Nurs 406 test 1 Exam Questions With Correct Answers
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Course
Nurs 406
Institution
Nurs 406
Nurs 406 test 1 Exam Questions With
Correct Answers
cardiac -
neuro -
behavioral health -
Patient is receiving an IV infusion of heparin and was started on warfarin therapy the night before.
which statement is most correct?
A. the patient is receiving a double dose of anticoagulants
B. the ...
Nurs 406 test 1 Exam Questions With
Correct Answers
cardiac -
neuro -
behavioral health -
Patient is receiving an IV infusion of heparin and was started on warfarin therapy the night before.
which statement is most correct?
A. the patient is receiving a double dose of anticoagulants
B. the heparin therapy was ineffective, so the warfarin was started.
C. the heparin provides anticoagulation until therapeutic levels of warfarin are reached.
D. the heparin and warfarin work together synergistically to provide anticoagulation - answer✔C. the
heparin provides anticoagulation until therapeutic levels of warfarin are reached.
coumadin (warfarin) takes a few days for therapeutic levels to be reached. we may end up putting a pt
on both of these initially to get the anticoagulation under control, and then once the coumadin levels
are okay, the pt will come off of heparin
MASLOWS hierarchy of needs - answer✔5 levels
1 is ultimate priority
1 - physiological: oxygen, fluids, nutrition, body temperature, elimination, shelter, sex
2 - safety and security: physical and psychological safety
double bind messages - answer✔Bateson and colleagues (1956) coined the term double-bind messages.
They are characterized by two or more mutually contradictory messages given by a person in power or
someone attempting to gain or maintain power.
Opting for either choice will result in displeasure of the person in power.
Example: Dr. Shepard asks Dr. Onori to teach one of the topics in nursing research because she knows
Dr. Onori teaches that topic very well. On the day of the lecture, Dr. Onori just informs Dr. Shepard that
he is going to the beach with his family and thus can't teach the topic. Dr. Shepard looks into the eyes of
Dr. Onori and says, okay, that's fine, enjoy your vacation knowing very well that she has not prepared to
teach the research topic for that day. The content from Dr. Shepard becomes contradictory to Dr. Onori.
the "miracle" question - answer✔a clarifying technique (along with paraphrasing, restating, reflecting,
exploring, and projective questions)
The miracle question is a goal-setting question that helps patients to see what the future would look like
if a particular problem were to vanish.
The question should be asked deliberately and dramatically
Example: "Now, I want to ask you a strange question. Suppose that while you are sleeping tonight...a
miracle happens. The miracle is that the problem that brought you here is solved... When you wake up
tomorrow morning, what will be different that will tell you that a miracle has happened?"
the backbone of a nurse-client relationship is - answer✔patient centered care (gold standard)
-dignity and respect
-information sharing
-pt and family participation
-collaboration in policy and program development
social relationship - answer✔primarily initiated for the purpose of friendship, socialization,
companionship, or accomplishment of a task
•Participants share ideas, feelings, and experiences during SRs to facilitate meeting of mutual needs
•There is little emphasis on the evaluation of the interaction during SRs
•SRs do not benefit patients because the nurse unconsciously ignores the concerns of patients
therapeutic relationship - answer✔In a TR, the nurse maximizes communication skills, understanding of
human behaviors, and personal strengths to enhance the client's growth
•Clients are more likely to engage in a relationship when the clinician's interactions address their
concerns, respect clients as partners in decision making, and use easy-to-understand language
•In a TR, the focus should be on the client's ideas, needs, problems, experiences, and feelings. It's all
about the welfare of the client
Morally, legally, and ethically trained nurses and nursing students do not have ______________
relationships with patients - answer✔intimate
these are forbidden among nurses/students with patients/clients
You are about to initiate your first contact with Becky. Which is the most suitable goal in establishing the
therapeutic relationship?
•Establish friendship and a sense of fun
•Ensure that mutual needs will be met
•Establish clear boundaries while identifying patient needs
•Ensure two-way communication to give or ask for help - answer✔•Establish clear boundaries while
identifying patient needs
A therapeutic relationship demonstrates the following qualities:
The other choices listed here are more appropriate to a social relationship.
Peplau's model of nurse patient relationship - answer✔POWT
Phases:
Preorientation
orientation
working
termination
You notice that you look forward to talking to Becky because her dark sense of humor reminds you of
your best friend in high school. You also begin to make little cynical jokes, hoping to have a good laugh
together. What is this relationship showing early signs of?
Countertransference occurs when the nurse unconsciously displaces feelings related to significant
figures in the nurse's past onto the patient.
After your first conversation, Becky withdraws from you again before you've even really begun. Which
statement will contribute most to establishing Becky's 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." - answer✔ANS: B
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