NURSING PRACTICE V - A Care of Clients with Physiologic and Psychosocial Alterations (Part C) Situational 1 The nurse-patient relationship is a modality

y through which the nurse meets the clients needs. 1. The nurses most unique tool in working with the emotionally ill client is his/her a. personality make up c. emotional reactions b. communication skills d. theoretical knowledge 2. The psychiatric nurse who is alert to both the physical and emotional needs of clients is working from the philosophical framework that states: a. All behavior is meaningful, communicating a message or a need b. Human beings are systems of interdependent and interrelated parts c. There is a basic similarity among all human beings. d. Each individuals has the potential for growth and change in the direction of positive 3. One way to increase objectivity in dealing with ones fears and anxieties is through the process of: a. validation c. intervention b. observation d. collaboration 4. All of the following responses are non therapeutic. Which is the MOST direct violation of the concept, congruence of behavior? a. Tolerating all behavior in the client b. Rejecting the client as a unique human being c. Responding in a punitive manner to the client d. Communicating ambivalent messages to the client 5. The mentally ill person responds positively to the nurse who is warm and caring. This is a demonstration of the nurses role as: a. mother surrogate c. therapist b. counselor d. socializing agent Situation 2 It is common that clients ask the nurse personal questions. 6. Anticipation of personal questions is given adequate attention during which phase of the nurse patient relationship? a. Termination phase c. Orientation phase b. Working phase d. Pre-interaction phase 7. If the client asks for the nurses telephone number, which of these responses is NOT appropriate? a. Are you asking for an official number of the hospital/clinic for your reference? 1

b. What would you do with my number if I give it to you? c. If I say No to your request, what are your thoughts about this? d. It is confidential. I just dont give it to anyone. 8. When the client asks about the family of the nurse, the MOST appropriate response is: a. Why dont we talk about your family instead? b. Avoid the situation and redirect the clients attention c. Introduce another topic like the clients interests d. Give a brief and simple response and focus on the client 9. When the nurse is asked a personal question, which of these reactions indicates a need for him/her to introspect? a. The client is simply curious b. Some patients are like children in seeking recognition from the nurse. c. His/Her right to privacy is being intruded d. The client knows no other way to begin a conversation 10. It is 10 oclock on your watch. The client asks, What time is it? The nurses appropriate response is: a. Guess, what time is it? b. Why do you ask? c. It is 10 oclock. d. Are you getting bored? Situation 3 Marie is 5 years old and described by the mother as bedwetting at night. 11. Which of the following is the MOST common physiological cause of night bed wetting? a. deep sleep factors b. infections c. abnormal bladder development or structure problems d. familial and genetic factors 12. All of the following EXCEPT one compromise the concepts of behavior therapy program. a. learning c. placebo as a form of treatment b. extinction d. reward and punishment 13. To help Marie who bed wets at night practice acceptable and appropriate behavior, it is important for the parents to be consistent with the following approaches EXCEPT: a. be loving yet firm b. matter of fact in handling the behavior c. discipline with a kind attitude d. sympathize for the child
PREBOARD 2007 NURSING PRACTICE VA WESTERN MINDANAO STATE UNIVERSITY COLLEGE OF NURSING

14. A therapeutic verbal approach that communicates strong disapproval is: a. If you bed wet, you will change your bed linen and wash the sheets. b. You are supposed to get up and go in the toilet when you feel you have to go and you did not. I expect you to from now on without fail. c. If you dont make an effort to control your bedwetting, Id be upset and disappointed. d. You are supposed to get up and go in the toilet when you feel you have to go and did not. The next time you bed wet, Ill tell your friends and hang your sheets out the window for them to see. 15. During your conference, the parent inquires how to motivate Marie to be dry in the morning. Your response which is an immediate intervention would be. a. What does your child want that you can give every time he/she wakes up dry in the morning? b. Promise him/her a long awaited vacation after school is over. c. Tokens make her materialistic at an early age. Give praise and hugs occasionally d. Give a star each time she wakes up dry and every set of five stars, give a prize. Situation 4 Graciela 1 year old is admitted the hospital from the emergency room with a fracture of the left femur due to a fall down a flight of stairs. Graciela is placed on Bryants traction. 16. While on Bryants traction, which of these observations of Graciela and her traction apparatus would indicate a decrease in the effectiveness of her traction? a. Gracielas legs are suspended at a 90 degree angle to her trunk b. The traction weights are hanging 10 inches above the floor. c. Gracielas buttocks are resting on the bed. d. The traction ropes moves freely through the pulley. 17. The nurse notes that the fall might also cause a possible head injury. She will be observed for signs of increased intracranial pressure which include: a. Narrowing of the pulse pressure b. Perlorbital edema c. Vomiting d. A positive Kernigs sign 18. Graciela is assessed to have no head injury. The Bryants traction is removed. A plaster of Paris hip spica is applied. Which of these finding is a concern of immediate attention that must be reported to the physician immediately? 2

a. The nurse is unable to insert a finger under the edge of Gracielas cast on her left foot. b. Graciela is scratching the cast over her abdomen. c. The toes of Gracielas left foot blanch when the nurse applies pressure on them. d. Gracielas cast is still damp. 19. Part of discharge plan is for the nurse to give instructions about the care of Gracielas cast to the mother. Which of these statements indicate that the mother understood an important aspect of cast care? a. I will place plastic sheeting around the perineal area of the cast. b. I will reinforce cracked areas on the cast with adhesive tape. c. I will use cool water to wash the cast. d. I will use white shoe polish to keep the cast neat. 20. The nurse counsels Gracielas mother of ways to safeguard safety while providing opportunities for Graciela to develop a sense of: a. Industry c. Initiative b. Autonomy d. Trust Situation 5 Camila, 25 years old, was reported to be gradually withdrawing and isolating herself from friends and family members. She became neglectful of her personal hygiene. She was observed to be talking irrelevantly and incoherently. She was diagnosed as schizophrenia disorder. 21. The past history of Camila would most probably reveal that her premorbid personality is: a. extrovert c. ambivert b. schizoid d. cycloid 22. Camila refuses to relate with other because she: a. is irritable c. is depressed b. feels superior of others d. anticipates rejection 23. Which of the following disturbances in interpersonal relationships MOST often predispose to the development of schizophrenia? a. Lack of participation in peer groups b. Faulty family atmosphere and interaction c. Solo parenting d. Extreme rebellion towards authority figures 24. Camilas indifference toward the environment is a compensatory behavior to overcome: a. Narcissistic behavior c. Insecurity feelings b. Guilt feelings d. Ambivalence 25. Schizophrenia is a/an: a. psychosis b. personality disorder c. anxiety disorder d. neurosis

PREBOARD 2007 NURSING PRACTICE VA WESTERN MINDANAO STATE UNIVERSITY COLLEGE OF NURSING

Situation 6 The mental health psychiatric nurse functions in a variety of setting with different types of clients. 26. Poverty as reflected in prevalence of communicable disease, malnutrition and social ills such as street children, homeless and prostitution is a predisposing factor to mental illness. A community approach to cope with this problem is for the nurse to support. a. provision of social welfare benefits for the poor b. free clinics and more hospitals c. social action d. aggressive family planning methods 27. The MOST cost effective way to meet the mental health needs of the public is through programs with a priority goal of: a. research c. prevention b. treatment d. rehabilitation 28. Lorelie upon discharge was referred to a volunteer group where she has learned to read patterns, cut out fabric and use a sewing machine to make simple outfits that will help her earn in the future. What type of activity therapy is this? a. Recreational therapy c. Educational therapy b. Vocational therapy d. Art therapy 29. In a residential treatment home for adolescent girls, the clients were becoming increasingly tense and upset because of shortening of their recreation time. To de-escalate possible anger and aggression among the clients it is BEST to play: a. religious music c. rock music b. relaxation music d. dance music 30. The parents of special children who are behaviorally disturbed need mental health education. Which of these topics would the school nurse consider as priority for their parents class? a. Effective parenting c. Child abuse b. Drug education d. Sex education Situation 7 Salome, 80 years old widow, has been observed to be irritable, demanding and speaking louder than usual. She would prefer to be alone and take her meals by herself, minimized receiving visitors at home and no longer bothers to answer telephone calls because of deterioration of her hearing. She was brought by her daughter to the Geriatric clinic for assessment and treatment. 31. The nurse counsels Salomes daughter that Salomes becoming very loud and tendency to become aggressive is a/an: a. behavior indicative of unresolved repressed conflict of the past b. beginning indifference to the world around her 3

c. overcompensation for hearing loss d. attempt to maintain authoritative role

32. A nursing diagnosis for Salome is: a. ego despair c. sensory deprivation b. social isolation d. cognitive impairment 33. The nurse will assist Salome and her to daughter to plan a goal which is: a. accept the steady loss of hearing that occurs with aging b. increase her self-esteem to maintain her authoritative role c. participate in conversation and other social situations d. adjust to the loss of sensory and perceptual function 34. The daughter understood, the following ways to assist Salome meet her needs and avoiding which of the following: a. Speaking distinctly and slowly b. Allowing her to take her meals alone c. Using short simple sentences d. Speaking at eye level and having the clients attention 35. Salome was fitted a hearing aid. She understood the proper use and wear of this device when she says that the battery should be functional, the device is turned on and adjusted to a: a. prescribed level c. audible level b. therapeutic level d. comfortable level Situation 8 Jolina is an 18 years old beginning college student. Her mother observed that she is having problems relating with her friends. She is undecided about her future. She has lost insight, lost interest in anything and complained of constant. 36. Jolina is put on antidepressant drugs. These drugs act on the brain chemistry, therefore they would be useful in which type of depression? a. psychotic depression c. neurotic depression b. endogenous depression d. exogenous depression 37. This is a tricyclic antidepressant drug: a. Flouxetine (Prozac) c. Sertraline (Zolott) b. Venlafaxine (Effexor) d. Imipramine (Tofranil) 38. After one week of antidepressant medication, Jolina still manifests depression. The nurse evaluates this as: a. Unusual because action of antidepressant drug is immediate b. Unexpected because therapeutic effectiveness takes within a few days
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c. Expected because therapeutic effectiveness takes 2-4 weeks d. Ineffective result because perhaps the drugs dosage is inadequate 39. Jolina continues to verbalize feeling sad and hopeless. She is not mixing well with other clients. One of the nurses important considerations for Jolina INITIALLY is to: a. Let her alone until she feels like mingling with others b. Formulate a structured schedule so she is able to channel her energies externally c. Encourage her to join socialization hour so she will start to relate with others d. Encourage her to join group therapy with other patients 40. During the predischarge conference, the nurse suggests vocational guidance because it should help Jolina to: a. Solve her own problems b. Make some decisions about her future c. Realistically assess her assets and limitations d. Find a good job Situation 9 A research study was undertaken in order to identify and analyze a disabled boys coping reaction pattern during stress. 41. This study which is an in depth study of one boy is a: a. evaluative study c. cross-sectional study b. case study d. longitudinal study 42. The process recording was the principal toll for data collection. Which of the following is NOT a part of a process recording? a. Verbal narrative account b. Audio-visual recording c. Analysis and interpretation d. Non verbal narrative account 43. Which of these does NOT happen in a descriptive study? a. Manipulation of a variable b. Explanation of relationships between two or more phenomena. c. Investigation of a phenomenon in real life context. d. Exploration of relationships between two or more phenomena. 44. The investigator also provided the nursing care of the subject. The investigator is referred to as a/an: a. Advocate c. Participant-observer b. Observer researcher d. Caregiver

45. To ensure reliability of the study, the investigators analysis and interpretations were: a. subjected to an inter-observer agreement b. correlated with a list of coping behaviors c. scored and compared standard criteria d. subjected to statistical treatment Situation 10 During the morning endorsement, the outgoing nurse informed the nursing staff that Regina, 35 years old, was given Flurazepam (Dalmane) 15 mg at 10:00 pm because she had trouble going to sleep. Before approaching Regina, the nurse read the observation of the night nurse. 46. Which of the following approaches of the nurse validates the data gathered? a. Regina, how are you? b. Regina, did you sleep well? c. Hmm. You look like you had a very sound sleep. That pill you were given last night is effective isnt it? d. I learned that you were up till ten last night, tell me what happened before you were finally able to sleep and how was your sleep? 47. Regina is a high school teacher. Which of these information LEAST communicate attention and care for her needs for information about her medicine? a. Have an informal conversation about the medication and its effects b. Ask her what time she would like to watch the informative video about the medication c. Guided by a medication teaching plan, go over with her the purpose, indications and special instructions, about the medication and provide her a checklist d. Provide a drug literature 48. The nurse engages Regina in the process of mutual inquiry to provide an opportunity for Regina to: a. perceive her participation in an experience b. face emerging problems realistically c. conceptualize her problem d. cope with her present problem 49. Which of these responses indicate that Regina needs further discussion regarding special instructions? a. I will inform you and the doctor of any untoward reactions I have b. I like taking this sleeping pill. It solves my problem of insomnia. I wish I can take it for life. c. I know I will stop taking the medicine when there is an advice from the doctor for me to discontinue. d. I have to take this medicine judiciously.

PREBOARD 2007 NURSING PRACTICE VA WESTERN MINDANAO STATE UNIVERSITY COLLEGE OF NURSING

50. Regina commits to herself that she understood and will observe all the medicine precautions by: a. verbally agreeing with the nurse b. affixing her signature to the teaching plan that she has understood the nurse c. committing what she learned to her memory d. relying on her husband to remember the precautions Situation 11 Nurses in all practice areas are likely to come in contact with clients suffering from acute or chronic drug abuse. 51. The psychodynamic therapy of substance abuse is based upon the premise that drug abuse is: a. caused by a multiplicity of factors b. due to biochemical factors c. a common problem brought about by socioeconomic deprivation d. predisposed by an inability to develop appropriate psychological resources to manage developmental stresses 52. Being in contact with reality and the environment is a function of the a. super ego c. conscience b. id d. ego 53. Substance abuse is different from substance dependence in that, substance dependence: a. requires long term treatment in a hospital based program b. includes characteristics of adverse consequences and repeated use c. produces less severe symptoms than that of abuse d. includes characteristics of tolerance and withdrawal 54. During the detoxification stage, it is a priority for the nurse to: a. increase the clients awareness of unsatisfactory protective behaviors b. implement behavior modification c. teach skills to recognize and respond to health threatening situations d. promote homeostasis and minimize the clients withdrawal symptoms 55. Commonly known as shabu is: a. Methamphetamine hydrochloride b. Cannabis Sativa c. Lysergic acid diethylamide d. Methylenedioxy methamphetamine Situation 12 It is the first day of clinical experience of nursing students at the Psychiatry Ward. During the orientation, the nurse emphasizes that the team members including nursing students are legally responsible to safeguard patients records from loss or destruction or from people not authorized to read it. 5

56. It is unethical to tell ones friends and family members data about patients because doing so is a violation of patients rights to: a. Least restrictive environment b. Informed consent c. Confidentiality d. Civil liberty 57. The nurse must see to it that the written consent of mentally ill patients must be taken from: a. Law enforcement authorities b. Doctor c. Social worker d. Parents or legal guardian 58. In an extreme situation and when no other resident or intern is available, should a nurse receive telephone orders, the order has to be correctly written and signed by the physician within. a. 48 hours c. 12 hours b. 36 hours d. 24 hours 59. The following are SOAP (Subjective Objective Analysis Plan) statements on a problem: Anxiety about diagnosis. What is the objective data? a. Anxiety due to the unknown b. Has periods of crying; frequently verbalizes fear of what diagnostic tests will reveal c. Im so worried about what else theyll find wrong with me. d. Relate patients feelings to physician; initiate and encourage her to verbalize her fears; give emotional support by spending more time with patient; continue to make necessary explanations regarding diagnostic tests 60. Nursing care plans provide very meaningful data for the patient profile and initial plan because the focus is on the: a. Identification of patients responses to medical diagnoses and treatment b. Patients responses to health and illness as a total person in interaction with the environment c. Step by step procedures for the management of common problems d. Summary of chronological notations made by individual health team members. Situation 13 Jimmy developed this goal for hospitalization. To get a handle on my nervousness. The nurse is going to collaborate with him to reach his goal. Jimmy was admitted to the hospital because he called his therapist that he planned to asphyxiate himself with exhaust from his car but frightened instead. He realized he needed help.

PREBOARD 2007 NURSING PRACTICE VA WESTERN MINDANAO STATE UNIVERSITY COLLEGE OF NURSING

61. The nurse recognized that Jimmy had conceptualized his problem and the next priority goal in the care plan is: a. help the client to communicate b. help the client to plan alternatives c. help the client cope with the present problem d. help the client find meaning in his experience 62. The nurse is guided that Jimmy is aware of his concerns of the here and now when he crossed out which item from this list of what to know. a. anxiety laden unconscious conflicts b. subjective idea of the range of mild to severe anxiety c. early signs of anxiety d. physiologic indices of anxiety 63. While Jimmy was discussing the signs and symptoms of anxiety with his nurse, he recognized that complete disruption of the ability to perceive occurs in: a. mild anxiety c. moderate anxiety b. panic state of anxiety d. severe anxiety 64. Jimmy initiates independence and takes an active part in his self care with the following EXCEPT: a. becoming aware of the conscious feeling b. agreeing to contact the staff when he is anxious c. assessing need for medication and medicating himself d. writing out a list of behaviors that he identified as anxious 65. The nurse notes effectiveness of interventions in using subjective and objective data in the: a. initial plans or orders c. progress notes b. database d. problem list Situation 14 Group Approach in Nursing 66. Membership dropout generally occurs in group therapy after a member: a. Accomplishes his goal in joining the group b. Discusses personal concerns with group members c. Experiences feelings of frustration in the group d. Discovers that his feelings are shared by the group members 67. Which of the following questions illustrates the group role of encourager? a. Why havent we heard from you? b. Where do you go from here? c. Who wants to respond next? d. What were you saying? 6

68. The goal of remotivation therapy is to facilitate: a. Socialization c. Insight b. Productivity d. Intimacy 69. The treatment of the family as a unit is based on the belief that the family: a. is a social system and all the members are interrelated components of that system b. who has therapy together will tend to remain together c. as a unit of society needs the opportunity to change its own destiny d. is contaminated by the presence of deviant member and all members need treatment 70. The working phase in a therapy group is usually characterized by which of the following? a. Competition c. Confusion b. Cohesiveness d. Caution Situation 15 Ricky is a 12 year old boy with Downs syndrome. He stands 51/2 and weighs 100 lbs. he is slim and walks sluggishly with a limp. He wears a neck brace as a support for his neck. Xray of cervical spine showed subluxation of C1 in relation to C2 with cord compression. He attends a school for special education. 71. The classroom teacher consults the school nurse for guidance on how to take care of Ricky while inside the classroom. The nurse considers as priority, Rickys: a. Physiological needs b. Needs for belonging c. Needs for safety and security d. Need for self-esteem 72. Rickys mother visited the school nurse. She asked, What should I do when Ricky fondles his genitalia? An appropriate response of the nurse is for the mother to: a. Engage him in computer TV games that engage his hands b. Divert Rickys attention and engage him in satisfying activities c. Ignore Rickys behavior because he will outgrow it later d. Tell Ricky that it is wrong to keep fondling his genitalia 73. The nurse had one on one health education sessions with Rickys mother. The mother understood that for her son to learn to cope and be independent, she should constantly provide activities for Ricky to be able to: a. socialize with people b. select and prepare his own food c. eventually go to school alone d. do activities of daily living
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b. Supportive 74. All of the following activities are appropriate for Ricky, EXCEPT: a. Card and table games b. Competitive sports c. Working with clay d. Preparing and cooking simple menu

d. Caretaking

Situation 17 The nurse engages the client in a nurse-patient interaction. 81. The best time to inform the client about terminating the nurse-patient relationship is: a. during the working phase b. at the start of the relationship c. towards the end of the relationship d. when the client asked how long the relationship would be 82. The client says, I want to tell you something but can you promise that you will keep this a secret? A therapeutic response of the nurse is: a. Yes, it is my principle to uphold my clients rights. b. Of course yes, this is just between you and me. Promise! c. Yes, you have the right to invoke confidentiality of our interaction. d. Yes, our interaction is confidential provided the information you tell me is not detrimental to your safety. 83. When the nurse respects the clients selfdisclosure, this is a gauge for the nurses: a. trustworthiness c. loyalty b. professionalism d. integrity 84. Rapport has been established in the nurse-client relationship. The client asks to visit the nurse after his discharge. The appropriate response of the nurse would be: a. The best time to talk is during the nurseclient interaction time. I am committed to have this time available for us while you are at the hospital and ends after your discharge. b. Yes, if you keep it confidential, this is part of privileged communication. c. I am sorry, though I would want to, it is against hospital policy. d. I am committed for your care. 85. The client has not been visited by relatives for months. He gives a telephone number and requests the nurse to call. An appropriate action of the nurse would be: a. Assist the client to bring his concern to the attention of the social worker. b. Inform the attending psychiatrist about the request of the client. c. Ask the client what is the purpose of contacting his relatives. d. Here (gives her mobile phone). You may call this number now. Situation 18 For more than a month now, Cecilia is persistently feeling restless, worried and feeling as if something dreadful is going to happen. She fears being alone in places and situations where she 7
PREBOARD 2007 NURSING PRACTICE VA WESTERN MINDANAO STATE UNIVERSITY COLLEGE OF NURSING

75. Rickys IQ falls within the range of 50-55. He can be expected to: a. Acquire academic skills of 6th grade level b. Perform simple tasks in closely supervised settings c. Profit from vocational training with moderate supervision d. Live successfully in the community Situation 16 The abuse of dangerous drugs is a serious public health concern that nurses need to address. 76. The nurse should recognize that the unit primarily responsible for education and awareness of the members of the family on the ill effects of dangerous drugs is the: a. church c. family b. school d. law enforcement agencies 77. A drug dependent utilizes this defense mechanism and enables him to forget shame and pain. a. rationalization c. repression b. sublimation d. projection 78. This drug produces mirthfulness, fantasies, flight of ideas, loss of train of thought, distortion of size, distance and time, and bloodshot eyes due to dilated pupils. a. Opiates c. Marijuana b. Heroin d. LSD 79. The nurse evaluates that her health teaching to a group of high school boys is effective if these students recognize which of the following dangers of inhalant abuse. a. Experience of blackout b. Danger of acquiring hepatitis or AIDS c. Psychological dependence after prolonged use d. Sudden death from cardiac or respiratory depression 80. The mother of a drug dependent would never consider referring her son to a drug rehabilitation agency because she fears her son might just become worse while relating with other drug users. The mothers behavior can be described as: a. Codependent c. Unhelpful

thinks that no one might come to rescue her just in case something happens to her. 86. Cecilia is demonstrating: a. agoraphobia c. claustrophobia b. xenophobia d. acrophobia 87. Cecilias problem is that she always sees and thinks negative things hence she is always fearful. Phobia is a symptom described as: a. psychotic c. psychosomatic b. organic d. neurotic 88. Cecilia has a lot of irrational thoughts: The goal of therapy is to modify her: a. cognition c. perception b. observation d. communication 89. Cognitive therapy is indicated for Cecilia when she is already able to handle anxiety reactions. Which of the following should the nurse implement? a. assist her in recognizing irrational beliefs and thoughts b. help find meaning in her behavior c. Administer anxiolytic drug d. provide positive reinforcement for acceptable behavior 90. After discharge, which of these behaviors indicate a positive result of being able to overcome her phobia? a. She watches television with the family in the reaction room b. She reads a book in the public library c. She drives alone along the long expressway. d. She joins an art therapy group Situation 19 The nurse is often met with the following situations when clients become angry and hostile. 91. To maintain a therapeutic eye contact and body posture while interacting with angry and aggressive individual, the nurse should: a. keep an eye contact while staring at the client b. keep an open posture, e.g. Hands by sides but palms turned outwards c. fold his/her arms across his/her chest d. keep his/her hands behind his/her back or in ones pockets 92. During the pre-interaction phase of the N-P relationship, the nurse recognizes this normal INITIAL reaction to an assaultive or potentially assaultive person. a. To stray and fight or run away b. To call for help from the other members of the team 8

c. d.

Display empathy towards the patient To remain and cope with the incident

93. Which of the following is an accurate way of reporting and recording an incident? a. When asked about his relationship with his father, his anger was suppressed b. When asked about his relationship with his father, client was resistant to respond c. When asked about his relationship with his father, client clenched his jaw/teeth, made a first and turned away from the nurse. d. When asked about his relationship with his father, client became anxious. 94. To encourage thought, which of the following approaches is NOT therapeutic? a. Why do you feel angry? b. How do you usually express anger? c. What situations provoke you to be angry? d. When do you usually feel angry? 95. A patient grabs a chair and about to throw it. The nurse best responds saying. a. Dont be silly. b. Stop, the security will be here in a minute. c. Stop! Put that chair down. d. Calm down. Situation 20 Nursing care for the elderly 96. In planning care for a patient with Parkinsons disease, which of these nursing diagnoses should have priority? a. altered nutritional state c. potential for injury b. ineffective coping d. altered mood state 97. A healthy adaptation to aging is primarily related to an individuals. . . a. Physical health throughout life b. Number of accomplishments c. Personality development in his life span d. Ability to avoid interpersonal conflict 98. The frequent use of the older clients name by the nurse is MOST effective in alleviating which of the following responses to old age? a. Confusion c. Grief b. Suspicion d. Loneliness 99. An elderly confused client gets out of bed at night to go to the bathroom and tries to go to another bed when she returns. The MOST appropriate action the nurse would take is to: a. Put side rails on the bed b. Remind client to call the nurse when she wants to get up c. Assign client to a single room d. Leave a light on all night
PREBOARD 2007 NURSING PRACTICE VA WESTERN MINDANAO STATE UNIVERSITY COLLEGE OF NURSING

100. An elderly who has lots of regrets, unhappy and miserable is experiencing a. Crisis c. Ambivalence b. Despair d. Loss

PREBOARD 2007 NURSING PRACTICE VA WESTERN MINDANAO STATE UNIVERSITY COLLEGE OF NURSING