ECPI VB Nur 168 Concepts 3 Final Review Latest

ECPI VB Nur 168 Concepts 3 Final Review Latest Update - 380 Questions and 100% Verified Correct Answers Guaranteed A+ Verified by Professor

A 16-year-old patient has been diagnosed with Body Image Disturbance related to severe acne. In planning nursing care, what is an appropriate goal for this patient?

• The patient will make above-B grades in all tests at school.
• The patient will demonstrate, by diet control and skin care, increased interest in

control of acne.

• The patient reports that she feels more self-confident in her music and art, which she

enjoys.

D. The patient expresses that she is very smart in school. - CORRECT ANSWER: B

A 17-year-old college student calls the emergency department (ED) and tells the nurse that she was raped by a professor. She wants to come to the ED, but only if the nurse can assure her that they will not call her parents. What should be the nurse's first priority?

• Getting the patient into a safe environment and mobilizing support for her
• Encouraging the student to disclose the name of the professor so that his predatory

behavior will be stopped

• Convincing the student to be assessed for pregnancy, STIs, or other complications
• Convincing the student to tell her parents so that she can receive their support -

CORRECT ANSWER: A

A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. During the admission interview, the nurse should implement which communication techniques to elicit the most information from the parents?

• The use of reflective questions
• The use of closed questions
• The use of assertive questions 1 / 4

D. The use of clarifying questions - CORRECT ANSWER: D

A 33-year-old businessperson is in counseling, attempting to deal with a long-repressed history of sexual abuse by her father. "I guess I should feel satisfied with what I've achieved in life, but I'm never content, and nothing I achieve makes me feel good about myself.... I hate my father for making me feel like I'm no good. This is an awful way to live." What self-concept disturbance is this person experiencing?

• Personal Identity Disturbance
• Body Image Disturbance
• Self-Esteem Disturbance

D. Altered Role Performance - CORRECT ANSWER: C

A 36-year-old woman enters the emergency department with severe burns and cuts on her face after an auto accident in a car driven by her fiancé of 3 months. Three weeks later, her fiancé has not yet contacted her. The patient states that she is very busy and she is too tired to have visitors anyway. The patient frequently lies with her eyes closed and head turned away. What do these data suggest?

• There is no disturbance in self-concept.
• This patient has ego strength and high self-esteem but may have a disturbance of

body image.

• The area of self-esteem has very low priority at this time and should be ignored until

much later.

• It is probable that there are disturbances in self-esteem and body image. -

CORRECT ANSWER: D

A 70-year-old patient who has had a number of strokes refuses further life-sustaining interventions, including artificial nutrition and hydration. She is competent, understands the consequences of her actions, is not depressed, and persists in refusing treatment.Her health care provider is adamant that she cannot be allowed to die this way, and her daughter agrees. An ethics consult has been initiated. Who would be the appropriate decision maker?

• The patient
• The patient's daughter
• The patient's health care provider 2 / 4

D. The ethics consult team - CORRECT ANSWER: A

A certified nurse midwife is teaching a pregnant woman techniques to reduce the pain of childbirth. Which stress reduction activities would be most effective? Select all that apply.

• Progressive muscle relaxation
• Meditation
• Anticipatory socialization
• Biofeedback
• Rhythmic breathing

F. Guided imagery - CORRECT ANSWER: A, B, E, F

A charge nurse in a busy hospital manages a skilled nursing unit using an autocratic style of leadership. Which leadership tasks BEST represent this style of leadership?(Select all that apply.)

• The charge nurse polls the other nurses for input on nursing protocols.
• The charge nurse dictates break schedules for the other nurses.
• The charge nurse schedules a mandatory in-service training on new equipment.
• The charge nurse allows the other nurses to divide up nursing tasks.
• The charge nurse delegates nursing responsibilities to the staff.
• The charge nurse encourages the nurses to work independently. - CORRECT

ANSWER: B, C, E

A college freshman away from home for the first time says to a counselor, "Why did I have to be born into a family of big bottoms and short fat legs! No one will ever ask me out for a date. Oh, why can't I have long thin legs like everyone else in my class? What a frump I am." What type of disturbance in self-concept is this patient experiencing?

• Personal Identity Disturbance
• Body Image Disturbance
• Self-Esteem Disturbance
• Altered Role Performance - CORRECT ANSWER: B 3 / 4

A college student visits the school's health center with vague complaints of anxiety and fatigue. The student tells the nurse, "Exams are right around the corner and all I feel like doing is sleeping." The student's vital signs are within normal parameters. What would be an appropriate question to ask in response to the student's verbalizations?

• "Are you worried about failing your exams?"
• "Have you been staying up late studying?"
• "Are you using any recreational drugs?"

D. "Do you have trouble managing your time?" - CORRECT ANSWER: A

A home health care nurse has been visiting a patient with AIDS who says, "I'm no longer afraid of dying. I think I've made my peace with everyone, and I'm actually ready to move on." This reflects the patient's progress to which stage of death and dying?

• Acceptance
• Anger
• Bargaining

D. Denial - CORRECT ANSWER: A

A hospice nurse is caring for a patient who is dying of pancreatic cancer. The patient tells the nurse "I feel no connection to God" and "I'm worried that I find no real meaning in life." What would be the nurse's best response to this patient?

• Give the patient a hug and tell him that his life still has meaning.
• Arrange for a spiritual adviser to visit the patient.
• Ask if the patient would like to talk about his feelings.
• Call in a close friend or relative to talk to the patient. - CORRECT ANSWER: C

A hospice nurse is caring for a patient who is terminally ill and who is on a ventilator.After a restless night, the patient hands the nurse a note with the request: "Please help me end my suffering." Which response by a nurse would best reflect adherence to the position of the American Nurses Association (ANA) regarding assisted suicide?

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