1. A client was diagnosed with Anorexia

1. A client was diagnosed with Anorexia Nervosa (AN). Her history reveals that she started restricting her food intake 5 months ago in an attempt to get her weight below 95 pounds. She lost 23 pounds. Which nursing diagnosis applies? Answers: A Disturbed energy field related to physical exertion in excess of energy produced through caloric intake B. ineffective health maintenance related to self-induced vomiting C. Adult failure to thrive related to abuse of laxatives D. Imbalanced nutrition: less than body requirements related to reduced oral intake 2. What is an important psycho-social area for the nurse to assess in a 17 yr old female with an eating Answers: A. her academic level in school B. how she views the problem c. her favorite foods D. her friends she had in elementary school 3. The nurse who works in a drug and alcohol treatment unit needs to understand that the patient who needs the most observation for withdrawal symptoms is the patient who has an addiction to: Answers: A. alcohol B. heroin c. xanax D cocaine 4. Symptoms of opioid overdose include: Answers: A. nausea, vomiting, diaphoresis, anxiety B. slurred speech, constricted pupils, drowsiness C. excessive eating, constipation and headache D. dilated pupils, tachycardia, hypertension 5. Which is a positive symptom of schizphrenia? Answers: a. not leaving home to get a job or see friends b. believing an asteroid is headed to destroy earth and only the U of A chancellor can divert it c. refusing to shower do to demotivation d. poor self esteem 6. A nurse must approve a diet for a patient taking MAOI medication for depression. Which dinner menu would be allowed? Answers: a.mashed potatoes, ground beef, green beans, apple pie b.mac and cheese, hot dogs, banana bread, caffeinated coffee c. smoked sausage, lettuce salad, saurkraut, rolls d. avocado salad, ham, asparagus, chocolate cake 7. A client who drinks a quart of vodka daily is brought to the ER by family members who report he has had no alcohol in 36 hours. which symptoms should the nurse report immediately to the healthcare provider? a. depressed 6/10 b. thin appearance c. antecubital bruising d. BP 198/114 8. A client was diagnosed with Anorexia Nervosa (AN). Her history reveals that she started restricting her food intake 5 months ago in an attempt to get her weight below 95 pounds. She lost 23 pounds. Which nursing diagnosis applies? Answers: A Disturbed energy field related to physical exertion in excess of energy produced through caloric intake B. ineffective health maintenance related to self-induced vomiting C. Adult failure to thrive related to abuse of laxatives D. Imbalanced nutrition: less than body requirements related to reduced oral intake 9. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say. Which response by the nurse would be most therapeutic? Answers: a. ‘You have lost touch with reality, which is a symptom of your illness.’ b. “It must feel scary for you to feel like you are being watched. You are in a secure place here. What can we do to make you feel more safe?” c. ‘The CIA is prohibited from operating in health care facilities. d. ‘Let”s talk about something other than the CIA.’ 10. A patient with schizophrenia tells the nurse ” I hear frightened children telling me that he pipes in the hospital are filled with poisoned gas. Can’t you hear them?” What is the nurses best response? Answers: a. Don’t worry. Our pipes are safe here b. I do not hear them but tell me what it is like for you to hear that c. that is just a symptoms of your illness and you should just ignore it. d. Try to think of something else 11. Which is the basic concept of a 12-step program for treatment of addictions? Answers: A. reducing the intake of addictive substance in half within 3 months b. make a list of persons you have harmed because of your addictions to get them to understand you C. surrender your ego and admit you are powerless to deal with the addiction D. individual counseling to address childhood trauma 12. Amanda is a patient in the psych unit and has Borderline Personality Disorder. She tells the nurse on the dav shift “you are the best nurse ever because you let me lay down in my room instead of making me go to group. The night nurses hate me and they talk trash about the day shift nurses”. The patient is engaging in: Answers: A. staff splitting B. a coping behavior c. a healthy manner of self-expression D. a winning strategy 13. Which is a positive symptom of schizphrenia? Answers: a. not leaving home to get a job or see friends b. believing an asteroid is headed to destroy earth and only the U of A chancellor can divert it c. refusing to shower do to demotivation d. poor self esteem

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