CMN 350 exam 1 Questions WITH COMPLETE sOLUTIONS

A nurse seeks to establish a relationship with a patient readmitted to the hospital. The patient has bipolar disorder, depressed type, and was hospitalized the preceding month. Which statement by the nurse would contribute to establishing trust? A. "Weren't you complying with your medication regimen?" B. "It must be discouraging to be readmitted to the hospital so soon." C. "Everyone with bipolar disorder ends up in the hospital occasionally." D."You must take your drugs as prescribed or you will be rehospitalized." correct answer: B. "It must be discouraging to be readmitted to the hospital so soon." A client tells the nurse, "I have something secret to tell you, but you can't tell anyone else." The nurse agrees. What is the likely consequence of the nurse's action? A. Healthy feelings of sympathy by the nurse toward the client. B. Blurred boundaries in the nurse-client relationship. C.Improved rapport between the nurse and client. D. Enhanced trust between the nurse and client. correct answer: B. Blurred boundaries in the nurse-client relationship. Keeping secrets indicates that the nurse is overly involved and is one aspect of blurred boundaries. REF: 134-135 A nurse spends extra time with a client who has personality features similar to the nurse's estranged spouse. Which aspect of countertransference is most likely to result? A.Overinvolvement B. Misuse of honesty C. Indifference D. Rescue correct answer: A.Overinvolvement Overinvolvement is a reaction to countertransference. It is important for the nurse to establish firm treatment boundaries, goals, and nursing expectations. REF: 134-135 A client preparing for discharge presents the nurse with a handmade card of appreciation for the care this nurse provided. Should the nurse accept the card? A. Yes B. No C. Not sure correct answer: A. Yes The meaning of the gift needs to be examined. If a gift is inexpensive and given at the end of hospitalization when a relationship has developed, the nurse should graciously accept. REF: 137-138 With Systolic the problem is... A. Filling B. bad blood C. Lung issues D. Pumping correct answer: D. Pumping With diastolic the problem is.... A. Filling B. bad blood C. Lung issues D. Pumping correct answer: A. Filling What is the most common type go CHF? A. Systolic B Diastolic C. cardiac arrest D. HTN correct answer: A. Systolic What are the sxs of Left sided CHF? SATA A. Pulmonary edema