Exam Review
- Which activity is in the scope of practice of a sexual assault nurse examiner (SANE)A)Collecting and preserving evidenceB)Providing long-term counseling for rape victimsC)Requiring HIV testing of a victimD)Encourage the victim to shower before the exam
- The treatment team believes medication will help a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD). Which class of medications does the nurse expect will be prescribed?A)BenzodiazepinesB)AnxiolyticsC)AntipsychoticsD)Stimulants
- A patient diagnosed with borderline personality disorder has difficulty with relationships due to aA)desire to be in control of people and situations.B)tendency to be overly dependent on people to make decisions for them.C)fear of abandonment and unstable emotions.D)pervasive distrust and suspicion of the motives of others.
- The client diagnosed with somatic symptom disorder (SSD) asks the nurse, "What causes this condition?" Which response by the nurse would be most accurate?A)"Exposure to environmental toxins is a contributing factor."B)"The symptoms reflect an underlying emotion that cannot be verbalized."C)"The symptoms reflect hypoarousal caused by chronic stress."D)"The Symptoms reflect an internal preoccupation with events."
Exam Review
- Which of the following psychiatric disorders is most likely to occur in clients who do not recover from the trauma of rape?A)Eating disordersB)Borderline personality disorderC)Post-traumatic stress disorderD)Delirium
- A patient diagnosed with somatic symptom disorder says. "I have pain from an undiagnosed injury. I can't take care of myself. I need pain medicine six or seven times a day. I feel like a baby because my family has to help me so much." It is important for the nurse to conduct what focused assessment?A)Cognitive styleB)Identity and memoryC)Secondary gainsD)Mood
- The nursing assessment reveals that a client has been intentionally injuring themselves so that they can receive long-term disability and can avoid work. The nurse interprets this behavior as suggesting which condition?A)Illness anxiety disorderB)Functional neurologic symptom disorderC)Factitious disorder imposed on anotherD)Malingering
- A nurse cares for an unconscious rape victim who was given an alcoholic drink spiked with flunitrazepam (Rohypnol) by the assailant. Based on the side effects of this medication, which intervention has priority? Monitoring forA)SeizuresB)respiratory depression.C)HypotoniaD)coma
Exam Review
- Which assessment finding for a patient diagnosed with anorexia nervosa meets the criteria for hospitalization?A)Systolic blood pressure 58 mmHgB)Pulse rate 60 beats/minC)Serum potassium 3.7 mEq/tD)Urine output 40 mL/hr
- Physical assessment of a patient diagnosed with bulimia nervosa often reveals what data?A)Peripheral edemaB)Thin, brittle hairC)AmenorrheaD)Prominent parotid glands
- Which physical problem related to anorexia nervosa would the nurse be most likely to find during an assessment?A)HyperkalemiaB)Oversensitivity to heatC)TachycardiaD)Lane
- People diagnosed with both anorexia nervosa and bulimia nervosa have alterations in levels of which neurotransmitters?A)Norepinephrine and DopamineB)Gamma-aminobutyric acid (GABA) and HistamineC)Norepinephrine and Gamma-aminobutyric acid (GABA)D)Dopamine and Serotonin
Exam Review
- Using the CAGE instrument during an assessment, which of the following questions will the nurse ask the client?A)"Do you consider yourself to be an alcoholic?"B)"How many drinks do you have in a typical week?C)"Have you ever required medical treatment for an illness related to alcohol use?"D)"Have you ever felt like you should cut down on your drinking?"
- A nurse in the emergency department tells an adult, "Your mother had a serious stroke." The adult tearfully says, "Who will take care of me now?" Which personality disorder does this behavior best describe?A)Narcissistic PersonalityB)Antisocial Personality.C)Borderline PersonalityD)Dependent Personality
- A patient diagnosed with a somatic symptom disorder has the nursing diagnosis: 'Interrupted family processes, related to patient's disabling symptoms as evidenced by the spouse and children assuming roles and tasks that previously belonged to patient: What is an appropriate goal for this patient?A)Assumes roles and functions of the other family members.B)Relies on family members to meet personal needs.C)Demonstrate a resumption of former roles and tasks.D)Focuses energy on problems occurring in the family.
- An adolescent diagnosed with an eating disorder presents to the emergency department (ED) after losing consciousness during a marching band performance. After reviewing the client's laboratory data, which finding indicates a need for hospitalization?A)HypokalemiaB)HyperphosphatemiaC)HypoglycemiaD)Hypermagnesemia
Exam Review
- The nurse suspects that a client is a victim of intimate partner violence. What should the nurse be alert to when assessing this client?A)The client is financially independent of the abuser.B)The client believes they can make the relationship work.C)The client acknowledges use of alcohol in the home.D)The client minimizes the injury or abuse.
- Which phase in the cycle of violence prevents the abused spouse (victim) from leaving the abuser (perpetrator)?A)Tension building stageB)Acute battering stageC)Honeymoon stageD)Recovery stage
- Which description best describes antisocial personality disorder?A)Feelings of inadequacy, sensitive to criticismB)Very self centered, feels privileged and specialC)Breaks rules and laws, has little remorse or guiltD)Ongoing experiences of transient psychosis
- For a client who is a victim of violence, what action takes highest priority in their safety plan?A)Take enough toys to amuse the children for 2 days.B)Prepare a list of telephone numbers for local restaurants.C)Secure a supply of current medications for self and children.D)Hide money with which to buy new clothes.