25. The nurse monitors for which clinical

25. The nurse monitors for which clinical manifestations in the patient diagnosed with stress incontinence? Select all that apply. A. Dysuria B. Urine leakage while coughing C. Urine leakage while laughing D. Skin irritation in the perineal area E. Hematuria 42. Which finding in the patient after an orchiectomy for testicular cancer indicates that the surgery may not have removed all the cancer? A. Elevated alpha-fetoprotein B. Decreased human chorionic gonadotropin C. Elevated white blood count D. Anemia 49. The nurse implements which actions to decrease discomfort for the patient with genital herpes? A. Use a heating pad to decrease pain B. Clean lesions two or three times a day with warm water and soap C. Avoid tub baths D. Wear tight cotton clothing 50. The nurse monitors for which clinical manifestations in the female patient diagnosed with genital herpes? Select all that apply. A. Hematuria B. Headache C. Fever D. Back pain E. Vaginal dryness 1. A nurse assessing a client with post-traumatic stress disorder (PTSD) would expect the client to report which finding? A. Increased appetite B. Insomnia C. Manipulative behavior D. Hypersomnia 24. A client with schizophrenia expresses a belief that they are a member of the British Royal family. This is an example of: A. Depersonalization B. Delusions of grandeur C. Visual hallucinations D. Auditory hallucinations 25. A nurse is teaching a male client who has a depressive disorder about escitalopram. Which of the following information should the nurse include in the teaching? A. This medication may cause muscle rigidity temporarily B. You will notice an improvement in mood within 2-3 days C. A fever is a common side effect of this medication D. This medication may cause an inability to orgasm 27. A nurse is assessing a child and suspects child abuse. Which assessment finding support the nurse’s assumption? A. A circular burn on the child’s arm B. A bump on the child’s forehead C. Bruising on the child’s legs D. The child does not want to listen to instructions 29. The client, a 35 year-old male, presents to the mental health clinic visibly disheveled. The client states that he is at the clinic to get his medication prescription for sertraline refilled. The client is agitated and has a history of anxiety. Upon interview, it is revealed that he has a long history of hoarding with frequent evictions from his homes due to the safety concerns his behavior has caused. What disorder is this client living with? What medication education should be provided to this client? (Please write your essay response on a separate piece of paper) 32. This is a potentially fatal complication that results in the introduction of fluids and carbohydrates for patients who are malnourished. 1 1 33. The following are characteristics of which Cluster B personality Disorder: Arrogance, Grandiosity, lack of empathy and sensitive to criticism. 1 1 34. People living with bulimia nervosa tend to be: A. Underweight B. Average weight C. Obese D. Morbidly obese 38. A nurse questions the order to begin nourishing an emaciated client slowly. The prescriber explains the reason behind this choice is: A. Clients may die from being nourished too quickly B. Introducing food slowly encourages client compliance C. There is no medical justification for this D. Introducing nourishment quickly causes client anxiety 40. A nurse is caring for a client who with an eating disorder. The nurse is demonstrating which of the following ethical concepts when they allow the client to refuse to drink a between meal protein and calorie supplement? A. Fidelity B. Beneficence C. Veracity D. Autonomy 43. What is the difference between conduct disorder (CD) and oppositional defiance disorder (ODD)? A.CD is mild and involves inattention B.ODD does not normally involve physical aggression C. CD is only present in boys D. ODD is only diagnosed before age 5 44. A nurse is assessing a 5-year-old client with autism spectrum disorder. For which of the following manifestations will the nurse assess? A. Sedation B. Repetitive hand gestures C.Somatic illness problems D. Elation 46. A nurse is planning care for a client who has antisocial personality disorder. Which of the following actions should the nurse plan to take? A. Give positive feedback when client is assertive with staff or clients. B. Set limits to prevent exploitation of other clients. C. Discourage flamboyant or seductive behaviors. D. Monitor the client closely to prevent self-mutilation. 47. The most important short-term goal of a client with avoidant personality disorder would be to: A. decrease argumentativeness B. stop initiating arguments C. acknowledge own behavior D. encourage client in building their self esteem 50. A newly admitted patient diagnosed with major depressive disorder has a history of two suicide attempts by hanging. Which nursing diagnosis takes priority? A. Social isolation R/T depressed mood B. Risk for suicide R/T history of attempts C. Risk for violence directed at others R/T anger turned outward D. Depressed mood R/T multiple suicide attempts 51. A school nurse is working with an adolescent with a diagnosis of Conduct disorder. The teen has been caught with alcohol and a vape pen on campus. The teen has re-current absences and was brought in by faculty for aggression and suspicion of inebriation today. What are the priority nursing problems to be addressed? Name only 3 priority interventions and evaluation criteria that the nurse will perform. (Please write your essay response on a separate piece of paper) 52. You are the night nurse who has just gotten report on the following patients. Prioritize which of the patients you would see first. A. 29 year old male admitted for pyelonephritis and S.I. who is currently feeling depressed B. 88 year old female admitted for altered mental status placed on fall precautions C. 70 year old male who is a post-surgical hip fracture experiencing auditory command hallucinations with a history of dementia D. 45 year old male with gall stones and GAD with complaints of shortness of breath 53. Rank the following nursing interventions based on priority of a patient diagnosed with bulimia nervosa 1 A) Draw Blood for CBC and CMP B) Asses for depression C) Obtain Vitals D) Perform ECG E) Teach and encourage on self-care activities 55. The nurse is preparing an education program regarding early identification of students at risk for developing anorexia nervosa. Which client does the nurse recognize as having the highest risk of developing an eating disorder? A. Female ballet dancer B. Female swimmer C. Male wrestler D. Male swimmer 65. A 3-year-old child is brought to the clinic for their well child visit. The RN is assessing the child and notes that he is unable to verbalize his name and does not make eye contact. The child’s mother tells the nurse that her son is very active and does not sleep through the night. She is concerned that he is too active and that he is not able to slow down. She states that he likes to keep a schedule and that she cannot deviate from the schedule without a tantrum. She proudly verbalizes that he is very good at stacking all his toys in a “pattern”. The mother is very interested in interventions to help her child speak and answers as to why his behavior is not like all the other children she knows. What disorder is the child living with? Name three interventions the nurse will implement for the care of this child. (Please write your essay response on a separate piece of paper) SCIENCE HEALTH SCIENCE NURSING PSYCHOLOGY PSY 1082

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