23/03/2022, 11:19 P2 LONG EXAM A-15 BLOCK 3 FUNDA LECTURE

P2 LONG EXAM A-15 BLOCK 3 FUNDA LECTURE

Total points 49/60

INSTRUCTIONS:
-This MULTIPLE CHOICE EXAM is a 60 ITEMS ONLY.
-Student will be given 60 MINUTES ( 1 HOUR )to answer the 60 ITEMS MULTIPLE CHOICE
EXAM
-Students are discouraged in entertaining chats, messages or calls unless it is an
emergency.
-Students are also discouraged in opening books, or any references that is related to the
subject matter during the examination time.
-Students must TURN ON their cameras all throughout the Exam. In the event students
Camera will be turned off within 5 minutes students will be removed from Google Meet and
Can Not continue with the Exam.

The respondent's email (bles.josuy.swu@phinmaed.com) was recorded on submission of

this form.

A nurse is assessing a client diagnosed with schizophrenia for the presence of 1/1
hallucinations. Which therapeutic communication technique used by the
nurse is an example of making observations? *

"You appear to be talking to someone I do not see."

"Please describe what you are seeing."

"Why do you continually look in the corner of this room?"

"If you hum a tune, the voices may not be so distracting."

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This step begins after the care plan has been made and is recognized as the 1/1
step where the nurse performs the interventions to achieve goals. *

Planning

Assessment

Diagnosis

Implementation

Your patient complains of an excessive flatulence. When reviewing your 1/1

patients dietary intake, which foods, if eaten regularly, would you identify as
possibly responsible? *

Meet

Cauliflower

Potatoes

Ice cream

Which therapeutic communication technique is being used in this nurse-client 1/1

interaction? Client: "My father spanked me often."Nurse: "Your father was a
harsh disciplinarian." *

Restatement

Offering general leads

Focusing

Accepting

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In this step of the nursing process, you prioritize the diagnosis in order of 1/1
importance and figure out what nursing interventions need to take place to
accomplish these as well as goals to achieve your care plan. *

Planning

Implementation

Assessment

Evaluation

A nurse who cared for a dying patient and his family documents that the 1/1
family is experiencing a period of mourning. Which behaviors would the nurse
expect to see at this stage? Select all that apply. * *

The family arranges for a funeral for their loved one.

The family arranges for a memorial scholarship for their loved one.

The coroner pronounces the patient's death.

The family arranges for hospice for their loved one.

The patient is diagnosed with terminal cancer.

The patient's daughter writes a poem expressing her sorrow.

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The nurse is obtaining the history of a newly admitted patient. Which element 1/1
in the history places the patient at risk for urinary tract infection? *

Hypertension

Hypothyroidism

Diabetes mellitus

Hormonal contraceptive use

A 22-year-old new mother is breastfeeding. You ask her if she is taking the 1/1
correct quantities of nutrients. Which statement reflects that she understands
the dietary guidelines? * *

“I am not concerned with what I am eating.”

“I am taking vitamin doses based on TV.”

“I am taking a daily MVI.”

“I am making eating choices according to the recommended dietary allowances.”

A nurse discourages a patient from straining excessively when attempting to 1/1

have a bowel movement. What physiological response primarily may be
prevented by avoiding straining on defecation? *

Incontinence

Dysrhythmias

Fecal impaction

Rectal haemorrhoids

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An emergency department nurse is caring for a patient who was severely 1/1
injured in a car accident. The patient's family is in the waiting room. They are
crying softly. The nurse sits down next to the family, takes the mother's hand,
and says, "I can only imagine how you're feeling. What can I do to help you feel
more at peace right now? " In this example the nurse is demonstrating: * *

Prayer.

Presence.

Coaching.

Instilling hope.

A Chinese-American client experiencing anemia, which is believed to be a yin 0/1

disorder, is likely to treat it with: *

Magnetic therapy

Intercessory prayer

Foods considered to be yin

Foods considered to be yang

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A 35-year-old, male patient with testicular cancer is joking and playing cards 1/1
with his roommate. When assessed by the pain management nurse, the
patient rates his pain as a 7 on a Numeric Rating Scale of 0 to 10. The nurse
concludes that the patient's behavior: *

is an emotional reaction to having cancer.

is in anticipation of future pain.

is more indicative of the need for pain medication than the pain rating.

may be in conflict with the pain rating, and accepts the report of pain.

A nurse states to a client, "Things will look better tomorrow after a good 1/1
night's sleep." This is an example of which communication technique? *

The therapeutic technique of "giving advice"

The therapeutic technique of "defending"

The nontherapeutic technique of "presenting reality"

The nontherapeutic technique of "giving false reassurance"

Failing to check a patient’s identification correctly before administering blood 1/1

& then giving the blood to wrong patient is an example of: *

Malpractice

Negligence

Slander

Libel

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During a change-of-shift report: * 0/1

Two or more nurses always visit all patients to review their plan of care.

The nurse should identify nursing diagnoses and clarify patient priorities.

Nurses should exchange judgments they have made about patient attitudes.

Patient information is communicated from a nurse on a sending unit to a nurse on a

receiving unit.

When assessing an infant for pain, the pain management nurse recognizes 1/1
that: *

a lack of a physiologic or behavioral response means a lack of pain.

if something causes pain in an adult, it can cause pain in an infant.

the parent's observations should not be included in the patient's assessment of pain.

Wong-Baker FACES Scale is an appropriate assessment tool.

Ethical principles for professional nursing practice in a clinical setting are 1/1
guided by the principles of conduct that are written as the: *

American Nurses Association's (ANA's) Code of Ethics

Nurse Practice Act (NPA) written by state legislation

Standards of care from experts in the practice field

Good Samaritan laws for civil guidelines

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A client expresses to the nurse that she constantly feels irritated and loses her 0/1
temper. During the course of the interview, the nurse finds that the client
takes care of her mother who was confined to bed following a stroke. The
client struggles to balance caring for her family and her mother. Which
nrusing diagnosis would the nurse most likely identify for this client? *

Compromised family adjustment

Caregiver role strain

Ineffective coping

Anxiety

When establishing realistic goals, the nurse: * 1/1

Bases the goals on the nurse’s personal knowledge.

Knows the resources of the health care facility, family, and the client.

Must have a client who is physically and emotionally stable.

Must have the client’s cooperation

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The parent of a 7-year-old son brings the child to the pediatric care provider 0/1
to discuss her child's nighttime bedwetting. She reports he has never
achieved consistent dryness at night. What is the nurse's best response to the
mother's concern? *

"We'll start medication right away to control it."

"Family history is not associated with bedwetting."

"We will look for a urinary tract infection."

"Wait it out. Your son will likely outgrow it."

Nurse has observed that quite a few patients on the unit develop pressure 1/1
sores while in the agency. The nurse wonders whether there are better
preventive measures than are currently being used and wishes to find the
best evidence for perhaps changing at least one intervention. What should
the nurse do next? *

Identify a clinical nursing problem.

Formulate a PICOT question on the topic.

Search the nursing literature.

Evaluate the quality of the research in the literature.

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Priorities are established to help the nurse anticipate and sequence nursing 1/1
interventions when a client has multiple problems or alterations. Priorities are
determined by the client’s: *

Physician

Non Emergent, non-life threatening needs

Future well-being.

Urgency of problems

How is qualitative research different from quantitative research? Qualitative 1/1

research: *

Is more valid when large numbers of participants are studied

Reports data in the form of words

Is less useful than quantitative research

Requires careful attention to methods and techniques

When inserting an indwelling urinary catheter in a male patient, the nurse 1/1
cleanses the sex organ with an antiseptic wash. Which step should she take
next? *

Gently insert the tip of the prefilled syringe into the urethra to instill the lubricant.

Ask the patient to bear down as though trying to void.

Slowly insert the end of the catheter into the urinary meatus.

Insert the catheter about 7 to 9 inches (17 to 22.5 cm) or until urine flows.

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Patient Ruth receives an explanation of the procedure or treatment is an 1/1

example of: *

Consent form

Informed consent

Slander

Libel

The distribution of nurses to areas of "most need" in the time of a nursing 1/1
shortage is an example of: *

Utilitarianism theory

Deontological theory

Justice

Beneficence

A home health care nurse has been visiting a patient with AIDS who says, "I'm 1/1
no longer afraid of dying. I think I've made my peace with everyone, and I'm
actually ready to move on." This reflects the patient's progress to which stage
of death and dying? *

Acceptance

Anger

Bargaining

Denial

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A nurse is assessing an obese teenager who is unhappy and stressed out 1/1
because she has not lost weight despite working out at the gym. The
physician asks the nurse to try the modeling intervention for stress
management for the client. Which of the following actions should the nurse
perform when adhering to the modeling intervention? *

Ask the client to undergo liposuction surgery.

Ask the client to change her exercise regimen.

Ask the client to cut down on her food intake.

Introduce the client to someone with a positive attitude.

In its attempt to gain freedom and independence, what corresponding factors 0/1
must the nursing profession embrace? *

Health and happiness .

Chaos and disorder

Loss of control and negative feedback

Responsibility and accountability

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The pain management nurse assesses a patient with complex regional pain 1/1
syndrome. The nurse is concerned about the patient's depressed mood,
because she or he has said: "I can't live with this pain." The nurse further
assesses for suicide risk, because: *

decreased pain thresholds lead to suicidal thoughts.

suicidal thoughts are common in patients with chronic pain.

suicidal thoughts are often expressed by patients with acute pain.

verbalization of suicidal thoughts is a way for patients to get attention.

Which of the following is correctly charted according to the six guidelines for 1/1
quality recording? *

“Was depressed today.”

“Respirations rapid; lung sounds clear.”

“Had a good day. Up and about in room.”

“Crying. States she doesn’t want visitors to see her like this.”

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A student nurse practicing primary leadership skills would demonstrate all of 1/1
the following except: *

Being sensitive to the group’s feelings

Recognizing others for their contributions

Developing listening skills and being aware of personal motivation

Assuming primary responsibility for planning, implementation, follow-up, and

evaluation

When developing a presentation about magnet hospitals, which 0/1

characteristics would you include? (Select all that apply.) *

Are located in large, progressive, tertiary centers

Demonstrate a decentralized decision-making process

Exhibit better patient outcomes and staff retention

Promote control of practice by medical personnel

Allow staff self-scheduling

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You walk into your patients' room and find her sobbing uncontrollably. When 1/1
you ask what the problem is your patient responds "I am so scared. I have
never known anyone who goes into a hospital and comes out alive." On this
patient's care plan you note a nursing diagnosis of "Ineffective coping related
to stress". What is the best outcome you can expect for this patient? *

Patient will avoid stressful situations.

Patient will start anti-anxiety agent.

Patient will adapt relaxation techniques to reduce stress.

Patient will be stress free.

A nurse instructor outlines the criteria establishing nursing as a profession. 1/1

What teaching point correctly describes this criteria? Select all that apply. *

Nursing is composed of a well-defined body of general knowledge

Nursing interventions are dependent upon medical practice

Nursing is a recognized authority by a professional group

Nursing is regulated by the medical industry

Nursing has a code of ethics

Nursing is influenced by ongoing research

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A nurse is preparing a plan of care for a client who is a Jehovah's Witness. The 1/1
client has been told that surgery is necessary. The nurse considers the client's
religious preferences in developing the plan of care and documents that: *

Faith healing is practiced primarily

Medication administration is not allowed.

Surgery is prohibited in this religious group

The administration of blood and blood products is forbidden.

A nurse notes that the health care unit keeps a listing of the patient names at 1/1
the front desk in easy view for health care providers to more efficiently locate
the patient. The nurse talks with the nurse manager because this action is a
violation of which act? *

The Joint Commission (TJC)

American Nurses Association (ANA)

Health Insurance Portability Accountability Act (HIPAA)

Health Information Technology Act (HITECH)

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An ambulatory care nurse is discussing preoperative procedures with a 1/1

Chinese-American client who is scheduled for surgery the following week.
During the discussion, the client continually smiles and nods the head. The
nurse interprets the nonverbal behavior as: *

Reflecting a cultural value

An acceptance of the treatment

The client is agreeable to the required procedures

The client understands the preoperative procedures

What purpose does the nursing process serve? * 1/1

Assisting family members in making important healthcare decisions

Providing nurses with a framework to aid them in delivering comprehensive care

Help other healthcare professionals know what is going on with the client

Organize information so the doctor knows what is wrong with the client

Which of the following is an appropriate nursing action to promote regular 1/1

bowel habits? *

Encourage the patient to avoid moving his bowels until a certain time of day

Encourage the patient to avoid excess fluid intake and too much fiber

Avoid strenuous exercise to limit stress on the abdominal muscles and impair
peristalsis

Assisting the patient to a normal position as possible to defecate

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A patient who started smoking in adolescence and continues to smoke 40 1/1

years later comes to the clinic. The nurse understands that this patient has an
increased risk for being diagnosed with which disorder: *

Alcoholism and hypertension

Obesity and diabetes

Stress-related illnesses

Cardiopulmonary disease and lung cancer

In effective leadership , the following components are considered(Select all 0/1

that apply) *

Self- awareness

Knowledge of management functions

Lack of concern

Powerful

You are about to bathe an unconscious client. Which of the following 1/1
interventions are most important on your part? *

Vary the schedule of bathing and care from day to day.

Tune the radio to client's favorite music during bath time.

Explain procedures to client, and talk as if client can hear.

Speak louder to the client than to other clients.

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A nurse is planning care for a patient going to surgery. Who is responsible for 1/1
informing the patient about the surgery along with possible risks,
complications, and benefits? *

Family member

Surgeon

Nurse

Nurse manager

Which of the following actions, if performed by a registered nurse would 0/1

result in both criminal and administrative law sanctions against the nurse?
(Select all that apply.) *

Taking or selling controlled substances

Refusing to provide health care information to a patient’s child

Reporting suspected abuse and neglect of children

Applying physical restraints without a written physician’s order

Completing an occurrence report on the unit

If an error is made while recording, the nurse should: * 1/1

Erase it or scratch it out.

Leave a blank space in the note.

Draw a single line through the error and initial it.

Obtain a new nurse’s note and rewrite the entries.

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The primary purpose of a patient’s medical record is to: * 1/1

Provide validation for hospital charges.

Satisfy requirements of accreditation agencies.

Provide the nurse with a defense against malpractice.

Communicate accurate, timely information about the patient.

A research article describes a multicenter study in which 5,000 healthy 1/1

patients between the ages of 30 and 65 were given a medication. Effects
were observed, which included change in blood pressure with the prescribed
drug. Study findings indicate this medication is safe for healthy patients
between the ages of 30 and 65 when given for a defined medical condition.
What can you most reasonably infer from this information? *

It was a qualitative study.

It was a quantitative study.

The study did not use a random sample.

The study did not include a broad enough age span.

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Which therapeutic communication technique is being used in this nurse-client 1/1

interaction? Client: "When I am anxious, the only thing that calms me down is
alcohol." Nurse: "Other than drinking, what alternatives have you explored to
decrease anxiety?" *

Reflecting

Making observations

Formulating a plan of action

Giving recognition

A client diagnosed with post-traumatic stress disorder is admitted to an 1/1

inpatient psychiatric unit for evaluation and medication stabilization. Which
therapeutic communication technique used by the nurse is an example of a
broad opening? *

"What occurred prior to the rape, and when did you go to the emergency department?"

"What would you like to talk about?"

"I notice you seem uncomfortable discussing this."

"How can we help you feel safe during your stay here?"

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A nurse is caring for a terminally ill patient during the 11 PM to 7 AM shift. The 1/1
patient says, "I just can't sleep. I keep thinking about what my family will do
when I am gone." What response by the nurse would be most appropriate? *

"Oh, don't worry about that now. You need to sleep."

"What seems to be concerning you the most?"

"I have talked to your wife and she told me she will be fine."

"I have to go and give medicines, you should discuss this with your wife."

To initiate an intervention the nurse must be competent in three areas, which 1/1
include: *

Knowledge, function, and specific skills

Experience, advanced education, and skills.

Skills, finances, and leadership.

Leadership, autonomy, and skills.

When gathering data to assist with assessments of clients, you will find which 1/1
of the following clients most at risk for sensory overload? *

a client in pain

a homebound client

a client on bed rest

a client in isolation

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If the patient was instructed to avoid foods that may have a laxative effect, 1/1
the nurse would advise the patient to avoid which of the following foods? *

Chinese

Alcohol

Eggs

Pasta

What is the best method for nurses to prepare for future professional 0/1
practice? *

Take additional courses in the use of computers.

Understand and explore the issues involved in professionalism as nurses.

Accept that nursing is a profession.

Cross-train with other health-care providers, such as physical therapists, laboratory

technicians, and radiologists.

Select the most effective method that nurses can use to gain power over 0/1
their practice. *

Use strikes and union tactics to increase pay

Join professional organizations in large numbers

Leave nursing as soon as better jobs come along

Confront hospital administrators about poor staffing

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Which of the following meal trays would be appropriate for the nurse to 0/1
deliver to a client of Jewish faith who follows a kosher diet? *

Pork roast, rice, vegetables, mixed fruit, milk

Crab salad with a croissant, vegetables with dip, potato salad, milk

Sweet and sour chicken with rice and vegetables, mixed fruit, juice

Fettuccini Alfredo with shrimp and vegetables, salad, mixed fruit, iced tea

A teaching plan about the differences between leadership and management 1/1
would be considered effective if the students identified which as a
difference? *

Formal titles differentiate the two constructs.

Leadership is less tangible than management.

Managerial skills are the technical side of leadership.

Leadership and management are mutually exclusive.

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A middle-aged woman's father has passed away, and her mother requires 1/1
physical and emotional help due to disabilities. The woman is married and
raising two children, along with working full time. All of the factors described
are *

Stressors

Demands

Illnesses

Stimuli

Your assigned first day post-operative client, who has a new colostomy, 1/1
seems to worry a lot and has symptoms of sensory overload. Which of the
following client goals, if met, would most contribute to reducing sensory
overload for this client? *

Will not sleep or nap during the day.

Will report pain at 4 or less on a 10-point scale.

Will attend classes on colostomy care.

Will look at colostomy during colostomy care.

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