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发布时间:2024-02-01 20:00:53

[单项选择]The nurse is interviewing a client admitted to the facility with a diagnosis of schizophrenia. The client states, "I run apple, train, grass, window. " This response by the client is known as()
A. echopraxia.
B. a word salad.
C. flight of ideas.
D. neologisms.

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[单项选择]The nurse is interviewing a client about his medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer()
A. Duodenal ulcers.
B. Hemorrhoids.
C. Weight gain.
D. Polyps.
[单项选择]The nurse is interviewing a client who is currently under the influence of a controlled substance and shows signs of becoming agitated. Which measure should the nurse take first when caring for this client
A. Be aware of hospital security.
B. Communicate a scolding attitude to intimidate the client.
C. Use confrontation.
D. Express disgust with the client’s behavior.
[单项选择]The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority()
A. Risk for self- or other-directed violence.
B. Imbalanced nutrition.
C. Ineffective coping.
D. Impaired verbal communication.
[单项选择]The nurse is caring for a client admitted to the emergency department after a motor vehicle accident. Under the law, the nurse must obtain informed consent before treatment unless()
A. the client is mentally ill.
B. the client refuses to give informed consent.
C. the client is in an emergency situation.
D. the client asks the nurse to give substituted consent.
[单项选择]The nurse is caring for a client admitted to the hospital with a bowel obstruction. The nurse should wear sterile gloves when()
A. inserting an indwelling urinary catheter.
B. giving a back rub on intact skin.
C. changing an oxygen system.
D. inserting an IV catheter.
[单项选择]A client asks the nurse what PSA is. The nurse should reply that it stands for()
A. prostate-specific antigen, used to screen for prostate cancer.
B. protein serum antigen, used to determine protein levels.
C. pneumococcal strep antigen, a bacteria that causes pneumonia.
D. papanicolaou-specific antigen, used to screen for cervical cancer.
[单项选择]The overweight adolescent client tells the nurse that he would like to lose weight and asks the nurse’s opinion on how to accomplish his goal. Which of the following suggestions would be most appropriate
A. Exercising more often.
B. Severely limiting calorie intake.
C. Participating in an adolescent weight-reduction program.
D. Cutting clown on sweets and other snacks.
[单项选择]The nurse is interviewing a 19-year-old female at a clinic. It’s her first visit, and she says that she has been exposed to herpes by her boyfriend. Initially, with primary genital or type 2 herpes simplex, the nurse would expect the client to have()
A. burning or tingling on the vulva, perineum, or vagina.
B. dysuria and urine retention.
C. perineal ulcers and erosions.
D. bilateral inguinal lymphadenopathy.
[单项选择]A client tells the nurse that she has been working hard for the last 3 months to control her type 2 (non-insulin-dependent) diabetes mellitus with diet and exercise. To determine the effectiveness of the client’s efforts, the nurse should check()
A. urine glucose level.
B. fasting blood glucose level.
C. serum fructosamine level.
D. glycosylated hemoglobin (Hb) level.
[单项选择]During a conversation with the client, the nurse observes the client shaking his leg and tapping his fingers on the table next to him. The nurse’s best statement is.
A. "I’ll get you something to help you feel less anxious. "
B. "I know that you feel anxious. Let’s discuss something more pleasant. "
C. "I see that you’re anxious. I’ll be back later when you’re calmer. "
D. "I noticed that your leg is shaking and you’re tapping your fingers on the table. How are you feeling now"
[单项选择]At an outpatient clinic, a client asks the nurse how she can prepare for pregnancy. Which of the following responses by the nurse would be best
A. "Begin an iron supplement of 100 mg daily. "
B. "Supplement your diet with 400 meg of folio acid. "
C. "Avoid raw eggs and cats until conception. "
D. "Receive immunization against toxoplasmosis. "
[单项选择]A client admitted for a hysterectomy has a secondary diagnosis of Ménière s disease. Which of the following nursing interventions should the nurse include in the client’s plan of care to decrease the effects of tinnitus()
A. Reduce the amount of glucose and cholesterol in the diet.
B. Encourage the client to listen to the radio with earphones.
C. Encourage a weight-reduction diet.
D. Administer antihypertensive medications as ordered.
[单项选择]A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The nurse should tell the client that the only effective treatment for alcoholism is()
A. psychotherapy.
B. total abstinence.
C. Alcoholics Anonymous (AA).
D. aversion therapy.
[单项选择]One morning a client tells the nurse, "my legs are turning to rubber because I have an incurable disease called schizophrenia. " The nurse recognizes that this is an example of( )
A. A hallucination
B. Paranoid thinking
C. Depersonalization
D. Autistic verbalization
[单项选择]A client asks the nurse to help her make out her will. In this situation, what should be the nurse’s best response
A. "I don’t believe in getting involved in legal matters, but maybe I can find another nurse who’ll help you. "
B. "You need to consult an attorney because I’m not trained in such matters. Is there a family lawyer I can call for you"
C. "I’m not a lawyer, but I’ll do what I can for you. "
D. "You have a long way to go before you’ll need to do that. Let’s wait on it a while, shall we"
[单项选择]A client is admitted for a suspected eating disorder. Which of the following statements would indicate that the client may be suffering from anorexia nervosa()
A. "I’ve gained 3 pounds in the last month. "
B. "I eat loads of spinach and yellow vegetables each day. "
C. "I’m a perfectionist, and I work hard to get A’s. "
D. "I binge frequently in the morning and feel fat. "

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