美國護士資格認證-18

1、美國護士資格認證 (CGFNS)-18（ 總分： 38.00 ，做題時間： 90 分鐘 ）一、 Part One （ 總題數(shù)： 38，分數(shù)： 38.00）1. To assess orientation to place in a client suspected of having Alzheimer's the nurse should askA "Where are you?" B "Who brought you here?"C"Do you know where you are?" D"Do you kno

2、w the day you arrived?/A.B.C. D.解析：2. An elderly nursing home resident with the diagnosis of Alzheimer's likes to talk about older days and at times has a tendency to confabulate. The nurse should recognize that this behavior serves to A Prevent regression B Increase self-esteemC Attract the att

3、ention of others DReminisce about achievementsA.B.C.D. 解析：3. When planning care for a 72-year-old client who has been admitted to the hospital because of bizarre behavior, forgetfulness, and confusion, the nurse should give priority to A Preserving the dignity of the client B Promoting a structured

4、environment C Limiting the acceleration of symptomatology D Determining or ruling out an organic etiologyA.B. C.D.解析：4. An elderly nursing home resident with the diagnosis of dementia of the Alzheimer's type hoards lefto ver food from the meal tray and other seemingly valueless articles and stuf

5、fs them into pockets "so the others won't steal them. " The nurse should plan toA Remove unsafe and soiled articles from the resident's belongings during the night B Give the resident a small bag in which to place selected personal articles and food CExplain to the resident why the

6、 nursing home's policy for cleanliness and safety must be followed D Tell the resident that the staff is required to keep harmful objects out of reach in the resident's closetA.B.C.D. 解析：5. A 54-year-old client has demonstrated increasing forgetfulness, irritability, and antisocial behavior.

7、 After being found disoriented and seminaked walking down a street, the client is admitted to the hospital, and a diagnosis of Alzheimer's disease is made. The client expresses fear and anxiety. Considering the client's diagnosis, the best approach would be for the nurse toA Initiate a progr

8、am of planned interaction and activityB Reassure the client by the frequent presence of staff C Explore in depth the reasons for the client's concernsD Explain the purpose of the unit and why admission was necessaryA.B.C.D. 解析：6. Nursing management of a forgetful, disoriented client with the dia

9、gnosis of Alzheimer's disease should be directed towardA Rechanneling the client's excessive energiesB Managing the client's somewhat bizarre behaviorsC Restricting all gross motor activity to prevent injuryD Preventing further deterioration in the client's conditionA.B.C.D. 解析：7. An

10、 elderly resident with the diagnosis of dementia of the Alzheimer's type frequently talk about the good old days at the ranch as a child. On the basis of an understanding of the resident's diagnosis, the nurse's most appropriate action at this time would be to A Involve the resident in i

11、nteresting diversional activities in a small groupB Allow the resident to reminisce about the past and listen with interest to the storiesC Gently remind the resident that those "good old days" are past and thinking should focus on the presentD Introduce the resident to other residents of

12、the same age so that they can mutually share their past experiencesA.B.C. D.解析：8. An elderly female client is admitted to a nursing home from the general hospital with a diagnosis of dementia of the Alzheimer's type. One morning, after being in the nursing home for several days, the client is go

13、ing to join a group of residents in recreational therapy. The nurse notes that the client has laid out several dresses on her bed but has not changed from her nightclothes. It would be most helpful for the nurse toA Remind the client to dress more quickly to avoid delaying the other residentsB Help

14、the client select appropriate attire and offer her assistance in getting dressed C Help the client dress and tell her what time the residents are expected at the activity D Allow the client as much time as she needs but explain that she is too late to attend this activityA.B. C.D.解析：9.In the managem

15、ent planning of a patient with a delusional disorder, the nursing goals would include that the patient willA Develop a trusting relationship with the nurseB Decrease the frequency of delusional content in his speechC Ingest medications and nutrition and socialize with the nurse and others DAll of th

16、e aboveA. B.C.D.解析：10. Which of the following is a actor indicating high risk or vulnerability to schizophrenia?A Hyperactivity in the preschool ageB Presence of intimate peer relationships during early adolescenceC Loss of a loving oneD Disorganized, disruptive familiesA.B.C.D. 解析：11. What is the m

17、ain symptom of hebephrenic schizophrenia?AThe inappropriate affect of the person B Abnormal and postural movementsC Delusions and extreme suspiciousness DUndifferentiated symptomsA. B.C.D.解析：her that peoplein a different12. How should a psychiatric nurse respond when a delusional patient fearfully t

18、ells are waiting outside the hospital to kill him?A "You don't have to worry because you are safe here. "B "You know as well as I do that no one is trying to kill you. "C "You should rest now and, when you wake up, I'm certain you'll feel less afraid. "D &qu

19、ot;I understand how frightened you feel but when you are better you will see things way. /A.B.C.D. 解析：13. Which of the followings distinguish the schizophrenic from the non-schizophrenic?AA heightened capacity for pleasure BA strong tendency to be dependent on othersCA disturbance in mental function

20、ing DAn impairment in social competenceA.B. C.D.解析：14. The group of medications most often used in the treatment of schizophrenia isA Antichoinergics B Phenothiazines C Thioxanthenes D AntidepressantsA.B. C.D.解析：15. Which of the following ego defense mechanisms is most pronounced in paranoid conditi

21、ons in which there is an actual break with reality?A Displacement B Isolation C Regression D ProjectionA.B.C.D. 解析：16. When working in a psychiatric setting, it is imperative that the nurse prevent clients fromA Breaking contracts B Using delusional thinkingC Harming themselves or others DIncreasing

22、 hallucinatory behaviorsA.B.C. D.解析：17. To deal with a client's hallucinations therapeutically, the nurse plans toA Reinforce the perceptual distortions until the client develops new defensesB Provide an unstructured environment and assign the client to a private roomC Avoid helping the client m

23、ake connections between anxiety-producing situations and hallucinationsD Distract the client's attention by providing a competing stimulus that is stronger than the hallucinationsA.B.C.D. 解析：The nurse18. A disturbed client is scheduled to begin group therapy. The client refuses to attend. should

24、A Accept the client's decision without discussionB Have another client ask the client to reconsiderC Tell the client that attendance at the meeting is requiredD Insist that the client join the group to help the socialization processA. B.C.D.解析：19.One morning a client tells the nurse, "my le

25、gs are turning to rubber because I have an incurable disease called schizophrenia. " The nurse recognizes that this is an example ofAA hallucination BParanoid thinkingC Depersonalization D Autistic verbalizationA.B.C. D.解析：20. A male client'sstatement about a microcomputer implanted in his

26、earby a foreign agent wouldhelp the nurse recognize that the client is experiencingA Illusions B HallucinationsC Neologistic thinking DDelusional thoughtsA.B.C.D. 解析：21. To increase the self-esteem of a client with schizophrenia, the nurse should plan toA Reward healthy behaviors BIdentify various m

27、eans of copingC Encourage good hygiene and grooming DExplain the diagnosis and treatment planA. B.C.D.解析：22. The nurse is aware that a common nursing diagnosis for clients with a schizophrenic disorderisA Social isolation related to impaired ability to trustB Sleep pattern disturbances related to im

28、paired thinking abilityC Risk for violence directed at others related to hallucinationsD Impaired mobility related to fear of loss of control of hostile impulsesA. B.C.D.解析：23. When planning activities for a withdrawn, hallucinatory client, the nurse should recognizethat it would be most therapeutic

29、 for the client toAGo for a walk with the nurse BWatch a movie with other clientsC Play cards with a group of clients DPlay solitaire alone in the dayroomA. B.C.D.解析：24. Which of the following techniques should the nurse use in working with individual depressed patients? She shouldABe aggressively c

30、heerful BIndicate the patient's good prognosisC Push the patient toward making decisions DAlways give elaborate encouragementA.B. C.D.解析：25. Which of the following is used to treat serious depression when drug therapy has failed?A Electroconvulsive therapy B Insulin treatmentC Psychosurgery D Hy

31、drotherapyA. B.C.D.解析：26. Which of the following is least likely to make a suicide attempt?AThe patient with a history of suicide attemptsB Members of the patient's family having a history of suicide attemptsC Patients who obsessively fear that they will commit suicideD Patients who write suicid

32、e notesA.B.C. D.解析：27. Which is the BEST way to treat depression?AThe nurse helps the patient to bear the feelings he doesn't want to bear aloneBThe nurse helps the patient resolve the feelings that brought on the depressionCThe nurse encourages the patient to express negative feelingsD There is

33、 no single way to treat depressionA.B.C.D. 解析：28. Which of the following is the most effective antidepressant medication?A Reserpine B Tricyclics C Thioxanthenes D MiltownA.B. C.D.解析：and sleeping,29. The nurse is aware that aside from feeling sad and having difficulty concentrating other common sign

34、s of depression include:A Rigid and narrowing of perceptionB Alternating episodes of fatigue and high energy levelsC Diminished pleasure in activities and alteration in appetiteD Fleeting participation and interest in activities of daily livingA.B.C. D. 解析：30. Extremely depressed clients seem to do

35、best in settings where they have: A Many varied activities BA great deal of stimuliCA simple daily schedule DTo make only simple decisionsA.B.C. D. 解析：31. When caring for a client with a major depression, the nurse usually has the most difficulty, dealing with the:A Client's lack of energy BNega

36、tive nonverbal responsesC Client's psychomotor retardation DPervasive quality of the depressionA.B.C.D. 解析：32. When working with a client who is depressed, the nurse should initially: A Accept what the client says BAttempt to keep the client occupiedgayCTry to keep the client from talking too mu

37、ch D Keep the client'ssurroundings bright andA. B.C.B. 解析：33. When planning continuing care for the depressed client, the nurse should include: A Offering the client an opportunity to make some decisions B Encouraging the client to decide how to spend leisure time C Making all decisions to relie

38、ve the client of this responsibility D Allowing the client time to be alone to decide in which activities to engageA. B.C.B. 解析： 34.One day, the nurse sits by a depressed client's bed and states, "I will be spending some time with you today. " The client responds angrily, "Go talk

39、 to someone else. They need you more. " The most therapeutic response by the nurse would he:A "Why are you angry with me?"B "I'll go, but I will be back tomorrow. " C "Don't say that. You are important, too. " D"I will be spending the next 15 minutes with you. /A.B.C.D. 解析：35. As a client's depression begins t