EXN106B

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Author:
ndarlenebeck
ID:
295940
Filename:
EXN106B
Updated:
2015-02-16 11:07:58
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Excelsior
Folders:
Excelsior
Description:
Excelsior N 106 Form B
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  1. An Asian patient who has diabetes mellitus reports drinking a ginseng preparation.  Which initial action by the nurse would be best?
    A) Warn the patient of the physiological effects of ginseng.
    B) Urge the patient to mention the use of ginseng to the physician.
    C) Tell the patient to continue drinking the ginseng preparation as long as it seems to help.
    D) Encourage the patient to stop taking the ginseng preparation.
    B) Urge the patient to mention the use of ginseng to the physician.
    (this multiple choice question has been scrambled)
  2. A 75 year old patient, who is Italian and speaks very little English, is admitted to the hospital.  The patient appears to be anxious and uncooperative. Which goal is a priority?
    A) The patient's anxiety level will be decreased by placement in a quiet, private room.
    B) The patient's anxiety level will be decreased by incorporating a curandero into the health care team.
    C) The patient will understand the disease process.
    D) The patient will communicate with the health care team through a translator.
    D) The patient will communicate with the health care team through a translator.
    (this multiple choice question has been scrambled)
  3. A patient from a different culture steps back whenever a staff member approaches.  The nurse's response should be based upon which understanding?
    A) The patient is anxious and fearful regarding personal safety.
    B) The patient has different personal space requirements that the nurse.
    C) The patient is being deferential to authority figures.
    D) The patient is ill as ease and requires reassurance.
    B) The patient has different personal space requirements that the nurse.
    (this multiple choice question has been scrambled)
  4. Which activity is a basic prerequisite for nurses who desire to become culturally competent in understanding the importance of culture and religion in patient care?
    A) develop awareness of their own culture and religion.
    B) obtain information about other cultures and religion through observation.
    C) become familiar with other cultures and religions through textbooks.
    D) cultivate respect for different cultural standards and values.
    A) develop awareness o their own culture and religion.
    (this multiple choice question has been scrambled)
  5. The nurse notes that some African American patients are late for their appointments at the neighborhood clinic.  What cultural factor is of importance to this observation?
    A) Patients' health care practices are not aligned with practices of the health care provider.
    B) Time orientation of the patients is present focused.
    C) Health agencies are not a respected component of the patients' community.
    B) Time orientation of the patients is present focused.
    (this multiple choice question has been scrambled)
  6. Which nursing behavior demonstrates cultural competency?
    A) placing a patient's religious objects in the bedside cabinet for safety
    B) volunteering to pray with a patient
    C) asking about the meaning of a patient's religious medal
    D) calling the hospital chaplain to attend a patient
    C) asking about the meaning of a patient's religious medal
    (this multiple choice question has been scrambled)
  7. A patient's family asks the nurse to be sure that the patient receives a kosher diet when hospitalized.  Which should be the nurse's initial response to this request?
    A) refer the family to dietary services.
    B) clarify the meaning of a kosher diet with the family.
    C) document the family's request for a kosher diet.
    D) assure the family that their request will be authorized
    B) clarify the meaning of a kosher diet with the family.
    (this multiple choice question has been scrambled)
  8. What would be a priority screening prevention program for the Native American population?
    A) diabetes
    B) hypertension
    C) cancer
    D) coronary artery disease
    A) diabetes
    (this multiple choice question has been scrambled)
  9. A patient who is Native American has requested that the local shaman perform a one hur healing ceremony. The plan of care for this patient should include which nursing action?
    A) explains that this ritual may interfere with the rehabilitation schedule.
    B) provides the required space and privacy for the ceremony.
    C) has the social worker meet with the shaman to coordinate the ceremony.
    D) schedules the ceremony for the night shift when interruptions are minimal.
    B) provides the required space and privacy for the ceremony.
    (this multiple choice question has been scrambled)
  10. An African American infant should be screened for which disease?
    A) sickle cell anemia
    B) human immunodeficiency virus (HIV)
    C) tuberculosis
    D) diabetes mellitus
    A) sickle cell anemia
    (this multiple choice question has been scrambled)
  11. Why does the nurse ask a patient with a chronic disease about the place that religion holds in the patient's life?
    A) to notify the appropriate religious organization when the patient dies
    B) to ascertain how the patient's religious beliefs might be utilized in coping.
    C) to discourage the patient from viewing the illness as punishment from God
    D) to utilize the spiritual counselor early in the patient's disease process
    B) to ascertain how the patient's religious beliefs might be utilized in coping
    (this multiple choice question has been scrambled)
  12. Which nursing intervention is a priority for the patient with a chronic illness?
    A) Encourage the patient to continue activities of daily living until fatigued.
    B) Enroll the patient in a support group.
    C) Perform activities of daily living for the patient.
    D) Assist the patient to identify safe activity levels.
    D) assist the patient to identify safe activity levels.
    (this multiple choice question has been scrambled)
  13. The nurse provides care for a patient with chronic illness.  The patient is knowledgeable about the disease and self care, but does not follow the therapeutic routines at home. Which intervention would be the most appropriate for this patient?
    A) Encourage the health care team to acknowledge that the patient has chosen the level of compliance.
    B) Tell the patient about what could happen if therapeutic routines are not followed.
    C) Have the patient repeat the education classes.
    D) Follow up with the patient at frequent intervals.
    D) Follow up with the patient at frequent intervals.
    (this multiple choice question has been scrambled)
  14. A patient who is middle aged has been diagnosed with chronic illness.  The number of lifestyle changes necessary will be influenced by which factor?
    A) the physician's attitude
    B) the amount of support the patient receives in the community
    C) the patient's age and diagnosed
    D) the degree of disability
    D) the degree of disability
    (this multiple choice question has been scrambled)
  15. Which indicates that the caregiver understands how to perform a gastrostomy feeding?
    A) the patient is placed in dorsal recumbent position after the feeding.
    B) the feeding is well chilled prior to administration
    C) the patient is placed on the left side during feedings.
    D) the feeding is allowed to flow in by gravity.
    D) the feeding is allowed to flow in by gravity.
    (this multiple choice question has been scrambled)
  16. An adolescent receiving treatment for acne is experiencing self-image disturbance. Which nursing action demonstrates the nurse's understanding of the patient's needs?
    A) uses appropriate touch and eye contact.
    B) demonstrates the correct method for facial cleaning
    C) stresses that it usually takes four to six weeks of compliant treatment to see positive results.
    D) encourages the patient to discuss diet and other concerns.
    A) uses appropriate touch and eye contact.
    (this multiple choice question has been scrambled)
  17. Which is a common reason for a patient's noncompliance with treatment for chronic hypertension?
    A) Most health insurance does not cover the cost of medications.
    B) The treatment requires a complicated medication regimen for most patients.
    C) Hypertension is very difficult to control in most individuals.
    D) The symptoms of the disease are often not apparent.
    D) The symptoms of the disease are often not apparent.
    (this multiple choice question has been scrambled)
  18. Which statement indicates that the patient understands the course of a chronic illness?
    A) "I'll be glad when I return to normal."
    B) "I know how unpredictable this can be."
    C) "I know that I will never get better."
    D) "I don't understand why this happened to me."
    B) "I know how unpredictable this can be."
    (this multiple choice question has been scrambled)
  19. An older adult with a chronic illness has a complex daily medication routine. Which nursing action is a priority when determining whether the patient can implement the medication regimen?
    A) Have the patient ask the physician if all of the medications are necessary.
    B) Assess the caregiver's knowledge of the medications.
    C) Assess the patient's cognitive status.
    D) Determine the cost of administering the medication.
    C) Assess the patient's cognitive status.
    (this multiple choice question has been scrambled)
  20. An adolescent with which condition will likely have the greatest difficulty coping with the chronic disease?
    A) diabetes mellitus
    B) scoliosis
    C) hypertension
    D) cystic fibrosis
    B) scoliosis
    (this multiple choice question has been scrambled)
  21. What was inspired by the hospice movement?
    A) the need for a health care proxy
    B) the need for palliative care
    C) the acceptance of active euthanasia
    D) the acceptance of passive euthanasia
    B) the need for palliative care
    (this multiple choice question has been scrambled)
  22. Which statement best explains the difference between the goals of hospices and hospitals in the care of those who are dying?
    A) Hospices are primarily concerned  with keeping the end of life as free from pain, anxiety, and depression as possible; hospitals are concerned  with the illness in the hope that it can be cured and extend the patient's life.
    B) Hospices use a low technology approach to care for patients; hospitals use a high technology approach to care for patients.
    C) Hospice treatment is less of a financial burden on individuals and their families; hospitals are not concerned about financial burdens because costs are typically covered under Medicare or other insurance programs.
    D) Hospices are primarily concerned with providing care of family members and caregivers; hospitals are primarily concerned with providing care to the individual who is dying.
    A) Hospices are primarily concerned with keeping the end of life as free from pain, anxiety and depression as possible, hospitals are concerned with the illness in the hope that it can be cured and extend the patient's life.
    (this multiple choice question has been scrambled)
  23. Which loss most strongly impacts an individual's sense of self?
    A) identity theft
    B) relocating to a new home
    C) altered body image from surgical scarring
    D) death of a distant relative
    C) altered body image from surgical scarring
    (this multiple choice question has been scrambled)
  24. A 35 year old athlete is diagnosed with cancer and is told he only has three months left of live. The athlete tells everyone he does not believe that death is going to happen as soon. He believes that his life was not meant to be over yet. In which stage of dying is the athlete?
    A) depression
    B) bargaining
    C) denial
    D) acceptance
    B) bargaining
    (this multiple choice question has been scrambled)
  25. What is the rationale for a patient who is terminally ill to enter a hospice program?
    A) to use hypnosis and other alternative methods of pain control, rather than drugs.
    B) to try out experimental cures that may not be permitted in standard hospital settings
    C) to prolong the person's life as long as possible
    D) to allow the person to die in peace and with dignity
    D) to allow the person to die in peace and with dignity
    (this multiple choice question has been scrambled)
  26. Which characteristic is the most common in successful resolution of the grief response?
    A) keeps a positive outlook on life
    B) compartmentalizes life events
    C) maintains lucrative employment
    D) has a healthy self-esteem
    D) has a healthy self-esteem
    (this multiple choice question has been scrambled)
  27. Which religious group prohibits organ donation?
    A) Hindu
    B) Mormon
    C) Buddhist
    D) Jehovah's Witnesses
    D) Jehovah's Witnesses
    (this multiple choice question has been scrambled)
  28. A patient tells the nurse many details about his parents' death and funeral. He says, "I feel no loss of pain." Which defense mechanism is this patient using?
    A) rationalization
    B) displacement
    C) repression
    D) sublimation
    C) repression
    (this multiple choice question has been scrambled)
  29. Which nursing diagnosis is the priority for a patient who is receiving home-based hospice care?
    A) altered nutrition
    B) anticipatory grieving
    C) self-care deficit
    D) constipation
    B) anticipatory grieving
    (this multiple choice question has been scrambled)
  30. Which symptom would a nurse expect to see as a child approaches death?
    A) increased thirst
    B) increased movement of the lower extremities
    C) sensitivity to light
    D) early loss of hearing
    C) sensitivity to light
    (this multiple choice question has been scrambled)
  31. The patient is experiencing noisy respirations. It would be unusual to give which medication?
    A) morphine
    B) scopolamine
    C) Ativan
    D) anticholinergic
    C) Ativan
    (this multiple choice question has been scrambled)
  32. A nurse is starting palliative care with a terminally ill patient who is the single parent of three children ages 27,21, and 17. Which step would be taken to assure that the patient's wishes are followed?
    A) Assess concerns with patient
    B) analyze the patient's quality of life
    C) Refer the patient to a social worker
    D) Discuss the power of attorney for health care
    D) Discuss the power of attorney for health care
    (this multiple choice question has been scrambled)
  33. What is the one common characteristic in the conceptualization of death in all cultures?
    A) death is considered a passage to the next phase in life
    B) death should be a time of mourning
    C) death always results in grieving for lost one
    D) death rituals are similar across cultural lines
    A) death is considered a passage to the next phase in life
    (this multiple choice question has been scrambled)
  34. Which statement characterizes the research finding on the grieving process?
    A) The grieving process is almost always masked so that no one knows that a person is grieving.
    B) The grieving process is a progression of stages people go through after losing someone close to them.
    C) The grieving process involves rapidly changing beliefs and emotions that are manageable over time.
    D) The grieving process involves a decline in daily functioning that can lead to unhealthy behaviors.
    C) The grieving process involves rapidly changing beliefs and emotions that are manageable over time.
    (this multiple choice question has been scrambled)
  35. A man who is terminally ill requests that he be allowed to die and asked that medical staff do nothing that might extend his life.  This is an example of which practice?
    A) slow suicide
    B) assisted suicide
    C) passive euthanasia
    D) active euthanasia
    C) passive euthanasia
    (this multiple choice question has been scrambled)
  36. Assisted suicide is a factor involving which end of life issue?
    A) passive euthanasia
    B) withholding of life support
    C) active euthanasia
    D) do not resuscitate (DNR) order
    C) active euthanasia
    (this multiple choice question has been scrambled)
  37. When providing home care for a child who has a terminal illness, which nursing intervention is a priority?
    A) Instruct the parent on how to control the child's pain.
    B) Teach the parents about dietary restrictions for their child.
    C) Include the child in decision making
    D) Prepare the parents for the child's impending death.
    A) Instruct the parents on how to control the child's pain.
    (this multiple choice question has been scrambled)
  38. A patient who is dying from lung cancer remarks, "Cancer has made me want to be closer to God." Which spiritual concept is the patient experiencing?
    A) transcendence
    B) faith
    C) hope
    D) forgiveness
    A) transcendence
    (this multiple choice question has been scrambled)
  39. The nurse is developing a long-term plan for a patient with an advanced malignancy. Which finding would disqualify the patient for hospice services?
    A) The patient resides in an extended-care facility.
    B) The patient has a life expectancy of one to two years.
    C) The patient is receiving a course of palliative chemotherapy.
    D) The patient's spouse works full-time outside of the home.
    B) The patient has a life expectancy of one to two years.
    (this multiple choice question has been scrambled)
  40. What is the relationship between grief and mourning?
    A) Mourning allows expression of grief.
    B) Mourning occurs as a result of grief.
    C) Grief allows expression of mourning.
    D) Grief occurs after someone mourns.
    A) Mourning allows expression of grief.
    (this multiple choice question has been scrambled)
  41. A patient is attached to numerous machines to monitor physiological functions. When the nurse approaches, the patient appears frightened and tells the nurse, "I've had enough." Which would be the most appropriate interpretation?
    A) disorientation
    B) physical pain
    C) reduced attention span
    D) sensory overload
    D) sensory overload
    (this multiple choice question has been scrambled)
  42. A newly admitted patient tell the nurse. "I don't feel comfortable here. No one seems to like me." Which response by the nurse is an example of the technique of reflecting?
    A) "Oh, no! All of the staff here really care about you."
    B) "It's natural to feel that way. Share you feelings with the staff."
    C) "That tells me that you are ready to start working on your problem."
    D) "You seem to have some concerns about being accepted here."
    D) "You seem to have some concerns about being accepted here."
    (this multiple choice question has been scrambled)
  43. Which is a potential result of administering an intramuscular (IM) injection while a child is sleeping?
    A) interrupted sleep pattern
    B) increased absorption of the medication
    C) decreased trauma to the child.
    D) development of fear of going to sleep
    D) development of fear of going to sleep
    (this multiple choice question has been scrambled)
  44. A frail older patient has a nursing diagnosis of impaired comfort related to cold. Besides offering warmed blankets, what other nursing measure is helpful to this geriatric patient?
    A) Give soothing touch
    B) Give an extended warm bath.
    C) Use an aqua K pad on the patient's back.
    D) Rub the patient's arm and back vigorously.
    A) Give soothing touch.
    (this multiple choice question has been scrambled)
  45. Which approach is best for the nurse to use in assessing a patient for cultural comfort measures that may facilitate a pharmacological intervention?
    A) Suggest application of a cool compress to the painful area.
    B) Determine whether the pain medication is effective.
    C) Recommend that too many visitors may be fatiguing.
    D) Ask if there are any rituals that assist comfort.
    D) Ask if there are any rituals that assist comfort.
    (this multiple choice question has been scrambled)
  46. How should a nurse mobilize secretions in a patient who is confined to bed?
    A) Provide adequate protein and carbohydrates in the diet.
    B) Initiate a program in strength training.
    C) Assess the patient for level of pain.
    D) Turn the patient from side to side.
    D) Turn the patient from side to side.
    (this multiple choice question has been scrambled)
  47. What does the correct use of empathy enable the nurse to do?
    A) Experience the same feelings as the patient for accurate problem identification.
    B) Identify and prioritize goals for the patient to ensure that the patient is realistic.
    C) Accurately determine patient strengths and weaknesses for effective planning.
    D) Understand the patient's thoughts and feelings while remaining objective.
    D) Understand the patient's thoughts and feelings while remaining objective.
    (this multiple choice question has been scrambled)
  48. Which primary nursing intervention offers the patient the most comfort during the first 12 hours following abdominal surgery?
    A) Offer pain medication at regular intervals.
    B) Instruct the patient to request pain medication as needed.
    C) Position the patient in a sidelying position.
    D) Maintain a quiet, dark environment
    A) Offer pain medication at regular intervals.
    (this multiple choice question has been scrambled)
  49. According to psychodynamic theory, an individual who places a high value on self-control is most likely to experience which initial response when the control is threatened?
    A) fear
    B) depression
    C) anxiety
    D) hostility
    C) anxiety
    (this multiple choice question has been scrambled)
  50. The nurse suggests that a patient use all five senses to mentally create a relaxing environment to help the patient manage the physiological symptoms of stress. Which term describes the nursing measure used in this situation?
    A) meditation
    B) guided imagery
    C) progressive relaxation
    D) biofeedback
    B) guided imagery
    (this multiple choice question has been scrambled)

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