Angelahn

1. Synthesizing the approaches covered in the text: a. can easily be accomplished after taking an introductory course. b. is usually mastered by the end of the first year of one’s graduate program. c. often requires many years of study, training, and practical counseling experience. d. rarely, if ever, happens and is a completely unrealistic goal. ANS: C PG: 5 2. Which one of the following is not considered an experiential and relationship-oriented therapy? a. Gestalt thera...

.The home health nurse is assisting a family to select a long-term care facility for an 80-year-old widow in good health who no longer drives, loves to play cards, can ambulate with a walker, and is oriented. Which facility would be the best selection for this patient? a. Subacute unit setting b. Long-term care facility (nursing home) c. Assisted living center d. Continuing care retirement center (CCRC) ANS: C The assisted living center provides meals, transportation, social...

1.What is the hormone from the posterior pituitary gland that influences the amount of water that is eliminated with the urine? a. Pitocin b. Renin hormone c. Antidiuretic hormone (ADH) d. ACTH ANS: C ADH causes the cells of the distal convoluted tubules to increase their rate of water reabsorption. PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1674 OBJ:3TOP:Urine production KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 2.As the body breaks...

1.Which of the following is an example of immunocompetence? a. A child that is immune to measles because of an inoculation b. A person who has seasonal allergies every fall c. When the symptoms of a common cold disappear in 1 day d. A neonate having a natural immunity from maternal antibodies ANS: C Immunocompetence is demonstrated by the immune system responding appropriately to a foreign stimulus and the body’s integrity is maintained as with cold symptoms that resolve w...

1.A patient has developed stomatitis from chemotherapy. What should the appropriate intervention for this condition include? a. Instruction in the following of a liquid diet b. Using a commercial mouthwash after each meal c. Cleaning teeth with a cotton swab dipped in hydrogen peroxide d. Using a soft toothbrush ANS: D The use of a soft toothbrush to clean the teeth and rinsing with normal saline or soda will prevent added discomfort and bleeding. PTS: 1 DIF: Cognitive Leve...

.The patient tells the nurse that he is legally blind. How would this information impact the nurse’s plan of care for this patient? a. The patient would be considered totally blind. b. This patient probably has some light perception, but no usable vision. c. This patient has some usable vision, which enables function at an acceptable level. d. The nurse would need to determine how this patient’s visual impairment affects normal functioning. ANS: D “Legal blindness” r...

A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement? A. Give an around-the-clock schedule for administration of analgesics. B. Administer analgesic medication as needed when the pain is severe. C. Provide medication to keep the client sedated and unaware of stimuli. D. Offer a medication-free period so that the client can do daily activities. - The most effe...

1. The nurse is teaching a pharmacology class to a group of student nurses. Which key event(s) does the nurse include about the history of pharmacology? Select all that apply. 1. Modern pharmacology begins in the mid-1600s. 2. The first drugs included morphine, cocaine, and penicillin. 3. Early researchers used themselves and animals as test subjects. 4. Pharmacologists began to synthesize drugs in the laboratory in the twentieth century. Answer: 3 and 4 Rationale: 1. Modern pharmaco...

A high lipase level is associated with pancreatic dysfunction or renal failure and is not an expected finding with hyponatremia or dehydration. Low urine specific gravity MY ANSWER A client who has hyponatremia as a result of diuretic overuse has a low urine specific gravity. The increased excretion of water alters the ratio of particulate matter, which affects the specific gravity. Low hemoglobin A client who is dehydrated as a result of diuretic overuse can have an elevated hemoglobin lev...

A high lipase level is associated with pancreatic dysfunction or renal failure and is not an expected finding with hyponatremia or dehydration. Low urine specific gravity MY ANSWER A client who has hyponatremia as a result of diuretic overuse has a low urine specific gravity. The increased excretion of water alters the ratio of particulate matter, which affects the specific gravity. Low hemoglobin A client who is dehydrated as a result of diuretic overuse can have an elevated hemoglobin lev...