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1) Contact your local licensing agency

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1) Contact your local licensing agency. What programs do they have to assist nurses who are abusing alcohol or drugs? What steps are taken if the nurse does not receive treatment? If a license is suspended or revoked, what is the process for reinstatement?

2) Before the administration of electroconvulsive therapy, the nurse would instruct the client that common side effects of the therapy include:

a. Mild myalgia and headache

b. Nausea and vomiting

c. Pain and seizures

d. Vomiting and disorientation

3) When evaluating the effectiveness of neuroleptic medications, the nurse would monitor for:

a. Apathy

b. Decreased hallucinations

c. Severe agitation

d. Tardive dyskinesia

4) A client is admitted to the hospital with a diagnosis of major depression. When taking his or her history, which information would be most significant?

a. Feelings of distress

b. Lack of energy

c. Thoughts of self-harm

d. Weight loss

5) Which of the following actions would be the most appropriate if you need to determine the client’s functional assessment?

a. Watch the client complete activities of daily living

b. Test the client with several mathematic questions.

c. Observe the client having a conversation with the primary caregiver.

d. Assist the client with range-of-motion exercises.

6) Which data findings are associated with the early stage of Alzheimer’s disease?

a. Apraxia

b. Misplacing items

c. Neglecting personal hygiene

d. Sudden mood shifts

7)A) Review the causes of some dementias and describe lifestyle changes people can make early in life to decrease their risk for developing these dementias.

B) Nursing observations and interventions related to physical and mental abilities, needs, and resources are integral in the treatment of dementia.

8) The wife of a man with AD confides in you that she feels guilty because she promised her husband that she would never put him in a nursing home, but is now considering it. She says that she is feeling exhausted and gets so overwhelmed with the situation that she has slapped her husband several times when he has resisted care. Discuss your response to her and the options you could recommend.

9) Some long-term care facilities have special units for residents with dementias, whereas others mix these residents with residents who have normal cognitive function. Discuss the pros and cons of these approaches.

10) An older adult client complains of not being able to read because the print is too small. What is the name of this normal condition of aging?

a. Photosensitivity

b. Proprioception

c. Presbycusis

d. Presbyopia

11) An older adult client has difficulty swallowing. Which of the following actions would be most appropriate to assist him with his medications?

a. The nurse should break enteric-coated tables into smaller pieces.

b. With the client’s permission, the nurse should crush tablets and put them into a semisolid food, such as applesauce.

c. The nurse should put capsules in the client’s food without the client’s knowledge.

d. The nurse should let the client take his medications whenever he is eating.

12)A) Discuss the ways future generations of older adults could differ from today’s elderly population. Give reasons for your responses.

B) An older adult you meet in a community screening program is malnourished. Develop a plan to assist in improving the client’s nutritional status. What might be causative factors?

13) A client for whom you provide care lives with his daughter, her husband, and their children. He spends 2 days a week in adult daycare. What are the advantages for the client, for adult caregivers, and for grandchildren in the home? What are possible disadvantages?

14) Pelvic inflammatory disease (PID) is known to cause pain, infertility, and sometimes death. Which of the following options is TRUE?

a. PID is most commonly found in postmenopausal women.

b. The symptoms of PID occur typically between menstrual cycles.

c. The most common causes of PID are Chlamydia trachomatis and Neisseria gonorrhea, but can be caused by other organisms infecting the reproductive organs.

d. The symptoms of PID are generally identified and treated early.

15) In a woman who has had a hysterectomy, antiembolism stockings are applied postoperatively to:

a. Assist with leg exercise

b. Decrease the risk of thrombus and embolism

c. Place pressure under the knees during ambulation

d. Promote venous stasis in the lower extremities

16) Which of the following statements regarding breast selfexamination (BSE) is most accurate?

a. The aim of monthly BSE is to help the woman differentiate between cancerous and noncancerous neoplasms.

b Regular BSE can help the woman to differentiate between normal and abnormal breast tissue structures.

c. BSE does not need to be done in a woman who has had breast surgery for cancer.

d. BSE should be done with the back of the hand or the sensitive region of the wrist.

17) Which of the following is the best option when discussing an abnormal Pap test with a client?

a. Reassure the woman that an abnormal Pap tests may not necessarily indicate cancer.

b. Suggest that she reduce her sexual activity for a few months, which will allow the cells to return to normal.

c. Remind the client that she has cervical cancer, which can be treated surgically.

d. Encourage her to have another Pap test in 1 year to confirm the findings of this Pap test

18)A) Your client has frequent vaginal infections. What important points would you use in teaching prevention?

B) Your client is a 38-year-old Hmong woman who sits passively while you explain that she must go to a surgeon for evaluation of a breast lump. How would you proceed?

19) While teaching a woman to do breast self-examination, the nurse must emphasize the importance of doing these examinations regularly. Determine important points the woman should know. State how the teaching would differ between a 28-year-old woman and a 60-year-old woman.

20)A) Suggest how you would approach and reassure an adolescent who is having her first gynecologic examination. Discuss, in addition to your approach, specific actions you would take

B) Explanation and follow-up with a client who must undergo surgical treatment is important. The client may not have heard or understood all that was explained to her