Exam (elaborations)
NUR 213 Exam 3
- Course
- Institution
NUR 213 Exam 3 NUR 213 Exam 3 NUR 213 Exam 3
[Show more]
Content preview
NUR 213 Exam 3A moderately depressed client who was hospitalized 2 days ago suddenly begins smiling and
reporting that the crisis is over. The client says to the nurse, "I'm finally cured." How should the
nurse interpret this behavior as a cue to modify the treatment plan?
1.
Suggesting a reduction of medication
2.
Allowing increased "in-room" activities
3.
Increasing the level of suicide precautions
4.
Allowing the client off-unit privileges as needed - ANSWER 3
(pt who is moderately depressed and has only been in the hospital 2 days is unlikely to have such a
dramatic cure. When a depression suddenly lifts, it is likely that the client may have made the
decision to harm himself or herself. Suicide precautions are necessary to keep the client safe)
The emergency department nurse is caring for an adult client who is a victim of family violence.
Which priority instruction should be included in the discharge instructions?
1.
Information regarding shelters
2.
Instructions regarding calling the police
3.
,Instructions regarding self-defense classes
4.
Explaining the importance of leaving the violent situation - ANSWER 1
A female victim of a sexual assault is being seen in the crisis center. The client states that she still
feels "as though the rape just happened yesterday," even though it has been a few months since the
incident. Which is the most appropriate nursing response?
1.
"You need to try to be realistic. The rape did not just occur."
2.
"It will take some time to get over these feelings about your rape."
3.
"Tell me more about the incident that causes you to feel like the rape just occurred."
4.
"What do you think that you can do to alleviate some of your fears about being raped again?" -
ANSWER 3
(trash response irl though)
A client is admitted to the mental health unit after an attempted suicide by hanging. The nurse can
best ensure client safety by which action?
1.
Requesting that a peer remain with the client at all times
2.
Removing the client's clothing and placing the client in a hospital gown
,3.
Assigning to the client a staff member who will remain with the client at all times
4.
Admitting the client to a seclusion room where all potentially dangerous articles are removed -
ANSWER 3
Which behavior observed by the nurse indicates a suspicion that a depressed adolescent client may
be suicidal?
1.
The adolescent gives away a DVD and a cherished autographed picture of a performer.
2.
The adolescent runs out of the therapy group, swearing at the group leader, and to her room.
3.
The adolescent becomes angry while speaking on the telephone and slams down the receiver.
4.
The adolescent gets angry with her roommate when the roommate borrows the client's clothes
without asking. - ANSWER 1
A depressed client on an inpatient unit says to the nurse, "My family would be better off without
me." Which is the nurse's best response?
1.
"Have you talked to your family about this?"
2.
"Everyone feels this way when they are depressed."
, 3.
"You will feel better once your medication begins to work."
4.
"You sound very upset. Are you thinking of hurting yourself?" - ANSWER 4
A client is admitted with a recent history of severe anxiety following a home invasion and robbery.
During the initial assessment interview, which statement by the client should indicate to the nurse
the possible diagnosis of posttraumatic stress disorder? Select all that apply.
1.
"I'm afraid of spiders."
2.
"I keep reliving the robbery."
3.
"I see his face everywhere I go."
4.
"I don't want anything to eat now."
5.
"I might have died over a few dollars in my pocket."
6.
"I have to wash my hands over and over again many times." - ANSWER 2 3 5
(Reliving an event, experiencing emotional numbness (facing possible death), and having flashbacks
of the event (seeing the same face everywhere) are all common occurrences with posttraumatic
stress disorder. The statement "I'm afraid of spiders" relates more to having a phobia. The statement
"I have to wash my hands over and over again many times" describes ritual compulsive behaviors to
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectjoseph. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81531 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now