NR341 Complex Adult Health Exam 1 Textbook Questions
& Answers with Rationales With Complete Solutions
4 processes of nociception: Correct Answers (1) transduction -
noxious stimuli causes cell damage & releases sensitizing
chemicals
(2) transmission - action potential travels up spinal cord from
injury to brain, into the thalamus & cortex for processing
(3) perception - conscious experience of pain
(4) modulation - neurons in brainstem descend to spinal cord &
modify incoming impulses
A 10-year-old girl was playing on a slide at a playground during
a summer camp. She fell and broke her arm. The camp notified
the parents and took the child to the emergency department
according to the camp protocol for injuries. The parents arrive at
the emergency department and are stressed and frantic. The 10-
year-old is happy in the treatment room, eating a Popsicle and
picking out the color of her cast. List in order of priority what
the nurse should say to the parents?
1. "Can I contact someone to help you?"
2. "Your daughter is happy in the treatment room, eating a
Popsicle and picking out the color of her cast."
3. "I'll have the doctor come out and talk to you as soon as
possible."
4. "Let me help you two calm down a bit so I can take you to
your daughter." Correct Answers 2, 4, 3, 1
,(My rationales: 2 directly lets the parents know that their
daughter is fine, which would help to calm them down and leave
them with no wonder of "is my daughter okay?" 4 is second best
because the parents will still get to see their daughter soon and it
addresses that they are freaking out and probably shouldn't be, at
least for the sake of their daughter. 3 would probably make them
even more anxious as it does not tell them anything about the
status of their child, but still would send someone out to them
soon. 1 is just bad because you aren't doing anything to help
them and you aren't even telling them who will help them.)
A 34-year-old single father who is anxious, tearful, and tired
from caring for his three young children tells the nurse that he
feels depressed and doesn't see how he can go on much longer.
Which of the following would be the nurse's best response?
1. "Are you thinking of suicide?"
2. "You've been doing a good job raising your children. You can
do it!"
3. "Is there someone who can help you during the evenings and
weekends?"
4. "What do you mean when you say you can't go on any
longer?" Correct Answers 4
,(Though you should be direct in asking about suicide, the father
did not explicitly give a hint that he was contemplating suicide.
Putting the idea into his head might bring harm to the patient)
A community health nurse is providing teaching to the family of
a client who has primary dementia. Which of the following
manifestations should the nurse tell the family to expect?
A. Decreased auditory and visual acuity.
B. Decreased display of emotion.
C. Personality traits that are opposite of original traits.
D. Forgetfulness gradually progressing to disorientation.
Correct Answers D.
(Dementia usually appears first as forgetfulness. Other
manifestations may be apparent only upon neurologic
examination or cognitive testing. Loss of functioning progresses
slowly from impaired language skills and difficulty with
ordinary daily activities to severe memory loss and complete
disorientation with withdrawal from social interaction.)
A crisis intervention nurse is working with a mother whose
Down syndrome child has been hospitalized with pneumonia
and who has lost her child's disability payment while the child is
hospitalized. The mother worries that her daughter will fall
behind in special-school classes during hospitalization. Which
strategies are effective in helping this mother cope with these
stressors? (Select all that apply.)
1. Referral to social service process reestablishing the child's
disability payment
, 2. Sending the child home in 72 hours and having the child
return to school
3. Coordinating hospital-based and home-based schooling with
the child's teacher
4. Teaching the mother signs and symptoms of a respiratory
tract infection
5. Telling the mother that the stress will decrease in 6 weeks
when everything is back to normal Correct Answers 1, 3, 4
A grandfather living in Japan worries about his two young
grandsons who disappeared after a tsunami. This is an example
of:
1. A situational crisis.
2. A maturational crisis.
3. An adventitious crisis.
4. A developmental crisis. Correct Answers 3.
(The tsunami is a naturally occurring disaster, which is a key
characteristic of an adventitious crisis)
A nurse in a long-term care facility is caring for a client who has
late stage Alzheimer's disease. Which of the following actions
should the nurse include in the plan of care?
& Answers with Rationales With Complete Solutions
4 processes of nociception: Correct Answers (1) transduction -
noxious stimuli causes cell damage & releases sensitizing
chemicals
(2) transmission - action potential travels up spinal cord from
injury to brain, into the thalamus & cortex for processing
(3) perception - conscious experience of pain
(4) modulation - neurons in brainstem descend to spinal cord &
modify incoming impulses
A 10-year-old girl was playing on a slide at a playground during
a summer camp. She fell and broke her arm. The camp notified
the parents and took the child to the emergency department
according to the camp protocol for injuries. The parents arrive at
the emergency department and are stressed and frantic. The 10-
year-old is happy in the treatment room, eating a Popsicle and
picking out the color of her cast. List in order of priority what
the nurse should say to the parents?
1. "Can I contact someone to help you?"
2. "Your daughter is happy in the treatment room, eating a
Popsicle and picking out the color of her cast."
3. "I'll have the doctor come out and talk to you as soon as
possible."
4. "Let me help you two calm down a bit so I can take you to
your daughter." Correct Answers 2, 4, 3, 1
,(My rationales: 2 directly lets the parents know that their
daughter is fine, which would help to calm them down and leave
them with no wonder of "is my daughter okay?" 4 is second best
because the parents will still get to see their daughter soon and it
addresses that they are freaking out and probably shouldn't be, at
least for the sake of their daughter. 3 would probably make them
even more anxious as it does not tell them anything about the
status of their child, but still would send someone out to them
soon. 1 is just bad because you aren't doing anything to help
them and you aren't even telling them who will help them.)
A 34-year-old single father who is anxious, tearful, and tired
from caring for his three young children tells the nurse that he
feels depressed and doesn't see how he can go on much longer.
Which of the following would be the nurse's best response?
1. "Are you thinking of suicide?"
2. "You've been doing a good job raising your children. You can
do it!"
3. "Is there someone who can help you during the evenings and
weekends?"
4. "What do you mean when you say you can't go on any
longer?" Correct Answers 4
,(Though you should be direct in asking about suicide, the father
did not explicitly give a hint that he was contemplating suicide.
Putting the idea into his head might bring harm to the patient)
A community health nurse is providing teaching to the family of
a client who has primary dementia. Which of the following
manifestations should the nurse tell the family to expect?
A. Decreased auditory and visual acuity.
B. Decreased display of emotion.
C. Personality traits that are opposite of original traits.
D. Forgetfulness gradually progressing to disorientation.
Correct Answers D.
(Dementia usually appears first as forgetfulness. Other
manifestations may be apparent only upon neurologic
examination or cognitive testing. Loss of functioning progresses
slowly from impaired language skills and difficulty with
ordinary daily activities to severe memory loss and complete
disorientation with withdrawal from social interaction.)
A crisis intervention nurse is working with a mother whose
Down syndrome child has been hospitalized with pneumonia
and who has lost her child's disability payment while the child is
hospitalized. The mother worries that her daughter will fall
behind in special-school classes during hospitalization. Which
strategies are effective in helping this mother cope with these
stressors? (Select all that apply.)
1. Referral to social service process reestablishing the child's
disability payment
, 2. Sending the child home in 72 hours and having the child
return to school
3. Coordinating hospital-based and home-based schooling with
the child's teacher
4. Teaching the mother signs and symptoms of a respiratory
tract infection
5. Telling the mother that the stress will decrease in 6 weeks
when everything is back to normal Correct Answers 1, 3, 4
A grandfather living in Japan worries about his two young
grandsons who disappeared after a tsunami. This is an example
of:
1. A situational crisis.
2. A maturational crisis.
3. An adventitious crisis.
4. A developmental crisis. Correct Answers 3.
(The tsunami is a naturally occurring disaster, which is a key
characteristic of an adventitious crisis)
A nurse in a long-term care facility is caring for a client who has
late stage Alzheimer's disease. Which of the following actions
should the nurse include in the plan of care?
