NR 606 Week 4 Midterm – Actual Exam

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NR 606 Diagnosis and Management in Psychiatric-Mental Health II Practicum

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Before modifying a care plan to meet a patient’s changing needs, the nurse’s first action should be to:
True or False: Actual or potential health problems that can be prevented or resolved by dependent nursing intervention are termed nursing diagnoses.
Objective data is usually recorded:
The examiner’s evaluation of a patient’s mental status belongs in the:
Which following component is not related to the format of nursing diagnosis?
Differential diagnoses belong in the:
Which of the following outcome statements contains the best example of performance criteria? The patient will
True or False: Nursing assessments have the same components as medical assessment, but with less detail.
A patient tells the nurses that he is nervous, he is nauseated and he “feels hot”. This type of data
A 42-year-old Asian patient is being seen at the clinic for an initial examination. The nurse knows that it is important to include cultural information in his health assessment to:
When questioning a patient regarding alcohol intake, she tells you that she is “only a social drinker.” Which initial response is appropriate?
What amount and what kind of alcohol do you drink in a week?
True or False: Carrying out a physician-initiated order is an example of an independent nursing action.
Where would you document that a patient had a flu vaccination last month?
Which of the following questions may lead to an inaccurate patient response?
The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the:
The review of systems is a component of the:
True or False: Clearly identifying patient strengths and actual and potential problems is a part of the nursing process known as assessing.
A detailed description of the symptoms related to the chief concern is presented in the:
A patient presents with abdominal cramping. From the options below, which would be the most appropriate section document that the patient denies any diarrhea?
True or False: A focused assessment is conduced to gather data abut a specific problem that has already been identify
New drug development is good at determining:
The student nurse asks the nursing instructor why he needs to take anatomy and physiology, as well as microbiology, when he only wants to learn about pharmacology. What is the best response by the instructor?
When giving drugs by the intramuscular route, absorption depends upon: The first pass effect can cause a drug to be
Drugs that produce effects by preventing receptor activation but have no effects of their own on receptor function are called
The cytochrome P450 system is found in
Passage of a drug from the site of administration into the circulation is
The half life of a drug is two hours. At four hours, the expected concentration of the drug
Drugs are available to exert their effect on the cell when they are
Maximum efficacy refers to the:
Elimination of drugs happens primarily via
Oral distribution of drugs may vary in the neonate because of
Measuring a trough level of a drug may determine a change in the
Drugs that activate receptors and mimic the actions of the body’s own regulatory molecules are called:
The therapeutic index refers to the:
True or false: Clinical trials will determine any adverse effects of a drug before the drug is marketed to health care providers.
True or false: The more potent a drug is, the greater its maximum efficacy.
False True or false: Infants have the highest overall percentage of body water.
True or false: The two main intracellular fluid (ICF) compartments are the interstitial fluid contained in the nucleus and the intravascular fluid contained in the cell body.
What is the mechanism by which the energy produced from carbohydrates, proteins and lipids is transferred to adenosine triphosphate (ATP)?
True or false: Loss of sodium and gain of water can cause hyponatremia
In hypoxic injury, why does sodium enter the cell and cause swelling?
What organic compound facilitates transportation across cell membranes by acting as receptors, transport channels for electrolytes, and enzymes to drive active pumps?
The patient has the following arterial blood gas (ABG’s) results; pH 7.32, PaCO2 88 mmHg and HCO3 24 mEQ/L. The nurse interprets these results as:
Which is a description of the characteristics of apoptosis?
Under anaerobic conditions, the process of provides energy for the cell. Oxidative phosphorylation
Low plasma albumin causes edema as a result of a reduction in which pressure?
True or false: Nondividing cells, such as myocardial fibers, are capable of hypertrophy, but not hyperplasia.
What is the single most common cause of cellular injury?
True or false: Movement of water from the ICF to the ECF is primarily accomplished by active transport.
During cell injury caused by hypoxia, why is there an increase in the osmotic pressure within the cell?
True or false: The function of adenosine triphosphate (ATP) is to store energy in molecules of carbohydrates, proteins and lipids, but not to transfer energy from one molecule to another.
Which cells, if any, lose their ability to replicate and divide?
How is insulin used to treat hyperkalemia?
The movement of fluid across the arterial end of capillary membranes into the interstitial fluid surrounding the capillary is an example of which process of fluid movement?
During acidosis, the body compensates for the increase in hydrogen ions in the blood by shifting hydrogen ions into the cell in exchange for which electrolyte?
During ischemia, what effect does the loss of the adenosine triphosphate (ATP) level have on cells?
True or false: DNA directs the synthesis of all of the body’s proteins.
True or false: The primary functions of the cell nucleus are cell division and control of genetic information.
True or false: Eukaryotic cells are characterized by a lack of a distinct nucleus, whereas prokaryotic cells have intracellular compartments bordered by membranes and a well-defined nucleus.
True or false: The cells of a normal female contain two X chromosomes
True or false: The human genome project has mapped the majority of human genes
True or false: Single-gene disorders are the result of a mutant allele at one gen locus.
True or false: The most common form of inherited mental retardation is fragile Y syndrome.
True or false: Prenatal Screening can be used to rule out fetal abnormalities.
True or false: Th number of chromosomes divides in half during the process of meiosis.
A mother calls the clinic and tells the nurse that her 4-month-old baby has a fever. The mother asks if she can use the liquid acetaminophen (Tylenol) that is used for her 10-year-old child. What is the best response by the nurse?
The nurse conducts group education for clients with seasonal allergies, and teaches about the role of histamine. The nurse evaluates that the education has been effective when the clients make which statement?
The patient has experienced a sports-related injury. He asks the nurse how long it will take for him to heal and feel better. What is the best response by the nurse?
The patient receives prednisone as treatment for his inflammatory disease. He has experienced great relief and asks the nurse if he can just keep taking this medication. What is the best response by the nurse?
The nurse teaches a group of patients with arthritis about the use of ibuprofen (Motrin), emphasizing the maximum daily amount. The nurse evaluates that education has been most effective when the patients make which statement?
The patient has been taking hydrocortisone (Cortef) for a month, and abruptly stops it. What will the best assessment by the nurse include?
Which of the following is a common adverse effect of anti-inflammatory drugs, such as ibuprofen?
The patient tells the nurse that the doctor told him his antibiotic did not kill his infection, but just slowed its growth. The client is anxious. What is the best response by the nurse to decrease the patient’s anxiety?
The client receives multiple antibiotics to treat a serious infection. What will the priority assessment of the client by the nurse include?
The client receives multiple drugs for treatment of tuberculosis. The nurse teaches the client the rationale for multiple drug treatment, and evaluates learning as effective when the client makes which statement?
Pathogenicity is different than virulence in that pathogenicity can: The nurse teaches patients with acquired immune deficiency syndrome (AIDS) about the importance of taking their medications as prescribed. What does the nurse recognize as the primary factor for medication noncompliance in the acquired immune deficiency syndrome (AIDS) population?
The client asks the nurse why there aren’t better drugs for human immunodeficiency virus (HIV) infection when so much money is spent on research. What is the best response by the nurse?
In understanding the difference between normal cells and cancer cells, the nurse knows that cancer is the result of:
The main mechanism of action of alkylating agents is:
A patient states, “I get so sick to my stomach after chemotherapy. Why can’t they just put it directly into my tumor?” Which nursing response is indicated?
The nurse completes medication education for the client receiving antihistamines. The nurse evaluates that learning has occurred when the client makes which statement?
True or false: Benign and malignant tumors are composed of parenchymal cells and connective tissue.
True or false: Chronic inflammation is self-perpetuating and may last for weeks, months or even years.