1. Which of the following microorganisms are considered normal body flora?
A) staphylococcus on the skin B) streptococcus in the nares C) candida albicans in the vagina D) pseudomonas in the blood
2. Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?
A) Recommend that she discipline her daughter more strictly and consistently. B) Make a list of things her husband can do to help her improve. C) Assist the mother to identify what she believes is preventing her success and what she can do to improve. D) Explore with the mother what the daughter can do to improve her behavior.
3. The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
A) reactive. B) maturational. C) situational. D) adventitious.
4. A 26-year-old single woman is knocked down and robbed while walking her dog one evening. Three months later, she presents at the crisis clinic, stating that she cannot put this experience out of her mind. She complains of nightmares, extreme fear of being outside or alone, and difficulty eating and sleeping. What is the best response by the nurse?
A) 'I will ask the physician to prescribe medication for you.' B) 'That must have been a very difficult and frightening experience. It might be helpful to talk about it.' C) 'In the future, you might walk your dog in a more populated area or hire someone else to take over this task.' D) 'Have you thought of moving to a safer neighborhood?'
5. A 60-year-old widower is hospitalized after complaining of difficulty sleeping, extreme apprehension, shortness of breath, and a sense of impending doom. What is the best response by the nurse?
A) 'You have nothing to worry about. You are in a safe place. Try to relax.' B) 'Has anything happened recently or in the past that might have triggered these feelings?' C) 'We have given you a medication that helps to decrease feelings of anxiety.' D) 'Take some deep breaths and try to calm down.'
1. Right Answer: A Explanation: Of the choices given, only staphylococcus is considered a normal resident of the body. Safety and Infection Control
2. Right Answer: C Explanation: The intervention priority with a mother who feels incompetent to parent a teenage daughter is to assist the mother to identify what she feels her crisis events are and to help her develop better coping skills and improve her mothering skills. With a teenager, the growth and development parameters have to be concentrated on self as well as acquiring an added event. Choices 1, 2, and 4 do not directly address the mothers feelings of inadequacy. Psychosocial Integrity
3. Right Answer: C Explanation: The arrival of the imperfect child that the mother had not envisioned places the mother in a situational crisis.Choice 1 is not an option. Choice 2 is an identified specific time period in normal development when anxiety and stress increase. Choice 4 is a crisis that occurs outside the persons control so that the person has a disruption in social norms. Psychosocial Integrity
4. Right Answer: B Explanation: Choice 2 gives the client support and an opportunity to discuss the experience. Choices 1, 3, and 4 do not validate her experience or permit discussion of her feelings. Psychosocial Integrity
5. Right Answer: B Explanation: Choice 2 provides support, reassurance, and an opportunity to gain insight into the cause of the anxiety. Choice 1 dismisses the clients feelings and offers false reassurance. Choices 3 and 4 do not allow the client to discuss his feelings, which he must do in order to understand and resolve the cause of his anxiety.Psychosocial Integrity
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