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Nurs 311 Exam 1

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Exam of 86 pages for the course NURS 311 at NURS 311 (Nurs 311 Exam 1)

Institution
NURS 311
Course
NURS 311

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A pt is receiving lithium.


What is an important nursing intervention while this medication is being administered?


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Monitor the pt.s drug blood level regularly.

,A pt with schizophrenia has a history of hearing voices that say, "You are a bad
person." While having a conversation with a nurse with whom the pt has been
working, the pt states, "I am starting to hear the same voices again."


What is the RN's BESt response?


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Try to ignore the voices.




What is the MOST difficult initial task when developing a nurse-client relationship?


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Developing an awareness of self and professional role in the relationship.




A client who is experiencing command hallucinations is hospitalized after jumping
from a bridge. The client's parents insist that their son fell rather than jumped. Which of
the following likely explain the parents' response?


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The parents are in denial about the reality of their son's mental illness.

The parents are grieving over the loss of their expectations for their child.

The parents do not understand the extent or seriousness of mental illness.


The parents reject the idea of their son having a mental illness.

,Carl develops a fondness for the nurse who is providing diabetic education, because
she reminds him of his wife, who is also a teacher. This is an example of what
phenomenon that often arises in a therapeutic relationship?_____


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Transference




A Rn is discussing plans with a pt who has decided to withdraw from alcohol.


What should the RN recommend as one of the MOST effective treatments for
alcoholism?


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Active membership in Alcoholics Anonymous




Pamela has sought treatment for ongoing substance use disorder. She asks the nurse
what treatment options are available to help her combat this problem. Which of these
options would be accurate for the nurse to include in patient education?


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Self-help groups

Deterrent therapy


Substitution pharmacotherapy

, What should the RN do to achieve a primary objective of providing a therapeutic
daycare environment for a pt who is withdrawn and reclusive?


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Foster a trusting relationship




A pt tells the RN, "I am a terrible, evil person; the voices are telling me that God needs
to punish me."


What is the RN's MOST therapeutic initial response?


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"Tell me what you are thinking about yourself.




Some patients with schizophrenia express lack of insight or awareness that there is
anything wrong or that any disorder is present. This symptom is referred to as ____________


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Anosognosia




Harold was recently prescribed an antidepressant medication and asks the nurse how
it affects his body to help with his depression. Which of the following teaching points
about the biochemical aspects of antidepressants are accurate?


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Institution
NURS 311
Course
NURS 311

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