Jasmine Lyn Renee Castro Jovero

BS – Nursing – 4th Year (Block 1)

COMPETENCY APPRAISAL

CA Exam No. 9 (Psychiatric Nursing)

Question No. 17: A nurse and family members are discussing the treatment goals of a client
with a history of drug abuse who is admitted to an acute behavioural medicine unit. The client
is experiencing psychiatric crisis. Which goals should a nurse identify as a priority?
Answer: C) Providing the client with effective coping resources
Rationale: The basic goal for a client in any substance abuse treatment setting is to reduce the
risk of harm from continued use of substances. Identification of future goals for health,
activities, hobbies, relationships, and financial stability Customized feedback on screening
questions relating to substance abuse patterns and other health habits (also may include
smoking, nutrition, etc.)
Source: Chapter 2—Brief Interventions in Substance Abuse Treatment
(https://www.ncbi.nlm.nih.gov/books/NBK64942/)

Question No. 41: The client says “I go out just about every weekend and drink pretty
heavily with my friends. Does that mean I’m dependent on alcohol?” Which is the best
response by the nurse?
Answer: A) “Not necessarily. With dependence, you have ha strong need to drink and
feel uncomfortable if you don’t.”
Rationale: One, worrying about where your next drink is coming from and planning social,
family and work events around alcohol. Two, finding you have a compulsive need to drink and
finding it hard to stop once you start. Three, waking up and drinking – or feeling the need to
have a drink in the morning. Four, suffering from withdrawal symptoms, such as sweating,
shaking and nausea, which stop once you drink alcohol.
Source (Book, Author and Page): https://www.drinkaware.co.uk/alcohol-facts/health-
effects-of-alcohol/mental-health/alcohol-dependence/

CA Exam No. 4 (Pharmacoogy)

Question No. 15: A client who is 8 weeks pregnant, tells a nurse that she is experiencing
nausea. The client also states that she does not like to take medication and asks if there are any
herbal/natural remedies that she might try. Which herb should be safe for the nurse to suggest?
Answer: A) Ginger
Rationale: It is safer and more applicable for the patient’s condition than the rest of the herbs
mentioned in the choices. Ginger helps in curing nausea and vomiting while Echinacea
reduces the duration and recurrence of colds and URI.
Source: http://americanpregnancy.org/pregnancy-health/herbs-and-pregnancy/
https://avivaromm.com/herbal-medicines-in-pregnancy-safety/

Question No. 39: You have a 500 mL infusion containing 50 mg nitroglycerin. A dose of
10 mcg/min is required. What is the rate in mL/hr?
Answer: