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Saturday, June 27, 2009

Surgical conscience

Surgical conscience is the professional behavior that demonstrates understanding and application of principles of surgical technology and legal, ethical, and moral responsibilities to patients and team members for which each practitioner is accountable. Source: AORN Standards and Recommended Practices for Perioperative Nursing. Denver, CO, Association of Operating Room Nurses, 1988.

Test Yourself: NCLEX practice questions 4

Worried about passing the NCLEX? The more practice questions you do, the more confident you'll feel. Try these, then review the answers and rationales that follow. Experts recommend taking many practice questions before the NCLEX, so take advantage of review courses, books, and other products to help you succeed and pass the NCLEX. ANSWERS BELOW. 1. Which characteristic is expected for a client with paranoid personality disorder who receives bad news? a. The client is overly dramatic after hearing the facts. b. The client focuses on self to not become overanxious. c. The client responds from a rational, objective point of view. d. The client doesn’t spend time thinking about the information. 2. Which term describes an effect of isolation? a. Delusions b. Hallucinations c. Lack of volition d. Waxy flexibility 3. Which health finding is expected in a client who chronically abuses alcohol? a. Enlarged liver b. Nasal irritation c. Muscle wasting d. Limb paresthesia 4. A nurse notes a change in voice and mannerisms of a client with dissociative identity disorder (DID) after he learns that his wife has filed for a divorce. Which nursing intervention is most appropriate? a. Avoid discussing the client’s feelings. b. Force the client to discuss his feelings. c. Offer encouragement to the client that he’ll be able to cope with the divorce. d. Encourage the client to verbalize his feelings about the divorce. 5. A client with an ileostomy tells the nurse he can’t have an erection. Which pertinent information should the nurse know? a. The client will never regain functioning. b. The client needs an abdominal X-ray. c. The client has no problem with self-control. d. Impotence is uncommon following an ileostomy. Answers to NCLEX practice questions 1. c. Clients with paranoid personality disorder are affectively restricted, appear unemotional, and appear rational and objective. Clients with histrionic personality disorder are overly dramatic in response to stress. Clients with narcissistic personality disorder focus on themselves and don’t spend time thinking about bad news. Clients with an obsessive-compulsive personality disorder are preoccupied with the fear of becoming very anxious and losing control. 2. b. Prolonged isolation can produce sensory deprivation, manifested by hallucinations. A delusion is a false, fixed belief that has no basis in reality. Lack of volition is a symptom associated with type I negative symptoms of schizophrenia. Waxy flexibility is a motor disturbance that’s a predominant feature of catatonic schizophrenia. 3. a. A major effect of alcohol on the body is liver impairment, and an enlarged liver is a common physical finding. Nasal irritation is commonly seen in clients who snort cocaine. Muscle wasting and limb paresthesia don’t tend to occur with clients who abuse alcohol. 4. d. Encouraging a client with DID to verbalize his feelings will help him cope with his anxieties. Forcing the client to discuss his feelings can increase his level of anxiety. Avoiding discussion of feelings doesn’t reduce anxiety and avoids the issue. Offering encouragement that the client will be able to cope with the divorce gives false reassurance and can erode the client’s trust in the nurse. 5. d. Sexual dysfunction is uncommon after an ileostomy. Psychological causes of impotence should be explored. An abdominal X-ray isn’t indicated for sexual dysfunction. An ileostomy can change a person’s self-control, making sexual functioning difficult. Source: NCLEX-RN Questions & Answers Made Incredibly Easy!, 4th edition, Lippincott Williams & Wilkins, 2008.