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Fundamentals Of Nursing Iii- Www.rnpedia.com

100 Questions  I  By Rnpedia
Fundamentals Of Nursing III- www.RNpedia.com
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Content Outline

1. Physical response to stress
2. Psychological response to stress
3. Spiritual response to stress
4. Stress management
5. Crisis and Crisis intervention
6. Communication
7. Recording
8. Documentation
9. Learning

  
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Question Excerpt

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1.  Type of recording that integrates all data about the problem, gathered by members of the health team.
A.
B.
C.
D.
2.  Which of the following nursing intervention is needed before teaching a client post spleenectomy deep breathing and coughing exercises?
A.
B.
C.
D.
3.  All of the following are purpose of inflammation except
A.
B.
C.
D.
4.  Which among these drugs is NOT an anxiolytic?
A.
B.
C.
D.
5.  Legrande De Salvaje Y Cobrador La Jueteng, was caught by the bacolod police because of his illegal activities. When he got home after paying for the bail, He shouted at his son. What defense mechanism did Mr. La Jueteng used?
A.
B.
C.
D.
6.  The physician ordered, Maxitrol, Od. What does Od means?
A.
B.
C.
D.
7.  Which of the following concept is most important in establishing a therapeutic nurse patient relationship?
A.
B.
C.
D.
8.  Estrada, The Philippine president, has been unexpectedly impeached and was out of office before the end of his term. He is in what type of crisis?
A.
B.
C.
D.
9.  Which of the following statement is not true with regards to anxiety?
A.
B.
C.
D.
10.  Kenneth, 25 year old diagnosed with HIV felt that he had not lived up with God’s expectation. He fears that in the course of his illness, God will be punitive and not be supportive. What kind of spiritual crisis is Kenneth experiencing? 1. Spiritual Pain 2. Spiritual Anxiety 3. Spiritual Guilt 4. Spiritual Despair
A.
B.
C.
D.
11.  Which of the following statement, if made by the nurse, is considered not therapeutic?
A.
B.
C.
D.
12.  The client is scheduled to have surgical removal of the tumor on her left breast. Which of the following manifestation indicates that she is experiencing Mild Anxiety?
A.
B.
C.
D.
13.  Nurse Irma saw Roger and told Nurse Aida “ Oh look at that psychotic patient “ Nurse Aida should intervene and correct Nurse Irma because her statement shows that she is lacking?
A.
B.
C.
D.
14.  In what phase of Nurse patient relationship does a nurse review the client’s medical records thereby learning as much as possible about the client?
A.
B.
C.
D.
15.  Which of the following is a therapeutic communication in response to “I am a GOD, bow before me Or ill summon the dreaded thunder to burn you and purge you to pieces!”
A.
B.
C.
D.
16.  Myra, 21 year old nursing student has difficulty sleeping. She told Nurse Budek “I really think a lot about my x boyfriend recently” Budek told Myra “And that causes you difficulty sleeping?” Which therapeutic technique is used in this situation?
A.
B.
C.
D.
17.  Which of the following is true about therapeutic relationship?
A.
B.
C.
D.
18.    Icheanne asked you again, What is that term that describes the magnetic attraction of injured tissue to bring phagocytes to the site of injury?
A.
B.
C.
D.
19.  All of the following chart entries are correct except
A.
B.
C.
D.
20.  Which of the following indicates that learning has been achieved?
A.
B.
C.
D.
21.  Levito Devin, The Italian prime minister, is due to retire next week. He feels depressed due to the enormous loss of influence, power, fame and fortune. What type of crisis is Devin experiencing?
A.
B.
C.
D.
22.  In his theory of learning as a BEHAVIORISM, he stated that transfer of knowledge occurs if a new situation closely resembles an old one.
A.
B.
C.
D.
23.  A type of record wherein , each person or department makes notation in separate records. A nurse will use the nursing notes, The doctor will use the Physician’s order sheet etc. Data is arranged according to information source.
A.
B.
C.
D.
24.  Marissa Salva, Uses Benson’s relaxation. How is it done?
A.
B.
C.
D.
25.  Remedios felt “EMPTY” She felt that she has already lost God’s favor and love because of her sins. This is a type of what spiritual crisis?
A.
B.
C.
D.
26.  An adult client is on extreme pain. He is moaning and grimacing. What is the best way to assess the client’s pain?
A.
B.
C.
D.
27.  What is the best intervention when the client has just experienced the crisis and still at the first phase of the crisis?
A.
B.
C.
D.
28.  The primary cause of pain in inflammation is
A.
B.
C.
D.
29.  Nurse Aida, in spite of the incident, still consider Roger as worthwhile simply because he is a human being. What major ingredient of a therapeutic communication is Nurse Aida using?
A.
B.
C.
D.
30.  Which of the following is NOT a characteristic of an effective Nurse-Client relationship?
A.
B.
C.
D.
31.  The client has an allergy to Iodine based dye. Where should you put this vital information in the client’s chart?
A.
B.
C.
D.
32.  What kind of exudates is expected when there is an antibody-antigen reaction as a result of microorganism infection?  
A.
B.
C.
D.
33.  This is also known as Self-suggestion or Self-hypnosis
A.
B.
C.
D.
34.  Lorraine, a 27 year old executive was brought to the ER for an unknown reason. She is starting to speak but her speech is disorganized and cannot be understood. On what level of anxiety does this features belongs?
A.
B.
C.
D.
35.  Icheanne, ask you, her Nurse, about WBC Components. She got an injury yesterday after she twisted her ankle accidentally at her gymnastic class. She asked you, which WBC Component is responsible for proliferation at the injured site immediately following an injury. You answer:
A.
B.
C.
D.
36.  Which of the following, if seen on the Nurses notes, violates characteristic of good recording?
A.
B.
C.
D.
37.  Which of the following is the BEST goal for crisis intervention?
A.
B.
C.
D.
38.  This type of healing occurs when there is a delayed surgical closure of infected wound
A.
B.
C.
D.
39.  Which of the following is TRUE with regards to learning?
A.
B.
C.
D.
40.  The coronary vessels, unlike any other blood vessels in the body, respond to sympathetic stimulation by
A.
B.
C.
D.
41.  Roger has been seen agitated, shouting and running. As Nurse Aida approaches, he shouts and swear, calling Aida names. Nurse Aida told Roger “That is an unacceptable behavior Roger, Stop and go to your room now.” The situation is most likely in what phase of NPR?
A.
B.
C.
D.
42.  The client has an allergy with penicillin. What is the best way to communicate this information?
A.
B.
C.
D.
43.  Whitney, a patient of nurse Budek, verbalizes… “I have nothing, nothing… nothing! Don't make me close one more door, I don't wanna hurt anymore!” Which of the following is the most appropriate response by Budek?
A.
B.
C.
D.
44.  When should the nurse starts giving XANAX?
A.
B.
C.
D.
45.  Icheanne then asked you, what is the first process that occurs in the inflammatory response after injury, You tell her:
A.
B.
C.
D.
46.  What stress response can you expect from a patient with blood sugar of 50 mg / dl?
A.
B.
C.
D.
47.  Miss Imelda asked you, What is WET TO DRY Dressing method? Your best response is
A.
B.
C.
D.
48.  Which of the following teaching method is effective in client who needs to be educated about self injection of insulin?
A.
B.
C.
D.
49.  Which of the following intervention is inappropriate for client’s with anxiety?  
A.
B.
C.
D.
50.  Crisis is a sudden event in ones life that disturbs a person’s homeostasis. Which of the following is NOT TRUE in crisis?
A.
B.
C.
D.
51.  Budek is working with a schizophrenic patient. He noticed that the client is agitated, pacing back and forth, restless and experiencing Anxiety +3. Budek said “You appear restless” What therapeutic technique did Budek used?
A.
B.
C.
D.
52.  Grace, believes that her relationship with God is broken. She tried to go to church to ask forgiveness everyday to remedy her feelings. What kind of spiritual distress is Grace experiencing?
A.
B.
C.
D.
53.  Which domains of learning is responsible for making John and Marsha understand the different kinds of family planning methods?
A.
B.
C.
D.
54.  Later that day, he bought his son ice cream and food. What defense mechanism is Legrande unconsciously doing?
A.
B.
C.
D.
55.  These are data that are monitored by using graphic charts or graphs that indicated the progression or fluctuation of client’s Temperature and Blood pressure.
A.
B.
C.
D.
56.  The physician orderd, Magnesium Hydroxide cc Aluminum Hydroxide. What does cc means?
A.
B.
C.
D.
57.  Considered as the most accurate expression of person’s thought and feelings
A.
B.
C.
D.
58.  According to Bloom, there are 3 domains in learning. Which of these domains is responsible for the ability of Donya Delilah to inject insulin?
A.
B.
C.
D.
59.  Physician ordered, Paracetamol tablet ss. What does ss means?
A.
B.
C.
D.
60.  The physician ordered, Maalox, 2 hours p.c, what does p.c means?
A.
B.
C.
D.
61.  Type of healing when scars are minimal due to careful surgical incision and good healing
A.
B.
C.
D.
62.  What type of relaxation technique does Lyza uses if a machine is showing her pulse rate, temperature and muscle tension which she can visualize and assess?
A.
B.
C.
D.
63.  The first manifestation of inflammation is
A.
B.
C.
D.
64.  Elton, 21 year old nursing student is taking the board examination. She is sweating profusely, has decreased awareness of his environment and is purely focused on the exam questions characterized by his selective attentiveness. What anxiety level is Elton exemplifying?
A.
B.
C.
D.
65.  Which of the following communication skill is most effective in dealing with covert communication?
A.
B.
C.
D.
66.  The client place on NPO for preparation of the blood test. Adreno-cortical response is activated and which of the following below is an expected response?
A.
B.
C.
D.
67.  Provides a concise method of organizing and recording data about the client. It is a series of flip cards kept in portable file used in change of shift reports.
A.
B.
C.
D.
68.  The client is on NPO post midnight. Which of the following, if done by the client, is sufficient to cancel the operation in the morning?
A.
B.
C.
D.
69.  You are about to write an information on the Kardex. There are 4 available writing instruments to use. Which of the following should you use?
A.
B.
C.
D.
70.  Which of the following is NOT TRUE about the Kardex
A.
B.
C.
D.
71.    Imelda, was slashed and hacked by an unknown suspects. She suffered massive tissue loss and laceration on her arms and elbow in an attempt to evade the criminal. As a nurse, you know that the type of healing that will most likely occur to Miss Imelda is
A.
B.
C.
D.
72.  Therapeutic communication begins with?
A.
B.
C.
D.
73.    Imelda is in the recovery stage after the incident. As a nurse, you know that the diet that will be prescribed to Miss Imelda is
A.
B.
C.
D.
74.  Martina, a Tennis champ was devastated after many new competitors outpaced her in the Wimbledon event. She became depressed and always seen crying. Martina is clearly on what kind of situation?
A.
B.
C.
D.
75.  The last expected process in the stages of inflammation is characterized by
A.
B.
C.
D.
76.  The initial response of tissue after injury is
A.
B.
C.
D.
77.  Which of the following nursing intervention would least likely be effective when dealing with a client with aggressive behavior?
A.
B.
C.
D.
78.  Which of the following behavior is not a sign or a symptom of Anxiety?
A.
B.
C.
D.
79.    Represents inner feeling that a person do not like talking about. 
A.
B.
C.
D.
80.  Which of the following are qualities of a good recording? 1. Brevity 2. Completeness and chronology 3. Appropriateness 4. Accuracy
A.
B.
C.
D.
81.  Which of the following statement is not true about stress?
A.
B.
C.
D.
82.  Which of the following WBC component proliferates in cases of Anaphylaxis?
A.
B.
C.
D.
83.  You noticed the patient chart : ANXIETY +3 What will you expect to see in this client?
A.
B.
C.
D.
84.  The PCS gave new guidelines including leaflets to educate cancer patients. As a nurse, When using materials like this, what is your responsibility?
A.
B.
C.
D.
85.  Myra told Budek “I cannot sleep, I stay away all night” Budek told her “You have difficulty sleeping” This is what type of therapeutic communication technique?
A.
B.
C.
D.
86.   The client is in stress because he was told by the physician he needs to undergo surgery for removal of tumor in his bladder. Which of the following are effects of sympatho-adreno-medullary response by the client? 1. Constipation 2. Urinary frequency 3. Hyperglycemia 4. Increased blood pressure
A.
B.
C.
D.
87.  What is the most important characteristic of a nurse patient relationship?
A.
B.
C.
D.
88.  Rommel told Budek “ I SEE DEAD PEOPLE “ Budek responded “You see dead people?” This Is an example of therapeutic communication technique?
A.
B.
C.
D.
89.  Erik John Senna, Told Nurse Budek “ I don’t want to that, I don’t want that thing.. that’s too painful!” Which of the following response is NON THERAPEUTIC
A.
B.
C.
D.
90.   The client has a chronic tissue injury. Upon examining the client’s antibody for a particular cellular response, Which of the following WBC component is responsible for phagocytosis in chronic tissue injury?
A.
B.
C.
D.
91.  According to her, A nurse patient relationship is composed of 4 stages : Orientation, Identification, Exploitation and Resolution
A.
B.
C.
D.
92.  Which of the following statement clearly defines therapeutic communication?
A.
B.
C.
D.
93.  Which of the following is a characteristic of crisis?
A.
B.
C.
D.
94.  The tsunami in Thailand and Indonesia took thousands of people and change million lives. The people affected by the Tsunami are saddened and do not know how to start all over again. What type of crisis is this?
A.
B.
C.
D.
95.  The physician ordered : Mannerix a.c , what does a.c means?
A.
B.
C.
D.
96.  Myra said “I saw my dead grandmother here at my bedside a while ago” Budek responded “Really? That is hard to believe, How do you feel about it?” What technique did Budek used?
A.
B.
C.
D.
97.  Rommel told Budek, “Do you think Im crazy?” Budek responded, “Do you think your crazy?” Budek uses what example of therapeutic communication?
A.
B.
C.
D.
98.  Therapeutic nurse client relationship is describes as follows 1. Based on friendship and mutual interest 2. It is a professional relationship 3. It is focused on helping the patient solve problems and achieve health-related goals 4. Maintained only as long as the patient requires professional help
A.
B.
C.
D.
99.  Nurse Aida has seen her patient, Roger for the first time. She establish a contract about the frequency of meeting and introduce to Roger the expected termination. She started taking baseline assessment and set interventions and outcomes. On what phase of NPR Does Nurse Aida and Roger belong?
A.
B.
C.
D.
100.  Whitney verbalizes that she is anxious that the diagnostic test might reveal laryngeal cancer. Which of the following is the most appropriate nursing intervention?
A.
B.
C.
D.
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