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Fundamentals exam 4 questions and answers,100% CORRECT

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1. A nurse is caring for a patient involved in heavy combat with post- traumatic stress. If the client makes which of the following statements? 2. Functions under stress conditions to bring abou... t fight or flight? 3. The nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse be expected to find? 4. A nurse is assessing a client with Parkinson’s disease. Which of the following should the nurse expect? 5. A nurse is assessing a patient who lost a twelve year old child in a car crash two years ago. Which of the following signs indicates the client is exhibiting manifestations of prolonged grieving? 6. A nurse in a long term care facility is caring for an older client who has dementia who begins to have urinary incontinence. After the provider determines that there is no known medical cause for the patient’s incontinence. Which of the following interventions should the nurse initiate to manage the behavior? 7. A patient diagnosed with Parkinson’s disease is prescribed carbidopa levodopa (Sentiment). Which should the nurse implement prior to administering the medication? 8. Enuresis is reported in a toddler. While gathering history from the grandparents, the nurse askes about which factor is most likely to cause? 9. The various types of dementia? 10. A correctional facility nurse is called to the scene of a deceased inmate, what is the best answer? 11. A nurse is caring for a patient who is competently impaired. Which of the following rooms will provide a therapeutic environment for this client? 12. The difference between delirium and dementia is that? 13. A nurse is assessing an older adult for cognitive changes. Which will the nurse report as normal? 14. An adaptation that demonstrates mild anxiety is? 15. A nurse is caring for a patient awaiting transport to a surgical suite for coronary artery bypass graft. Just as the transport team arrives the nurse takes the patients vitals and notices an elevation in the blood pressure and the heart rate this is in the general adaptation? 16. When faced with the scenario where it is believed that a patient from another cultural background is using herbal remedies along with prescribed medications to treat stress and anxiety the nurse must first? 17. After being hospitalized for a surgical procedure, a man who is impressed from the care he received from the nurse decides to change his career and become a nurse. 18. The nurse elects to use a skill of stressful life events for the newly admitted patient. How should the nurse explain the use of the skill to the patient? 19. The patient calls the clinic and asks what causes Cruetzfeldt Jacob Disease? 20. The patient is experiencing maturational stress. Which areas will the nurse focus on for a plan of care? 21. A nurse is assessing a patient who had staples removed from the abdomen. Post operatively the nurse notices separation of the wound edges with copious like brown serous drainage. Which of the following actions should she do? 22. A nurse is encountering a family that experienced the death of their adult child last year. The parents are talking about the upcoming anniversary of their child’s death. The nurse sits down with the parents to discuss the child’s death. The nurse’s action best demonstrates? 23. Which assessment finding in an older adult is indicative of a UTI? 24. During a follow up visit a woman discusses her marital discord. With a terminally ill spouse. Using Kubler Ross theory the nurse recognizes that she is experiencing what stage? 25. A patient with the diagnosis of Huntington’sChorea which intervention should the nurse implement? Select all that apply. 26. What is an example of a local adaptation? 27. A woman who was sexually assaulted a month ago presents to the emergency room with complaints of reoccurring nightmares with vivid dreams of the sexual assault. She is experiencing? 28. A person states that he was not shot although there is clear evidence from the camera. He is experiencing? 29. *** FinalA patient undergoing stress and they have periods of regression. The nurse assess the regression behavior in a situation where an eight year old begins sucking their thumb? 30. You start working in a highly stressful nursing unit in addition to accepting additional shifts. The graduate has a strategy to prevent burnout. The best strategy would be to do what? 31. The most important thing that a nurse can do to reduce anxiety especially with hospitalization? 32. Homeostasis is? 33. The nurse manager is confronting staff about using alcohol and the staff lies about it. 34. A nurse is caring for a group of older clients. Which of the following manifestations indicates one of the clients is experiencing delirium? 35. The patient wants to know the current time. Where is the clock on the wall. This is indicative of? 36. A client requests extra blankets with the thermostat in the room even though it indicates that it is 70 degrees. 37. A client refuses to get out of bed and has no motivation and is lethargic. 38. A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client receives a telephone call that was upsetting and now the client is pacing up and down the corridor. Which of the following actions should the nurse take 39. A natural disaster occurred and an emergency worker referred a family to a crisis intervention services. One family member refused to attend the service stating no way am I crazy. What is the nurse’s best response? 40. A nurse is teaching a family of an older adult client who has a diagnosis of dementia. Which of the following statements should the nurse include in the teaching? 41. A nurse is discussing sexuality with an older adult. Which action will the nurse take? 42. A nurse is providing teaching to a client with a diagnosis with Parkinson’s disease. Which of the medications should the nurse prepare to instruct the client on? 43. A 70 year old patient who is experiencing worsening dementia is no longer able to live at home. The nurse is discussing health care services and possibly long term living arrangements with the patient’s only son. Which will the nurse suggest? A nurse is caring or a patient who has dementia. When performing the mental status examination the nurse should include which of the following data? 44. You are transporting your patient to surgery. After completing the pre-op flow sheet you notice that the patient is holding on to her rosary. What should the nurse do? 45. Which of the following interventions is appropriate for the nurse to use on patients who have either delirium or dementia? 46. An older adult patient has developed acute confusion. The patient has been on tranquilizers for the past week. The patient’s vital signs are normal. What should the nurse do? 47. A nurse is caring for a client that has dementia. The client is agitated and has difficulty staying in his chair. Which action should the nurse take first? 48. You have a patient that has been in a motor vehicle accident. You have all their vital signs. Their pulse is 102, respirations 26, blood pressure 140/106. Which hormones are likely the cause? 49. A man is hospitalized after surgery that amputated both lower extremities from injuries sustained in military service. The nurse should recognize his need to grieve for what type of loss? 50. A nurse in an acute care facility is admitting an older adult client who has dementia due to Alzheimer’s disease. The nurse notices the client’s health care taker is exhausted. He states he is finding it more and more difficult to care for his wife. Which of the following interventions is the nurse’s priority? 51. The nurse is teaching a patient about self-concept (how a person thinks about one’s self) The nurse in a long term care unit is creating a care plan for a patient that has Alzheimer’s disease. Which of the following interventions should the nurse include 52. A nurse is making a home visit with a Alzheimer’s patient and the patient’s partner. Which of the following indications indicates to the nurse that the partner is experiencing care giver role strain? 53. You have a patient who has CVA. You’re looking at the general adaptation. They are non-communicative; they have NG feedings not being absorbed, their respirations becoming labored. 54. You have a nurse admitting a patient to an alcohol abuse program. The patient states I’m here because of my boss. It was part of my job to go to the parties and drink with the clients. He’s trying to what 55. Which is the common problem with Parkinson’s? 56. lA nurse at a college mental health counselling center is preparing for a student who just failed an examination. The student begins the session berating the teacher. The nurse should recognize that this behavior is which of the following defense mechanisms 57. A new grad is prepared for the first assignment of her dying patient if? 58. You have Louis who was brought to the ER by her friend and the friend tells the nurse that she found Louis calmly sitting out on the front porch with her dead dog on her lap. Louis states in a monotone voice that her dog was run over. 59. A nurse is caring for a patient who sustained minor injuries during a street fight in which two of the client’s friends were stabbed. The client tells the nurse that he doesn’t remember anything that happened after his friends saw the first suspect in the stabbing. The nurse should identify that he is exhibiting which of the following? 60. A nurse is caring for a patient in the ER who had traumatic amputation of his left arm in an industrial accident. The nurse should expect the client to be experiencing which of the Kubler Ross stages of grief? 61. A patient has been tested and diagnosed with a UTI and has behavioral changes. The patient was alert and orientated prior to the infection. Which of the following would the client be experiencing? 62. A nurse is caring for a patient who has left-sided hemiplegia from a CVA. The patient works as a carpenter and is experiencing a situational role change based on physical limitation. The client is the primary wage earner in the family. Which of the following describes the patient’s role problem? 63. The nurse is providing teaching to a patient who has Parkinson’s disease. Which of the following should the nurse include in the teaching 64. The nurse is counseling a client for management of anxiety. The client is constantly late for appointments. The client states, I’m too stressed, I need someone to take care of me. The nurse identifies this behavior as? 65. Which information should be shared with a patient diagnosed with first stage Alzheimer’s? 66. A nurse becomes overwhelmed with her job. They have symptoms of anxiety and stress. What is the nurse experiencing? 67. A social worker of a unit annually conducts a mini mental health status examination on all the residents. She informs that Mrs. H has dropped two points from last year. [Show More]

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