32. A charge nurse is educating a newly hired nurse ondifferentiating pseudo dementia from dementia in elderly patients.Which statement by the new nurse indicates learning has takenplace?
a. patients with pseudo dementia experience poor attention anddecreased appetite b. patients with pseudo dementia experienceunchanged appetite and wandering c. patients with pseudo dementiaexperience disorientation and unchanged appetite d. patients withpseudo dementia experience decreased appetite and confabulation
33.While interviewing a victim of intimate partner violence thenurse determines that the survivors partner is using power andcontrol over the patient through coercion and threats. Whichpatient statement would lead the nurse to suspect this?
a. he will punch the wall and throw things if I don’t do what hetells me to do b. he doesn’t want me to talk with my friend andfamily c. he tells me he loves me so much he can’t stand the ideaof me talking to another man d. he says he will cut his throat if Iever leave with the kids
34 . A patient with parkinsons disease is admitted to thehospital for treatment of an exacerbation. Which nursinginterventions will be included in the patients plan of care.
Select all that apply. a. cut patients food in small pieces b.provide high proteins, high carbs foods at meal time c. observe foraspiration pneumonia d. remind patients to use a wide basedgait.
35. A patient with a herniated disk undergoes a laminectomyfollowing the surgery, how would the nurse position the patient onthe side?
a. placing a pillow between patients legs and turning the entirebody in a log roll b. having the patient turn by grasping thetrapeze and pulling the shoulders over c. have the legs flexedwhile turning to the side keeping the back straight d. keeping thepatient centered to bed and turning the patient 30 degree on theside
36. The nurse is caring for a patient with multiple sclerosis.The patient tells the nurse the hardest thing to deal with is thefatigue?
When teaching the patient to reduce fatigue, what action shouldthe nurse suggest? a. increasing the dose of the diease-modifyingdrugs as needed b. avoiding naps during the day c. taking a warmbath at least once a day d. resting in a temperature controlledroom whenever possible
37. The nurse arrived at the scene of a patient falling off aladder. The victim is unconscious. Which action will the nursetakes first?
a. carefully remove the patient from the scene b. prepare thepatient for intubation c. assess for head bleeding and check theblood pressure d. stabilize the patients spinal cord
38. when teaching a patient with myasthenia gravis aboutmanagement of the disease, what should the nurse advise the patientto do?
a. perform necessary physically demanding activities in themorning b. consume high protein, low carbohydrates diet c.anticipate the need for weekly plasmaphoresis treatments d. advisethe patient to ambulate 60 feet on a daily basis
39. A patient who was adopted at birth is diagnosed withhuntingtons disease, when teaching the patient, spouse and childrenabout this disorder, the nurse will provide what information?
a. genetic testing to determine the risk for the children b.planning to place the patient in a long term nursing care facilityc. lifestyle changes to delay disease progression and complicationsd. drugs available to slow progression of disorder
40. the patient begins to experience a tonic-clonic seizure.Which of the following interventions should be included in the planof care?
a. turn the patient to the side b. restrain the patient c.remove the clothing patient is wearing d. place a padded tongueblade into the patients mouth