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    Exam Review

    1. A new grad who has been only working for 2 months in the ICU was given 2 highly acute patients by the charge nurse. After talking to the charge nurse about his concerns, his assignments remained the same. The charge nurse told him, "You are a RN and can handle it on your own." The assignments has made the workload even more challenging on the new grad. This is an example of
      A)
      Workplace bullying
      B)
      Workplace violence
      C)
      Ageism
      D)
      Normal and expected of the new grad
    2. After treatment for a detached retina, a victim of intimate partner violence says, "My partner only abuses me when intoxicated. I've considered leaving, but was brought up to believe you stay together, no matter what happens. I always get an apology, and I can tell my partner feels bad after hitting me. Which nursing diagnosis applies?
      A)
      Disabled family coping related to uneven distribution of power within a relationship
      B)
      Social Isolation, related to lack of community support system
      C)
      Deficient knowledge, related to resources for escape from the abusive relationship
      D)
      Risk for injury, related to partner's physical abuse when intoxicated
    3. All of the following are safety guidelines in taking care of a patient with delirium except
      A)
      Delegate visiting family members to watch delirious patient.
      B)
      Never leave a patient in acute delirium alone
      C)
      Used trained sitters to help with safety.
      D)
      Used effective engagement techniques.
    4. An older adult experiencing a progressively worsening memory and cognition for past two years may be experiencing which one of the following diseases?
      A)
      Delirium
      B)
      Amnesia
      C)
      Dementia
      D)
      Parkinson’s disease
    Page 1 of 13

    Exam Review

    1. Dementia related disorders characterized as disabling disease of the brain and the spinal cord (central nervous system)
      A)
      Multiple sclerosis
      B)
      Huntington chorea
      C)
      Wernicke-Korsakoff syndrome
      D)
      Alzheimer's disease
    2. Which of the following statements best define the term "restraint"
      A)
      Physical or chemical means or device that restricts client's freedom to and ability to move about
      B)
      The involuntary confinement of a patient alone in a room or area from which the patient is physically prevented from leaving.
      C)
      Pharmacological interventions for management of acute behavioral emergencies
      D)
      Safety measures to prevent a threatened or attempted suicide or some serious bodily injury
    3. A female comes to the Emergency Department with a broken wrist and severe bruises from a beating by her husband. She states that she does not want to leave the relationship at this time. The most appropriate response by the nurse is:
      A)
      will help you leave this relationship"
      B)
      You need to report your husband to the police"
      C)
      Let's develop a safety plan for repeated violence"
      D)
      Here is a list of services that can help you"
    4. Which of following best described the mechanism of action for Donepezil (Aricept)?
      A)
      Prevent breakdown of acetylcholinesterase by inhibiting the action of acetylcholine
      B)
      Prevent breakdown of acetylcholine by inhibiting the action of acetylcholinesterase
      C)
      Promote breakdown of acetylcholine by inhibiting the action of acetylcholinesterase
      D)
      Promote breakdown of acetylcholinesterase by inhibiting the action of acetylcholine
    Page 2 of 13

    Exam Review

    1. All of the following are symptoms of hyperactive delirium except
      A)
      Agitation
      B)
      Sluggishness
      C)
      Hallucination
      D)
      Restlessness
    2. All of the following are symptoms of mild cognitive impairment except
      A)
      Memory impairment.
      B)
      Does not interfere with ADLs and socialization.
      C)
      Does not interfere with general cognitive functioning.
      D)
      Interferes with navigation of daily life
    3. Delirium occurs in response to all the following stressors except
      A)
      Electrolyte imbalance
      B)
      Head trauma
      C)
      Depression
      D)
      Infection
    4. All of the following are symptoms of delirium tremens except
      A)
      Confusion
      B)
      Hypertension
      C)
      Seizures
      D)
      Severe tremors
    Page 3 of 13

    Exam Review

    1. What is the priority nursing intervention for a patient diagnosed with delirium who has fluctuating levels of consciousness, disturbed orientation, and perceptual alterations?
      A)
      Avoidance of physical contact
      B)
      Application of wrist and ankle restraints
      C)
      Careful observation and supervision
      D)
      High level of sensory input
    2. Which nursing intervention will assist a patient being treated in the Emergency Department for extensive soft tissue injuries to disclose an experience of domestic violence?
      A)
      Providing a safe, non intimidating, and supportive environment
      B)
      Speaking with the patient in the absence of her husband
      C)
      Interviewing her in the presence of another healthcare professional
      D)
      Allowing the patient to initiate the topic of violence
    3. All of the following are medications for alcoholism except
      A)
      Naltrexone
      B)
      Valium
      C)
      Antabuse
      D)
      Campral
    4. A nurse working in the county jail interviews a man who recently committed a violent sexual assault against a woman. Which comment from this perpetrator is most likely?
      A)
      I have been depressed for a long time."
      B)
      "She dressed provocatively
      C)
      It is not my fault she was asking for it
      D)
      Was under the influence of alcohol
    Page 4 of 13

    Exam Review

    1. A nurse is teaching a class on domestic violence to high school students. Which of the following statements by a student would indicate the nurse that further teaching is needed?
      A)
      "If you are educated and have money, abuse does not happen."
      B)
      "Abusers are often excessively jealous and possessive."
      C)
      "Violence often begins in a dating relationship."
      D)
      "The abuser will often apologize and promise to stop."
    2. All of the following are symptom of alcohol withdrawal except
      A)
      Visual hallucinations
      B)
      Tremors
      C)
      Paroxysmal sweating
      D)
      Pupil dilation
    3. Progressive brain disorder that causes uncontrolled movements, emotional problems, and cognitive dysfunction.
      A)
      Lewy body disease
      B)
      Traumatic brain injury.
      C)
      Huntington chorea
      D)
      Alzheimer's disease
    4. The nursing action most likely to be effective in improving the level of orientation of a client experiencing dementia is:
      A)
      Assuring the client that the deceased spouse will not be expected home soon.
      B)
      Telling the client the current day of the month and time in a raised voice.
      C)
      Turning on a radio station that plays soft rock music.
      D)
      Encouraging the client to discuss memories of families.
    Page 5 of 13

    Exam Review

    1. A victim of a violent rape has been in the emergency department for 3 hours. Evidence collection is complete. As discharge counseling begins, the victim says softly, "I will never be the same again. I can't face my friends. There is no sense of trying to go on." Select the nurse's most important response.
      A)
      Your friends will understand when you tell them."
      B)
      "Are you thinking of suicide?"
      C)
      "It will take time, but you will feel the same as before."
      D)
      You will be able to find meaning in this experience as time goes on
    2. All of the following are defense behaviors observed among patients with Alzheimer's except
      A)
      Denial
      B)
      Confabulation
      C)
      Perseveration
      D)
      Rationalization
    3. Which of the following is not characteristic of cognitive impairment?
      A)
      Ataxia
      B)
      Aphasia
      C)
      Apraxia
      D)
      Amnesia
    4. A patient diagnosed with moderate dementia consistently appears to be distorting the truth resulting in his wife asking, "What should I do when he lies to me about unimportant things?" Upon what rationale should the nurse's response be based?
      A)
      Changing the topic provides diversion.
      B)
      Delusions should be confronted to clarify thinking.
      C)
      Ignoring memory deficit avoids catastrophic reactions.
      D)
      This isn't lying but rather a way to fill in the memory gaps.
    Page 6 of 13