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Exam (elaborations)

NURS 2872 Unit 1 Test With Complete Solution

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NURS 2872 Unit 1 Test With Complete Solution...

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NURS 2872 Unit 1 Test With
Complete Solution

In which scenario is it most urgent for the nurse to act as a patient advocate?

a. An adult cries and experiences anxiety after a near-miss auto accident on
the way to work.

b. A homeless adult diagnosed w/ schizophrenia lives in a community
expecting a CAT 5 hurricane.

c. A 14-yr-old girl's grades decline because she consistently focuses on her
appearance and social networking.

d. A parent allows the prescription to lapse for 1 day for the 8-yr-old child's
medication for ADHD - ANSWER b. A homeless adult diagnosed w/
schizophrenia lives in a community expecting a CAT 5 hurricane.

The nurse interacts with a veteran of World War II. The veteran says,
"Veterans of modern wars whine and complain all the time. Back when I was
in service, you kept your feelings to yourself." Select the nurse's best
response.

a. "American society in the 1940s expected World War II soldiers to be
strong."

b. "World War II was fought in a traditional way but the enemy is more
difficult to identify in today's wars."

c. "We now have a better understanding of how trauma affects people and

,the importance of research-based, compassionate care."

d. "Intermittent explosive devices (IEDs), which were not in use during World
War II, produce traumatic brain injuries that must be treated." - ANSWER c.
"We now have a better understanding of how trauma affects people and the
importance of research-based, compassionate care."

A patient reports to a primary care provider about sleeplessness, constant
fatigue, and sadness. In our current health care climate, what is the most
likely treatment approach that will be offered to the patient?

a. Group therapy

b. Individual psychotherapy

c. Complementary therapy

d. Psychopharmacological treatment - ANSWER d. Psychopharmacological
treatment

The nurse prepares outcomes to the plan of care for an adult diagnosed with
mental illness. Which strategy recognizes the current focus of treatment
services for this population?

a. The patient's diagnoses are confirmed using advanced neuroimaging
techniques.

b. The nurse confers with the treatment team to verify the patient's most
significant disability.

c. The nurse prioritizes the patient's problems in accordance with Maslow's
hierarchy of needs.

d. The patient and family participate actively in establishing priorities and

,selecting interventions. - ANSWER d. The patient and family participate
actively in establishing priorities and selecting interventions.

Which scenario best demonstrates empathetic caring?

a. A nurse provides comfort to a colleague after an error of medication
administration.

b. A nurse works a fourth extra shift in 1 week to maintain adequate unit
staffing.

c. A nurse identifies a violation of confidentiality and makes a report to an
agency's privacy officer.

d. A nurse conscientiously reads current literature to stay aware of new
evidence-based practices. - ANSWER a. A nurse provides comfort to a
colleague after an error of medication administration.

A mentally ill gunman opens fire in a crowded movie theater, killing six
people and injuring others. Which comment about this event by a member of
the community most clearly shows the stigma of mental illness?

a. "Gun control laws are inadequate in our country."

b. "It's frightening to feel that it is not safe to go to a movie theater."

c. "All these people with mental illness are violent and should be locked up."

d. "These events happen because American families no longer go to church
together." - ANSWER c. "All these people with mental illness are violent and
should be locked up."

The nurse presents a class about mental health and mental illness to a group
of fourth graders. One student asks, "Why do people get mentally ill?" Select

, the nurse's best response.

a. "There are many reasons why mental illness occurs."

b. "The cause of mental illness is complicated and very hard to understand."

c. "Sometimes a person's brain does not work correctly because something
bad happens or they inherit a brain problem."

d. "Most mental illnesses result from genetically transmitted abnormalities in
cerebral structure; however, some are a consequence of traumatic life
experiences." - ANSWER c. "Sometimes a person's brain does not work
correctly because something bad happens or they inherit a brain problem."

An adult experienced a spinal cord injury resulting in quadriplegia 3 years
ago and now lives permanently in a skilled care facility. Which comment by
this person best demonstrates resiliency?

a. "I often pray for a miracle that will heal my paralysis so I will be whole
again."

b. "I don't know what I did to deserve this fate or whether I am tough
enough to endure it."

c. "My accident was a twist of fate. I suppose there are worse things than
being paralyzed."

d. "Being paralyzed has taken things from me but it hasn't kept me from
being mentally involved in life." - ANSWER d. "Being paralyzed has taken
things from me but it hasn't kept me from being mentally involved in life."

A nursing assistant says to the nurse, "The schizophrenic in room 226 has
been rambling all day." When considering the nurse's responsibility to

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