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At the end of a meditation session, which physical assessment finding would suggest that the relaxation
technique was successful?
A) Decreased Blood Pressure
B) Decreased peripheral skin temperature
C) Increased respiratory rate
D) Increased bowel motility - Answer A
An older adult is tearful, shaky, withdrawn, tachycardic, and sleepless. She tells you that she is "worrying
herself to death" about losing her aging husband and being "all alone." Which statement can be made
about this anxiety reaction? Select all that apply.
A)It concerns future or anticipated events.
B) It concerns anticipation of danger rather than a present danger.
C) Her symptoms are emotional and not physical.
D) There is a psychological rather than a physical threat.
E) She lacks adaptive coping mechanisms. - Answer ABDE
A 44-year-old female client who was just admitted states, "I must be under too much stress at work and
home. I just do not feel well." Which physical findings are consistent with the client's statement? Select
all that apply.
A) Blood pressure is 178/96 mm Hg.
B) Palms of her hands are sweaty.
C) Pupils are constricted and reactive to light.
D) Legs are continually moving in the bed.
E) Mucous membranes are dry. - Answer ABDE
, An older client with a history of congestive heart failure was just admitted to the hospital for chest pain.
The patient asks a nurse, "Why did the chest pain begin after I thought someone was trying to break into
my house?" What is the nurse's best response?
A) "Fear causes an increase of the body's heart rate and blood pressure, which can place additional
stress on your damaged heart and cause chest pain."
B) "Fear causes the parasympathetic system to use all available adrenaline, leaving you so tired that you
developed chest pain."
C) "The decrease in the need for oxygen during the fight-or-flight response experienced with fear is most
likely the reason that you developed chest pain."
D) "Fear causes an increase in glucose levels, which limits blood flow and causes chest pain." - Answer A
The nurse is presenting a workshop on stress and adaptation to a group of teenagers. A teenager
approaches the nurse and says, "Sometimes I feel stressed when I have to take a test. I feel my heart is
going faster and I have a hard time focusing. I'm scared I'm going to fail. Do you think that is normal?"
What is the most appropriate response by the nurse?
A) "As long as you are getting through the test, I think you will be just fine."
B) "A little stress is not necessarily a bad thing. It can help you to focus."
C) "You may need to develop some additional stress-reducing activities."
D) "I think you should talk to your teacher about getting accommodations for testing." - Answer C
Which areas are considered common CAM practices? Select all that apply.
A) Alternative medical systems
B) Mind-body medicine
C) Biologically based therapies
D) Manipulative and body-based methods
E) Energy therapies - Answer ABCDE