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1. The nurse is assessing a 70-year-old man. Which statement by the client indicates that he has achieved integrity according to Erickson's stages of personality development?

At. "My life has been wasted."

"My children no longer visit me. I am just waiting to die."

"I was a good nurse when I was younger, but now I am nothing."

"I have a good life and I still enjoy it, but I feel ready to go when it is time."

D is correct; intergrity refers to accepting changed in one's life and role through life, including a sense of continuity of past, present and future events, as well as, acceptance of death according to the Social-Theoeries of Erikson.

Explanation

D is correct; intergrity refers to accepting changed in one's life and role through life, including a sense of continuity of past, present and future events, as well as, acceptance of death according to the Social-Theoeries of Erikson.

2. The nurse is meeting a new client on the unit. Wich action, by the nurse, is most effective in initiating the nurse-client relationship?

Introduce self and explain the purpose and the plan for the relationship.

Describe the nurse's family and ask the . client to describe his/her family?

Wait until the client indicates a readiness to establish a relationship.

Ask the client why s/he was brought to the hospital.

A is correct. The client needs orientation to the nurse and the situation. An open, honest approach in sharing this initial data will set the tone for the relationship, the treatment plan, planning and execution of same as well as open evaluation of results and expected discharge, etc.

Explanation

A is correct. The client needs orientation to the nurse and the situation. An open, honest approach in sharing this initial data will set the tone for the relationship, the treatment plan, planning and execution of same as well as open evaluation of results and expected discharge, etc.

3. Mr. Padron has just been brought to the psychiatric unit and is pacing up and down the hall. The nurse is to admit him to the hospital. To establish a nurse-client relationship, which approach should the nurse try first?

Assign someone to watch Mr. Padron. until he is calmer.

Ask Mr. Padron to sit down and orient him to the nurse's name and the need for information.

Check Mr. P.adron's vital signs, ask him about allergies, and call the physician for sedation.

Explain the importance of accurate assessment data to Mr. Padron.

B is correct. Many clients are anxious at the time of admission and are often reassured by a calm, competent professional approach, which should always be tried first. If the client is unable to respond to this, then other measures, such as medication, may be necessary.

Explanation

B is correct. Many clients are anxious at the time of admission and are often reassured by a calm, competent professional approach, which should always be tried first. If the client is unable to respond to this, then other measures, such as medication, may be necessary.

4. A patient with an altered thought process indicating several ideas or themes, without much relationship and organization of the same, is most likely displaying of the following mental dysfunctions classed withing the following syndrome :

Psychotic dysfunctional disorders

Anxiety dysfunctional disorders

Mood dysfunctional disorders

Somatoform dysfunctional disorders

In most cases patient exhibiting mulitples unrelated ideas or themes might be suffering from pyschotic disorders classed as "flihgt of ideas"

Explanation

In most cases patient exhibiting mulitples unrelated ideas or themes might be suffering from pyschotic disorders classed as "flihgt of ideas"

5. Which cognitive skill would the nurse expect a six-year-old child to be in the process of developing?

Recognition of object permanence.

Understanding of basic rules.

Ability to understand abstract concepts.

Imitation of others' actions.

B is correct: at this age child operate at the Preoperational-preconceptual; usually children (five to seven years old) are learning to integrate concepts based on relationships and can comprehend the basic rules.

Explanation

B is correct: at this age child operate at the Preoperational-preconceptual; usually children (five to seven years old) are learning to integrate concepts based on relationships and can comprehend the basic rules.

6. The nurse is talking with a mother to assess her child. A positive response to which question would indicate the child is in the anal stage of psychosexual development as described by Freud?

"Does he put everything in his mouth?"

"Does he say 'No!' to everything you say?"

"Does he like to dress up and pretend to be his father?"

"Does he seem jealous when you show affection to his father?"

B is correct : negativism is common to toddle in the anal stage from 1 to 3 years when is asserting his/her independence and mastery of sorroundings according to Freu'd theories of child development.

Explanation

B is correct : negativism is common to toddle in the anal stage from 1 to 3 years when is asserting his/her independence and mastery of sorroundings according to Freu'd theories of child development.

7. When caring for a patient with drug-induced pyschosis, the nurse's best assessment and intervention should primarily be one of the folloing:

What type of drug was taken, along with medications, if any.

When was the drug taken to determine elimination of the drug

How the drug can be neutralized by medication quickly

Whether the client is a chroninc drug-addicted person

The most relvenat information for safe and effective intervention is to determine the time since ingestion of the drug; this may help assessing how much drug already entered the blood streams and how much of it can be eliminated.

Explanation

The most relvenat information for safe and effective intervention is to determine the time since ingestion of the drug; this may help assessing how much drug already entered the blood streams and how much of it can be eliminated.