Revisiontestbanks

MULTIPLE CHOICE 1. The gas pedal on a persons car stuck on a busy interstate highway, causing the car to accelerate rapidly. For 20 minutes, the car was very difficult to control. Afterward, this persons cortisol regulation was compromised. Which assessment finding would the nurse expect associated with the dysregulation of cortisol? a. Weight gain b. Flashbacks c. Headache d. Diuresis ANS: B Cortisol is a hormone released in response to stress. Severe dissociation or mindflight o...

MULTIPLE CHOICE 1. A nurse is anxious about assessing the sexual history of a patient who is considerably older than the nurse is. Which statement would be most appropriate for obtaining information about the patients sexual practices? a. Some people are not sexually active, others have a partner, and some have several partners. What has been your pattern? b. Sexual health can reflect a number of medical problems, so Id like to ask if you have any sexual problems you think we should know ab...

MULTIPLE CHOICE 1. A nurse counsels a patient on ways to determine the persons total sleep requirement. Which instruction would produce the most accurate results? a. For 1 full week, record what you remember about your dream content and related feelings as soon as you wake up. Bring the record to your next appointment. b. While off work for 1 week, go to bed at your usual time and wake up without an alarm. Record how many hours you sleep and then average the findings. c. For 2 full weeks, ...

MULTIPLE CHOICE 1. Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa? a. Assist the patient to identify triggers to binge eating. b. Provide corrective consequences for weight loss. c. Assess for signs of impulsive eating. d. Explore needs for health teaching. ANS: A For most patients with bulimia nervosa, certain situations trigger the urge to binge; purging then follows. Often the triggers are anxiety-producing situations. Identificat...

Chapter 11: Childhood and Neurodevelopmental Disorders Chapter 12: Schizophrenia Spectrum Disorders Chapter 13: Bipolar and Related Disorders Chapter 14: Depressive Disorders Chapter 15: Anxiety and Obsessive-Compulsive Disorders

MULTIPLE CHOICE 1. Which comment by a patient who recently experienced a myocardial infarction indicates use of maladaptive, ineffective coping strategies? a. My employer should have paid for a health club membership for me. b. My family will see me through this. It wont be easy, but I will never be alone. c. My heart attack was no fun, but it showed me up the importance of a good diet and more exercise. d. I accept that I have heart disease. Now I need to decide if I will be able to cont...

MULTIPLE CHOICE 1. A patient took trifluoperazine 30 mg po daily for 3 years. The clinic nurse notes that the patient grimaces and constantly smacks both lips. The patients neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect? a. Agranulocytosis b. Tardive dyskinesia c. Tourettes syndrome d. Anticholinergic effects ANS: B Tardive dyskinesia is a neuroleptic-induced condition involving the face, trunk, and limbs. Involuntary movements, such ...

MULTIPLE CHOICE 1. A nurse works with a child who is sad and irritable because the childs parents are divorcing. Why is establishing a therapeutic alliance with this child a priority? a. Therapeutic relationships provide an outlet for tension. b. Focusing on the strengths increases a persons self-esteem. c. Acceptance and trust convey feelings of security to the child. d. The child should express feelings rather than internalize them. ANS: C Trust is frequently an issue because the ...

MULTIPLE CHOICE 1. A patient experiences a sudden episode of severe anxiety. Of these medications in the patients medical record, which is most appropriate to give as a prn anxiolytic? a. buspirone (BuSpar) b. lorazepam (Ativan) c. amitriptyline (Elavil) d. desipramine (Norpramin) ANS: B Lorazepam is a benzodiazepine used to treat anxiety. It may be given as a prn medication. Buspirone is long acting and is not useful as a prn drug. Amitriptyline and desipramine are tricyclic an...

MULTIPLE CHOICE 1. Major depression resulted after a patients employment was terminated. The patient now says to the nurse, Im not worth the time you spend with me. I am the most useless person in the world. Which nursing diagnosis applies? a. Powerlessness b. Defensive coping c. Situational low self-esteem d. Disturbed personal identity ANS: C The patients statements express feelings of worthlessness and most clearly relate to the nursing diagnosis of situational low self-estee...