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The nurse is helping to give Mantoux tests to children who are being registered for kindergarten in the community. How should the nurse administer this test?
 
  A) Interdermal injection into the inner forearm
  B) Intramuscular injection into the vastus lateralis
  C) Subcutaneous injection into the umbilical area
  D) Insert at a 45-degree angle into the deltoid

Question 2

Mr. Q has heart disease, and his wife needs to learn about the cooking methods and recipes she can use to help his condition. Which of the following sources is probably her best source of information?
 
  A) Cardiologist
  B) General practitioner
  C) Nurse
  D) Support group

Question 3

A patient is scheduled for a stapedectomy. Appropriate postoperative teaching should include:
 
  a. Hourly changing cotton from external ear canal
  b. Gently blowing both nares simultaneously
  c. Teaching patient to open mouth when sneezing or coughing
  d. Limiting activities for 3 weeks

Question 4

An older patient is prescribed a diuretic for the treatment of hypertension. For which health problem should the nurse assess this patient?
 
  A) Constipation
  B) Cognitive changes
  C) Decreased gastric emptying and nausea
  D) Manifestations of fluid and electrolyte imbalances

Question 5

The nurse is caring for a patient at risk for atelectasis and chooses to implement a first-line measure to prevent atelectasis development in the patient. What is an example of a first-line measure to minimize atelectasis?
 
  A) Incentive spirometry
  B) Intermittent positive pressure-breathing (IPPB)
  C) Positive end-expiratory pressure (PEEP)
  D) Bronchoscopy

Question 6

How can a visiting nurse best ensure proper care for a patient when she is not present but can be reached by a telephone or pager?
 
  A) Instruct that all the family's questions should be filtered through the primary caregiver.
  B) Provide detailed written instructions for all procedures.
  C) Train the patient carefully in all procedures.
  D) Train all caregivers carefully in all procedures.

Question 7

An older patient with Alzheimer's disease is experiencing increasing episodes of agitation and wandering. The patient has been prescribed risperidone (Risperdal), an atypical antipsychotic. Why should the nurse question this medication order?
 
  A) Physical restraints should be trialed before using an antipsychotic medication
  B) It is inappropriate to use antipsychotics to manage the behavior of patients with dementia
  C) The sensory changes that accompany antipsychotic use exacerbate the symptoms of dementia
  D) Atypical antipsychotics are preferable to traditional sedatives for the treatment of agitation and delirium
The physician has prescribed Exelon (Rivastigmine). When providing education to the client, what information should be included?
 
  A) Take medication at bedtime to avoid issues with drowsiness.
  B) Monitor heart rate and hold dosages if heart rate is less than 60.
  C) Take with food.
  D) Increase fiber intake to avoid constipation.

Question 2

The nurse is planning care for an older patient to prevent the geriatric cascade. What causes this cascade to occur in older patients? Standard Text: Select all that apply.
 
  1. Frailty
  2. Acute illness
  3. Institutional care
  4. Lack of health insurance
  5. Poor appetite and malnutrition

Question 3

The family of a client with advanced dementia and increasing health complications has gathered for a conference to discuss the plan of care for the client relating to the end-of-life plans.
 
  During the conference, concerns about the client's increasing weight loss and inability or desire to eat have been raised. They are requesting information about initiating tube feedings. What response is indicated at this time?
  A) Tube feeding will aid the client in gaining weight.
  B) Tube feeding is associated with a reduced risk of aspiration.
  C) Tube feeding may be beneficial in reducing the discomfort associated with dehydration.
  D) At this time, the absence of tube feeding is promoting comfort, as dehydration has been shown to reduce pain sensitivity.

Question 4

The nurse is assessing a frail older patient in a skilled facility. Which manifestations should the nurse consider as expected for this patient? Standard Text: Select all that apply.
 
  1. Low energy
  2. Poor endurance
  3. Energetic gait speed
  4. Low activity tolerance
  5. Generalized weakness

Question 5

A 78-year-old client with moderate dementia has been transferred to a long-term care facility. The client has a feeding tube. During the admission process, his wife expresses an interest in restoring natural feeding methods for her husband.
 
  What information can be provided regarding her inquiry?
  A) In the client with dementia, the restoration of natural feeding is highly unlikely.
  B) One of the chief determining factors of the success of this transition will rest with his functional eating abilities.
  C) The dietitian will need to make the final determination if this is a viable plan.
  D) This option may be risky, as it requires the feeding tube to be removed prior to the initiation of the natural feeding.

Question 6

An 83-year-old client with a history of congestive heart failure is admitted to the acute care facility with pneumonia. During the admission process it is noted the client has Stage 2 Alzheimer's disease and has been living with his daughter.
 
  When plans for life support and code status are addressed, the daughter voices questions about the potential success of resuscitating her father. What information should be provided to answer this query?
  A) Resuscitation is often effective for older adults like your father.
  B) Resuscitation for cardiac or respiratory arrest for your father, given his history, will have little probability of success.
  C) If your father would require resuscitation, he will likely be returned to his same level of functioning as before the event.
  D) As long as the resuscitation efforts are initiated quickly, he will likely survive.

Question 7

In preparation for discharge, the nurse gathers materials for the 72-year-old client who has recently been diagnosed with Alzheimer's disease. Included in the materials is information related to long-term care placement.
 
  A new graduate working with the nurse questions why this has been included, as this client has only recently been diagnosed and is returning to home at this time. What information should be included in the response to the graduate nurse?
  A) Long-term care placement is inevitable with this diagnosis.
  B) Early introduction to potential placements will allow the client and family time to make a more informed decision.
  C) By providing this information now, we will not need to address these concerns later.
  D) It often takes 6 to 12 months for an individual with Alzheimer's disease to establish a successful transfer
 
  to a facility, and this will allow adequate time.

Question 8

The nurse is planning interventions to help improve the immune function of an older patient. What should be included in this patient's plan of care? Standard Text: Select all that apply.
 
  1. Teach to avoid alcohol.
  2. Educate on the effects of stress.
  3. Encourage to take daily vitamin supplements.
  4. Remind to obtain a yearly influenza vaccination.
  5. Encourage to utilize positive coping strategies to stress.
With which patients must the nurse use caution in using prayer or scripture to meet spiritual
  needs?
 
  A) Psychiatric patients B) Those with a different value system
  C) Those from a different culture D) Oncology patients

Question 2

What is the most important question for the nurse to ask in deciding to use prayer or scripture with
  a patient?
 
  A) What does prayer/scripture mean to the patient?
  B) How have prayer/scripture been meaningful to the patient in the past?
  C) What type of prayer or scripture passage is most appropriate for this situation?
  D) Whose need is being met  nurse's or patient's?

Question 3

Your elderly patient suffers from metastatic cancer. She understands her condition and expresses a
  readiness for death. What nursing diagnosis would be most appropriate?
 
  A) Risk for spiritual distress
  B) Potential for enhanced spiritual well-being
  C) Ineffective individual coping
  D) Spiritual distress

Question 4

What is the best method of assessing a patient from a culture with which the nurse is unfamiliar
  given a limited amount of time?
 
  A) Ask the patient what practices and beliefs are important in care.
  B) Look for cues from the patient's behavior.
  C) Base judgments on knowledge of a related culture.
  D) Seek information on the culture from the Internet.

Question 5

Which nurse is the best example of a nurse who is providing culturally competent care?
 
  A) The nurse who evaluates the patient's ability to understand instructions presented in English
  B) The nurse who determines the patient's family relationships
  C) The nurse who does not touch the patient during the visit
  D) The nurse who asks the patient if there are any religious beliefs that should be considered in
  planning care

Question 6

How can a nurse most effectively provide culturally competent care to patients?
 
  A) Research the beliefs of cultural groups frequently seen.
  B) Communicate care planned to families as well as the patients.
  C) Determine the beliefs and practices of individual patients.
  D) Study the folk practices of cultural groups.

Question 7

Which nurse best demonstrates an understanding of cultural values of patients?
 
  A) The nurse who feels that the patient is not listening because there is no eye contact
  B) The nurse who is frustrated because the patient is late for every appointment
  C) The nurse who makes a point of touching the child of the Hispanic family
  D) The nurse who uses the patient's son to translate for the gynecologist

Question 8

Which nurse best reflects culturally competent care for patients?
 
  A) The nurse who provides care to a variety of patients from diverse cultures
  B) The nurse who provides care based on the values of the dominant culture
  C) The nurse who is sensitive to the cultural beliefs of patients
  D) The nurse who tries to understand the values of the patient

Question 9

Which statement is most accurate concerning health disparities in the United States?
 
  A) Asian Americans have lesser mortality and morbidity rates than other minority groups.
  B) Men have a lower mortality rate than women.
  C) Mortality and morbidity rates from cancer are greater in the Hispanic population than for
  whites.
  D) Immunization rates for children in all ethic groups are comparable.
The monthly mean temperature
 A) is not affected by the diurnal temperature cycle.
  B) is the average of the highest and lowest temperatures in a month.
  C) is used to determine the annual temperature cycle.
  D) changes little from season to season.
  E) all of the above

Question 2

By international convention, temperature is measured
 A) at ground level.
  B) over grassy surfaces.
  C) in full sunlight.
  D) only at sunrise, high noon, and sunset.
  E) in the downtown areas of larger cities.

Question 3

Frostbite usually attacks the body's extremities first.
  Indicate whether the statement is true or false

Question 4

The heat-loss effects of wind-chill are now considered more severe than they were in the past.
  Indicate whether the statement is true or false

Question 5

Complete cloud cover increases the probability a nocturnal inversion will form.
  Indicate whether the statement is true or false
What is the most effective way to bind anxiety?
 
  a. to separate oneself from others
  b. through emotional cutoff
  c. through relationships
  d. to increase one's acute anxiety

Q. 2

At least one-quarter of the homeless population has a mental illness.
 
  Indicate whether the statement is true or false

Q. 3

Multicultural counseling and career counseling are both modern day counseling practices that have their roots in the ideals of Progressivism.
 
  Indicate whether the statement is true or false

Q. 4

In regards to differentiation, children tend to:
 
  a. have a lower level of differentiation
  b. have the same level of differentiation
  c. have a higher level of differentiation
  d. do not have a level of differentiation

Q. 5

Mental health/Community Counselors are currently licensed in 36 of the 50 states.
 
  Indicate whether the statement is true or false

Q. 6

The notion that people are individuals while still being connected to others is known as:
 
  a. differentiation of self
  b. triangulation
  c. nuclear family emotional process
  d. emotional cutoff
What is parallel thinking? How does it differ from critical thinking? Why does DeBono think it is a better way of thinking about a problem or difficulty?
 
  What will be an ideal response?

Q. 2

Some reasons that counselors may not be interested in working with older adults are ________________.
 
  A. they may have an irrational fear of aging
   B. the investment syndrome
   C. they do not understand them
   D. all of the above

Q. 3

Studies reveal that healthy and functional families in virtually all cultures are able to:
 
  A. adapt to change
  B. set appropriate boundaries
  C. express confidence in themselves and their children
  D. all of the above

Q. 4

Counselors who are feelers (rather than thinkers) may have a strength in their ability to be empathetic, but they may struggle with _____
 
  a. Understanding the clients feelings
  b. Helping the client explore the emotions in sufficient depth
  c. Being objective
  d. Letting clients know that they care about them

Q. 5

Compare and contrast the advantages of Edward DeBono's Six Hat approach with Robert Eberle's SCAMPER model in promoting creativity in a group.
 
  What will be an ideal response?

Q. 6

Some of the problems that face the aged population are ___________.
 
  A. depression, psychosis, and physical illness
   B. retirement, idleness, and abuse
   C. bereavement and loneliness
   D. all of the above

Q. 7

In general, singles are the second happiest demographic group (married couples being the happiest).
 
  Indicate whether the statement is true or false

Q. 8

Carl Rogers' core conditions include _____
 
  a. Congruence
  b. Unconditional positive regard
  c. Empathy
  d. All of the above
__________ consultation requires a sophisticated level of understanding of human nature, etiology of psychopathology, and appropriate therapeutic techniques for various disorders.
 
  a. External
  b. Facilitative
  c. Collaborative
  d. Case

Q. 2

The choice of joining a group should always rest with the client.
 
  Indicate whether the statement is true or false

Q. 3

Consultants are able to use their expertise to
 
  a. solve interpersonal conflicts.
  b. empower others through training.
  c. modify organizational systems.
  d. All of the above.

Q. 4

Group counselors have an ethical responsibility to screen clients regarding their suitability for groups.
 
  Indicate whether the statement is true or false

Q. 5

During middle adulthood, adults are more concerned with __________ than advancement or recognition.
 
  a. policies
  b. working conditions
  c. pay
  d. All of the above.
Historically, in the U.S. educational system children of African descent were often placed in
 
  a. programs for the educable mentally retarded.
  b. honors courses
  c. average courses.
  d. None of the above.

Q. 2

What are examples of oppression and discrimination Asian Americans have faced or continue to face?
 
  a. Being called the perpetual foreigners.
  b. Being called illegitimate Americans.
  c. Being called foreigners who cannot be trusted.
  d. All of the above.

Q. 3

A White gay male
 
  a. holds privilege given his race and sex but is oppressed given his sexual orientation.
  b. shows how one can be both victim and perpetuator of oppression.
  c. Both of the above.
  d. None of the above.

Q. 4

When a cell is at its resting state, the resting potential is about:
 
  a. -70 mV
  b. 70mV
  c. 170 mV
  d. -140 mV

Q. 5

Which of the following statements is TRUE about social class?
 
  a. Social class may be rigid or formal, depending on the country.
  b. Social class may rank people according to their access and ability to manipulate socioeconomic resources.
  c. There are many different ways of conceptualizing social class.
  d. All of the above are true statements.

Q. 6

When applying a theory to counseling it is important to
 
  a. ask the client which theory he/she prefers.
  b. consider how the theory interacts with the client's beliefs about the divine.
  c. consider how the counselor's beliefs can be imposed upon the client.
  d. be open to using many theories at the same time.
Regarding psychotherapy treatment outcome, research suggests all of the following except:
 
  a.  the therapist as a person is an integral part of successful treatment.
  b.  the therapeutic relationship is an essential component of effective treatment.
  c.  both the therapy methods used and the therapy relationship influence the outcomes of treatment.
  d.  therapy techniques are the key component of successful treatment.

Q. 2

ACA has 20 divisions, 56 state and international branches, and 4 national regions.
 
  Indicate whether the statement is true or false

Q. 3

Clients place more value on the personality of the therapist than on the ___________________.
 
  a.  specific techniques used.
  b.  specific words the therapist used.
  c.  therapist's theoretical orientation.
  d.  aesthetics of the therapeutic setting.

Q. 4

CSI is a division of ACA.
 
  Indicate whether the statement is true or false

Q. 5

According to the text, personal values of the counselor influence all of the following, except:
 
  a.  our views of the goals of counseling.
  b.  the way we conduct client assessments.
  c.  the interventions we choose.
  d.  how the clients' life progressed prior to treatment.

Q. 6

CACREP is a division of ACA.
 
  Indicate whether the statement is true or false

Q. 7

It is especially important for counselors who work with culturally diverse client populations to do all of the following, except:
 
  a.  be aware of their own cultural heritage.
  b.  have a broad base of counseling techniques that can be employed with flexibility.
  c.  not consider the cultural context of their clients in determining what interventions are appropriate.
  d.  examine their own assumptions about cultural values.

Q. 8

One can join many of the divisions of ACA without joining ACA.
 
  Indicate whether the statement is true or false

Q. 9

An experiential approach is Gestalt therapy, which offers a range of experiments to help clients gain awareness of what they are experiencing in the here and now.
 
  a. True
  b. False
  Indicate whether the statement is true or false
Which of the following did Adler not stress?
 
  a.  The unity of personality
  b.  Focus on early childhood experiences as determinants of later personality functioning
  c.  Behavior is purposeful and goal-oriented
  d.  A unique style of life that is an expression of life goals

Q. 2

The first two helping fields to offer accreditation, in the correct order of doing so, were:
 
  A. counseling and psychology.
  B. psychology and social work.
  C. social work and psychology.
  D. social work and counseling.

Q. 3

This stage of a group includes getting prepared, announcing the group, screening and selecting the members, and preparing them for a successful experience.
 
  a. Formation stage
 b. Orientation stage
  c. Transition stage
 d. Working stage

Q. 4

Who is primarily credited with popularizing and extending Adler's work by applying Adlerian principles to group work?
 
  a.  Don Dinkmeyer
  b.  Erik Erikson
  c.  H. L. Ansbacher
  d.  Rudolph Dreikurs

Q. 5

The Association of Counselor Education and Supervision (ACES) developed a document that was a precursor to the CACREP standards. It was called:
 
  A. Standards for the Preparation of Counselors and Other Personnel Service Specialists.
  B. Educational Standards for Counseling and Human Service Professional Disciplines.
  C. Counseling Standards.
  D. Accreditation Standards for Counseling and Related Professionals.

Q. 6

Staying in the here-and-now, making oneself known to others, and challenging oneself and others are
 
  a. not emphasized in counseling groups, but are emphasized in therapy groups.
  b. examples of process goals.
  c. content-related issues.
  d. overrated aspects of group work.
When determining the number of main points in your speech, you should consider the time available, the content to be covered, and
 
  A) the amount of information the audience can reasonably comprehend.
  B) the supporting material used in the speech.
  C) the visual aids used in the speech.
  D) the number of extended examples you plan to include when explaining various topics.
  E) the amount of research you conducted on the topic.
In a well-developed essay, explain why it is useful to study interpersonal communication. Use
  examples taken from the life of a typical college student to illustrate the points you make.
 
  What will be an ideal response?
A masculine approach to communication that involves assertiveness and action is described as
  a(n) ________ orientation.
 
  Fill in the blanks with correct word
4 years ago in History (Humanities)
Where did the United States NOT provide economic aid re- after World War II?
 
  A. Japan
  B. Greece
  C. Turkey
  D. The Soviet Union
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