1. A nurse is implementing care within the parameters of tertiary prevention. Which nursing
action is an example of this type of care? RIGHT
ANSWER: Teaching a client to cook meals, make a grocery list, and establish a
...
1. A nurse is implementing care within the parameters of tertiary prevention. Which nursing
action is an example of this type of care? RIGHT
ANSWER: Teaching a client to cook meals, make a grocery list, and establish a budget
2. A client is brought to an emergency department after being violently raped. Which
nursing action should require further intervention by the nurse supervisor? RIGHT
ANSWER: discouraging the client from discussing the event, as this may lead to further
trauma
3. A patient on sexual precautions impulsively kisses a nurse on the unit. Later the patient
accused the nurse of making homosexual advances towards her. The defense mechanism
utilized is called: RIGHT
ANSWER: Projection
4. A nurse is working with a client diagnosed with SSD. What criteria would differentiate
this diagnosis from illness anxiety disorder (IAD)? RIGHT
ANSWER: The client diagnosed with SSD experiences physical symptoms in various
body systems, and the client diagnosed with IAD does not.
5. How should a nurse and the U.S. census bureau classify an 88-year-old man?
ANSWER: “very old” RIGHT
6. _______ is a technique of restricting anxiety based on the rationale that relaxation is
opposite to anxiety? RIGHT
ANSWER: Reciprocal Inhibition
7. Which is the best intervention for a client experiencing a panic level of anxiety? RIGHT
ANSWER: use brief and direct statements while communicating
8. Which of the following statements would indicate that teaching about naltrexone (Revia)
has been effective? RIGHT
ANSWER: “naltrexone could lower the amount of drinks per drinking day.”
9. The nurse has been working in the emergency room with an elderly woman who was
raped on her way home from the movies. The nurse is aware that the psychosocial
outcome of a patient suffering from trauma related disorder is not usually depended on:
ANSWER: None of the above RIGHT
10. A patient’s hand become cracked and bleed due to her repeated hand washing and
scrubbing routine. During the early phase of hospitalization, the most beneficial and
therapeutic action by the nurse is initially to: RIGHT
ANSWER: allowing plenty of time to complete rituals
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