Question 1

An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?

A''I think I was a lonely child because I could not tell anyone about my abuse.''

B''I am now aware of how deep-seated my anger is. Before I did not realize I was angry.''

C''The program has given me the courage to tell my mother how I felt about her role in my hurt.''

D''There are so many people just like me, who are just normal people that had bad things happen to them.''

Answer : B

Children who are abused learn to cope with the painful experiences by ignoring painful feelings and avoiding getting close to people. As adults, victims of abuse usually continue to repress feelings, avoid close interpersonal relationships, and frequently use alcohol or drugs to block painful memories. Long-term effects in adults might include criminal/violent behavior (for adult males), substance abuse, and a variety of social and emotional problems (including suicidal thoughts, anxiety, hostility, dissociation, and interpersonal difficulties).Psychosocial Integrity

Question 2

Which of the following lab values would indicate symptomatic AIDS in the medical chart? (T4 cell count per deciliter)

AGreater than 1000 cells per deciliter

BLess than 500 cells per deciliter

CGreater than 2000 cells per deciliter

DLess than 200 cells per deciliter

Answer : D

<200 T4 cells/deciliter

Question 3

A client and his family facing the end stage of a terminal illness might be best served by:

Aa rehabilitation center.

Ban extended care facility.

CHospice.

Da crisis intervention center.

Answer : C

Hospice has the belief that more humanized alternative care for dying clients is needed than is being provided in hospitals, which focus mostly on medical cures. No matter where the care is delivered, Hospice provides a specialized interdisciplinary team of health care professionals who work together to manage client care.HealthPromotion and Maintenance

Question 4

A primary belief of psychiatric mental health nursing is:

Amost people have the potential to change and grow.

Bevery person is worthy of dignity and respect.

Chuman needs are individual to each person.

Dsome behaviors have no meaning and cannot be understood.

Answer : B

Every person is worthy of dignity and respect. Every person has the potential to change and grow. All people

have basic human needs in common with others. All behavior has meaning and can be understood from the

client's perspective.Psychosocial Integrity

Question 5

While performing a physical assessment on a 6-month-old infant, the nurse observes head lag. Which of the following nursing actions should the nurse perform first?

AAsk the parents to allow the infant to lay on her stomach to promote muscle development.

BNotify the physician because a developmental or neurological evaluation is indicated.

CDocument the findings as normal in the nurse's notes.

DExplain to the parents that their child is likely to be mentally retarded.

Answer : B

Head lag should be completely resolved by 4 months of age. Continuing head lag at 6 months of age

indicates the need for further developmental or neurological evaluation. Laying the infant on her stomach

promotes muscle development of the neck and shoulder muscles, but because of the age of this child, a referral

should be the first action. These findings are not normal for a 6-month-old infant. Significant head lag can be seen

in infants with Down syndrome and hypoxia, as well as neurologic and other metabolic disorders. Some of those

disorders might have mental retardation as a component. However, this child needs to have the referral to

determine the cause of the head lag first.Health Promotion and Maintenance

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