Fundamental Concepts & Skills for Nursing
Practice II 100% Correct Questions &
Answers - Galen
During discharge planning, the nurse is teaching the client common characteristics of
crises. Which of the following statements is NOT correct?
1. The person is not aware of a warning signal and does not "see it coming."
2. The crisis is often experienced as ultimately life threatening, whether this perception
is realistic or not.
3. Communication with significant others is often increased.
4. There may be a perceived or real displacement from familiar surroundings or loved
ones. - correct answer 3. Communication with significant others is often increased.
Rationale: Common characteristics of crises include:
All crises are experienced as sudden. The person is usually not aware of a warning
signal, even if others could "see it coming." The individual or family may feel that they
had little or no preparation for the event or trauma.
,The crisis is often experienced as ultimately life threatening, whether this perception
is realistic or not.
Communication with significant others is often decreased or cut off.
There may be perceived or real displacement from familiar surroundings or loved
ones.
All crises have an aspect of loss, whether actual or perceived. The losses can include
an object, a person, a hope, a dream, or any significant factor for that individual.
A nurse is evaluating a nursing student's understanding of the clinical manifestations
of stress. Which of the following statements by the nursing student demonstrates a
need for further teaching?
1. "Pupils constrict to decrease visual perception when serious threats to the body
arise."
2. "Sweat production (diaphoresis) increases to control elevated body heat due to
increased metabolism."
3. "Heart rate and cardiac output increase to transport nutrients and by-products of
metabolism more efficiently "
,4. "Skin is pallid because of constriction of peripheral blood vessels, an effect of
norepinephrine." - correct answer 1. "Pupils constrict to decrease visual perception
when serious threats to the body arise."
Rationale: The clinical manifestations of stress include:
Pupils dilate to increase visual perception when serious threats to the body arise.
Sweat production (diaphoresis) increases to control body heat due to increased
metabolism.
Heart rate and cardiac output increase to transport nutrients and by-products of
metabolism more efficiently.
Skin is pallid because of constriction of peripheral blood vessels, an effect of
norepinephrine.
Bereavement is:
a. The total response to the emotional experience relate to loss.
b. The subjective response experienced by the surviving loved ones after the death of a
person with whom they have shared a significant relationship.
, c. The behavioral process through which grief is eventually resolved or altered; it is
often influenced by culture, spiritual beliefs, and custom.
d. An actual or potential situation in which something that is valued is changed or no
longer available. - correct answer b. The subjective response experienced by the
surviving loved ones after the death of a person with whom they have shared a
significant relationship.
Rationale: Bereavement is the subjective response experienced by the surviving loved
ones after the death of a person with whom they have shared a significant relationship.
Grief is the total response to the emotional experience related to loss. Grief
manifested in thoughts, feelings, and behaviors associated with overwhelming distress
or sorrow. Mourning is the behavioral process through which grief is eventually
resolved or altered; it is often influenced by culture, spiritual beliefs, and custom. Loss
is an actual or potential situation in which something that is valued is changed or no
longer available.
A nurse's client just passed away. The nurse understands that rigor mortis is the
stiffening of the body that occurs about ______ hours after death.