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NSG 300 Exam 4 covers Topics 10-12 Questions with Correct Answers
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NSG 300 Exam 4 covers Topics 10-12 Questions with Correct Answers A 50-year-old woman is recovering from a bilateral mastectomy. She refuses to eat, discourages visitors, and pays little attention to her appearance. One morning the nurse enters the room to see the patient with her hair combed and ...

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Document information

  • November 11, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • a 50 year old woman is recovering from a bilateral
  • a 30 year old patient diagnosed with major depress
  • a patient who is depressed is crying and verbalize

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  • NSG 300
  • NSG 300

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NSG 300 Exam 4 covers Topics 10-12 Questions
with Correct Answers
A 50-year-old woman is recovering from a bilateral mastectomy. She refuses to eat, discourages
visitors, and pays little attention to her appearance. One morning the nurse enters the room to see
the patient with her hair combed and makeup applied. Which of the following is the best response
from the nurse? - Correct Answer "I see that you've combed your hair and put on makeup."



A 30-year-old patient diagnosed with major depressive disorder has a nursing diagnosis of Situational
Low Self-Esteem related to negative view of self. Which of the following are appropriate
interventions by the nurse? (Select all that apply) - Correct Answer focus on identifying strengths and
accomplishments.



provide time for journaling to explore underlying thoughts and feelings.



A patient who is depressed is crying and verbalize his feelings of low self-esteem and self-worth such
as, "I'm such a failure, I can't do anything right." What is the nurse's best response? - Correct Answer
remain with the patient until he or she validates feeling more stable.



A 20-year-old patient diagnosed with an eating disorder has a nursing diagnosis of Situational Low
Self-Esteem. Which of the following nursing interventions are appropriate to address self-esteem?
(Select all that apply.) - Correct Answer Offer independent decision making opportunities.



Review previously successful coping strategies.



The nurse can increase a patient's self-awareness and self- concept through which of the following
actions? (Select all that apply.) - Correct Answer Helping the patient define personal problems
clearly.



Allowing the patient to openly explore thoughts and feelings.



Reframing the patient's thoughts and feeling.



Which of the following assessment findings suggest an altered self-concept? (Select all that apply.) -
Correct Answer slumped posture and poor personal hygiene

,avoidance of eye contact when answering a question



The home health nurses visiting a 90-year-old man who lives with this 89-year-old wife. He is legally
blind and is 3 weeks post right hip replacement. He ambulates with difficulty with a walker. He
comments that he is saddened now that his wife has to do more for him and he is doing less for her.
Which of the following is the priority nursing diagnosis? - Correct Answer Risk for Situational Low
Self-Esteem



A nurse is working with an older adult who recently moved to an assisted-living Center because of
declining physical capabilities associated with normal aging process. Which nursing interventions are
directed at promoting self esteem in this patient? - Correct Answer Commending the patient's efforts
at completing self-care tasks



The nurse is caring for a 40-year-old male diagnosed with Crohn's disease several years ago, resulting
in numerous hospitalizations each year for the past 3 years. Which of the following behaviors
interfere with the developmental task of middle adulthood? (Select all that apply.) - Correct Answer
Refuses visitors while hospitalized



Self-absorbed in physical and psychological issues



Rationale:

intimacy versus isolation is from the late teens to the mid 40s.



When assessing a patient's adjustment to the role changes brought about by a medical condition
such as a stroke, the nurse asks about which of the following? (Select all that apply.) - Correct Answer
What are your thoughts about returning to work?



How has your health affected your relationship with your partner?



What level of physical activity are you able to perform?



A 16-year-old female tells the school nurse that she doesn't need that human papilloma virus (HPV)
vaccine since her partner always uses condoms. The best response by the nurse to this statement is:
- Correct Answer "The HPV 9-valent vaccine is recommended for males and females even if they use
condoms because it targets the specific viruses that cause cancer and genital warts."

,An adolescent who is pregnant for the first time is at her initial prenatal visit. The women's health
nurse practitioner (WHNP) informs the patient that she will be screening her for sexually transmitted
infections (STIs). The patient replies, "I know I don't have an STI because I don't have any symptoms."
Which responses by the WHNP would be appropriate? (select all that apply.) - Correct Answer
"Untreated STIs can cause serious complications in pregnancy, so we routinely screen pregnant
women.



"Chlamydia screening is recommended for all sexually active women up to age 25 even if
asymptomatic."



"People between the ages of 15 and 24 are often asymptomatic and have the highest incidence of
STIs."



A nurse who recently graduated from nursing school is providing discharge instructions to a patient
who suffered a myocardial infarction (MI). The nurse knows that sexual issues are common after an
MI but feels uncomfortable bringing up this topic. What is the best way for the nurse to handle this
situation? (Select all that apply.)



1. Instruct the patient to discuss any sexual concerns with his or her partner after discharge.

2. Avoid discussing the topic unless the patient brings it up.

3. Ask a more experienced nurse to cover this with the patient and learn from the example.

4. Plan to attend conferences or training soon on how to discuss such issues.

5. Encourage the patient to discuss any personal concerns with the cardiologist. - Correct Answer 3.
Ask a more experienced nurse to cover this with the patient and learn from the example.



4. Plan to attend conferences or training soon on how to discuss such issues.



The nurse is gathering a history from a 72-year-old male patient being admitted to a nursing home.
The patient requests a private room. The nurse understands that: - Correct Answer The patient may
be requesting a private room to facilitate an intimate relationship with his partner.



A patient has just learned she has been diagnosed with malignant brain tumor. She is alone; her
family will not be arriving from out of town for an hour. The nurse has been caring for her for only 2
hours but has a good relationship with her. What is the most appropriate intervention for support of
her spiritual well-being at this time? - Correct Answer Sit down and talk with the patient; have her
discuss her feelings and listen attentively.

, A nurse is preparing to teach an older adult who has chronic arthritis how to practice meditation.
Which of the following strategies are appropriate? (Select all that apply.) - Correct Answer Have
patient identify a quiet room in the home that has minimal interruptions.



Suggest the use of a quiet fan running in the room.



Show the patient how to sit comfortably with the limitation of his arthritis and focus on a prayer.



A nursing student is developing a plan of care for a 74-year- old female patient who has spiritual
distress over losing a spouse. As the student develops appropriate interventions, which
characteristics of older adults should be considered? (Select all that apply.) - Correct Answer Older
adults achieve spiritual resilience through frequent expressions of gratitude.



Have the patient determine whether her husband left a legacy behind.



Offer the patient her choice of rituals or participation in exercise.



A nurse used spiritual rituals as an intervention in a patient's care. Which of the following questions
is most appropriate to evaluate its efficacy?

1. Do you want me to contact the hospital chaplain to visit you?

2. What can I do to help you feel more at peace?

3. Did either prayer or meditation prove helpful to you?

4. Should we plan on having your family try to visit you more often in the hospital? - Correct Answer
3. Did either prayer or meditation prove helpful to you?



The nurse is caring for a 50-year-old woman visiting the outpatient medicine clinic. The patient has
has type 1 diabetes since age 13. She has numerous complications from her disease, including
reduced vision, heart disease and severe numbness and tingling of the extremities. Knowing that
spirituality helps patients cope with chronic illness which of the following principles should the nurse
apply in practice? (Select all that apply.) - Correct Answer Pay attention to the patient's spiritual
identity throughout the course of her illness.



Listen to the patient story each visit to the clinic and offer a compassionate presence.



Three levels of prevention - Correct Answer Primary Prevention

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