NUR 131 Exam 4 questions with answers

NUR 131 Exam 4 questions with |\ |\ |\ |\ |\ |\




answers

The nurses notes on the admission form that the patient has
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indication "no religious preference." What does this indicate to
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the nurse about the patient?
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a) does not follow the tenets of a specific faith
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b) is in denial about his religious beliefs
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c) doesn't believe in God or a "higher power"
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d) will not want to pray or visit with the chaplain - CORRECT
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ANSWERS ✔✔a) does not follow the tenets of a specific faith
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Your pt is a 17 year old who lost her right lef in a MVA. After her
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parents leave, she asks you, "Why did God let this happen to
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me? I have always followed his commandments." Which action
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best depicts the "caring" aspect of SENC?
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a) "Let me call your parents back to support you."
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b) I think the chaplain can provide the support you need."
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c) cry with the pt as you hug her
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d) hold her hand, sit with her, & listen - CORRECT ANSWERS
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✔✔d) hold her hand, sit with her, & listen
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,The student nurse has earned A's in all of her prerequisite
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courses. For the first exam in a nursing course, she earns a D
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and now feels that she may not be smart enough to become a
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nurse. What type of "loss" is the student experiencing?
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a) actual
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b) external
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c) physical
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d) perceived - CORRECT ANSWERS ✔✔d) perceived
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Your 55 year old pt was just informed that she has metastatic
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pancreatic cancer and has 4 months to live. After the provider
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leaves, she says to you, "I don't want my family to know. But
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they have to know. Please don't tell them. Please tell me what to
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do, help me." What is your best response?
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a) "I know this is difficult for you. Take time to thin about it."
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b) "You should get a second opinion before you alarm your
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family."
c) "Let me hold your hand to make you feel better."
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d) "Tell me how you are feeling right now." - CORRECT ANSWERS
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✔✔d) "Tell me how you are feeling right now"
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The pt is dying of cancer and can no longer swallow. the son
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states to the nurse, "You MUST give dad some water, he always
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drank a lot of water." The nurse's best response is
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,a) "You sound very upset. Tell me more about your dad."
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b) "Your father is dying from cancer and water will not stop this
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process."
c) "Research shows that withholding oral fluids decreases
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edema."
d) "I will call the provider & get a prescription to insert a NG tube
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for the water." - CORRECT ANSWERS ✔✔a) "You sound very
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upset. Tell me more about your dad." |\ |\ |\ |\ |\ |\




The hospitalized pt states, "I need to know when I'm going to be
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discharged. I'm so upset & worried that I'm missing work." The |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


nurse knows: |\




a) this is an example of "eustress" & no intervention is necessary
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b) this is an example of psychological stress & the pt should be
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placed on antidepressants |\ |\




c) this is an example of developmental stress & the pt should talk
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to someone his own age
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d) this is an example of distress & could affect the pt's health
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status - CORRECT ANSWERS ✔✔d) this is an example of distress
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& could affect the pt's health status
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A pt who is taking atenolol (Tenormin) may not exhibit a rise in
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blood pressure & pulse during the alarm stage of the general
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adaptation syndrome |\




a) true |\




b) false - CORRECT ANSWERS ✔✔a) true
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, Tenormin is a beta-blocker (or otherwise a anti-hypertensive
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medication)


The nurse should assess every pt to determine if stress reduction
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interventions should be part of the plan of care. The rationale for
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this action is that:
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a) there are more persons experiencing mental illness now than
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in the past
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b) life is so much more stressful than it has ever been
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c) the occurrence of stress in pts is unpredictable
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d) pts often develop maladaptive coping strategies - CORRECT
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ANSWERS ✔✔c) the occurrence of stress in pts is unpredictable
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Mr. Arbor complains to the nurse that he is feeling anxious. He
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states, "I'm just so tired of all these tests they are doing, and it's
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so noisy here at night." Mr. Arbor's pulse is 110 bpm and his
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blood pressure is 140/70 mmHg. Nursing actions should include
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which of the following?|\ |\ |\




a) turn on the TV to provide distraction
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b) ask the pt if he would like to discuss his anxiety further
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c) close the blinds, dim the lights, and ask the pt what other
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measures would help him rest |\ |\ |\ |\




d) call the physician and obtain an order for an anti-anxiety
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medication for PRN use - CORRECT ANSWERS ✔✔c) close the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\