2. A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse’s priority?

a. The client frequently recalls negative experiences that occurred during his marriage.

b. the client states that he is unable to eat more than once a day.

c. The client says he feels guilty about not spending more time with his partner.

d. The client relates that he is angry that the provider did not save his partner’s life.

Ans.

3. A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take?

a. Maintain consistency in assigning health care staff for the client.

b. Encourage the use of countertransference for the client.

C. Demonstrate a sympathetic attitude toward the when providing care.

d. Provide consistent boundaries for the client.

4. A nurse is conducting an admission interview with a new client who tells the nurse, “my life is so stressful. I can’t take it anymore.” Which of the following responses should the nurse make first?

a. Tell me what makes you feel stressed.

b. Are you thinking of harming yourself?

c. Let’s talk more about what you are experiencing

d. How have you deal with stress in the past?

5. a nurse is teaching about deep-breathing exercises with a client who reports experiencing intense stress at work. Which of the following statements by the client indicates an understanding of the teaching?

a. I will focus on how the muscles in my stomach feel with each breath.

b. I will inhale through my mouth and exhale through my nose.

c. I will hole my breath flor 5 or 6 second each time.

d. I will focus on the causes of my stress during the exercise.

6. a nurse is caring a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client’s personal coping skill?

a. How have you deal with similar situations in the past?

b. Can you describe how you are currently feeling?

c. Do you see your current situation affecting your future?

d. How does this situation affect your life?

7. A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situation crisis?

a. Are you having thoughts about harming yourself?

b. Who do you talk to when you need help?

c. How do you think these events is affecting your life right now?

d. what do you usually do to cope with problem in your life?

8. A nurse teaching a newly licensed nurse about contributing factors that lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?

a. The client mother has asthma

b. the client’s father lives in the client home

c. The client is the oldest of their siblings.

d. The client has several siblings.

9. a nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first?

a. Ask the client to sign a no-suicide contract.

b. Establish a rapport to foster trust.

c. Encourage the client to participate in group therapy.

d. Implement continuous one-to-one observation.

10. A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?

a. heart rate 104/mim

b. Nausea

c. random blood glucose 130 mg/dL.

d. Sore throat.

11. A nurse is creating a plan of care foe a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?

A. Encourage physical activity for the client during the day.

b. Keep a bright on in the client room at night.

c. discourages the client from expressing feeling of anger.

d. Identify and schedule alternative group activities for the client.

12. A nurse is caring for a client who states, “I am too embarrassed to tell anyone what I did last night.” Which of the following responses should the nurse make?

a. You shouldn’t feel embarrassed to talk to me.

b. Lots of people feel ashamed to tell their secrets.

c. Let’s discuss what you feel embarrassed about.

d. You will feel better if you tell what you did last night.

13. A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client’s refusal of medication?

A. Autonomy

b. Veracity

beneficence

d. Justice

14. A nurse in an in-patient facility is caring for a client who has an anxiety disorder. Which of the following actions should the nurse take while the client is experiencing an acute panic attack?

a. Administer a dose of atomoxetine to the client.

b. Encourage the client to watch television as a distraction.

c. Encourage the client to describe their feelings in a journal.

d. Administer a dose of alprazolam to the client.

15. A home health nurse visits a client lost their partner 2 years ago. Which of the following behaviors by the client indicates a maladaptive grief response?

a. the client is unable to perform basic hygiene tasks.

b. the client gives away some of the partner’s belongings.

c. The client relocates from a house to an apartment.

d. the client expresses feeling of guilt.

16. An older adult client is brought to the mental health clinic by her daughter. The daughter reports that mother is not eating and seems uninterested in routine activities. The daughter states, “I’m so worried that my mother is depressed.” Which of the following responses should the nurse make?

a. older adults are usually diagnosis with depressive disorder as they age.

b. You shouldn’t worry about this. Because depressive is easily treated’

c. Everyone gets depressed from time to time.

d. Tell me the reasons you think your mother is depressed.

17. A nurse in a provider’s office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts of the cause of the injury. Which of the following actions should the nurse take first?

a. Request that the parent leave the room while interviewing the child.

b. Report suspected abused to child protective services.

c. Ask the child how the injury occurred.

d. Determine the immediate safety needs of the child.

18. A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse?

a. +2 edema of the lower extremities.

b. Blood PH 7.60

c. Lanugo covering the body.

d. Bun 21 mg/dL

19. A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to a client who is manic and refuses the medicate. Which of the following actions should the nurse manager take first?

a. Discuss the purpose of the medication with the client.

b. Assess the need for physical restraints.

c. Demonstrate how to verbally de-escalate the situation.

d. Stop the newly licensed nurse from administering the medication.

20. A charge nurse is making room assignments for new client admissions. Which of the following client should the nurse place closest to the nurse’s station?

a. a client who has a history of dependent personality disorder.

b. A client who has schizotypal personality disorder.

c. a client who has moderate-stage Alzheimer’s disease.

d. A client who has a history of alcohol use disorder.

21. A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?

a. Increase self-esteem

b. use projection during group therapy.

c. Decrease the number of verbal outbursts.

D. Use bargaining skills for behavioral consequences.

22. a nurse in a mental health facility is making plians for a client’s discharge. Which of the following interdisciplinarities member should the nurse contacts to assess the client will housing placement.

a. recreational therapy

b. Social worker

c. Occupational therapy

d. clear nurse specialist

23. a nurse is providing teaching to a client who is prescribed methylphenidate for ADHD. Which of the following statements by the client indicates an accurate understanding of this medication’s effects?

a. I need to tell my doctor if I start gaining weight.

b. I’ll take my medication at bedtime because it will make me drowsy.

c. This medication will help me relax and feel less anxious.

d. I know that I will be able to think more clearly now.

24. A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states. “I feel unmotivated and don’t feel like leaving my home.” Which of the recommendations should the nurse make to address’s social isolation?

a. Join a low impact exercise class.

b. Practice guided imagery each morning.

c. Enroll in an online self-help course.

d. Write in a journal daily.

26. A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identity as acting the role of monopolize?

a. The father who intervenes whenever the sibling argues

b. The adolescent daughter who attempts to dominate the discussion.

c. The adolescent son who refuses to share personal feeling.

d. The mother who expresses hostility toward her spouse.

compare the application of ethyl alcohol and hydrogen peroxide on the control of bacteria growth

How would you inspire members to go beyond “shallow sharing”?

How might you respond when a team member shares something of a serious or dangerous nature that they might need help with?

Renal question

Olly is a 21 years old female who works as a teacher and leaves alone. Olly suspects she has developed food poisoning after consuming leftovers from a take away meal she had in her fridge from three days ago before she re-heated it for dinner. She has not been to work for 5 days due to severe vomiting, diarrhea and abdominal pain. Olly stated she has been feeling increasingly tired and weak and unable to tolerate oral fluids or diet. She also noticed that her urine output has been decreasing over the last two days and has not passed urine for the past 12 hours and is feeling severely unwell.

An assessment finding reveals the following on Olly

She has a sunken eyes, dry oral mucosa, and tongue, cracked lips, and is complaining of nausea, dizziness, and lethargy.

Vital signs and blood and urine test showed

Temp- 37.8, HR 110 bpm, RR 22 rpm, BP 90/50 mmhg, body weight 60kg

Blood test results reveal- Sodium 145mmol/L, Potassium 6.0mmol/L, Serum creatinine 400mmol/L, Blood Urea Nitrogen 14mmol/L

She is diagnosed with suspected gastroenteritis and acute kidney injury(AKI) and transferred to renal wards.

QUESTION

1, Describe how each of these aspects of the information presented above has led to the diagnosis of pre-renal AKI

2, Identify three priority nursing problems and provide a rationale for making each of these priorities

3, you are required to formulate a goal to address each priority nursing problem

How might you inspire members to share?

For osteoporosis, since women are more likely to develop osteoporosis more than men.

Why is this the case? What are possible reasons that women are more likely to develop osteoporosis and what are the causes?

How would you respond if a team member states their action steps before hearing feedback from the group?

Diabetes question

You are a nurse working in the accident and emergency department and have been allocated to assess and care for Jack.

Jack is a 27 years old, single man of Asian heritage who is homeless. He was diagnosed with Type 1 diabetes 12 months ago. He has a history of bipolar disorder. He has presented to the emergency department feeling unwell

An assessment finding reveals the following on Jack

Visually, Jack looks unwell and complains of nausea, abdominal pain, blurred vision, headache, needing to drink a lot and an increasing need to urinate. Jack stated he has lost his supply of insulin, glucometer and finger pricker.

Vital signs and blood and urine test showed

Temp- 35.8, HR 110 bpm, RR 22 rpm, BP 90/50 mmhg, body weight 60kg

Blood test results reveal- BGL 22mmol/L, HbA1c 8%, Ketone 0.4mmol/L

He is considered at risk of DKA and is managed, in the first instance in the emergency department

QUESTION

1, Describe how each of these aspects of the information presented above has led to the diagnosis of pre-DKA state

2, Identify three priority nursing problems and provide rationale for making each of these priority

3, you are required to formulate a goal to address each priority nursing problem

Explain briefly why In umbilical prolapse, the protruding umbilical cord should never be pushed back into the uterus

A 55-year-old banker has developed chronic kidney disease as a result of hypertension. His condition was discovered several years ago, when routine laboratory tests revealed elevated serum creatinine and BUN levels. Since then, he has been taking antihypertensive medications and restricting dietary sodium; he reported difficulty following the low-protein diet that was also prescribed. The patient recently visited his doctor with complaints of low urine output and reduced sensation in his hands and feet. He also reported feeling drowsy at work and mentioned that he was bruising more than usual. The examination revealed a 9-pound weight gain since his last visit and swelling in his ankles and feet. Tests revealed that his GFR had fallen to 10 milliliters per minute. The patient is 5 feet 8 inches tall and normally weighs 160 pounds.

Review PES statement and an intervention plan addressing the patient’s condition. Respond to questions 1, 2, and 3 below!

PES statement and a plan addressing the patient’s condition.

1. Problem: Limited adherence to nutrition-related recommendations (NB-1.7)
2. Etiology: related to difficulty following previously prescribed low-protein diet
3. Symptom: as evidenced by edema, low urine output, elevated serum creatinine, and BUN levels, and reduced sensation in his hands and feet, drowsiness, and bruising.

Complete PES:

Limited adherence to nutrition-related recommendations (NB-1.7) related to difficulty following previously prescribed low-protein diet as evidenced by edema, low urine output, elevated serum creatinine, and BUN levels, and reduced sensation in his hands and feet, drowsiness, and bruising.

Plan: Low protein diet along with fluid restriction and electrolyte monitoring.

   Educate the patient on diet restrictions associated with CRF including restrictions related to    

    protein, sodium, potassium, and phosphorus intakes as well as fluids.

1. Explain how chronic kidney disease progresses. What happens to GFR, serum creatinine levels, and BUN as renal function declines?

2. Describe the clinical effects you would expect during the final stage of disease, when kidney failure develops. Explain the significance of each of the patient’s physical complaints.

3. Explain why a low-sodium, low-protein diet was prescribed for the patient at a former visit.

• Pick something that you feel is a significant problem in your workplace.
• Using the problem definition model from your readings, work through the steps needed to answer the questions about this problem.
• After completing this process, write the problem statement and speak to how easy or difficult finding a solution to this problem will be.

In terms of eugenics/genetic control, what type of argument could be made in favor of negative (or therapeutic) eugenics? What are some concerns? What type of argument could be made for positive (or enhancement) eugenics? What are some concerns? (It should be clear that you have read and considered the arguments that Sandel and Julian Savulescu have made on genetic control.)

Please answer all parts and include Sandel and Savulescu arguments in your answer.