NUR 213 Exam
1. A depressed client verbalizes feelings of low self-esteem and self-worth typified by
statements such as "I'm such a failure. I can't do anything right." How should the nurse plan to
respond to the client's statement?
1.
Reassure the client that things will get better.
2.
Tell the client that this is not true and that we all have a purpose in life.
3.
Identify recent behaviors or accomplishments that demonstrate the client'sskills.
4.
Remain with the client and sit in silence; this will encourage the client toverbalize feelings.: 3
(these feelings are common symptoms of a depressed client. An effective plan of care to
enhance the client's personal self-esteem is to provide experiences forthe client that are
challenging, but that will not be met with failure. Reminders of
the client's past accomplishments or personal successes are ways to interrupt the client's
negative self-talk and distorted cognitive view of self. Options 1 and 2 give advice and
devalue the client's feelings. Silence may be interpreted as agreement)
2. The nurse is caring for a client who is at risk for suicide. What is the priority nursing action
for this client?
1.
Provide authority, action, and participation.
2.
Display an attitude of detachment, confrontation, and efficiency.
3.
Demonstrate confidence in the client's ability to deal with stressors.
4.
Provide hope and reassurance that the problems will resolve themselves.: 1
3. The nurse has developed a plan of care for a client diagnosed with anorexianervosa. Which
client problem would the nurse select as the priority in the plan of care?
,1.
Disrupted appearance because of weight
2.
Inability to feed self because of weakness
3.
Pain because of an inflamed gastric mucosa
4.
Nutritional imbalance because of lack of intake: 4
4. Which statement made by an unlicensed assistive personnel (UAP) indicates to the
registered nurse that the UAP understands the concepts relatedto suicide?
1.
"Discussing suicide with a client is not harmful."
2.
"Those clients who talk about suicide never do it."
3.
"Depressed clients are the only persons who commit suicide."
4.
"A suicide threat is a cry for attention from family and friends.": 1
(An open discussion of suicide will not encourage a pt to make a decision to commitsuicide and
in fact often will help to prevent it. Such a discussion offers the health care professional the
opportunity to assess the reality of suicide for the pt and takenecessary precautions to keep the
pt safe. )
5. Which client is at greatest risk for committing suicide?
1.
A client with metastatic cancer
2.
A client with a newly diagnosed cardiac disorder
3.
A client who just had an argument with her fiancé
, 4.
A newly divorced client who states she has custody of the children: 1
(pt with terminal illness. Other high-risk groups include adolescents, drug abusers,persons
who have experienced recent losses, those who have few or no social supports, and those with
a history of suicide attempts and a suicide plan.)
6. Which statement by the nurse indicates a need for further teaching con-cerning family
violence?
1.
"Abusers use fear and intimidation."
2.
"Abusers usually have poor self-esteem."
3.
"Abusers often are jealous or self-centered."
4.
"Abusers are more often from low-income families.": 4
(low self-esteem, immaturity, dependence, insecurity, and jealousy. e.g. the 45thPresident of
the United States)
7. Which pre-electroconvulsive therapy intervention will the nurse implementfor a
hospitalized client?
1.
Restrict the client smoking for 12 hours.
2.
Enforce nothing by mouth (NPO) status for 16 hours.
3.
Limit the client's participation in unit activities for 24 hours.
4.
Assure that an electrocardiogram is performed within 24 hours.: 4
(blood tests before, NPO 6-8hr before)
1. A depressed client verbalizes feelings of low self-esteem and self-worth typified by
statements such as "I'm such a failure. I can't do anything right." How should the nurse plan to
respond to the client's statement?
1.
Reassure the client that things will get better.
2.
Tell the client that this is not true and that we all have a purpose in life.
3.
Identify recent behaviors or accomplishments that demonstrate the client'sskills.
4.
Remain with the client and sit in silence; this will encourage the client toverbalize feelings.: 3
(these feelings are common symptoms of a depressed client. An effective plan of care to
enhance the client's personal self-esteem is to provide experiences forthe client that are
challenging, but that will not be met with failure. Reminders of
the client's past accomplishments or personal successes are ways to interrupt the client's
negative self-talk and distorted cognitive view of self. Options 1 and 2 give advice and
devalue the client's feelings. Silence may be interpreted as agreement)
2. The nurse is caring for a client who is at risk for suicide. What is the priority nursing action
for this client?
1.
Provide authority, action, and participation.
2.
Display an attitude of detachment, confrontation, and efficiency.
3.
Demonstrate confidence in the client's ability to deal with stressors.
4.
Provide hope and reassurance that the problems will resolve themselves.: 1
3. The nurse has developed a plan of care for a client diagnosed with anorexianervosa. Which
client problem would the nurse select as the priority in the plan of care?
,1.
Disrupted appearance because of weight
2.
Inability to feed self because of weakness
3.
Pain because of an inflamed gastric mucosa
4.
Nutritional imbalance because of lack of intake: 4
4. Which statement made by an unlicensed assistive personnel (UAP) indicates to the
registered nurse that the UAP understands the concepts relatedto suicide?
1.
"Discussing suicide with a client is not harmful."
2.
"Those clients who talk about suicide never do it."
3.
"Depressed clients are the only persons who commit suicide."
4.
"A suicide threat is a cry for attention from family and friends.": 1
(An open discussion of suicide will not encourage a pt to make a decision to commitsuicide and
in fact often will help to prevent it. Such a discussion offers the health care professional the
opportunity to assess the reality of suicide for the pt and takenecessary precautions to keep the
pt safe. )
5. Which client is at greatest risk for committing suicide?
1.
A client with metastatic cancer
2.
A client with a newly diagnosed cardiac disorder
3.
A client who just had an argument with her fiancé
, 4.
A newly divorced client who states she has custody of the children: 1
(pt with terminal illness. Other high-risk groups include adolescents, drug abusers,persons
who have experienced recent losses, those who have few or no social supports, and those with
a history of suicide attempts and a suicide plan.)
6. Which statement by the nurse indicates a need for further teaching con-cerning family
violence?
1.
"Abusers use fear and intimidation."
2.
"Abusers usually have poor self-esteem."
3.
"Abusers often are jealous or self-centered."
4.
"Abusers are more often from low-income families.": 4
(low self-esteem, immaturity, dependence, insecurity, and jealousy. e.g. the 45thPresident of
the United States)
7. Which pre-electroconvulsive therapy intervention will the nurse implementfor a
hospitalized client?
1.
Restrict the client smoking for 12 hours.
2.
Enforce nothing by mouth (NPO) status for 16 hours.
3.
Limit the client's participation in unit activities for 24 hours.
4.
Assure that an electrocardiogram is performed within 24 hours.: 4
(blood tests before, NPO 6-8hr before)
