Complex Care Exam 2 Questions With Complete Solutions
The nurse begins to create a plan for the inpatient team to better
meet Lucinda's discharge needs. Who
should be included in this healthcare team? Select all that apply.
1. Diabetic nurse educator.
2. Medical provider.
3. Psychological provider.
4. Occupational therapist.
5. Chaplain.
6. Community resource representative
1,2,3,5,6
The nurse knows that transgender issues and depression
are commonly linked. Which symptoms of depression does
Lucinda demonstrate? Select all that apply.
1. Depressed mood.
2. Lack of interest in activities that used to be enjoyable.
3. Change in appetite/weight.
4. Changes in sleep.
5. Psychomotor agitation/retardation.
6. Fatigue or loss of energy.
7. Feelings of worthlessness.
8. Inability to concentrate.
9. Thoughts of death
1,2,3,7,9
,12. The nurse also considers a diagnosis of gender dysphoria
based on the client's presentation. Which of
Lucinda's symptoms are congruent with a diagnosis of gender
dysphoria?
1. An inconsistency of current gender and the need for people to
treat them as the other gender.
2. An intense need to remove primary or secondary sex
characteristics.
3. The need to have the primary or secondary sex characteristics
of the other gender.
4. Inappropriate sexual fantasies and the acting out of these
fantasies.
1
The nurse realizes that because of Lucinda's up bringing she
continues to work through stages of Erikson's that were not
previously met. Which of Erickson's psychosocial levels is she
trying to work through?
1. Trust vs. mistrust.
2. Autonomy vs. shame and doubt.
3. Initiative vs. guilt.
4. Industry vs. inferiority.
4
The nurse wants to empathize with the client after she has
shared this information. Which statement by
the nurse is the most empathetic?
1. "What does all this mean to you?"
2. "I can hear how much this must have hurt you."
, 3. "I noticed how sad this makes you."
4. "You feel like you don't fit in.
2
1. I, I, A, A, I, A, A, A
The mental health care specialist has placed Lucinda on
desvenlafaxine 50 mg by mouth daily. What
education would the nurse give regarding desvenlafaxine?
1. Desvenlafaxine is a serotonin and norepinephrine reuptake
inhibitor that works by helping serotonin and
norepinephrine get to the synapses where it is needed with fewer
side effects.
2. Desvenlafaxine is a tricyclic antidepressant that works by
The nurse begins to create a plan for the inpatient team to better
meet Lucinda's discharge needs. Who
should be included in this healthcare team? Select all that apply.
1. Diabetic nurse educator.
2. Medical provider.
3. Psychological provider.
4. Occupational therapist.
5. Chaplain.
6. Community resource representative
1,2,3,5,6
The nurse knows that transgender issues and depression
are commonly linked. Which symptoms of depression does
Lucinda demonstrate? Select all that apply.
1. Depressed mood.
2. Lack of interest in activities that used to be enjoyable.
3. Change in appetite/weight.
4. Changes in sleep.
5. Psychomotor agitation/retardation.
6. Fatigue or loss of energy.
7. Feelings of worthlessness.
8. Inability to concentrate.
9. Thoughts of death
1,2,3,7,9
,12. The nurse also considers a diagnosis of gender dysphoria
based on the client's presentation. Which of
Lucinda's symptoms are congruent with a diagnosis of gender
dysphoria?
1. An inconsistency of current gender and the need for people to
treat them as the other gender.
2. An intense need to remove primary or secondary sex
characteristics.
3. The need to have the primary or secondary sex characteristics
of the other gender.
4. Inappropriate sexual fantasies and the acting out of these
fantasies.
1
The nurse realizes that because of Lucinda's up bringing she
continues to work through stages of Erikson's that were not
previously met. Which of Erickson's psychosocial levels is she
trying to work through?
1. Trust vs. mistrust.
2. Autonomy vs. shame and doubt.
3. Initiative vs. guilt.
4. Industry vs. inferiority.
4
The nurse wants to empathize with the client after she has
shared this information. Which statement by
the nurse is the most empathetic?
1. "What does all this mean to you?"
2. "I can hear how much this must have hurt you."
, 3. "I noticed how sad this makes you."
4. "You feel like you don't fit in.
2
1. I, I, A, A, I, A, A, A
The mental health care specialist has placed Lucinda on
desvenlafaxine 50 mg by mouth daily. What
education would the nurse give regarding desvenlafaxine?
1. Desvenlafaxine is a serotonin and norepinephrine reuptake
inhibitor that works by helping serotonin and
norepinephrine get to the synapses where it is needed with fewer
side effects.
2. Desvenlafaxine is a tricyclic antidepressant that works by
