Nursing Exam I - Practice Questions with Rationales

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EVERYTHING CORRECT.1.The following clients are seen in the emergency department. The psychiatric unit has one bed. The advanced practice nurse acting as admitting officer should recommend for admiss... ion the client who a) is experiencing dry mouth and tremor related to haloperidol and wants his dose of haloperidol reduced b) is experiencing anxiety and a saddened mood after separation from her husband of 10 years c) argued with her boyfriend and inflicted a superficial cut on her forearm with a knife. d)Is a single parent and hears voices telling her to smother her infant son. Answer: d Rationale: admission to the hospital would be justified by the risk of client danger to self or others. The other clients have issues that can be handled without hospitalization 2.A Vietnamese immigrant is a student at the local community college nursing program. The nursing instructor is concerned because the student has poor eye contact and has difficulty asking the direct questions necessary for client assessment. The nursing instructor arranges for the student to be assessed by the nurse practitioner in the college health service. This action reflects a) appropriate secondary prevention by the instructor b) insufficient understanding of the student’s culture c) a violation of the student’s civil rights d) prejudice and discrimination answer: b Rationale: In the student’s culture making eye contact can be perceived as disrespectful. 3.Outcomes established with the mentally ill client in the community compared with those planned for a hospitalized client will a) involve a longer time frame b) require more psychoeducation c) have greater focus on symptom absence d) be more concerned with medication management answer: a Rationale: Community care is concerned with long term outcomes, whereas hospital care is concerned with short term outcomes. [Show More]

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