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Exam 1 RNSG 1125 (Unit 1-2 Chapters 1,2,3,4,5,6,7,8, and 9) Questions With Complete Solutions
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Exam 1 RNSG 1125 (Unit 1-2 Chapters 1,2,3,4,5,6,7,8, and 9) Questions With Complete Solutions
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Exam 1 RNSG 1125 (Unit 1-2 Chapters 1,2,3,4,5,6,7,8, and 9)Questions With Complete Solutions
"QSEN" refers to:
a. Qualitative Standardized Excellence in Nursing
b. Quality and Safety Education for Nurses
c. Quantitative Effectiveness in Nursing
d. Quick Standards Essential for Nurses Correct Answer ANS:
B
QSEN represents national initiatives centered on patient safety
and quality. The primary goal of QSEN is to prepare future
nurses with the knowledge, skills, and attitudes to increase the
quality, care, and safety in the health care setting in which they
work.
1. A nurse assessed a patient who reluctantly participated in
activities, answered questions with minimal responses, and
rarely made eye contact. What information should be included
when documenting the assessment? Select all that apply.
a. The patient was uncooperative
b. The patient's subjective responses
c. Only data obtained from the patient's verbal responses
d. A description of the patient's behavior during the interview
e. Analysis of why the patient was unresponsive during the
interview Correct Answer ANS: B, D
Both content and process of the interview should be
documented. Providing only the patient's verbal responses
,would create a skewed picture of the patient. Writing that the
patient was uncooperative is subjectively worded. An objective
description of patient behavior would be preferable. Analysis of
the reasons for the patient's behavior would be speculation,
which is inappropriate.
1. A patient cries as the nurse explores the patient's feelings
about the death of a close friend. The patient sobs, "I shouldn't
be crying like this. It happened a long time ago." Which
responses by the nurse facilitate communication?Select all that
apply.
a. "Why do you think you are so upset?"
b. "I can see that you feel sad about this situation."
c. "The loss of a close friend is very painful for you."
d. "Crying is a way of expressing the hurt you are experiencing."
e. "Let's talk about something else because this subject is
upsetting you." Correct Answer ANS: B, C, D
Reflecting ("I can see that you feel sad," "This is very painful
for you") and giving information ("Crying is a way of
expressing hurt") are therapeutic techniques. "Why" questions
often imply criticism or seem intrusive or judgmental. They are
difficult to answer. Changing the subject is a barrier to
communication.
A black patient says to a white nurse, "There's no sense talking.
You wouldn't understand because you live in a white world."
The nurse's best action would be to:
,a. explain, "Yes, I do understand. Everyone goes through the
same experiences."
b. say, "Please give an example of something you think I
wouldn't understand."
c. reassure the patient that nurses interact with people from all
cultures.
d. change the subject to one that is less emotionally disturbing.
Correct Answer ANS: B
Having the patient speak in specifics rather than globally will
help the nurse understand the patient's perspective. This
approach will help the nurse engage the patient. Reassurance
and changing the subject are not therapeutic techniques.
A category 5 tornado occurred in a community of 400 people
resulting in destruction of many homes and businesses. In the 2
years after this disaster, 140 individuals were diagnosed with
posttraumatic stress disorder (PTSD). Which term best applies
to these newly diagnosed cases?
a. Prevalence
b. Co-morbidity
c. Incidence
d. Parity Correct Answer ANS: C
Incidence refers to the number of new cases of mental disorders
in a healthy population within a given period of time. Prevalence
describes the total number of cases, new and existing, in a given
population during a specific period of time, regardless of when
they became ill. Parity refers to equivalence, and legislation
required insurers that provide mental health coverage to offer
annual and lifetime benefits at the same level provided for
, medical/surgical coverage. Co-morbidity refers to having more
than one mental disorder at a time.
A citizen at a community health fair asks the nurse, "What is the
most prevalent mental disorder in the United States?" Select the
nurse's best response.
a. Schizophrenia
b. Bipolar disorder
c. Dissociative fugue
d. Alzheimer's disease Correct Answer ANS: D
The 12-month prevalence for Alzheimer's disease is 10% for
persons older than 65 and 50% for persons older than 85. The
prevalence of schizophrenia is 1.1% per year. The prevalence of
bipolar disorder is 2.6%. Dissociative fugue is a rare disorder.
See related audience response question.
A client diagnosed with major depression is reluctant to agree to
the medication therapy stating, "I don't see how medication that
affects my brain is going to make me less depressed." Which
statement by the nurse best addresses the client's concern?
"While the brain is a very complex organ, it does respond very
well to this medication."
"Are you afraid of taking the medication because of what your
friends and family may
think?"
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