Nursing 340 - Questions (Exam 1) with Correct Answers
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Course
NUR 340
Institution
NUR 340
In the shift change of report, an off going nurse criticizes a patient who wears heavy makeup; which comment by the nurse who received the report best demonstrates advocacy our patients need our help to learn behaviors that will help them get along in society
Which outcome, focused on recovery, wo...
Nursing 340 - Questions (Exam 1) with
Correct Answers
In the shift change of report, an off going nurse criticizes a patient who wears heavy
makeup; which comment by the nurse who received the report best demonstrates
advocacy ✅our patients need our help to learn behaviors that will help them get along
in society
Which outcome, focused on recovery, would be expected in the plan of care for a
patient living in the community with serious and persistent mental illness; within 2
months, the patient will ✅report a sense of well-being
A staff nurse completes orientation to a psychiatric unit; the nurse may expect an
advanced practice nurse to perform which additional assessment ✅prescribe
psychotropic medication
Which assessment finding most clearly indicates that a patient may be experiencing a
mental illness ✅reports a consistently sad, discouraged mood
Which indicates that the goal "demonstrate mentally healthy behavior" was acheived
✅sees self as capable of achieving ideals and meeting demands
A nurse encounters an unfamiliar psychiatric disorder; which resource should the nurse
consult to determine criteria used to establish the diagnosis ✅diagnostic and statistical
manual of mental disorders (DSM5)
A nurse wants to find a description of diagnostic criteria for anxiety disorders; which
resource would have the most complete information ✅diagnostic and statistical manual
of mental disorders (DSM5)
Which individual is demonstrating highest level of resilience; an individual who ✅takes
a temporary job to maintain financial stability after the loss of a job
Which Western cultural feature may result in establishing unrealistic outcomes for
patients of other cultural groups ✅direct confrontation to solve problems
A Haitian patient with depression tells the nurse "there's nothing you can do; this is
punishment"; what does this tell the nurse ✅the patient may believe the distress is the
result of a curse or spell
A person diagnosed with schizophrenia has had difficulty keeping a job because of
arguing with coworkers and accusing them of conspiracy; today the person shouts
, "they're all plotting to destroy me"; select the nurse's most therapeutic response
✅feeling that people want to destroy you must be very frightening
A newly admitted patient diagnosed with schizophrenia is hyper-vigilant and constantly
scans the environment; he states "I saw two doctors talking in the hall; they were
plotting to kill me"; the nurse may correctly assess this behavior as ✅an idea of
reference
A patient diagnosed with schizophrenia begins to talk about "cracklomers" in the local
shopping mall; the term should be documented as ✅a neologism
A patient's care plan includes monitoring for auditory hallucinations; which assessment
findings suggest he may be hallucinating ✅darting eyes, tilted head, and mumbling to
self
A patient diagnosed with schizophrenia tells the nurse "I eat skiller; tend to end; easter;
it blows away; get it?"; select the nurse's best response ✅I am having difficulty
understanding what you are saying
When a patient diagnosed with schizophrenia was discharged six months ago, haldol
was prescribed; he now says "I stopped taking those pills; they made me feel like a
robot"; what common side effects should the nurse validate with the patient ✅sedation
and muscle stiffness
According to the WHO, palliative care is an approach that improves quality of life for
patients and their families who face problems associated with life-threatening illnesses;
what are some specific goals of palliative care ✅regard dying as a normal process;
provide relief from symptoms, including pain; affirm life and neither hasten nor postpone
death; support holistic patient care and enhance quality of life; offer support to patients
to live as actively as possible until death; offer support to the family during the patient's
illness and their own bereavement
The husband and daughter of a hispanic woman dying from pancreatic cancer refuse to
consider using hospice care; what is the first thing the nurse should do ✅assess their
understanding of what hospice care services are
List the two criteria for admission to a hospice program ✅patient must desire services
and agree in writing that only hospice care can be used to treat the terminal illness
(palliative care); patient must meet eligibility, which is less than six months to live,
certified initially by two physicians
What are some physical manifestations that the nurse would expect to see in a patient
approaching death ✅Cheyne-Stokes respiration; death rattle (inability to cough and
clear secretions); increased, then slowing, respiratory rate; irregular breathing; terminal
gasping; mottling on hands, feet, and legs that progresses to the torso; cold, clammy
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