Question 1

The nurse is reviewing the serum laboratory values of a patient just admitted with traumatic injuries. Which laboratory value might be abnormally elevated because of the trauma?&#10;A) Potassium&#10;B) Hemoglobin&#10;C) Glucose&#10;D) Sodium&#10;

Accepted Answer

Glucose

Question 2

The nurse has determined that a patient hospitalized with severe anxiety is now in the panic stage. Which nursing assessments support this determination? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) The patient's heart rate is 115 bpm sustained.
B) The patient cannot communicate needs in a clear manner.
C) The patient does not respond to events in the surroundings.
D) The patient is beginning to be restless.
E) The patient's hands begin to show tremors.

The patient's heart rate is 115 bpm sustained.
The patient cannot communicate needs in a clear manner.
The patient does not respond to events in the surroundings.

Accepted Answer

The patient's heart rate is 115 bpm sustained.&#10;The patient cannot communicate needs in a clear manner.&#10;The patient does not respond to events in the surroundings.

Question 3

The nurse is developing a care plan to help a patient deal with the stress associated with a chronic illness. Which interventions should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Remind the patient daily how lucky he is to have help available for dealing with his stressors.
B) Allow the patient to make as many personal care decisions as possible.
C) Assist the patient with gathering education about the disease process.
D) Assist the patient in developing positive coping mechanisms.
E) Avoid discussing the disease with the patient.

Allow the patient to make as many personal care decisions as possible.
Assist the patient with gathering education about the disease process.
Assist the patient in developing positive coping mechanisms.

Accepted Answer

The nurse should allow the patient to make as many personal care decisions as possible to promote a sense of control and autonomy. Assisting the patient with gathering education about the disease process will help to reduce anxiety and promote understanding. Finally, assisting the patient in developing positive coping mechanisms can help the patient manage the stressors associated with the chronic illness. Reminding the patient daily how lucky he is to have help available for dealing with his stressors may come across as insincere or dismissive, and avoiding discussing the disease with the patient may hinder their ability to manage the illness effectively. Therefore, options A and E are incorrect.

Question 4

A patient tells the nurse that she never had &#34;bowel problems&#34; until she started a new job that is highly demanding. What is the nurse's best response to this patient?&#10;A) &#34;You might have had the bowel problems all along but didn't realize it until recently.&#34;&#10;B) &#34;There is no connection between the new bowel problems and your new job.&#34;&#10;C) &#34;The new job might be a trigger for a stress reaction in your body, causing the new bowel problems.&#34;&#10;D) &#34;Because of your new job you may be eating in different places. That can upset your stomach.&#34;&#10;

Accepted Answer

The nurse should consider the possibility that the patient's new job may be causing stress, which can trigger physiological reactions such as bowel problems. Option A is dismissive of the patient's concerns and does not address the possible connection with stress. Option B is incorrect because there may be a connection between the new job and the bowel problems. Option D addresses a different issue of eating habits and is not necessarily the best response to the patient's statement about bowel problems.

Question 5

A patient is admitted after being bitten by a dog and tells the nurse he feels fine except for the bite. The nurse assesses that this patient is functioning within which phase of the general adaptation syndrome?

A) Transaction
B) Resistance
C) Alarm
D) Exhaustion

Accepted Answer

The resistance phase of the general adaptation syndrome is when the body adapts to the stressor and the patient experiences a sense of normalcy despite the stress. The fact that the patient feels fine except for the bite suggests that he is in the resistance phase. The alarm phase is characterized by the initial reaction to a stressor, while the exhaustion phase occurs when the body is no longer able to cope with the stressor. The transaction phase is not a recognized phase of the general adaptation syndrome.

Question 6

A patient refuses to learn how to give himself insulin injections because he gave his father insulin injections and &#34;he died anyway.&#34; How can the nurse best facilitate this patient's learning?&#10;A) Provide a diagram of body areas where insulin injections should be given.&#10;B) Talk with the patient about his father's illness and how the insulin injections will help him control his own illness.&#10;C) Ask the patient if he prefers to read about how to administer the injections.&#10;D) Leave a needleless syringe at the patient's bedside for him to practice with.&#10;

Accepted Answer

The patient's fear and hesitation may stem from unresolved emotions and guilt related to his father's death. By talking with the patient about his father's illness, the nurse can help him process his feelings and address any misconceptions he may have about insulin injections. This may help the patient feel more comfortable with the idea of learning how to administer his own insulin injections. Providing education and resources, such as a diagram or a needleless syringe, can be helpful, but addressing the patient's emotional barriers should be the priority.

Question 7

The nurse is attempting to use the therapeutic communication technique of acceptance while interviewing a patient. Which nursing actions support this attempt? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Asking, "What would you like to talk about today?"
B) Making eye contact as appropriate
C) Nodding when the patient describes a symptom
D) Saying, "Go on."
E) Saying, "Let me see if I understand what you said."

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Accepted Answer

The answer of The nurse is attempting to use the...

Question 8

After assessing a patient's response to stress, the nurse has determined the patient is an individualist. Which statements by the patient support this determination? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) "I prefer not to join a support group."
B) "I can handle this situation if I just have enough time."
C) "I can't change this situation, so I am going to have to adapt to it."
D) "I wonder who can best help me with this problem."
E) "I got myself into this situation, so I am going to have to get myself out of it."

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Accepted Answer

Individualists are independent and self-reliant individuals who like to solve problems on their own. Their stress response is to focus on themselves and their abilities to handle the situation rather than seeking support from others or trying to change the situation. Statements A, B, and E all reflect this type of response. Statement C suggests a more adaptability-focused response, which is not characteristic of an individualist.

Question 9

The nurse is preparing a teaching session for a group of adult patients. Which characteristics of adult learning should this nurse consider? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Adults like to be able to use newly learned material immediately.
B) The adult learner has many experiences that influence the teaching session.
C) Adults cannot learn new affective skills.
D) Adult readiness to learn is influenced by social role.
E) The adult learner's cognitive learning skills are limited by age.

Accepted Answer

A) Adults prefer to apply newly learned material immediately because they want to see a practical relevance to their lives.
B) The adult learner has a vast array of life experiences that influence how they learn, therefore, it is essential to identify and incorporate their experiences to benefit them.
C) Adults are capable of learning new affective skills (e.g., attitudes, values, and beliefs), but the process may require more time and reflection than learning cognitive skills.
D) Adults' social roles, such as parent, caregiver, and employee have an impact on their readiness to learn. Understanding how these roles influence their learning process is vital to the educator. E) The cognitive learning skills of adults are not limited by age, but their previous experiences and education can affect their ability to learn new information.

Question 10

At the completion of a patient assessment, the nurse reviews a list of the patient's stated and observed behaviors. Which behaviors would indicate to the nurse that the patient is experiencing stress? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) The patient stated an inability to sleep more than 2 hours per night.
B) The patient asked for water for a dry throat.
C) The patient commented on recent pleasant weather.
D) The patient sat quietly in the chair, hands resting in the lap.
E) The patient's rate and depth of respirations are increased.

Accepted Answer

The answer of At the completion of a patient assessment,...

Question 11

A patient newly diagnosed with prostate cancer tells the nurse that his wife died a few weeks ago and he does not know how he is going to deal with this new health problem. What can the nurse do to help this patient?

A) Tell the patient that it seems overwhelming now, but everything is going to work out all right.
B) Suggest that the patient talk with a spiritual counselor.
C) Listen quietly while the patient talks.
D) Talk with the patient about his support systems and what he can do to maintain stability.

Accepted Answer

The answer of A patient newly diagnosed with prostate cancer...

Question 12

A patient is brought to the emergency department after being involved in a drive-by shooting. Which physiological changes associated with the alarm stage would make it difficult to assess this patient for injury? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) The patient's heart rate will be elevated.
B) The patient's blood glucose will be elevated.
C) The patient's urine output will be decreased.
D) The patient's bowel sounds will be hyperactive.
E) The patient's systolic blood pressure will be low.

Accepted Answer

The answer of A patient is brought to the emergency...

Question 13

A student nurse is having difficulty establishing relationships with patients. What should this student be counseled to do?&#10;A) Focus on the purpose of a therapeutic alliance.&#10;B) Study cognitive theory.&#10;C) Review the concepts of caring.&#10;D) Develop self-awareness to focus on being helpful to patients.&#10;

Accepted Answer

The answer of A student nurse is having difficulty establishing...

Question 14

While being assessed, a patient tells the nurse that she has many stresses in her life. Which statement would the nurse evaluate as indicating external stress?&#10;A) &#34;I am a workaholic.&#34;&#10;B) &#34;My job has many rigid rules.&#34;&#10;C) &#34;I feel like I have to please everyone.&#34;&#10;D) &#34;I drink several cups of coffee in the morning and then switch to cola drinks in the afternoon.&#34;&#10;

Accepted Answer

The answer of While being assessed, a patient tells the...

Question 15

The nurse is caring for a burn patient. Because of the amount of stress the patient is experiencing, the nurse realizes that the patient would benefit from which intervention?&#10;A) An increase in activity&#10;B) An increased supply of protein&#10;C) Fluid restriction&#10;D) Antinausea medication&#10;

Accepted Answer

The answer of The nurse is caring for a burn...

Question 16

A patient tells the nurse that he thinks he has cancer because every other male family member was diagnosed with cancer at the same age. The nurse responds, "Everything will be all right." Which nontherapeutic communication technique has the nurse used?

A) Rejecting
B) Giving advice
C) Giving disapproval
D) Giving reassurance

Accepted Answer

The answer of A patient tells the nurse that he...

Question 17

While conducting an assessment, the nurse asks the patient to rate her pain, with 1 being no pain and 10 being the worst pain she ever experienced. The nurse is utilizing which therapeutic communication technique?

A) Focusing
B) Encouraging comparison
C) Offering self
D) Accepting

Accepted Answer

The answer of While conducting an assessment, the nurse asks...

Question 18

While changing a patient's abdominal dressing, the nurse talks about aspects of wound care such as the need to check the skin and protect the wound from infection or injury. The nurse and patient are in which phase of the nurse-patient relationship?

A) Orientation
B) Working
C) Caring
D) Termination

Accepted Answer

The answer of While changing a patient's abdominal dressing, the...

Question 19

A patient tells the nurse that he is sick and will do whatever he is told to do. How should the nurse evaluate this statement?&#10;A) The patient is exhibiting an internal locus of control.&#10;B) The patient is responding to a perceived crisis.&#10;C) The patient is demonstrating sick role behavior.&#10;D) The patient is using denial as a coping mechanism.&#10;

Accepted Answer

The answer of A patient tells the nurse that he...

Question 20

A patient asks the nurse about free radicals and how they contribute to illness. How should the nurse respond?&#10;A) &#34;Free radicals are cells also known as natural killer cells.&#34;&#10;B) &#34;Free radicals are bad substances that clog the liver so it cannot get rid of body toxins.&#34;&#10;C) &#34;Free radicals are substances that develop when we don't breathe deeply enough.&#34;&#10;D) &#34;Free radicals are produced naturally in cells but can be harmful if their balance in the body is not maintained.&#34;&#10;

Accepted Answer

The answer of A patient asks the nurse about free...

Deck 9: The Biophysical and Psychosocial Aspects of Nursing