cling-
ing behavior.
d. She often does things that provoke the violent episodes. - Answer a.
If she tried to leave, she would be at increased risk for violence.

A female client comes to an urgent care clinic and says, "I've just been raped." What
should the nurse do? SATA

a. Allow the client to express whatever she wants.
b. Ask the client if staff can call a friend or family mem-
ber for her.
c. Offer the client coffee, tea, or whatever she likes to drink.
d. Get the examination completed quickly to decrease
trauma to the client.
e. Provide the client privacy--let her go to a room to
make phone calls.
f. Stay with the client until someone else arrives to be with her. - Answer a. Allow the
client to express whatever she wants.

b. Ask the client if staff can call a friend or family member for her.

f. Stay with the client until someone else arrives to be with her.

A nurse in the emergency department is caring
for a young female victim of sexual assault. The client's physical assessment is
complete, and physical evidence has been collected. The nurse notes that the client is

, withdrawn, confused, and at times physically immobile. These behaviors are interpreted
by the nurse as:
1. Signs of depression
2. Normal reactions to a devastating event
3. Evidence that the client is a high suicide risk 4. Indicative of the need for hospital
admission - Answer 2

Rationale: During the acute phase of the rape crisis, the client can display a wide range
of emotional and somatic responses. The symptoms noted indicate a normal reaction.
Options 1, 3, and 4 are incorrect interpretations.

Test-Taking Strategy: Use the process of elimination and knowledge regarding client
responses to devastating events to answer the question. Focus on the symptoms noted
in the question to direct you to option 2. If you had difficulty with this question, review
normal and abnormal client responses to dealing with devastating crisis events.

A nurse is reviewing the assessment data of a client admitted to the mental health unit.
The nurse notes that the admission nurse documented that the client is experiencing
anxiety as a result of a situational crisis. The nurse determines that this type of crisis
could be caused by:

1. Witnessing a murder
2. The death of a loved one
3. A fire that destroyed the client's home
4. A recent rape episode experienced by the client - Answer 2

Rationale: A situational crisis arises from external rather than internal sources. External
situations that could precipitate a crisis include loss of or change of a job, the death of a
loved one, abortion, change in financial status, divorce, addition of new family members,
pregnancy, and severe illness. Options 1, 3, and 4 identify adventitious crises. An
adventitious crisis refers to a crisis of disaster; it is unplanned or accidental.

Test-Taking Strategy: Use the process of elimination. Eliminate options 1, 3, and 4
because they are comparable or alike types of occurrences. If you had difficulty with this
question, review the types of crisis.

A nurse is conducting an initial assessment on a client in crisis. When assessing the
client's perception of the precipitating event that led to the crisis, the appropriate
question to ask is:

1. "With whom do you live?"
2. "Who is available to help you?"
3. "What leads you to seek help now?"
4. "What do you usually do to feel better?" - Answer 3

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