nursing final exam spring 2024

A nurse is implementing care within the parameters of tertiary prevention. Which nursing action is an example of this type of care? RIGHT ANSWER: Teaching a client to cook meals, make a grocery list, and establish a budget 2. A client is brought to an emergency department after being violently raped. Which nursing action should require further intervention by the nurse supervisor? RIGHT ANSWER: discouraging the client from discussing the event, as this may lead to further trauma 3. A patient on sexual precautions impulsively kisses a nurse on the unit. Later the patient accused the nurse of making homosexual advances towards her. The defense mechanism utilized is called: RIGHT ANSWER: Projection 4. A nurse is working with a client diagnosed with SSD. What criteria would differentiate this diagnosis from illness anxiety disorder (IAD)? RIGHT ANSWER: The client diagnosed with SSD experiences physical symptoms in various body systems, and the client diagnosed with IAD does not. 5. How should a nurse and the U.S. census bureau classify an 88-year-old man? ANSWER: “very old” RIGHT 6. _______ is a technique of restricting anxiety based on the rationale that relaxation is opposite to anxiety? RIGHT ANSWER: Reciprocal Inhibition 7. Which is the best intervention for a client experiencing a panic level of anxiety? RIGHT ANSWER: use brief and direct statements while communicating 8. Which of the following statements would indicate that teaching about naltrexone (Revia) has been effective? RIGHT ANSWER: “naltrexone could lower the amount of drinks per drinking day.” 9. The nurse has been working in the emergency room with an elderly woman who was raped on her way home from the movies. The nurse is aware that the psychosocial outcome of a patient suffering from trauma related disorder is not usually depended on: ANSWER: None of the above RIGHT 10. A patient’s hand become cracked and bleed due to her repeated hand washing and scrubbing routine. During the early phase of hospitalization, the most beneficial and therapeutic action by the nurse is initially to: RIGHT ANSWER: allowing plenty of time to complete rituals