Complete Test Bank
Emergency Care 12th Edition
Limmer Questions &
Answers with rationales
2024/2025
Certified Nurse-Midwife (CNM) - ANSWER ✓✓✓An APRN who is also educated in midwifery and
is certified by the American College of Nurse-Midwifes
the purpose of therapeutic interaction - ANSWER ✓✓✓to allow the client to autonomy to make
choices when appropriate. keep statements value-free, advice free, and reassurance-free
what action should the nurse take in a psychiatric situation when the client describes a physical
problem? - ANSWER ✓✓✓assess. example: if a client has schizophrenia complains of chest
pain take their blood pressure
basic communication principles - ANSWER ✓✓✓establish trust, nonjudgemental attitude,active
listening, offer self, accept client's feelings, validate client's statements, matter of fact approach
nausea is a common complaint after ECT - ANSWER ✓✓✓vomiting by an unconscious can lead
,to aspiration. maintain a paten airway
common physiological responses to anxiety - ANSWER ✓✓✓increased heart rate, and blood
pressure, rapid shallow respirations, dry mouth, tight feeling in throat, tremors, muscle twitching,
anorexia, urinary frequency, palmar sweating
nurse-client anxiety - ANSWER ✓✓✓anxiety is contagious, nurse needs to asses on anxiety level
and remain calm. it helps gain control, decrease anxiety, and increase feelings of security
desensitization - ANSWER ✓✓✓is the nursing intervention for phobia disorders. --assess client
to recognize the factors associated with feared stimuli.
-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
the nurse should place an anxious client where there are reduced environmental stimuli -
ANSWER ✓✓✓quiet area of the unit away from the nurse's station
the best time for interaction with a client is at the completion of the performed ritual - ANSWER
✓✓✓the client's anxiety is lowest at this time and its an optimal time for learning
compulsive acts are used in response to anxiety, which may or may not be related to the
obsession. its the nurse's responsibility help alleviate anxiety - ANSWER ✓✓✓its the nurse's
responsibility help alleviate anxiety, interfering will increase the anxiety
as long as the client's acts are free of violence: nurse should.... - ANSWER ✓✓✓-actively listen
to the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
,-avoid being judgmental
ford clients with PTSD, the nurse should.... - ANSWER ✓✓✓-actively listen to client's stories of
experiences surrounding the traumatic event
-assess suicide risk
-assist client to develop objectivity about the event and problem solve regarding possible means
of controlling anxiety related to the event
-encourage group therapy with other clients who have experienced the same traumatic event
be aware of your own feelings when dealing with this somatoform clients. - ANSWER ✓✓✓the
pain is real to the person experiencing it
theses disorders cannot be explained medically, it results from internal conflict. the nurse
should... - ANSWER ✓✓✓-acknowledge the symptom or complaint
-reaffirm that diagnostic test results reveal no organic pathology
-determine the secondary gains acquired by the client
avoid giving clients with dissociative disorders too much information about past events at one
time - ANSWER ✓✓✓the various types of amnestic that accompany dissociative disorders
provide protection from pain and too much to soon can cause decompensation
personality disorders are long standing behavioral traits that are maladaptive responses to
anxiety and that cause difficulty in relating to and working with other individuals - ANSWER
✓✓✓persons with personality disorders are usually comfortable with their disorders and believe
that they are right and the world is wrong and have little motivation
people with anorexia gain pleasure from providing others with food and watching them eat -
ANSWER ✓✓✓these behaviors reinforce their perception of self-control. don not allow these
clients to plan or prepare food for unit-based activities
, individuals with Bulimia often use syrup of ipecac to induce vomiting. if ipecac is not vomited
and is absorbed, cardiotoxicity may occur and cause conduction disturbances, cardiac
dysrhythmias, fatal myocarditis, and circulatory failure - ANSWER ✓✓✓because heart failure is
not usually seen in this age group, it is often overlooked. assess for edema and listen to breath
sounds
physical assessment and nutritional support are a priority, the physiological implication are
great. nursing interventions should increase self-esteem and develop a positive body image. -
ANSWER ✓✓✓family therapy is most effective because issues of control are common in these
(eating disorders.) therapy is usually long term
the most important s/s of depression are a depressed mood with a loss of interest in the
pleasures in life - ANSWER ✓✓✓the client has a sustained loss
s/s of depression - ANSWER ✓✓✓-significant change in appetite
-insomnia
-fatigue or lack of energy
-feelings of hopelessness
-loss of ability to concentrate
-preoccupation with death or suicide
depressed clients have difficulty hearing and accepting compliments because of their lowered
self-concept - ANSWER ✓✓✓comment on signs of improvement by noting behavior
the nurse knows depressed clients are improving when they - ANSWER ✓✓✓begin to take an
interest in their appearance or begin to perform self-care activities
the nurse should suspect an imminent suicide attempt if a depressed client becomes "better" -
ANSWER ✓✓✓be aware a happy affect may signify the the client feels relieved that a plan has
been made and is prepared for the suicide attempt
Emergency Care 12th Edition
Limmer Questions &
Answers with rationales
2024/2025
Certified Nurse-Midwife (CNM) - ANSWER ✓✓✓An APRN who is also educated in midwifery and
is certified by the American College of Nurse-Midwifes
the purpose of therapeutic interaction - ANSWER ✓✓✓to allow the client to autonomy to make
choices when appropriate. keep statements value-free, advice free, and reassurance-free
what action should the nurse take in a psychiatric situation when the client describes a physical
problem? - ANSWER ✓✓✓assess. example: if a client has schizophrenia complains of chest
pain take their blood pressure
basic communication principles - ANSWER ✓✓✓establish trust, nonjudgemental attitude,active
listening, offer self, accept client's feelings, validate client's statements, matter of fact approach
nausea is a common complaint after ECT - ANSWER ✓✓✓vomiting by an unconscious can lead
,to aspiration. maintain a paten airway
common physiological responses to anxiety - ANSWER ✓✓✓increased heart rate, and blood
pressure, rapid shallow respirations, dry mouth, tight feeling in throat, tremors, muscle twitching,
anorexia, urinary frequency, palmar sweating
nurse-client anxiety - ANSWER ✓✓✓anxiety is contagious, nurse needs to asses on anxiety level
and remain calm. it helps gain control, decrease anxiety, and increase feelings of security
desensitization - ANSWER ✓✓✓is the nursing intervention for phobia disorders. --assess client
to recognize the factors associated with feared stimuli.
-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
the nurse should place an anxious client where there are reduced environmental stimuli -
ANSWER ✓✓✓quiet area of the unit away from the nurse's station
the best time for interaction with a client is at the completion of the performed ritual - ANSWER
✓✓✓the client's anxiety is lowest at this time and its an optimal time for learning
compulsive acts are used in response to anxiety, which may or may not be related to the
obsession. its the nurse's responsibility help alleviate anxiety - ANSWER ✓✓✓its the nurse's
responsibility help alleviate anxiety, interfering will increase the anxiety
as long as the client's acts are free of violence: nurse should.... - ANSWER ✓✓✓-actively listen
to the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
,-avoid being judgmental
ford clients with PTSD, the nurse should.... - ANSWER ✓✓✓-actively listen to client's stories of
experiences surrounding the traumatic event
-assess suicide risk
-assist client to develop objectivity about the event and problem solve regarding possible means
of controlling anxiety related to the event
-encourage group therapy with other clients who have experienced the same traumatic event
be aware of your own feelings when dealing with this somatoform clients. - ANSWER ✓✓✓the
pain is real to the person experiencing it
theses disorders cannot be explained medically, it results from internal conflict. the nurse
should... - ANSWER ✓✓✓-acknowledge the symptom or complaint
-reaffirm that diagnostic test results reveal no organic pathology
-determine the secondary gains acquired by the client
avoid giving clients with dissociative disorders too much information about past events at one
time - ANSWER ✓✓✓the various types of amnestic that accompany dissociative disorders
provide protection from pain and too much to soon can cause decompensation
personality disorders are long standing behavioral traits that are maladaptive responses to
anxiety and that cause difficulty in relating to and working with other individuals - ANSWER
✓✓✓persons with personality disorders are usually comfortable with their disorders and believe
that they are right and the world is wrong and have little motivation
people with anorexia gain pleasure from providing others with food and watching them eat -
ANSWER ✓✓✓these behaviors reinforce their perception of self-control. don not allow these
clients to plan or prepare food for unit-based activities
, individuals with Bulimia often use syrup of ipecac to induce vomiting. if ipecac is not vomited
and is absorbed, cardiotoxicity may occur and cause conduction disturbances, cardiac
dysrhythmias, fatal myocarditis, and circulatory failure - ANSWER ✓✓✓because heart failure is
not usually seen in this age group, it is often overlooked. assess for edema and listen to breath
sounds
physical assessment and nutritional support are a priority, the physiological implication are
great. nursing interventions should increase self-esteem and develop a positive body image. -
ANSWER ✓✓✓family therapy is most effective because issues of control are common in these
(eating disorders.) therapy is usually long term
the most important s/s of depression are a depressed mood with a loss of interest in the
pleasures in life - ANSWER ✓✓✓the client has a sustained loss
s/s of depression - ANSWER ✓✓✓-significant change in appetite
-insomnia
-fatigue or lack of energy
-feelings of hopelessness
-loss of ability to concentrate
-preoccupation with death or suicide
depressed clients have difficulty hearing and accepting compliments because of their lowered
self-concept - ANSWER ✓✓✓comment on signs of improvement by noting behavior
the nurse knows depressed clients are improving when they - ANSWER ✓✓✓begin to take an
interest in their appearance or begin to perform self-care activities
the nurse should suspect an imminent suicide attempt if a depressed client becomes "better" -
ANSWER ✓✓✓be aware a happy affect may signify the the client feels relieved that a plan has
been made and is prepared for the suicide attempt
