NURS 3554: EXAM 5 PRACTICE QUESTIONS WITH RATIONALE

NURS 3554: EXAM 5 PRACTICE QUESTIONS WITH RATIONALE1. A patient's blindness is related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should implement what intervention? A. Establishing a "buddy" system with other patients who can feed the patient at each meal B. Expecting the patient to self-feed after explaining the arrangement of the food on the tray. C. Directing the patient to locate items on the tray independently with feeding being unassisted D. Addressing the needs of other patients in the dining room, and then feeding this patient B. Expecting the patient to self-feed after explaining the arrangement of the food on the tray. The patient is expected to maintain some level of independence by feeding himself or herself, whereas the nurse is supportive in a matter-of-fact way. The distractors support dependency or offer little support. 2. A patient with blindness related to a functional neurological (conversion) disorder states, "All the doctors and nurses in this hospital stop by often to check on me. Too bad people outside the hospital don't find me interesting." Which nursing diagnosis is most relevant? A. Social isolation B. Chronic low self-esteem C. Interrupted family processes D. Ineffective health maintenance B. Chronic low self-esteem The patient mentions that the symptoms make people more interested, which indicates that the patient believes he or she is uninteresting and unpopular without the symptoms, thus supporting the nursing diagnosis of chronic low self-esteem. Defining characteristics for the other nursing diagnoses are not present in this scenario. EXAM 3. To assist a patient diagnosed with a somatic system disorder, which nursing intervention is of highest priority? A. Implying that somatic symptoms are not real B. Helping the patient suppress feelings of anger C. Shifting the focus from somatic symptoms to feelings D. Investigating each physical symptom as soon as it is reported C. Shifting the focus from somatic symptoms to feelings Shifting the focus from somatic symptoms to feelings or to neutral topics conveys an interest in the patient as a person rather than as a condition. The need to gain attention with the use of symptoms is reduced over the long term. A desired outcome is that the patient expresses feelings, including anger, if it is present. Once physical symptoms have been investigated, they do not need to be reinvestigated each time