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State/Professional study, Five Rights of Delegation, Legal and ethical considerations, Five Rights + 3, State Exam Nursing New Zealand, immunisation schedule, Nursing Professionalism State Revision, Mock STATE Exam, Practice Questions + Answers Nursi...
Jeremy has a long history of explosive out...
State/Professional study, Five Rights of
Delegation, Legal and ethical considerations,
Five Rights + 3, State Exam Nursing New
Zealand, immunisation schedule, Nursing
Professionalism State Revision, Mock STATE
Exam, Practice Questions + Answers Nursi...
Jeremy has a long history of explosive outburst, these have included actual assaults on
others and damage to property
When assessing his current potential for agression and violence the nurse needs to
identify ?
Presence of disorder perception
Jeremy has a long history of explosive outburst, these have included actual assaults on
others and damage to property
When attempting to understand agression and violence within the situational model, the
nurse is aware that the behaviour ?
Is an interaction between internal and external factors and should be considered multi-
dimentional
Jeremy has a long history of explosive outburst, these have included actual assaults on
others and damage to property
When talking with jeremy in the dayroom, the nurse becomes aware that an explosive
episodes is imminent. What should the nurse do?
Remove other patients and speak in a calm tone.
Gerald is an elderly man with a history of general anxiety disorder of which he has been
experiencing increased severity in symptoms over the past 12 months. He has begun to
drink heavily in order to cope with these experiencies.
His use of alcohol would be interpreted as what dual diagnosis?
Primary mental illness with subsequent substance abuse.
Gerald is an elderly man with a history of general anxiety disorder of which he has been
experiencing increased severity in symptoms over the past 12 months. He has begun to
drink heavily in order to cope with these experiencies.
If you were to engage in behavioral therapy with him, your focus would primarily be on?
Behaviour change.
Gerald is an elderly man with a history of general anxiety disorder of which he has been
experiencing increased severity in symptoms over the past 12 months. He has begun to
,drink heavily in order to cope with these experiencies.
The use of psychopharmacological agents in the treatment of elderly patients with
anxiety can be problematic due to?
Increased susceptibility of side effects and other drug interactions.
Gerald is an elderly man with a history of general anxiety disorder of which he has been
experiencing increased severity in symptoms over the past 12 months. He has begun to
drink heavily in order to cope with these experiencies.
When assessing Gerald an MMSE can support the nurse's assessment by screening
Cognitive functioning including TPP, short term memory, language and function
registrations
Gerald is an elderly man with a history of general anxiety disorder of which he has been
experiencing increased severity in symptoms over the past 12 months. He has begun to
drink heavily in order to cope with these experiencies.
When assessing whether his ideas are logical and coherent, they are examining what?
thought process.
A client has been prescribed oral clopixol for the past 6 months and is complaining of
side effects. What examination is used to assess doe EXTRAPYRAMIDAL SIDE
EFFECTS (EPSE)?
Abnormal involuntary movements scale
EPSE include what four types of reactions?
EPSE (drug-induced movement disorder)
Akathisia, dystonia, psuedoparkinsonism and trardive dyskinesia.
What is the treatment for acute cases of dystonia ?
IMI benzotropine.
A 32-year-old mother of three pre school aged children, see the nurse at the public
health clinic because of fatigue and dizziness. She has a history of iron deficiency
anemia but has not taken supplemental iron for the past 2 years.
Which lab result would the nurse expect based on her symptoms?
Haemoglobin!!!! 60g/L
A 32-year-old mother of three pre school aged children, see the nurse at the public
health clinic because of fatigue and dizziness. She has a history of iron deficiency
anemia but has not taken supplemental iron for the past 2 years.
The nurse discusses diet with her. An appropriate goal is to increase her intake of?
Meat & Fish.
A 32-year-old mother of three pre school aged children, see the nurse at the public
health clinic because of fatigue and dizziness. She has a history of iron deficiency
anemia but has not taken supplemental iron for the past 2 years.
The nurse has taught her about taking oral iron supplements. Which statement indicates
a need for additional education?
" I will watch my stools for signs of bright red blood"
,A 32-year-old mother of three pre school aged children, see the nurse at the public
health clinic because of fatigue and dizziness. She has a history of iron deficiency
anemia but has not taken supplemental iron for the past 2 years.
Before leaving the clinic the client ask when she should perform a breast self-
examination having established that her period is regulary the nurse best response
would be>
At the same time each month.
Immunisations has been the mainstay of preventative care for decades. Recent
concerns are around low immunisations rates in NZ
What would be a factor leading to low level?
Cost to family.
Immunisations has been the mainstay of preventative care for decades. Recent
concerns are around low immunisations rates in NZ
Immunizations are often given at specified intervals with week or month in between
each injection because?
TO STIMULATE THE BEST IMMUNE RESPONSE.!
A child is suspected of meningococcal meningittis. What is the FIRST responsibility of
the public health nurse in this situation?
Seek immediate medical treatment
Why is immunization against rubella recommended when rubella is a mild illness?
Rubella can cause deformity in the developing fetus if the mother contracts it.
What is a live vaccine?
Live attenuated virus.
The resurgence in TB due to the emergence of a multidrug-resistant strain of M TB is
primarily the result of?
Poor compliance with drug therapy in patients with TB
A patient with TB class 3. is admitted with chest pain & MI the nurse knows that?
Respiratory isolation is required.
What do you do with someone with hypothermia?
Wrap in warm blanket.
Rangitihi has been diagnosed with T2DM. He has little knowledge of this condition and
will need good education in order to manage.
What is the primary cause of t2dm?
Failure of the pancreas to produce enough insulin.
Rangitihi will need good information about the importance of what factors?
Exercise lowers BSL and increases the need for glucose.
When teaching Rangitihi to check her BSL what is the most helpful way?
Discussion and equipment demonstration
First line of treatment for hypoglycaemia??
Simple Carbohydrates
The most common signs of hypoglycaemia?
Perspiration, nervousness, weakness.
, A young married woman tells you that she is going to have tubal ligation because there
are two people with intellectual disabilities in her husbands family and she is afraid this
problem with surface in her children.
The nursing diagnosis that best applied to this couple?
Knowledge deficit of genetically inherited disorders.
When an infant is born with a genetic disorders the parents need to know?
Not all genie disorders are inherited
True statement in regards to down syndrome?
The frequency increase over 35 years.
Down syndrome may occur because of translocation defect. This means?
An additional chromosome is attached to a normal chromosome.
Children and family services offer assessment and treatment of childhood disorders.
The nurse working in these areas need to have a good understanding of developmental
delay and disorder in order to assist families
A 6-year-old is seen in a mental health clinic for possible attention deficit hyperactivity
disorder. His mothers reports that he is "ALLBOY" When evaluating his behavior it is
important to assess.
The pattern of the boys typical day.
What is a sign of ADHD?
A lack of concentration
You are involved in the assessment of a child with possible autism. In the history from
his mother you expect to hear?
States at a roaring well on his crib mobile.
James has been recently diagnosed with CHD. When assessing James the nurse finds
he recently made diet changes and stopped smoking.
An appropriare intervention in educating James at this time is to?
Develop a plan to support James in maintaining changes in his life to prevent relapse in
dieting behavior.
Before introducing further education when working with James it is important to ask?
What type of environmental or activities help him learn best
Appropriate teaching straggly to promote smoking cessation is ?
Group teaching
Rowena has been diagnosed with breast cancer following needle biopsy of a lump. She
has no family HX od this and little knowledge of the condition. She is to have R)
Mastectomy and is to receive radiotherapy.
The nurse managing overall care of Rowena should plan teaching session on?
Understanding and managing surgery and treatment options
Rowena is now facing imminent surgery. She states she is fearful of the surgery and its
outcome. What is the best response?
Encourage Rowena to express her concerns.
Rowena post op has a red arm, warm at touch and swollen what do you do?
CALL Doctor STAT
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