RNSG 1413 Remediation Exam #2, Complete Questions and Answers with Rationales|Update 100% 2025.

Remediation Exam #2 Chapter 6: Caring Throughout the Life Span 1. A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level of prevention is the patient participating? 1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. Transtheoretical prevention 2. Based on the Transtheoretical Model of Change, what is the most appropriate response to a patient who states: “Me, stop smoking? I’ve been smoking since I was 16!” 1. “That’s fine. Some people who smoke live a long life.” 2. “OK. I want you to decrease the number of cigarettes you smoke by one each day, and I’ll see you in 1 month.” 3. “What do you think is the greatest reason why stopping smoking would be challenging for you?” 4. “I’d like you to attend a smoking-cessation class this week and use nicotine replacement patches as directed.” 3. A nurse working on a medical patient care unit states, “I am having trouble sleeping, and I eat nonstop when I get home. All I can of when I get to work is how I can’t wait for my shift to be over. I wish I felt happy again.” What are the best responses from the nurse manager? (Select all that apply.) 1. “I’m sure this is just a phase you are going through. Hang in there. You’ll feel better soon.” 2. “I know several nurses who feel this way every now and then. Tell me about the patients you have cared for recently. Did you find it difficult to care for them?” 3. “You can take diphenhydramine over the counter to help you sleep at night.” 4. “Describe for me what you do with your time when you are not working.” 5. “The hospital just started a group where nurses get together to talk about their feelings. Would you like for me to e-mail the schedule to you?” 4. A patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce from his marriage of 15 years and has been praying daily to help him through this difficult time. He does not have a primary health care provider because he has never really been sick, and his parents never took him to a physician when he was a child. Which external variables influence the patient’s health practices? (Select all that apply.) 1. Difficulty paying his bills 2. Praying daily 3. Age of patient (46 years) 4. Stress from the divorce and the loss of a job 5. Family practice of not routinely seeing a health care provider 5. A nurse is conducting a home visit with a new mom and her three children. While in the home the nurse weighs each family member and reviews their 3-day food diary. She checks the mom’s blood pressure and encourages the mom to take the children for a 30-minute walk every day. The nurse is addressing which level of need, according to Maslow’s Hierarchy of Needs? 1. Physiological 2. Safety and security 3. Love and belonging 4. Self-actualization 6. When taking care of patients, a nurse routinely asks whether they take any vitamins or herbal medications, encourages family members to bring in music that the patients like to help the patients relax, and frequently prays with her patients if that is important to them. The nurse is practicing which model? 1. Holistic 2. Health belief 3. Transtheoretical 4. Health promotion 7. Using the Transtheoretical Model of Change, order the steps that a patient goes through to make a lifestyle change related to physical activity. 1. The individual recognizes that he is out of shape when his daughter asks him to walk with her after school. 2. Eight months after beginning walking, the individual participates with his wife in a local 5K race. 3. The individual becomes angry when the physician tells him that he needs to increase his activity to lose 30 pounds. 4. The individual walks 2 to 3 miles, 5 nights a week, with his wife. 5. The individual visits the local running store to purchase walking shoes and obtain advice on a walking plan. 8. Which of the following are symptoms of secondary traumatic stress and burnout that commonly affect nurses? (Select all that apply.) 1. Regular participation in a book club 2. Lack of interest in exercise 3. Difficulty falling asleep 4. Lack of desire to go to work 5. Anxiety while working 9. As part of a faith community nursing program in her church, a nurse is developing a health promotion program on breast self examination for the women’s group. Which statement made by one of the participants is related to the individual’s accurate perception of susceptibility to an illness? 1. “I have a hanging tag on my bathroom door to remind me to do my breast self-examination monthly.” 2. “Since my mother had breast cancer, I know that I am at increased risk for developing breast cancer.” 3. “Since I am only 25 years of age, the risk of breast cancer for me is very low.” 4. “I participate every year in our local walk/run to raise money for breast cancer research. 10. A nurse is assessing the risk factors for coronary artery disease (CAD) in a female patient. For each assessment finding (see below), indicate with an X whether the finding is modifiable, nonmodifiable, or unrelated to the risk for CAD. Patient is 67 years old- Nonmodifiable B/P 146/88 mm Hg- Modifiable Father had type 2 diabetes mellitus- Unrelated Eats at fast food restaurants every day for lunch- Modifiable Patient treated with radiation to the chest 30 years ago to treat Hodgkin’s disease- Unrelated Does not participate in regular activity- Modifiable Chapter 9: Cultural Competence 1. A nurse is seeing all of these patients in the community health clinic. The nurse identifies which patient(s) as having a health disparity? (Select all that apply.) 1. A patient who has a homosexual sexual preference 2. A patient unable to access primary care services 3. A patient living with chronic schizophrenia 4. A family who relies on public transportation 5. A patient who has a history of hypertension 2. A 35-year-old woman has Medicaid coverage for herself and two young children. She missed an appointment at the local health clinic to get an annual mammogram because she has no transportation. She gets the annual screening because her mother had breast cancer. Which of the following are social determinants of this woman’s health? (Select all that apply.) 1. Medicaid insurance 2. Annual screening 3. Mother’s history of breast cancer 4. Lack of transportation 5. Woman’s age 3. During a nursing assessment a patient displayed several behaviors. Which behavior suggests the patient may have a health literacy problem? 1. Patient has difficulty completing a registration form at a medical office 2. Patient asks for written information about a health topic 3. Patient speaks Spanish as primary language 4. Patient states unfamiliarity with a newly ordered medicine 4.A nurse desires to communicate with a young woman who is Serbian and who has limited experience with being in a hospital. The nurse has 10 years of experience caring for Serbian women. The patient was admitted for a serious pregnancy complication. Apply the LEARN model and match the nurse’s behaviors with each step of the model. 1. L a. The nurse notes that she has learned that fathers can visit mothers at any time in both Serbia and the United States. 2. E b. The nurse shares her perception of the woman’s experiences as a patient. 3. A c. The nurse asks the patient how she can maintain bed rest when she returns home. 4. R d. The nurse attends to the patient and listens to her story about hospitals in Serbia. 5. N e. The nurse involves the patient in a discussion of the treatment options for her condition. 5. Health care agencies must provide which of the following based on federal civil rights laws? (Select all that apply.) 1. Provide language assistance services at all points of contact free of charge. 2. Provide auxiliary aids and services, such as interpreters, note takers, and computer-aided transcription services. 3. Use patients’ family members to interpret difficult topics. 4. Ensure that interpreters are competent in medical terminology. 5. Provide language assistance to all patients who speak limited English or are deaf. 6. A nurse working in a large occupational health clinic knows that many of the workers at her company are marginalized and at risk for poor health outcomes. Which of the following individuals are most likely to be marginalized? 1. Wives of the employees 2. The head supervisors of the company 3. Workers who have a high school education 4. Workers employed for less than a year at the company 7. A mother is concerned about her child’s flulike symptoms. You learn from the health assessment that the mother practices the use of “hot” and “cold” foods to treat ailments. Which of the following foods do you expect the mother to use to treat her child? 1. Chicken 2. Yogurt 3. Fresh fruits 4. Eggs 8. Which explanation provided by the nurse is the most accurate meaning for “providing culturally congruent care”? 1. It fits the patient’s valued life patterns and set of meanings. 2. It is the same set of values as those of the health care team member providing daily care. 3. It holds one’s own way of life as superior to those of others. 4. It redirects the patient to a more socially expected set of values. 9. Which statements made by a nursing student about the teachback technique show understanding of the technique? (Select all that apply.) 1. “After teaching a patient how to use an inhaler, I need to use the teach-back technique to test my patient’s ability to use the inhaler correctly.” 2. “The teach-back technique is an ongoing process of asking patients for feedback.” 3. “Using teach-back will help me identify explanations and communication strategies that my patients will most commonly understand.” 4. “Using pictures, drawings, and models can enhance the effectiveness of the teach-back technique.” 5. “When doing my patient teaching, I will use plain language to make the material easier to understand for the patient.” 10. Match the cultural concepts on the left with the correct definitions on the right. D 1. Etic worldview a. Factor that shapes how people perceive others and how they relate to reality A 2. Worldview b. Insider’s perspective in an intercultural encounter E 3. Cultural desire c. A policy model that describes factors and power structures that shape and influence life C 4. Intersectionality d. An outsider’s perspective in an intercultural encounter B 5. Emic worldview e. The motivation of a health care professional to “want to” engage in cultural competence Chapter 13 Young and Middle Adults 1. A nurse is completing an assessment on a 27-year-old female patient. Which questions best assess the psychosocial aspects of this young woman’s health? (Select all that apply.) 1. Do you feel safe in your home and at work? 2. How many fruits and vegetables do you typically eat every day? 3. Describe your relationship with your family. 4. Have you had the vaccine to prevent HPV? 5. What are your long-term career goals? 2. A 36-year-old patient newly diagnosed with type 1 diabetes shares with you that he is frustrated with the time it takes to prepare meals and monitor his blood sugar. He also is having trouble understanding his insulin schedule. Which of the following suggestions would be most appropriate? (Select all that apply.) 1. Provide patient education materials that are easy to read. 2. Refer this patient to a diabetes support group. 3. Refer the patient to his endocrinologist. 4. Suggest that the patient make an appointment with a registered dietitian. 5. Suggest ways to modify his schedule. 3. When assessing the health-related knowledge base of both the middle-aged patient with an illness and the family, the assessment should include which of the following? (Select all that apply.) 1. Medical course of the illness 2. Prognosis for the patient 3. Coping mechanisms of the patient and family 4. Socioeconomic status 5. Need for community and social services 4. A 50-year-old woman has elevated serum cholesterol levels that increase her risk for cardiovascular disease. The nurse helps this patient control this risk factor by assessing the patient’s current diet trends and describing dietary changes to reduce the patient’s risk for developing cardiovascular disease. This nursing activity is a form of: 1. Referral 2. Counseling 3. Health education 4. Stress-management techniques 5. You are caring for a young female patient who is currently homeless. You believe she is experiencing IPV. Your assessment of the patient reveals several socioeconomic factors. Which ones are linked to IPV? (Select all that apply.) 1. History of smoking marijuana 2. Income below poverty level 3. Recent divorce 4. High school education 5. Unemployment 6. A home health nurse is caring for a 48-year-old woman with newly diagnosed diabetes mellitus type 2. She is prescribed to take Metformin IR three times a day. The woman lives alone but has a sister who lives just 5 miles away. The doctor orders the patient to measure her blood glucose daily for the next month. Which of the following show the nurse’s ability to minimize common barriers to change as she helps this patients manage her diabetes? (Select all that apply.) 1. Encourages the patient to have an eye examination 2. Provides a simple-language brochure that explains the long-term implications of diabetes type2 3. Tells the patient to always take metformin the same times each day 4. Informs the patient about availability of a support group in her community 5. Recommends that the patient’s sister be involved in the discussion about medication and glucose monitoring 7. A 48-year-old patient visiting the primary health clinic presents with fatigue and recent weight loss. It is the patient’s first visit to the clinic in 2 years. The patient has a family history of cancer and heart disease. During assessment, the nurse finds that the patient has two jobs and works about 12 to 14 hours every weekday. The patient drinks three or four alcoholic drinks a day, relies on fast foods or prepared foods at work, sleeps only 4 to 6 hours a day, and exercises infrequently. The patient takes a nonsteroidal anti-inflammatory drug (NSAID) daily for knee pain. Which of the following places this patient at risk for development of a chronic illness later in life? (Select all that apply.) 1. Working 10 to 12 hours a day 2. Eating high-calorie and fatty foods 3. Exercising infrequently 4. Taking a daily analgesic 5. Excessive alcohol consumption 8. A 45-year-old woman who is obese tells a nurse that she wants to lose weight. Which assessment findings may be contributing factors to the woman’s obesity? (Select all that apply.) 1. The woman works in an executive position that is very demanding. 2. The woman says that she has little time to prepare meals at home and eats out at least four nights a week. 3. The woman works out at the corporate gym at 5 a.m. three mornings per week. 4. The woman says that she tries to eat “low-cholesterol” foods to help lose weight. 5. The woman says that she vacations annually. 9. A 34-year-old female executive has a job with frequent deadlines. She notes that when the deadlines appear, she tends to eat highfat, high-carbohydrate foods. She also explains that she gets frequent headaches and stomach pain during these deadlines. After receiving health education from the nurse, the executive decides to try yoga. In this scenario yoga is best described as which one of the following? 1. Outpatient referral 2. Counseling technique 3. Health promotion activity 4. Stress-management technique 10. A nurse is completing an assessment on a male patient, age 24. Following the assessment, the nurse notes that his family history is not significant for chronic illnesses, and his physical and laboratory findings are within normal limits. Because of these findings, nursing interventions are directed toward activities related to which of the following? (Select all that apply.) 1. Instructing him to return in 2 years 2. Instructing him in secondary prevention 3. Instructing him in health promotion activities 4. Instructing him about routine screenings 5. Instructing him about proper vaccinations Chapter 14 Older Adults 1. A patient’s family member is considering having her mother placed in a nursing center. The nurse has talked with the family before and knows that this is a difficult decision. Which of the following criteria does the nurse recommend in choosing a nursing center? (Select all that apply.) 1. The center needs to be clean, and rooms should look like a hospital room. 2. Adequate staffing is available on all shifts. 3. Social activities are available for all residents. 4. The center provides three meals daily with a set menu and serving schedule. 5. Staff encourage family involvement in care planning and assisting with physical care. 2. A nurse conducted an assessment of a new patient who came to the medical clinic. The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is alert but becomes easily distracted during the assessment. He recently moved to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing: 1. Dementia. 2. Depression. 3. Delirium. 4. Anxiety. 3. A nurse is completing a health history with the daughter of a newly admitted patient who is confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer disease 1 year ago but became extremely confused last evening and was hallucinating. She was unable to calm her, and her mother thought she was a stranger. On the basis of this history, the nurse suspects that the patient is experiencing: 1. Normal aging. 2. Delirium. 3. Depression. 4. Worsening dementia. 4. A 78-year-old male is going through preoperative screening and preparation for his surgery in 1 week. His wife is with him, and initially they both appear anxious. He will be undergoing a colon resection for colon cancer and will have a permanent colostomy. The nurse knows the patient’s age and developmental status will affect how the assessment is conducted. The nurse wants to provide a database that will be useful to the nurses in the hospital and therefore applies clinical judgment appropriately through which of the following: (Select all that apply.) 1. While examining the patient, the nurse notes the physical changes of decreased bowel sounds, dry mouth, and reduced skin elasticity are physical changes likely related to the cancer. 2. When the patient has difficult remembering current medications, the nurse asks the wife to supplement information. 3. The nurse anticipates the effect of the colostomy on functioning and asks the patient how he perceives life with a colostomy. 4. While gathering the history of the patient’s illness, the nurse anticipates him having the classic signs of fatigue and unexplained weight loss. 5. Knowing that elderly patients have less interest in sexual intimacy, the nurse does not ask about the impact the patient thinks his surgery will have on sexual function. 5. A nurse sees a 76-year-old woman in the outpatient clinic. The patient states that she recently started to notice a glare in the lights at home. Her vision is blurred, and she is unable to play cards with her friends, read, or do her needlework. Which of the following nursing interventions are appropriate? (Select all that apply.) 1. Refer her to an ophthalmologist. 2. Suggest large-print books and playing cards. 3. Reassure her that the visual changes are part of normal aging. 4. Suggest lower-wattage light bulbs to decrease glare. 5. Assess her home environment for safety. 6. A 63-year-old patient is retiring from his job at an accounting firm where he was in a management role for the past 20 years. He has been with the same company for 42 years and was a dedicated employee. His wife is a homemaker. She raised their five children, babysits for their grandchildren as needed, and belongs to numerous church committees. What are the major psychosocial concerns for this patient? (Select all that apply.) 1. The loss of his work role 2. The risk of social isolation 3. A determination on whether the wife will need to start working 4. How the wife may now expect assistance with household tasks and with babysitting the grandchildren 5. The age the patient chose to retire 7. A nurse is assessing an older adult brought to the emergency department following a fall and wrist fracture. The patient lives with her son, is very thin and unkempt, has a Stage 3 pressure injury on her coccyx, and has old bruising to the extremities in addition to her new bruises from the fall. She defers all of the questions to her caregiver son, who accompanied her to the hospital. What is the nurse’s next step? 1. Call social services to begin nursing home placement. 2. Ask the son to step out of the room so that she can complete her assessment. 3. Call adult protective services because you suspect elder mistreatment. 4. Assess the patient’s cognitive status. 8. A nurse is participating in a health and wellness event at the local community center. A woman approaches with her father and relates that she is worried that her widowed father is becoming more functionally impaired and may need to move in with her. The nurse asks about his ability to complete activities of daily living (ADLs) by asking which of the following questions? (Select all that apply.) 1. Tell me if you are still driving. 2. Describe any problems you have in sitting or getting up from your toilet. 3. Tell me how often you take a bath during the week and how you bathe. 4. Estimate for me the amount of time you spend exercising each day. 5. Tell me how you do your grocery shopping. 9. A daughter is beginning to assume caregiver responsibility for her 90-year-old widowed father. Her father has hypertension, coronary artery disease, and type 2 diabetes mellitus. Home health services are set for once a week. During the first visit, the daughter expresses concern about all the medications that her father has been prescribed by different doctors and that he has obtained from different pharmacies. The daughter states that her father cannot really tell her what each medication is for or when he should take them. From this initial information the nurse suspects polypharmacy. What medication assessment data are needed? (Select all that apply.) 1. Review all medication prescriptions 2. Match medication prescriptions with the patient’s medication bottles or unit-dose blister packs 3. Identify involvement of the caregiver in helping with medication administration 4. Identify and delete duplicate medications 5. Obtain a listing of any over-the-counter medications 10. A nurse is caring for a 76-year-old female patient in the home setting. She just lost her husband from COVID-19 and has four children who live nearby. The patient was an educator and retired only 2 years ago. The nurse applies knowledge of developmental changes and the nature of loss in older adults when assessing which of the following situations? (Select all that apply.) 1. The nature of her relationships with her adult children 2. The total number of medications the patient is taking, including over-the-counter medications 3. The patient’s perception of the need for caregiving assistance from the family with activities her husband performed 4. The impact of her husband’s death on her monthly income 5. The patient’s current physical functional status Chapter 21 Managing Patient Care 1. At 1300 the registered nurse (RN) says to the assistive personnel (AP), “You did a good job transferring Mr. Harvey into his chair this morning at 0830. I saw that you recorded how long he stayed in his chair. I saw that Mr. Harvey did not have any shoes or nonslip slippers on, though. For safety, the next time you transfer a patient into a chair, you need to make sure that the patient wears slippers or shoes. Please get Mr. Harvey up in his chair again by 1500.” Which characteristics of positive feedback did the RN use when talking to the AP? (Select all that apply.) 1. Feedback is given immediately. 2. Feedback focuses on one issue. 3. Feedback offers concrete details. 4. Feedback identifies ways to improve. 5. Feedback focuses on changeable things. 6. Feedback is specific about what is done incorrectly only. 2. A nurse received change-of-shift reports on these four patients and starts rounding. Which patient does the nurse need to focus on as a priority? 1. A patient who had abdominal surgery 2 days ago and is requesting pain medication 2. A patient admitted yesterday with atrial fibrillation who now has a decreased level of consciousness 3. A patient with a wound drain who needs teaching before discharge in the early afternoon 4. A patient going to surgery for a mastectomy in 3 hours who has a question about the surgery 3. A nurse asks an AP to help the patient in Room 418 walk to the bathroom right now. The nurse tells the AP that the patient needs the assistance of one person and the use of a walker. The nurse also tells the AP that the patient’s oxygen can be removed while he goes to the bathroom but to make sure that when it is put back on, the flowmeter is still at 2 L. The nurse also instructs the AP to make sure the side rails are up and the bed alarm is reset after the patient gets back in bed. Which of the following components of the “Five Rights of Delegation” were used by the nurse? (Select all that apply.) 1. Right task 2. Right circumstance 3. Right person 4. Right directions and communication 5. Right supervision and evaluation 4. While administering medications, a nurse realizes that a prescribed dose of a medication was not given. The nurse acts by completing an incident report and notifying the patient’s health care provider. Which of the following is the nurse exercising? 1. Authority 2. Responsibility 3. Accountability 4. Decision making 5. Which task is appropriate for a registered nurse (RN) to delegate to an AP? 1. Determining whether the patient understands the preoperative preparation required before the surgery in the morning 2. Administering the ordered antibiotic to the patient before surgery 3. Obtaining the patient’s signature on the surgical informed consent 4. Helping the patient to the bathroom before leaving for the operating room 6. A nurse performs the following four steps in delegating a task to an AP. Place the steps in the correct order of appropriate delegation. 1. Do you have any questions about walking with Mr. Malone? 2. Before you take him for his walk to the end of the hallway and back, please take and record his pulse rate. 3. In the next 30 minutes please assist Mr. Malone in Room 418 with his afternoon walk. 4. I will make sure that I check with you in about 40 minutes to see how the patient did. 7. Which example demonstrates a nurse performing the skill of evaluation? 1. The nurse explains the side effects of the new blood pressure medication ordered for the patient. 2. The nurse asks a patient to rate pain on a scale of 0 to 10 before administering a pain medication. 3. After completing a teaching session, the nurse observes a patient drawing up and administering an insulin injection. 4. The nurse changes a patient’s leg ulcer dressing using aseptic technique. 8. The nurse manager from the surgical unit was awarded the nursing leadership award for practice of transformational leadership. Which of the following are characteristics or traits of transformational leadership displayed by the award winner? (Select all that apply.) 1. The nurse manager regularly rounds on staff to gather input on unit decisions. 2. The nurse manager sends thank-you notes to staff in recognition of a job well done. 3. The nurse manager sends memos to staff about decisions that the manager has made regarding unit policies. 4. The nurse manager has an “innovation idea box” to which staff are encouraged to submit ideas for unit improvements. 5. The nurse manager develops a philosophy of care for the staff. 9. A new nurse graduate is in orientation on a surgical unit and is being mentored by an experienced nurse. Which action completed by the new nurse graduate requires intervention by the experienced nurse? (Select all that apply.) 1. The new nurse stops documenting about a dressing change to take a patient some water. 2. The new nurse gathered the medications for two different patients at the same time. 3. The new nurse asked an AP to help transfer a patient from the bed to a wheelchair before discharge. 4. The new nurse educates a patient about pain management when administering a pain medication to a patient. 5. The new nurse gathers all equipment necessary to start a new IV site before entering a patient’s room. 10. JoAnn, a nurse, is calling a patient’s health care provider about a problem that her patient, Ms. Ducote, is having during a blood transfusion. The health care agency uses the SBAR system in reporting patient problems. Put the statements in the correct order according to the SBAR system. 1. I think she might need a diuretic ordered. Is it possible for you to come see her soon? Is there anything else you would like for me to do right now? 2. This is JoAnn. I am caring for Ms. Ducote. She is having labored breathing and her heart rate is higher now than it was an hour ago. She is receiving the second unit of her blood transfusion. She says she is having trouble catching her breath. 3. Ms. Ducote had surgery earlier yesterday to remove a tumor in the colon. Her hemoglobin was 9.6 grams/dL, and her hematocrit was 33.6% this morning. Her first ordered unit of packed red blood cells infused over 90 minutes, and she is 30 minutes into receiving her second unit of blood now. She states she takes furosemide 20 mg every morning at home. She does not currently have an order for furosemide. 4. The patient denies pain, and her vital signs are as follows: B/P 150/98 mm Hg; pulse 118; respiratory rate 28; temperature 98.8° F (37.1° C). I think she is showing signs of fluid volume overload. Chapter 32 Complementary, Alternative, and Integrative Therapies 1. When planning patient education, it is important to remember that patients with which of the following illnesses may find relief in complementary therapies? 1. Lupus and diabetes mellitus 2. Ulcers and hepatitis 3. Heart disease and pancreatitis 4. Chronic back pain and arthritis 2. Which complementary therapies are most easily learned and applied by a nurse? (Select all that apply.) 1. Therapeutic massage therapy 2. Traditional Chinese medicine 3. Progressive relaxation 4. Breathwork and guided imagery 5. Therapeutic touch 3. While planning care for a patient, a nurse understands that providing integrative care includes treating which of the following? 1. Disease, spirit, and family interactions 2. Desires and emotions of the patient 3. Mind-body-spirit of patients and their families 4. Muscles, nerves, and spine disorders 4. Which cognitive skills can a patient develop while practicing relaxation? (Select all that apply.) 1. Increasing an ability to focus attention for an extended period of time 2. Limiting stimuli that come into one’s field of vision 3. Stopping a focus on unnecessary goal-directed activity 4. Being able to tolerate experiences that are uncertain 5. Building relationships with significant others 5. A nurse is caring for a patient with chronic arthritis pain. The patient wants to add some complementary therapies to help with pain management. Which therapies might be most effective for controlling pain? (Select all that apply.) 1. Biofeedback 2. Acupuncture 3. Therapeutic touch 4. Chiropractic therapy 5. Herbal medicines 6. A nurse is caring for a patient experiencing a stress response. The nurse plans care with the knowledge that systems respond to stress in what manner? (Select all that apply.) 1. Always fail and cause illness and disease 2. Protect an individual from harm in the short term 3. React the same way for all individuals 4. Cause negative responses over time 5. Tolerate the stress response indefinitely 7. Meditation may intensify the effects of which of these medications? (Select all that apply.) 1. Steroid medications 2. Insulin 3. Thyroid-regulating medications 4. Cough syrups 5. Antihypertensive medications 8. Which of the following statements best explains therapeutic touch (TT)? 1. Intentionally mobilizes energy to balance, harmonize, and repattern the recipient’s biofield 2. Intentionally heals tissue damage or corrects certain disease symptoms 3. Is overwhelmingly effective in many conditions 4. Is completely safe and does not warrant any special precautions 9. Which statement most accurately describes intervention(s) offered by TCM providers? 1. Uses acupuncture as its primary intervention modality 2. Uses many modalities based on the individual’s needs 3. Uses primarily herbal remedies and exercise 4. Is the equivalent of medical acupuncture 10. The nurse manager of a community clinic arranges for staff inservices about various complementary therapies available in the community. What is the purpose of this training? (Select all that apply.) 1. Nurses play an essential role in the safe use of complementary therapies. 2. Nurses are often asked for recommendations and strategies that promote well-being and quality of life. 3. Nurses learn how to provide all of the complementary modalities during their basic education. 4. Nurses play an essential role in patient education to provide information about the safe use of these healing strategies. 5. Nurses appreciate the cultural aspects of care and recognize that many of these complementary strategies are part of a patient’s life