Extract:

Question 1 of 5

A client with a history of liver cirrhosis is admitted with ascites. The nurse should monitor the client for which of the following complications?

Correct Answer: B

Rationale: Ascites can compress the diaphragm, leading to respiratory distress, a complication the nurse should monitor for in cirrhosis.

Question 2 of 5

A client was admitted to the surgical unit after right total knee arthroscopy performed 2 hours earlier. Which surgeon's prescription requires clarification?

A. Maintain right knee in a slightly flexed position. B. Implement patient-controlled analgesia (PCA) per my protocol. C. Place sequential compression devices on both legs while on bed rest. D. Notify physical therapy to begin isometric quadriceps exercises on the day following surgery.

Correct Answer: A

Rationale: The knee is immobilized by a compression dressing to keep the knee in extension immediately after the operation. The nurse should clarify a prescription to keep the knee slightly flexed. Pain control by use of patient-controlled analgesia, use of compression devices to reduce the risk of thromboembolism, and physical therapy to begin isometric quadriceps exercises are expected prescriptions after total knee arthroscopy surgery.

Question 3 of 5

You are caring for a group of clients who are adversely affected with phobias. Which form of group therapy will you most likely employ to treat these clients?

A. Cognitive psychotherapy B. Behavioral psychotherapy C. Cognitive behavioral psychotherapy D. Psychoanalysis

Correct Answer: C

Rationale: Cognitive behavioral psychotherapy (CBT) is the most effective treatment for phobias, as it combines cognitive restructuring with behavioral techniques like exposure therapy to address irrational fears.

Question 4 of 5

A client admitted in an acute psychotic state says that she hears terrible voices in the head and thinks her neighbor is out to get her. Which of the following is the nurse's best response?

A. What has your neighbor been doing that bothers you?' B. How long have you been hearing these terrible voices?' C. I won't let your neighbor visit, so you'll be safe.' D. What exactly are these terrible voices saying to you?'

Correct Answer: D

Rationale: Asking about the content of the voices helps assess the nature of the hallucinations and potential risks, guiding therapeutic intervention.

Question 5 of 5

You have been asked to teach an inservice class for nurses in your facility about ethics. Which of the following should you consider during the planning of this educational activity?

A. Planning a way to evaluate the effectiveness of the class by seeing a decrease in the amount of referrals to the facility's Ethics Committee B. Establishing educational objectives for the class that reflect the methods and methodology that you will use to present the class content C. The need to exclude case studies from the class because this would violate client privacy and confidentiality D. Some of the most commonly occurring bioethical concerns including genetic engineering into the course content

Correct Answer: B

Rationale: When planning an educational activity, establishing clear educational objectives is essential to define the content, methods, and expected outcomes of the class, ensuring effective learning.