Exam 3 Ch. 32

18問 • 3年前

問題一覧

1. The nurse knows the one theory explaining the variation in response to stress among individuals is identified by which term?

b. Sense of coherence

2. The nurse is caring for a patient with a new diagnosis of diabetes type 2. Which statement indicates a negative coping response?

c. “I will only focus on learning to manage my medication first.”

3. The nurse is caring for a patient who is undergoing a major cardiac procedure. When the patient complains of a racing heart and nausea, the nurse recognizes these complaints as part of what hormone response?

c. Fight or flight

4. When the nurse measures the patient’s blood glucose levels after an acute myocardial infarction (MI), the nurse knows this action is based on which rationale?

b. Corticosteroids increase glucose.

5. The nurse is teaching a patient about the difference between mild anxiety and moderate anxiety. Which statement by the patient indicates a need for further education?

d. “Moderate anxiety will increase my perception.”

6. The nurse is providing discharge instructions for a patient with multiple sclerosis. Which discharge instruction is aimed at preventing a future exacerbation?

b. Avoid highly stressful situations.

7. The nurse is assessing level of stress in a patient from another culture. Which question is the most appropriate in helping the nurse understand the impact of the patient’s belief system?

c. “Do you have certain beliefs that are helpful during times of stress?”

8. The nurse is performing a physical assessment of patient who is undergoing a bone marrow biopsy. What finding by the nurse indicates the patient is experiencing stress?

c. Heart rate of 110 beats/min

9. The nurse is assessing the patient’s use of coping skills in response to stressful situations. The nurse identifies which question to be the most useful?

c. “How have you managed stressful situations in the past?”

10. The nurse is caring for a patient on a medical-surgical inpatient unit when the patient tells the nurse he is very sad and is considering suicide. What is the first thing the nurse should do?

c. Implement one-on-one observations.

11. The nurse identifies which goal to be appropriate for the nursing diagnosis of difficulty coping?

c. The patient will discuss possible coping strategies during weekly counseling sessions.

12. The nurse recognizes which goal to be appropriate for the nursing diagnosis of anxiety?

c. The patient will report increased ability to concentrate on care instructions before discharge.

13. The nurse knows which goal to be appropriate for the nursing diagnosis of caregiver stress?

c. Caregiver will use respite care for the family loved one once a week for the next month.

14. The nurse knows that when coordination between multiple health care disciplines is needed, which role should be utilized?

b. Case manager

15. The nurse is providing education to a patient around anger management strategies. Which statement indicates a need for further education by the patient?

c. “I can punch things.”

16. The nurse is educating the patient about alternative therapies. Which statement by the patient indicates a need for more information?

b. Alternative therapies are used in conjunction with medical therapies.

17. The nurse is educating the patient on the use of relaxation therapy. Which statement by the patient indicates a need for further education?

c. “I should do this three times a week.”

18. The nurse is seeing a patient during a follow-up visit after discharge in which the patient had a nursing diagnosis of difficulty coping. Which statement by the patient would be a cause for concern?

c. “I do not need to do the relaxation exercises anymore.”

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4