20581077-100-Item-Comprehensive-Exam-II-With-Answers-and-Rationale-2

20581077-100-Item-Comprehensive-Exam-II-With-Answers-and-Rationale-2

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100 item Comprehensive Exam II with Answers and Rationale 1. In a child with suspected coarctation of the aorta, the nurse would expect to find The correct answer is D: Bounding pulses in the arms Coarctation of the aorta, a narrowing or constriction of the descending aorta, causes increased flow to the upper extremities (increased pressure and pulses) 2. The nurse is caring for a child receiving chest physiotherapy (CPT). Which of the following actions by The correct answer is C: Confine the percussion to the rib cage area Percussion (clapping) should be only done in the area of the rib cage. 3. A client was admitted to the psychiatric unit with major depression after a suicide attempt. In addition to feeling sad and hopeless, the nurse would assess for The correct answer is C: Psychomotor retardation or agitation Somatic or physiologic symptoms of depression include: fatigue, psychomotor retardation or psychomotor agitation, chronic generalized or local pain, sleep disturbances, disturbances in appetite, gastrointestinal complaints and impaired libido. 4. A victim of domestic violence states to the nurse, "If only I could change and be how my companion wants me to be, I know things would be different." Which would be the best response by the nurse? The correct answer is D: "Batterers lose self-control because of their own internal reasons, not because of what their partner did or did not do." Only the perpetrator has the ability to stop the violence. A change in the victim’s behavior will not cause the abuser to become nonviolent. 5. A nurse is to present information about Chinese folk medicine to a group of student nurses. Based on this cultural belief, the nurse would explain that illness is attributed to the The correct answer is B: Yin, the negative force that represents darkness, cold, and emptiness. Chinese folk medicine proposes that health is regulated by the opposing forces of yin and yang. Yin is the negative female force characterized by darkness, cold and emptiness. Excessive yin predisposes one to nervousness. 6. A polydrug user has been in recovery for 8 months. The client has began skipping breakfast and not eating regular dinners. The client has also started frequenting bars to "see old buddies." The nurse understands that the client’s behavior is a warning sign to indicate that the client may be The correct answer is A: headed for relapse It takes 9 to 15 months to adjust to a lifestyle free of chemical use, thus it is important for clients to acknowledge that relapse is a possibility and to identify early signs of relapse. 7. At the day treatment center a client diagnosed with Schizophrenia - Paranoid Type sits
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alone alertly watching the activities of clients and staff. The client is hostile when approached and asserts that the doctor gives her medication to control her mind. The client's behavior most likely indicates The correct answer is B: Social isolation related to altered thought processes Hostility and absence of involvement are data supporting a diagnosis of social isolation. Her
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This note was uploaded on 02/10/2010 for the course ADN 105 taught by Professor Aaa during the Spring '07 term at 東京大学.

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20581077-100-Item-Comprehensive-Exam-II-With-Answers-and-Rationale-2

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