NURS 3554: Exam 1 Questions With Complete Solutions
A 26-month-old displays negative behavior, refuses toilet
training, and often says, "No!" Which psychosocial crisis is
evident?
a. Trust versus mistrust
b. Initiative versus guilt
c. Industry versus inferiority
d. Autonomy versus shame and doubt Correct Answer d.
Autonomy versus shame and doubt
A client plans to have electroconvulsive therapy (ECT). Which
member of the team is responsible for obtaining the client's
informed consent?
A. Physician
B. Psychologist
C. Case manager
D. Registered nurse Correct Answer A. Physician
A hospitalized client diagnosed with major depression tells the
nurse, "I need my belt to keep my pants up. They keep falling
down." Which response should the nurse provide?
A. "Your belt is locked in the business office for safekeeping,
along with all your other valuables."
B. "For safety reasons, hospitalized clients are not allowed to
keep certain personal possessions."
C. "I cannot provide your belt, but I will help you get some
pants with an elastic waistband."
, C. "I will ask the psychiatric technician to get your belt for
you." Correct Answer ANS: C
Clients' rights allow them to keep personal possessions except
those that might prove dangerous. A belt is potentially
dangerous; so, the client should be prohibited from having it. It
is important however for the nurse to respond to the client's
need. Elastic banded pants are safe and the client would not need
a belt.
A nurse is putting together an educational seminar on advance
directives. What information would be included in the
materials?
a.A patient may change a treatment decision in an advance
directive if the patient's health care agent approves the change.
b.When admitted to the hospital, a patient must appoint a
Durable Power of Attorney for health care decisions.
c.A health care facility must provide a patient informational
material advising them of their rights to declare their desires
concerning treatment decisions.
d.A health care facility is required to provide a patient an
attorney when the patient is signing a living will. Correct
Answer c.A health care facility must provide a patient
informational material advising them of their rights to declare
their desires concerning treatment decisions.
Under Federal law, all healthcare facilities are required to
provide patients with information on how to make medical
decisions under Federal and State law, including accepting or
refusing treatments and creation of an Advance Directive. The
,patient has the right to change a treatment decision in an
advance directive, regardless of whether the patient's healthcare
agent approves or denies the change. It is the patient's right to
appoint a Durable Power of Attorney at the time and place of his
choosing. It is not required for entry to a hospital. The
healthcare facility is not required to provide an attorney to a
patient to sign a living will. The patient needs to determine
which attorney they want to hire or if they want to hire an
attorney.
A nurse was the case manager for a client with serious mental
illness for 6 years. The client died by suicide 1 week ago.
Today, the client's spouse asks, "I always wondered if my
spouse was a victim of sexual abuse in childhood. What can you
tell me about that?" Can the nurse disclose information to the
surviving spouse?
A. Yes
B. No Correct Answer B. No
A patient is to be discharged on a regimen of lithium carbonate.
In the teaching plan for discharge the nurse should include:
a. Advising the client to watch the diet carefully
b. Suggesting that the client take the pills with milk
c. Reminding the client that a CBC must be done once a month.
d. Encouraging the client to have blood levels checked as
ordered. Correct Answer d. Encouraging the client to have
blood levels checked as ordered.
A psychiatric client is to be discharged with orders for
haloperidol (Haldol) therapy. When developing a teaching plan
, for discharge, the nurse should include cautioning the client
against:
a. Driving at night
b. Staying in the sun
c. Ingesting wines and cheeses
d. Taking medications containing aspirin Correct Answer b.
Staying in the sun
A student nurse says, "I don't need to interact with my patients. I
learn what I need to know by observation." An instructor can
best interpret the nursing implications of Sullivan's theory to this
student by responding:
a. "Interactions are required in order to help you develop
therapeutic communication skills."
b. "Nurses cannot be isolated. We must interact to provide
patients with opportunities to practice interpersonal skills."
c. "Observing patient interactions will help you formulate
priority nursing diagnoses and appropriate interventions."
d. "It is important to note patients' behavioral changes, because
these signify adjustments in personality." Correct Answer b.
"Nurses cannot be isolated. We must interact to provide patients
with opportunities to practice interpersonal skills."
Accessing 'best evidence' practice Correct Answer -Internet
mental health resources
-Clinical practice guidelines
-Clinical algorithms
-Clinical/critical pathways
A 26-month-old displays negative behavior, refuses toilet
training, and often says, "No!" Which psychosocial crisis is
evident?
a. Trust versus mistrust
b. Initiative versus guilt
c. Industry versus inferiority
d. Autonomy versus shame and doubt Correct Answer d.
Autonomy versus shame and doubt
A client plans to have electroconvulsive therapy (ECT). Which
member of the team is responsible for obtaining the client's
informed consent?
A. Physician
B. Psychologist
C. Case manager
D. Registered nurse Correct Answer A. Physician
A hospitalized client diagnosed with major depression tells the
nurse, "I need my belt to keep my pants up. They keep falling
down." Which response should the nurse provide?
A. "Your belt is locked in the business office for safekeeping,
along with all your other valuables."
B. "For safety reasons, hospitalized clients are not allowed to
keep certain personal possessions."
C. "I cannot provide your belt, but I will help you get some
pants with an elastic waistband."
, C. "I will ask the psychiatric technician to get your belt for
you." Correct Answer ANS: C
Clients' rights allow them to keep personal possessions except
those that might prove dangerous. A belt is potentially
dangerous; so, the client should be prohibited from having it. It
is important however for the nurse to respond to the client's
need. Elastic banded pants are safe and the client would not need
a belt.
A nurse is putting together an educational seminar on advance
directives. What information would be included in the
materials?
a.A patient may change a treatment decision in an advance
directive if the patient's health care agent approves the change.
b.When admitted to the hospital, a patient must appoint a
Durable Power of Attorney for health care decisions.
c.A health care facility must provide a patient informational
material advising them of their rights to declare their desires
concerning treatment decisions.
d.A health care facility is required to provide a patient an
attorney when the patient is signing a living will. Correct
Answer c.A health care facility must provide a patient
informational material advising them of their rights to declare
their desires concerning treatment decisions.
Under Federal law, all healthcare facilities are required to
provide patients with information on how to make medical
decisions under Federal and State law, including accepting or
refusing treatments and creation of an Advance Directive. The
,patient has the right to change a treatment decision in an
advance directive, regardless of whether the patient's healthcare
agent approves or denies the change. It is the patient's right to
appoint a Durable Power of Attorney at the time and place of his
choosing. It is not required for entry to a hospital. The
healthcare facility is not required to provide an attorney to a
patient to sign a living will. The patient needs to determine
which attorney they want to hire or if they want to hire an
attorney.
A nurse was the case manager for a client with serious mental
illness for 6 years. The client died by suicide 1 week ago.
Today, the client's spouse asks, "I always wondered if my
spouse was a victim of sexual abuse in childhood. What can you
tell me about that?" Can the nurse disclose information to the
surviving spouse?
A. Yes
B. No Correct Answer B. No
A patient is to be discharged on a regimen of lithium carbonate.
In the teaching plan for discharge the nurse should include:
a. Advising the client to watch the diet carefully
b. Suggesting that the client take the pills with milk
c. Reminding the client that a CBC must be done once a month.
d. Encouraging the client to have blood levels checked as
ordered. Correct Answer d. Encouraging the client to have
blood levels checked as ordered.
A psychiatric client is to be discharged with orders for
haloperidol (Haldol) therapy. When developing a teaching plan
, for discharge, the nurse should include cautioning the client
against:
a. Driving at night
b. Staying in the sun
c. Ingesting wines and cheeses
d. Taking medications containing aspirin Correct Answer b.
Staying in the sun
A student nurse says, "I don't need to interact with my patients. I
learn what I need to know by observation." An instructor can
best interpret the nursing implications of Sullivan's theory to this
student by responding:
a. "Interactions are required in order to help you develop
therapeutic communication skills."
b. "Nurses cannot be isolated. We must interact to provide
patients with opportunities to practice interpersonal skills."
c. "Observing patient interactions will help you formulate
priority nursing diagnoses and appropriate interventions."
d. "It is important to note patients' behavioral changes, because
these signify adjustments in personality." Correct Answer b.
"Nurses cannot be isolated. We must interact to provide patients
with opportunities to practice interpersonal skills."
Accessing 'best evidence' practice Correct Answer -Internet
mental health resources
-Clinical practice guidelines
-Clinical algorithms
-Clinical/critical pathways
