Practice Test Assessment Performance | Answered with complete solutions
13 views 0 purchase
Course
Assessment Performance
Institution
Assessment Performance
Practice Test Assessment Performance | Answered with complete solutions Over a period of several weeks, a male participant of a socialization group at a community day care center for the elderly monopolizes most of the group's time and interrupts others when they are talking. What is the best ac...
Over a period of several weeks, a male participant of a socialization group at a
community day care center for the elderly monopolizes most of the group's time and
interrupts others when they are talking. What is the best action for the nurse to take in
this situation?
Allow the group to handle the problem.
Rationale:
The phase the group process is in--initial, working, or termination--this will help
determine communication styles between the group members. After several weeks, the
group is in the working phase and the group members should be allowed to determine
the direction of the group. The nurse should ignore the client's comments and allow the
group to address the situation.
A nurse working in the emergency room of a children's hospital admits a child whose
injuries could have resulted from abuse. Which statement most accurately describes the
nurse's responsibility in cases of suspected child abuse?
The nurse should report any case of suspected child abuse to the nurse in charge.
Rationale
It is the nurse's legal responsibility to report all suspected cases of child abuse.
Notifying the charge nurse starts the legal reporting process.
A 45-year-old male client tells the nurse that he used to believe that he was Jesus
Christ, but now he knows he is not. Which response is best for the nurse to make?
Others have had similar thoughts when under stress.
Rationale
The nurse should offer support by assuring the client that others have suffered as he
has. The other responses are not therapeutic and not indicated.
The nurse is planning the care for an adult client with acute depression. Which
intervention should the nurse implement to help the client deal with depression?
Assist the client in exploring feelings of shame, anger, and guilt.
Rationale
Depression is associated with feelings of shame, anger, and guilt. Exploring such
feelings with the client is an important nursing intervention for a client who is acutely
depressed. The other interventions are not indicated.
, A client who is being treated with lithium carbonate for bipolar disorder develops
diarrhea, vomiting, and drowsiness. What action should the nurse take?
Notify the healthcare provider of the symptoms prior to the next administration of the
drug.
Rationale
Early side effects of lithium carbonate that occur with a serum lithium levels below 2.0
mEq/L generally follow a progressive pattern beginning with diarrhea, vomiting,
drowsiness, and muscular weakness. The nurse should notify the healthcare provider
before giving the next dose, which can contribute to higher serum drug levels that may
cause ataxia, tinnitus, blurred vision, and large dilute urine output. The other actions are
not indicated.
A client, who is on a 30-day commitment to a drug rehabilitation unit, asks the nurse if
he can go for a walk on the grounds of the treatment center. When he is told that his
privileges do not include walking on the grounds, the client becomes verbally abusive.
Which approach should the nurse take?
Calmly address the client's inappropriate behavior.
Rationale
Calmly addressing inappropriate behavior minimizes escalation of the issue, specifically
that the behavior is unacceptable. The other approaches are not indicated.
A female client with depression attends group and states that she sometimes misses
her medication appointments because she feels very anxious about riding the bus.
Which statement is the nurse's best response?
What are some ways that you can cope with your anxiety?
Rationale
An open-ended question that assists the client in problem-solving ways to cope with the
anxiety engages the client in self management. The other responses do not allow the
client to explore ways to cope with anxiety.
The nurse should include which interventions in the plan of care for a severely
depressed client with neurovegetative symptoms? (Select all that apply.)
- Permit rest periods as needed.
- Speaking slowly and simply.
- Observe and encourage food and fluid intake.
- Place the client on suicide precautions.
Rationale
Neurovegetative symptoms that accompany the mood disorder of depression include
physiological disruptions, such as anorexia, constipation, sleep disturbance, and
psychomotor retardation. The client's plan of care should include measures that
promote the client's comfort and well-being, such as rest, nutrition, suicide precautions,
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Jumuja. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
