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发布时间:2024-01-31 21:19:17

[单项选择]A client is admitted to the hospital in the manic phase of bipolar disorder. When placing a diet order for the client, which foods would be most appropriate()
A. A bowl of soup, crackers, and a dish of peaches.
B. A cheese sandwich, carrot sticks, fresh grapes, and cookies.
C. Roast chicken, mashed potatoes, and peas.
D. A tuna sandwich, an apple, and a dish of ice cream.

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[单项选择]An elderly client is admitted to the hospital with the diagnoses of dementia of the Alzheimer’s type and depression. The client has all of the following symptoms. The symptom that is unrelated to the depression would be( )
A. Shallow or labile affect
B. Neglect of personal hygiene
C. "I don’t know" answers to questions
D. Apathetic response to the environment
[单项选择]A client is admitted to the hospital for treatment of Prinzmetal’s angina. When developing the client’s plan of care, the nurse should remember that this type of angina is triggered by()
A. coronary artery spasm.
B. an unpredictable amount of activity.
C. activities that increase oxygen demand.
D. an unknown source.
[单项选择]A client is admitted to the hospital with a productive cough, night sweats, and a fever. Which action is most important in the initial plan of care()
A. Assessing the client’s temperature every 8 hours.
B. Placing the client in respiratory isolation.
C. Monitoring the client’s fluid intake and output.
D. Wearing gloves during all client contact.
[单项选择]A client is admitted to the hospital with an exacerbation of her chronic systemic lupus erythematosus (SLE). She gets angry when her call bell isn’t answered immediately. The most appropriate response to her would be()
A. "You seem angry. Would you like to talk about it"
B. "Calm down. You know that stress will make your symptoms worse. "
C. "Would you like to talk about the problem with the nursing supervisor"
D. "I can see you’re angry. I’ll come back when you’ve calmed down. "
[单项选择]An adolescent is admitted to the hospital for headaches. She approaches the nurse and confides that she is being sexually abused by a family friend. Which of the following would be the nurse’s best initial response()
A. "Can you tell me what happened"
B. "I believe you; you were right to tell me. "
C. "Have you told your mother and father about this"
D. "Who else have you told about this/
[单项选择]A client in the manic phase of bipolar disorder constantly belittles other clients and demands special favors from the nurses. Which nursing intervention would be most appropriate for this client()
A. Ask other clients and staff members to ignore the client’s behavior.
B. Set limits with consequences for belittling or demanding behavior.
C. Offer the client an antianxiety drug when belittling or demanding behavior occurs.
D. Offer the client a variety of stimulating activities to distract him from belittling or making demands of others.
[单项选择]The nurse is caring for a client in the manic phase of bipolar disorder who is ready for discharge from the psychiatric unit. As the nurse begins to terminate the nurse-client relationship, which client response is most appropriate
A. Expressing feelings of anxiety.
B. Displaying anger, shouting, and banging the table.
C. Withdrawing from the nurse in silence.
D. Rationalizing the termination, saying that everything comes to an end.
[单项选择]A school-aged child is admitted to the hospital with newly diagnosed, insulin-dependent diabetes mellitus. On admission his blood sugar is 180 mg/dL. His urine tests negative for ketones. He receives 10 units of regular humulin insulin subcutaneously half hour after admission. What should the nurse do next()
A. Carefully regulate an intravenous solution of normal saline and insulin at 2. 5 hours after admission.
B. Encourage the child to drink at least 500 mL of a sugar-free clear liquid 1.5 hours after admission.
C. Begin intravenous administration of 5% dextrose in water 1 hour after admission.
D. Assess the child 2. 5 hours after admission for shakiness, feelings of anxiety, or decreased level of consciousness.
[单项选择]A school-age child is admitted to the hospital with a diagnosis of acute lymphoblastic leukemia. The nurse formulates a nursing diagnosis of Risk for infection. Which of the following is the most effective way for the nurse to reduce the child’s risk of infection<()
A. Implementing reverse isolation.
B. Maintaining standard precautions.
C. Requiring staff and visitors to wear masks.
D. Practicing thorough hand washing.
[单项选择]Mr. Smith is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening, angry outbursts and two episodes of hitting a coworker at the grocery store where he works. He is very anxious and tells the nurse, "I didn’t mean to hit him. He made me so mad that I just couldn’t help it. I hope I don’t hit anyone here. " Which of the following is the nurse’s best response
A. "It sounds like you were angry. When you feel angry here, talk to the staff about it instead of hitting. "
B. "I’m sure you didn’t mean to hit him and that it won’t happen here. "
C. "You’d better not hit anyone here, even if you do get mad. "
D. "Tell me more about what happened. /
[单项选择]A 23-year-old client in the manic phase of bipolar disorder is admitted to the facility. Which of the following agents would be appropriate for this client()
A. Bupropion (Wellbutrin) and lithium (Lithobid).
B. Lithium (Lithobid) and valproic acid (Depakene).
C. Haloperidol (Haldol) and fluphenazine (Prolixin).
D. Risperidone (Risperdal) and clozapine (Clozaril).
[单项选择]The nurse is caring for a client in an acute manic state. What’s the most effective nursing action for this client( )
A. Assigning him to group activities.
B. Reducing his stimulation.
C. Assisting him with self-care.
D. Helping him express his feelings.
[单项选择]A 4-year-old girl is admitted to the hospital to rule out leukemia. Which of the following would be the best room assignment()
A. With a 4-year-old girl who has rheumatoid arthritis.
B. With a 5-year-old boy who is having a tonsillectomy.
C. With a 4-year-old girl who has leukemia.
D. Alone in a private room.
[单项选择]A psychiatric client who was voluntarily admitted now wishes to be discharged from the hospital, against medical advice. What’s the most important assessment the nurse should make of the client
A. Ability to care for himself.
B. Degree of danger to self and others.
C. Level of psychosis.
D. Intended compliance with aftercare.
[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]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.
[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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