N161 MIDTERM EXAM WITH FULL PACK SOLUTIONS
1.A gnursing ginstructor gis gteaching gabout gtrauma gand gstressor-related
gdisor- gders. gWhich gstatement gby gone gof gthe gstudents gindicates gthat
gfurther ginstruction gis gneeded?
1. "The gtrauma gthat gwomen gexperience gis gmore glikely gto gbe gsexual
gassault gand gchild gsexual gabuse."
2. "The gtrauma gthat gmen gexperience gis gmore glikely gto gbe gaccidents,
gphysical gassaults, gcombat, gor gviewing gdeath gor ginjury."
3. "After gexposure gto ga gtraumatic gevent, gonly g10 gpercent gof gvictims
gdevelop gposttraumatic gstress gdisorder g(PTSD)."
4. "Research gshows gthat gPTSD gis gmore gcommon gin gmen gthan gin gwomen.":
gANS: g4
Research gshows gthat gPTSD gis gmore gcommon gin gwomen gthan gin gmen.
gThis gstudent gstatement gindicates ga gneed gfor gfurther ginstruction.
2.A g52-year-old gclient gstates, g"My ghusband gis gupset gbecause gI gdon't
genjoy gsex gas gmuch gas gI gused gto." gWhich gpriority gclient gdata gshould ga
gnurse ginitially gcollect?
1. History gof ghysterectomy
2. Date gof glast gmenstrual gcycle
3. Use gof gbirth gcontrol gmethods
1 g/
g135
,4. History gof gthought gdisorder: gANS: g2
The gnurse gshould gassess gthe gclient's glast gmenstrual gcycle gto
gdetermine gif gthe gclient gis gexperiencing gthe gonset gof gmenopause.
gMenopause gusually goccurs garound gthe gage gof
50. gThe gdecrease gin gestrogen gcan gresult gin gmultiple gsymptoms,
gincluding ga gdecrease gin gbiological gdrives gand gsexual gactivity.
3.A gnursing ginstructor gis gteaching gabout grecovery gas git gapplies gto
gmental gillness. gWhich gstudent gstatement gindicates gthat gfurther
gteaching gis gneeded?
1. "The ggoal gof grecovery gis gimproved ghealth gand gwellness."
2. "The ggoal gof grecovery gis gexpedient, gcomprehensive gbehavioral gchange.
3. "The ggoal gof grecovery gis gthe gability gto glive ga gself-directed glife."
4. "The ggoal gof grecovery gis gthe gability gto greach gfull gpotential.": gANS: g2
Change gin grecovery gis gnot gan gexpedient gprocess. gIt goccurs
gincrementally gover gtime.
4.In gresponse gto ga gstudent's gquestion gregarding gchoosing ga gpsychiatric
gspe- gcialty, ga gcharge gnurse gstates, g"Mentally gill gclients gneed gspecial
gcare. gIf gI gwere gin gthat gposition, gI'd gwant ga gcaring gnurse galso." gFrom
gwhich gethical gframework gis gthe gcharge gnurse goperating?
1. Kantianism
2. Christian gethics
3. Ethical gegoism
4. Utilitarianism: gANS: g2
2 g/
g135
,The gcharge gnurse gis goperating gfrom ga gChristian gethics gframework. gThe
gimperative gdemand gof gChristian gethics gis gthat gall gdecisions gabout
gright gand gwrong gshould gbe gcentered gin glove gfor gGod gand gin gtreating
gothers gwith gthe gsame grespect gand gdignity gwith gwhich gwe gwould
gexpect gto gbe gtreated.
5.What gis gthe gmost gessential gtask gfor ga gnurse gto gaccomplish gprior gto
gforming ga gtherapeutic grelationship gwith ga gclient?
1. Clarify gpersonal gattitudes, gvalues, gand gbeliefs.
2. Obtain gthorough gassessment gdata.
3. Determine gthe gclient's glength gof gstay.
4. Establish gpersonal ggoals gfor gthe ginteraction.: gANS: g1
The gmost gessential gtask gfor ga gnurse gto gaccomplish gprior gto gforming ga
gtherapeutic grelationship gwith ga gclient gis gto gclarify gpersonal gattitudes,
gvalues, gand gbeliefs. gUnder- gstanding gone's gown gattitudes, gvalues,
gand gbeliefs gis gcalled gself-awareness.
6.When gused gin gcombination gwith ganxiolytic gmedication, galcohol gleads gto
effects, gand gcaffeine gleads gto g effects.
1. increased; gincreased
2. increased; gdecreased
3. decreased; gdecreased
4. decreased; gincreased: gANS: g2
Anxiolytic gmedications gwork gthrough gdepression gof gcertain gcentral
gnervous gsystem g(CNS) gfunctions. gAlcohol, gwhich gis ga gCNS
gdepressant, gwould gincrease/potentiate gtheir geffects. gCaffeine, gwhich
gis ga gCNS gstimulant, gwould gdecrease/inhibit gtheir geffects.
7.A gnurse gis gassessing ga gclient gwho gis gexperiencing goccasional
gfeelings gof gsadness gbecause gof gthe grecent gdeath gof ga gbeloved gpet.
gThe gclient's gappetite, gsleep gpatterns, gand gdaily groutine ghave gnot
gchanged. gHow gshould gthe gnurse ginterpret gthe gclient's gbehaviors?
1. The gclient's gbehaviors gdemonstrate gmental gillness gin gthe gform gof
gdepres- gsion.
2. The gclient's gbehaviors gare gextensive, gwhich gindicates gthe gpresence gof
gmental gillness.
3. The gclient's gbehaviors gare gnot gcongruent gwith gcultural gnorms.
4. The gclient's gbehaviors gdemonstrate gno gfunctional gimpairment, gindicating
gno gmental gillness.: gANS: g4
The gnurse gshould gassess gthat gthe gclient's gdaily gfunctioning gis gnot
gimpaired. gThe gclient gwho gexperiences gfeelings gof gsadness gafter gthe
gloss gof ga gpet gis gresponding gwithin gnormal gexpectations.
3 g/
g135
, 8.A gnurse gdiscovers ga gclient's gsuicide gnote gthat gdetails gthe gtime,
gplace, gand gmeans gto gcommit gsuicide. gWhat gshould gbe gthe gpriority
gnursing gintervention gand gthe grationale gfor gthis gaction?
4 g/
g135
1.A gnursing ginstructor gis gteaching gabout gtrauma gand gstressor-related
gdisor- gders. gWhich gstatement gby gone gof gthe gstudents gindicates gthat
gfurther ginstruction gis gneeded?
1. "The gtrauma gthat gwomen gexperience gis gmore glikely gto gbe gsexual
gassault gand gchild gsexual gabuse."
2. "The gtrauma gthat gmen gexperience gis gmore glikely gto gbe gaccidents,
gphysical gassaults, gcombat, gor gviewing gdeath gor ginjury."
3. "After gexposure gto ga gtraumatic gevent, gonly g10 gpercent gof gvictims
gdevelop gposttraumatic gstress gdisorder g(PTSD)."
4. "Research gshows gthat gPTSD gis gmore gcommon gin gmen gthan gin gwomen.":
gANS: g4
Research gshows gthat gPTSD gis gmore gcommon gin gwomen gthan gin gmen.
gThis gstudent gstatement gindicates ga gneed gfor gfurther ginstruction.
2.A g52-year-old gclient gstates, g"My ghusband gis gupset gbecause gI gdon't
genjoy gsex gas gmuch gas gI gused gto." gWhich gpriority gclient gdata gshould ga
gnurse ginitially gcollect?
1. History gof ghysterectomy
2. Date gof glast gmenstrual gcycle
3. Use gof gbirth gcontrol gmethods
1 g/
g135
,4. History gof gthought gdisorder: gANS: g2
The gnurse gshould gassess gthe gclient's glast gmenstrual gcycle gto
gdetermine gif gthe gclient gis gexperiencing gthe gonset gof gmenopause.
gMenopause gusually goccurs garound gthe gage gof
50. gThe gdecrease gin gestrogen gcan gresult gin gmultiple gsymptoms,
gincluding ga gdecrease gin gbiological gdrives gand gsexual gactivity.
3.A gnursing ginstructor gis gteaching gabout grecovery gas git gapplies gto
gmental gillness. gWhich gstudent gstatement gindicates gthat gfurther
gteaching gis gneeded?
1. "The ggoal gof grecovery gis gimproved ghealth gand gwellness."
2. "The ggoal gof grecovery gis gexpedient, gcomprehensive gbehavioral gchange.
3. "The ggoal gof grecovery gis gthe gability gto glive ga gself-directed glife."
4. "The ggoal gof grecovery gis gthe gability gto greach gfull gpotential.": gANS: g2
Change gin grecovery gis gnot gan gexpedient gprocess. gIt goccurs
gincrementally gover gtime.
4.In gresponse gto ga gstudent's gquestion gregarding gchoosing ga gpsychiatric
gspe- gcialty, ga gcharge gnurse gstates, g"Mentally gill gclients gneed gspecial
gcare. gIf gI gwere gin gthat gposition, gI'd gwant ga gcaring gnurse galso." gFrom
gwhich gethical gframework gis gthe gcharge gnurse goperating?
1. Kantianism
2. Christian gethics
3. Ethical gegoism
4. Utilitarianism: gANS: g2
2 g/
g135
,The gcharge gnurse gis goperating gfrom ga gChristian gethics gframework. gThe
gimperative gdemand gof gChristian gethics gis gthat gall gdecisions gabout
gright gand gwrong gshould gbe gcentered gin glove gfor gGod gand gin gtreating
gothers gwith gthe gsame grespect gand gdignity gwith gwhich gwe gwould
gexpect gto gbe gtreated.
5.What gis gthe gmost gessential gtask gfor ga gnurse gto gaccomplish gprior gto
gforming ga gtherapeutic grelationship gwith ga gclient?
1. Clarify gpersonal gattitudes, gvalues, gand gbeliefs.
2. Obtain gthorough gassessment gdata.
3. Determine gthe gclient's glength gof gstay.
4. Establish gpersonal ggoals gfor gthe ginteraction.: gANS: g1
The gmost gessential gtask gfor ga gnurse gto gaccomplish gprior gto gforming ga
gtherapeutic grelationship gwith ga gclient gis gto gclarify gpersonal gattitudes,
gvalues, gand gbeliefs. gUnder- gstanding gone's gown gattitudes, gvalues,
gand gbeliefs gis gcalled gself-awareness.
6.When gused gin gcombination gwith ganxiolytic gmedication, galcohol gleads gto
effects, gand gcaffeine gleads gto g effects.
1. increased; gincreased
2. increased; gdecreased
3. decreased; gdecreased
4. decreased; gincreased: gANS: g2
Anxiolytic gmedications gwork gthrough gdepression gof gcertain gcentral
gnervous gsystem g(CNS) gfunctions. gAlcohol, gwhich gis ga gCNS
gdepressant, gwould gincrease/potentiate gtheir geffects. gCaffeine, gwhich
gis ga gCNS gstimulant, gwould gdecrease/inhibit gtheir geffects.
7.A gnurse gis gassessing ga gclient gwho gis gexperiencing goccasional
gfeelings gof gsadness gbecause gof gthe grecent gdeath gof ga gbeloved gpet.
gThe gclient's gappetite, gsleep gpatterns, gand gdaily groutine ghave gnot
gchanged. gHow gshould gthe gnurse ginterpret gthe gclient's gbehaviors?
1. The gclient's gbehaviors gdemonstrate gmental gillness gin gthe gform gof
gdepres- gsion.
2. The gclient's gbehaviors gare gextensive, gwhich gindicates gthe gpresence gof
gmental gillness.
3. The gclient's gbehaviors gare gnot gcongruent gwith gcultural gnorms.
4. The gclient's gbehaviors gdemonstrate gno gfunctional gimpairment, gindicating
gno gmental gillness.: gANS: g4
The gnurse gshould gassess gthat gthe gclient's gdaily gfunctioning gis gnot
gimpaired. gThe gclient gwho gexperiences gfeelings gof gsadness gafter gthe
gloss gof ga gpet gis gresponding gwithin gnormal gexpectations.
3 g/
g135
, 8.A gnurse gdiscovers ga gclient's gsuicide gnote gthat gdetails gthe gtime,
gplace, gand gmeans gto gcommit gsuicide. gWhat gshould gbe gthe gpriority
gnursing gintervention gand gthe grationale gfor gthis gaction?
4 g/
g135
