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RPN Integrated Practice Test I: Case Study Ms. Patricia Hines, 23 year old, has been admitted with a diagnosis of anoreia ner!osa. "he has #artici#ated in t he de!elo#ment of her care #lans. $%estions & to ' refer to this case &. Ms. Hines states, ()!eryone is o!er reacting to my condition and I wo%ld do m%ch better with treatment at home*. This statement by Ms. Hines reflects which one of following+ a. cce#tance of her condition b. Fear of her condition c. -enial of her condition d. nderstanding of her condition nswer: / 0 the #atient is aware that there1s somet hing wrong, howe!er , has shown aniety abo%t her consideration. 2. hich one of the following eam#les from Ms. Hine1 s chart %ses a##ro#riate abbre!iations+ a. ("ymt. of anoreia #resented* b. ()nc. client to disc%ss feelings* c. “Stated goal is wt. gain of 4 kg” d. (-isc%ssed wt loss* nswer: 4 weight is acce#table a bbre!iation for weigh t. 3. hat as#ect of Ms. Hine1s care sho%ld ta5e #riority for the #ractical n%rse+ a. Building a trusting relationship with her. b. Re!iewing the care #lan with her c. -isc%ssing her n%trition with the dietitian. d. ssisting her to identify co#ing s5ills. nswer: 0 tr%sting relationshi# is essential at the beginning of the #atient4n%rse relationshi#. Tr%st hel#s the n%rse to #ro!ide a meaningf%l and effecti!e n%rsing care for the #atient. 6. Ms. Hines has lost & 5g in the #ast wee5. hich one of the following res#onses by the #ractical n%rse wo%ld best hel# Ms. Hines meet her n%tritiona l needs+ a. ()ating may s#eed %# yo%r discharge* b. “Let’s review your goals fro your care plan” c. (o%ld yo% li5e to see the dietitian+* d. ("hall we ta5e it one day at a time* nswer: / 4 Re!iewing goals ref oc%ses the #atient. 7. The #ractical n%rse notices Ms. Hines hiding food %nder her dinner tray and comments on it. Ms. Hines says, ($%it telling me to eat8* hich one of the following res#onses sho%ld the #ractical n%rse ma5e+ a. (Ms. "a%nders, yo% need to re!iew yo%r n%tritional goals* b. (9o% sho%ld try to eat all the food on yo%r tray* c. “! ou have an eating disorder and we want to help you wi th it” d. (I want yo% to tell me why yo% are here* nswer: 0 This is the tr%th and it will bring awareness to the #atient the n%rse also offer hel# to the #atient.
