NUR 162 final - textbook questions with
correct answers
Joan's husband, who was deployed to Afghanistan a year ago, is returning home
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this week. Which of the following postdeployment situations may be likely to
| | | | | | | | | | | |
occur during the fist few months of his return? Select all that apply.
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a. A honeymoon period of physical reconnection
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b. Resistance from the spouse regarding possible loss of autonomy
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c. Rejection by the children for perceived abandonment
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d. A period of adjustment to reconnect emotionally - CORRECT ANSWER✔✔-A, B,
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D
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Which of the following is the leading cause of traumatic brain injury (TBI) in
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active-duty military personnel in combat?
| | | |
a. Military vehicle accidents
| | |
b. Blasts from explosive devices
| | | |
c. Falls
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D. Blows to the head from falling debris - CORRECT ANSWER✔✔-B
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Leon, a veteran of the war in Iraq, has been diagnosed with PTSD. He is a client of
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the VA outpatient clinic. He tells the nurse that he experiences panic attacks.
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Which of the following medications may be prescribed for Leon to treat his panic
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attack?
,a. Alprazolam
|
b. Lithium
|
c. Carbamazepine
|
d. Haldol - CORRECT ANSWER✔✔-A
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Leon, a veteran of the war in Iraq, has been diagnosed with PTSD. He has been
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hospitalized after swallowing a handful of his anti-panic medication. His physical
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condition has been stabilized in the emergency department, and has been
| | | | | | | | | | |
admitted to the psychiatric unit. In developing the initial plan of care, which is the
| | | | | | | | | | | | | |
priority nursing diagnosis that the nurse selects for Leon?
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a. Post-trauma syndrome
| |
b. Risk for suicide
| | |
c. Complicated grieving
| |
d. Disturbed thought processes - CORRECT ANSWER✔✔-B
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Mike was injured during combat in Afghanistan. He has a diagnosis of TBI. Which
| | | | | | | | | | | | | |
of the following medications might the physician prescribe to improve Mike's
| | | | | | | | | | |
memory and thinking capability? | | |
a. Carbamazepine
|
b. Duloxetine
|
c. Donepezil
|
d. Bupropion - CORRECT ANSWER✔✔-C
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,Leon, a veteran of the war in Iraq, has been diagnosed with PTSD. He has been
| | | | | | | | | | | | | | | |
hospitalized on the psychiatric unit following an attempted suicide. In the middle
| | | | | | | | | | | |
of the night, he wakes up yelling and tells the nurse he was having a flashback to
| | | | | | | | | | | | | | | | |
when his unit transport drove over an improvised explosive device (IED) and most
| | | | | | | | | | | |
|of his fellow soldiers were killed. He is breathing heavily, perspiring, and his heart
| | | | | | | | | | | | |
|is pounding. The nurse's most appropriate initial intervention is which of the
| | | | | | | | | | | |
following?
a. Contact the doctor on call to report the incident.
| | | | | | | | |
b. Administer the prn. order for chlorpromazine.
| | | | | |
c. Stay with Leon and reassure him of his safety.
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d. Have Leon sit outside the nurses' station until he is calm. - CORRECT
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ANSWER✔✔-C
Mike, a veteran of combat in Afghanistan, has a diagnosis of mild TBI. The
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psychiatric home health nurse form the VA medical center is assigned to make
| | | | | | | | | | | | |
home visits to Mike and his wife, Nancy, who is his caregiver. Which of the
| | | | | | | | | | | | | | |
following be an appropriate nursing intervention by the home health nurse?
| | | | | | | | | | |
Select all that apply.
| | |
a. Assess for use of substances by Mike or Nancy
| | | | | | | | |
b. Encourage Nancy to do everything for Mike to prevent further deterioration in
| | | | | | | | | | | | |
his condition
|
c. Assess Nancy's level of stress and potential for burnout
| | | | | | | | |
d. Encourage Nancy to allow Mike to be as independent as possible
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e. Suggest that Nancy ask the physician for a nursing home replacement for Mike
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- CORRECT ANSWER✔✔-A, C, D
| | | | |
, Which of the following psychosocial therapies has been shown to be helpful for
| | | | | | | | | | | | |
clients with traumatic brain injury (TBI)?
| | | | |
a. Eye movement desensitization
| | |
b. Psychoanalysis
|
c. Reality therapy
| |
d. Cognitive behavioral therapy - CORRECT ANSWER✔✔-D
| | | | | |
Pam's husband of 1 year left 2 weeks ago for a year-long deployment in
| | | | | | | | | | | | | |
Afghanistan. Pam makes an appointment with the psychiatric nurse practitioner
| | | | | | | | | |
at the Community Mental Health Clinic. She tells the nurse that she can't sleep,
| | | | | | | | | | | | | |
has no appetite, is chronically fatigued, thinks about her husband constantly and
| | | | | | | | | | | |
fears for his life. Which of the following might the nurse suggest/prescribe for
| | | | | | | | | | | | |
Pam? Select all that apply.
| | | |
a. A prescription for sertraline, 50 mg/day
| | | | | |
b. Participation in a support group
| | | | |
c. Resume involvement in usual activities
| | | | |
d. Perform regular relaxation exercises - CORRECT ANSWER✔✔-A, B, C, D
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Sheila, a nurse, served as a captain in the military and returned from active duty
| | | | | | | | | | | | | | |
three months ago. She reports experiencing nightmares and headaches since her
| | | | | | | | | | |
return but denies being engaged in active combat during her tour of duty. Which
| | | | | | | | | | | | | |
of the following should the nurse include the psychosocial assessment? Select all
| | | | | | | | | | | |
that apply.
|
a. Folstein's mini-mental status exam
| | | |
correct answers
Joan's husband, who was deployed to Afghanistan a year ago, is returning home
| | | | | | | | | | | | |
this week. Which of the following postdeployment situations may be likely to
| | | | | | | | | | | |
occur during the fist few months of his return? Select all that apply.
| | | | | | | | | | | |
a. A honeymoon period of physical reconnection
| | | | | |
b. Resistance from the spouse regarding possible loss of autonomy
| | | | | | | | |
c. Rejection by the children for perceived abandonment
| | | | | | |
d. A period of adjustment to reconnect emotionally - CORRECT ANSWER✔✔-A, B,
| | | | | | | | | | |
D
|
Which of the following is the leading cause of traumatic brain injury (TBI) in
| | | | | | | | | | | | | |
active-duty military personnel in combat?
| | | |
a. Military vehicle accidents
| | |
b. Blasts from explosive devices
| | | |
c. Falls
|
D. Blows to the head from falling debris - CORRECT ANSWER✔✔-B
| | | | | | | | | |
Leon, a veteran of the war in Iraq, has been diagnosed with PTSD. He is a client of
| | | | | | | | | | | | | | | | |
the VA outpatient clinic. He tells the nurse that he experiences panic attacks.
| | | | | | | | | | | | | |
Which of the following medications may be prescribed for Leon to treat his panic
| | | | | | | | | | | | | |
attack?
,a. Alprazolam
|
b. Lithium
|
c. Carbamazepine
|
d. Haldol - CORRECT ANSWER✔✔-A
| | | |
Leon, a veteran of the war in Iraq, has been diagnosed with PTSD. He has been
| | | | | | | | | | | | | | | |
hospitalized after swallowing a handful of his anti-panic medication. His physical
| | | | | | | | | | |
condition has been stabilized in the emergency department, and has been
| | | | | | | | | | |
admitted to the psychiatric unit. In developing the initial plan of care, which is the
| | | | | | | | | | | | | |
priority nursing diagnosis that the nurse selects for Leon?
| | | | | | | | |
a. Post-trauma syndrome
| |
b. Risk for suicide
| | |
c. Complicated grieving
| |
d. Disturbed thought processes - CORRECT ANSWER✔✔-B
| | | | | |
Mike was injured during combat in Afghanistan. He has a diagnosis of TBI. Which
| | | | | | | | | | | | | |
of the following medications might the physician prescribe to improve Mike's
| | | | | | | | | | |
memory and thinking capability? | | |
a. Carbamazepine
|
b. Duloxetine
|
c. Donepezil
|
d. Bupropion - CORRECT ANSWER✔✔-C
| | | |
,Leon, a veteran of the war in Iraq, has been diagnosed with PTSD. He has been
| | | | | | | | | | | | | | | |
hospitalized on the psychiatric unit following an attempted suicide. In the middle
| | | | | | | | | | | |
of the night, he wakes up yelling and tells the nurse he was having a flashback to
| | | | | | | | | | | | | | | | |
when his unit transport drove over an improvised explosive device (IED) and most
| | | | | | | | | | | |
|of his fellow soldiers were killed. He is breathing heavily, perspiring, and his heart
| | | | | | | | | | | | |
|is pounding. The nurse's most appropriate initial intervention is which of the
| | | | | | | | | | | |
following?
a. Contact the doctor on call to report the incident.
| | | | | | | | |
b. Administer the prn. order for chlorpromazine.
| | | | | |
c. Stay with Leon and reassure him of his safety.
| | | | | | | | |
d. Have Leon sit outside the nurses' station until he is calm. - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-C
Mike, a veteran of combat in Afghanistan, has a diagnosis of mild TBI. The
| | | | | | | | | | | | | |
psychiatric home health nurse form the VA medical center is assigned to make
| | | | | | | | | | | | |
home visits to Mike and his wife, Nancy, who is his caregiver. Which of the
| | | | | | | | | | | | | | |
following be an appropriate nursing intervention by the home health nurse?
| | | | | | | | | | |
Select all that apply.
| | |
a. Assess for use of substances by Mike or Nancy
| | | | | | | | |
b. Encourage Nancy to do everything for Mike to prevent further deterioration in
| | | | | | | | | | | | |
his condition
|
c. Assess Nancy's level of stress and potential for burnout
| | | | | | | | |
d. Encourage Nancy to allow Mike to be as independent as possible
| | | | | | | | | | |
e. Suggest that Nancy ask the physician for a nursing home replacement for Mike
| | | | | | | | | | | | |
- CORRECT ANSWER✔✔-A, C, D
| | | | |
, Which of the following psychosocial therapies has been shown to be helpful for
| | | | | | | | | | | | |
clients with traumatic brain injury (TBI)?
| | | | |
a. Eye movement desensitization
| | |
b. Psychoanalysis
|
c. Reality therapy
| |
d. Cognitive behavioral therapy - CORRECT ANSWER✔✔-D
| | | | | |
Pam's husband of 1 year left 2 weeks ago for a year-long deployment in
| | | | | | | | | | | | | |
Afghanistan. Pam makes an appointment with the psychiatric nurse practitioner
| | | | | | | | | |
at the Community Mental Health Clinic. She tells the nurse that she can't sleep,
| | | | | | | | | | | | | |
has no appetite, is chronically fatigued, thinks about her husband constantly and
| | | | | | | | | | | |
fears for his life. Which of the following might the nurse suggest/prescribe for
| | | | | | | | | | | | |
Pam? Select all that apply.
| | | |
a. A prescription for sertraline, 50 mg/day
| | | | | |
b. Participation in a support group
| | | | |
c. Resume involvement in usual activities
| | | | |
d. Perform regular relaxation exercises - CORRECT ANSWER✔✔-A, B, C, D
| | | | | | | | | |
Sheila, a nurse, served as a captain in the military and returned from active duty
| | | | | | | | | | | | | | |
three months ago. She reports experiencing nightmares and headaches since her
| | | | | | | | | | |
return but denies being engaged in active combat during her tour of duty. Which
| | | | | | | | | | | | | |
of the following should the nurse include the psychosocial assessment? Select all
| | | | | | | | | | | |
that apply.
|
a. Folstein's mini-mental status exam
| | | |
