New Zealand Nursing State Finals
1. Mental status assessment using the 'batomi' formation is a useful nursing
assessment tool because it tells you
a) Whether or not a client has a mental illness
b) Details about an individual's feeling state and cognitive functioning
c) Whether a mental illness is organic or functional in origin
d) The history of a client's symptoms and his response to stress - ------------ANS: b)
Details about an individual's feeling state and cognitive functioning?
(perhaps from old exam, don't think Batomi Function exists anymore)
2. The nursing goal for performing passive range of motion exercises for an
unconscious client such as josie would be to
a) Preserve muscle mass
b) Prevent bone demineralisation
c) Increase muscle tone
d) Maintain joint mobility - ------------ANS: d) Maintain joint mobility
3. When assessing josies respiratory status, which of the following symptoms may
be an early indicator of hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
d) Hypotension - ------------ANS: a) Cyanosis
4. When the nurse performs oral hygiene for josie, whilst she is still unconscious,
which of the following actions would be most
a) Use manual instead of mechanical ventilation
b) Keep suction apparatus available
c) Place josie in a prone position
d) Wear sterile gloves - ------------ANS: d) Wear sterile gloves?
5. A 34 year old Japanese tourist, takayuki hamadi, is admitted to the hospital after
experiencing multiple trauma as a result of an automobile accident. He has three
fractured ribs, a hairline fracture of the pelvis, a compound fracture of his right tibia
and fibula, and soft tissue injuries. He is in severe pain when he arrives on the unit
after emergency surgery
, • Takayuki reports severe pain and requests frequent medication. A nursing assistant
expresses her surprise, saying, 'i thought asian people were very stoic about pain. '
your initial course of action should be
a) Reprimand her immediately and apologise to takayuk's family
b) Discuss her behaviour with her after you leave the room
c) Do nothing as takayuk's understanding of English is poor
d) Report her to the charge nurse - ------------ANS: b) Discuss her behaviour with her
after you leave the room?
6. A client expresses the belief that he is the illegitimate son of a famous family. This
is an example of
a) Paranoid thinking
b) Pressure of speech
c) A delusion of grandeur
d) Ideas of reference - ------------ANS: c) A delusion of grandeur
7. A client who has been admitted for treatment of a depressive illness says he
doesn't want to attend group activities. The reason such a client would be
encouraged to attend is that
a) He is less likely to dwell on depressive ideas while he is involved in a group
activity
b) It is an expectation that all clients attend group activities while in hospital
c) Involvement in group activities is the only way to overcome feelings of depression
d) Attendance at group activities is essential to monitor the effectiveness of
medication - ------------ANS: a) He is less likely to dwell on depressive ideas while he
is involved in a group activity?
8. A client who is committed under the mental health act (1992) is discharged from
hospital on leave. When visited by the community mental health nurse he refused his
injection of antipsychotic medication which is due that day. The best initial approach
to this would be to
a) Explain that this will mean his immediate return to hospital
b) Visit again the next day and attempt to persuade the client to accept his
medication
c) Inform the medical staff so that the clients legal status can be changed
d) Explore with the client alternative forms of treatment to medication -
------------ANS: If discharged on leave and still committed under the act
a) a) Explain that this will mean his immediate return to hospital
1. Mental status assessment using the 'batomi' formation is a useful nursing
assessment tool because it tells you
a) Whether or not a client has a mental illness
b) Details about an individual's feeling state and cognitive functioning
c) Whether a mental illness is organic or functional in origin
d) The history of a client's symptoms and his response to stress - ------------ANS: b)
Details about an individual's feeling state and cognitive functioning?
(perhaps from old exam, don't think Batomi Function exists anymore)
2. The nursing goal for performing passive range of motion exercises for an
unconscious client such as josie would be to
a) Preserve muscle mass
b) Prevent bone demineralisation
c) Increase muscle tone
d) Maintain joint mobility - ------------ANS: d) Maintain joint mobility
3. When assessing josies respiratory status, which of the following symptoms may
be an early indicator of hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
d) Hypotension - ------------ANS: a) Cyanosis
4. When the nurse performs oral hygiene for josie, whilst she is still unconscious,
which of the following actions would be most
a) Use manual instead of mechanical ventilation
b) Keep suction apparatus available
c) Place josie in a prone position
d) Wear sterile gloves - ------------ANS: d) Wear sterile gloves?
5. A 34 year old Japanese tourist, takayuki hamadi, is admitted to the hospital after
experiencing multiple trauma as a result of an automobile accident. He has three
fractured ribs, a hairline fracture of the pelvis, a compound fracture of his right tibia
and fibula, and soft tissue injuries. He is in severe pain when he arrives on the unit
after emergency surgery
, • Takayuki reports severe pain and requests frequent medication. A nursing assistant
expresses her surprise, saying, 'i thought asian people were very stoic about pain. '
your initial course of action should be
a) Reprimand her immediately and apologise to takayuk's family
b) Discuss her behaviour with her after you leave the room
c) Do nothing as takayuk's understanding of English is poor
d) Report her to the charge nurse - ------------ANS: b) Discuss her behaviour with her
after you leave the room?
6. A client expresses the belief that he is the illegitimate son of a famous family. This
is an example of
a) Paranoid thinking
b) Pressure of speech
c) A delusion of grandeur
d) Ideas of reference - ------------ANS: c) A delusion of grandeur
7. A client who has been admitted for treatment of a depressive illness says he
doesn't want to attend group activities. The reason such a client would be
encouraged to attend is that
a) He is less likely to dwell on depressive ideas while he is involved in a group
activity
b) It is an expectation that all clients attend group activities while in hospital
c) Involvement in group activities is the only way to overcome feelings of depression
d) Attendance at group activities is essential to monitor the effectiveness of
medication - ------------ANS: a) He is less likely to dwell on depressive ideas while he
is involved in a group activity?
8. A client who is committed under the mental health act (1992) is discharged from
hospital on leave. When visited by the community mental health nurse he refused his
injection of antipsychotic medication which is due that day. The best initial approach
to this would be to
a) Explain that this will mean his immediate return to hospital
b) Visit again the next day and attempt to persuade the client to accept his
medication
c) Inform the medical staff so that the clients legal status can be changed
d) Explore with the client alternative forms of treatment to medication -
------------ANS: If discharged on leave and still committed under the act
a) a) Explain that this will mean his immediate return to hospital
