Nursing Practice Test V
3. For patient in group therapy, the goal is:
Situation: The nurse is interviewing a
handsome man. He is intelligent and very a.Exchanging information and ideas
charming. When asked about his family, he b.Developing insight by relating to others
states he has been married four times. He c. Learning that everyone has problems
says three of those marriages were d.All of the above
"shotgun" weddings. He states he never
really loved any of his wives. He doesn't 4. In planning care for the patient with a
know much about his three children. "I've personality disorder, the nurse realizes
lost track," he states. that this patient will most likely:
1. If a patient is very resistant in taking a.Not need long-term therapy
responsibility of his action and asks, "Can b.Not require medication
you just give me some medication?" the c. Require anti-anxiety medication
best response is: d.Resist any change in behavior
a."The medication has too many side 5. The person with an antisocial personality
effects." is participating in therapy while a patient at
b.You don't want to take medication, do a psychiatric hospital. The nurse’s
you?" expectations are that he will:
c. Medication is given only as a East resort."
d."There is no medication specific for your a.Make a complete recovery
condition." b.Make significant changes
c. Begin the slow process of change
2. The patient asks the nurse,"What is this d.Make few changes, if any
therapy for anyway. I just don't
understand it." the best reply is: 6. One of the reasons that persons with
antisocial
a."It keeps you from being put on
medications."
b."It helps you to change others in the
family."
c. "The purpose of therapy is to help you
change."
d."No one but professionals can really
understand
,personalities may marry repeatedly or get b.Get him to do his ADLs
into trouble with legal authorities is: c. Reorient him to reality
d.Administer antipsychotic medications
a.They usually just don't care
b.They are borderline mentally retarded 10. The most recent Lithium levelon bipolar
c. They are too psychotic to see what’s going patient indicates a drop non-therapeutic
on level. What associated behavior does the
d.They do not learn from past mistakes nurse assess?
7. The nurse recognizes that these are traits a.Ataxia
of: b.Confusion
c. Hyperactivity
a.Bipolar disorder d.Lethargy
b.Alcoholic personality
c. Antisocial personality 11. Adequate fluid intake for a patient on
d.Borderline personality Lithium is:
Situation: The patient with bipolar a.1,000 ml per day
disorder is pacing continuously and is b.1,500 ml per day
skipping meals. c. 2,000 ml per day
d.3,600 ml per day
8. Bloodlevels are drawn on the patient
who has been taking Lithium for about six 12. The physicianorders Lithium
months. The present level is 2.1 meq/L. carbonate for the bipolar patient. The
The nurse evaluates this level as: nurse is aware that:
a.Therapeutic
b.Below therapeutic
c. Potentially dangerous
d.Fatally toxic
9. The priority in
working with
patient a thought disorder is:
a.Get him to understand what you're saying
236
,
, a.The patient should be put on a special diet b."To see if you got an infection."
b.The medication should be given only at c. "To make sure you were really raped."
night d."To gather legal evidence that is required."
c. A salt-free should be provided for the
patient 16. In providing support therapy,the nurse
d.The drug level should be monitored explains that rape has nothing to do with
regularly sexual desires or heeds. The two most
common elements in rape are:
13. The nursing plan should emphasize:
a.Guilt and shame
a.Offering him finger foods b.Shame and jealousy
b.Telling him he must sit down and eat c. Embarrassment and envy
c. Serving food in his room and staying with d.Power and anger
him
d.Telling him to order fast food of he wants 17. The rape victim
will not talk, is
to eat withdrawn and depressed. The defensive
mechanism being used is:
Situation: Anna, 25 years old was raped six
months ago states, "I just can't seem to get a.Rationalization
over this. My husband and I don't even b.Denial
have sex anymore. What can I do?" c. Repression
d.Regression
14. Supportive therapy to the rape victim is
directed at overwhelming feeling that the 18. The composite picture of rape victim
victim experiences just after the rape has reveals that most victimized women are:
occurred?
a.Guilt
b.Rage
c. Damaged
d.Despair
15. Anna asks,"Why do I need to have
pelvic exam?" The nurse explains:
a."To make sure you're not pregnant."
236
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