EXAM 1 RNSG 1533 COGNITION AND
COPING QUESTIONS WITH CORRECT
ANSWERS
The adult child of a patient diagnosed with major depressive disorder
| | | | | | | | | | |
asks, "Do you think depression and physical illness are connected? Since
| | | | | | | | | |
my father's death, my mother has had shingles and the flu, but she's
| | | | | | | | | | | | | |
usually not one who gets sick." Which answer by the nurse best reflects
| | | | | | | | | | | | |
current knowledge? | |
a. "It is probably a coincidence. Emotions and physical responses travel
| | | | | | | | | | |
on different tracts of the nervous system."
| | | | | | |
b. "You may be paying more attention to your mother since your father
| | | | | | | | | | | | |
died and noticing more things such as minor illnesses."
| | | | | | | | |
c. "So far, research on emotions or stress and becoming ill more easily is
| | | | | | | | | | | | | |
unclear. We do not know for sure if there is a link."
| | | | | | | | | | | |
d. "Negative emotions and prolonged stress interfere with the body's
| | | | | | | | | |
ability to protect itself and can increase the likelihood of illness." -
| | | | | | | | | | | |
ANSWER✔✔✔-D.
Research supports a link between negative emotions and/or prolonged
| | | | | | | | |
stress and impaired immune system functioning. Activation of the
| | | | | | | | |
immune system sends proinflammatory cytokines to the brain, and the
| | | | | | | | | |
brain in turn releases its own cytokines that signal the central nervous
| | | | | | | | | | | |
,system to initiate myriad responses to stress. Prolonged stress
| | | | | | | | |
suppresses the immune system and lowers resistance to illness.
| | | | | | | | |
Although the adult child may be more aware of issues involving the
| | | | | | | | | | | |
mother, the pattern of illnesses described may be an increase from the
| | | | | | | | | | | |
mother's baseline |
A patient diagnosed with emphysema has severe shortness of breath
| | | | | | | | | |
and needs portable oxygen when leaving home. Recently the patient
| | | | | | | | | |
has reduced activity because of fear that breathing difficulty will occur.
| | | | | | | | | | |
A nurse suggests using guided imagery. Which image should the patient
| | | | | | | | | | |
be encouraged to visualize?
| | | |
a. Engaging in activity without using any supplemental oxygen
| | | | | | | | |
b. Sleeping comfortably and soundly, without respiratory distress
| | | | | | | |
c. Feeling relaxed and taking regular deep breaths when leaving home
| | | | | | | | | | |
d. Having a younger, healthier body that knows no exercise limitations -
| | | | | | | | | | | |
ANSWER✔✔✔-C.
The patient has dysfunctional images of dyspnea. Guided imagery can
| | | | | | | | | |
help replace the dysfunctional image with a positive coping image.
| | | | | | | | | |
Athletes have found that picturing successful images can enhance
| | | | | | | | |
performance. Encouraging the patient to imagine a regular breathing | | | | | | | | |
depth and rate will help improve oxygen-carbon dioxide exchange and
| | | | | | | | | |
help achieve further relaxation. Other options focus on unrealistic goals
| | | | | | | | | |
(being younger, not needing supplemental oxygen) or restrict her
| | | | | | | | |
quality of life. | |
,A nurse leads a psychoeducational group for patients experiencing
| | | | | | | | |
depression. The nurse plans to implement an exercise regime for each
| | | | | | | | | | |
patient. The rationale to use when presenting this plan to the treatment
| | | | | | | | | | |
team is that exercise
| | | | |
a. has an antidepressant effect comparable to selective serotonin
| | | | | | | | |
reuptake inhibitors. | |
b. prevents damage from overstimulation of the sympathetic nervous
| | | | | | | | |
system. |
c. detoxifies the body by removing metabolic wastes and other toxins.
| | | | | | | | | | |
d. improves mood stability for patients with bipolar disorders. -
| | | | | | | | | |
ANSWER✔✔✔-A. |
β-Endorphins produced during exercise result in improvement in mood
| | | | | | | | |
and lowered anxiety. The other options are not accurate.
| | | | | | | |
A patient nervously says, "Financial problems are stressing my marriage.
| | | | | | | | |
|I've heard rumors about cutbacks at work; I am afraid I might get laid
| | | | | | | | | | | | | |
off." The patient's pulse is 112/minute; respirations are 26/minute; and
| | | | | | | | | |
blood pressure is 166/88. Which nursing intervention will the nurse
| | | | | | | | | |
implement? |
a. Advise the patient, "Go to sleep 30 to 60 minutes earlier each night to
| | | | | | | | | | | | | |
increase rest."
| | |
b. Direct the patient in slow and deep breathing using abdominal
| | | | | | | | | | |
muscles. |
c. Suggest the patient consider that a new job might be better than the
| | | | | | | | | | | | | |
present one. | |
, d. Tell the patient, "Relax by spending more time playing with your pet."
| | | | | | | | | | | |
- ANSWER✔✔✔-B
| |
According to the Recent Life Changes Questionnaire, which situation
| | | | | | | | |
would most necessitate a complete assessment of a person's stress
| | | | | | | | | |
status and coping abilities? | | | |
a. A person who has been assigned more responsibility at work
| | | | | | | | | | |
b. A parent whose job required relocation to a different city
| | | | | | | | | | |
c. A person returning to college after an employer ceased operations
| | | | | | | | | | |
d. A man who recently separated from his wife because of marital
| | | | | | | | | | | |
problems - ANSWER✔✔✔-C. | |
A person returning to college after losing a job is dealing with two
| | | | | | | | | | | | |
significant stressors simultaneously. Together, these stressors total more
| | | | | | |
life change units than any of the single stressors cited in the other
| | | | | | | | | | | | | |
options.
A patient newly diagnosed as HIV-positive seeks the nurse's advice on
| | | | | | | | | | |
how to reduce the risk of infections. The patient says, "I went to church
| | | | | | | | | | | | | |
years ago and I was in my best health then. Maybe I should start going
| | | | | | | | | | | | | | |
to church again." Which response will the nurse offer?
| | | | | | | | |
a. "Religion does not usually affect health, but you were younger and
| | | | | | | | | | | |
stronger then." | |
b. "Contact with supportive people at a church might help, but religion
| | | | | | | | | | | |
itself is not especially helpful."
| | | | |
COPING QUESTIONS WITH CORRECT
ANSWERS
The adult child of a patient diagnosed with major depressive disorder
| | | | | | | | | | |
asks, "Do you think depression and physical illness are connected? Since
| | | | | | | | | |
my father's death, my mother has had shingles and the flu, but she's
| | | | | | | | | | | | | |
usually not one who gets sick." Which answer by the nurse best reflects
| | | | | | | | | | | | |
current knowledge? | |
a. "It is probably a coincidence. Emotions and physical responses travel
| | | | | | | | | | |
on different tracts of the nervous system."
| | | | | | |
b. "You may be paying more attention to your mother since your father
| | | | | | | | | | | | |
died and noticing more things such as minor illnesses."
| | | | | | | | |
c. "So far, research on emotions or stress and becoming ill more easily is
| | | | | | | | | | | | | |
unclear. We do not know for sure if there is a link."
| | | | | | | | | | | |
d. "Negative emotions and prolonged stress interfere with the body's
| | | | | | | | | |
ability to protect itself and can increase the likelihood of illness." -
| | | | | | | | | | | |
ANSWER✔✔✔-D.
Research supports a link between negative emotions and/or prolonged
| | | | | | | | |
stress and impaired immune system functioning. Activation of the
| | | | | | | | |
immune system sends proinflammatory cytokines to the brain, and the
| | | | | | | | | |
brain in turn releases its own cytokines that signal the central nervous
| | | | | | | | | | | |
,system to initiate myriad responses to stress. Prolonged stress
| | | | | | | | |
suppresses the immune system and lowers resistance to illness.
| | | | | | | | |
Although the adult child may be more aware of issues involving the
| | | | | | | | | | | |
mother, the pattern of illnesses described may be an increase from the
| | | | | | | | | | | |
mother's baseline |
A patient diagnosed with emphysema has severe shortness of breath
| | | | | | | | | |
and needs portable oxygen when leaving home. Recently the patient
| | | | | | | | | |
has reduced activity because of fear that breathing difficulty will occur.
| | | | | | | | | | |
A nurse suggests using guided imagery. Which image should the patient
| | | | | | | | | | |
be encouraged to visualize?
| | | |
a. Engaging in activity without using any supplemental oxygen
| | | | | | | | |
b. Sleeping comfortably and soundly, without respiratory distress
| | | | | | | |
c. Feeling relaxed and taking regular deep breaths when leaving home
| | | | | | | | | | |
d. Having a younger, healthier body that knows no exercise limitations -
| | | | | | | | | | | |
ANSWER✔✔✔-C.
The patient has dysfunctional images of dyspnea. Guided imagery can
| | | | | | | | | |
help replace the dysfunctional image with a positive coping image.
| | | | | | | | | |
Athletes have found that picturing successful images can enhance
| | | | | | | | |
performance. Encouraging the patient to imagine a regular breathing | | | | | | | | |
depth and rate will help improve oxygen-carbon dioxide exchange and
| | | | | | | | | |
help achieve further relaxation. Other options focus on unrealistic goals
| | | | | | | | | |
(being younger, not needing supplemental oxygen) or restrict her
| | | | | | | | |
quality of life. | |
,A nurse leads a psychoeducational group for patients experiencing
| | | | | | | | |
depression. The nurse plans to implement an exercise regime for each
| | | | | | | | | | |
patient. The rationale to use when presenting this plan to the treatment
| | | | | | | | | | |
team is that exercise
| | | | |
a. has an antidepressant effect comparable to selective serotonin
| | | | | | | | |
reuptake inhibitors. | |
b. prevents damage from overstimulation of the sympathetic nervous
| | | | | | | | |
system. |
c. detoxifies the body by removing metabolic wastes and other toxins.
| | | | | | | | | | |
d. improves mood stability for patients with bipolar disorders. -
| | | | | | | | | |
ANSWER✔✔✔-A. |
β-Endorphins produced during exercise result in improvement in mood
| | | | | | | | |
and lowered anxiety. The other options are not accurate.
| | | | | | | |
A patient nervously says, "Financial problems are stressing my marriage.
| | | | | | | | |
|I've heard rumors about cutbacks at work; I am afraid I might get laid
| | | | | | | | | | | | | |
off." The patient's pulse is 112/minute; respirations are 26/minute; and
| | | | | | | | | |
blood pressure is 166/88. Which nursing intervention will the nurse
| | | | | | | | | |
implement? |
a. Advise the patient, "Go to sleep 30 to 60 minutes earlier each night to
| | | | | | | | | | | | | |
increase rest."
| | |
b. Direct the patient in slow and deep breathing using abdominal
| | | | | | | | | | |
muscles. |
c. Suggest the patient consider that a new job might be better than the
| | | | | | | | | | | | | |
present one. | |
, d. Tell the patient, "Relax by spending more time playing with your pet."
| | | | | | | | | | | |
- ANSWER✔✔✔-B
| |
According to the Recent Life Changes Questionnaire, which situation
| | | | | | | | |
would most necessitate a complete assessment of a person's stress
| | | | | | | | | |
status and coping abilities? | | | |
a. A person who has been assigned more responsibility at work
| | | | | | | | | | |
b. A parent whose job required relocation to a different city
| | | | | | | | | | |
c. A person returning to college after an employer ceased operations
| | | | | | | | | | |
d. A man who recently separated from his wife because of marital
| | | | | | | | | | | |
problems - ANSWER✔✔✔-C. | |
A person returning to college after losing a job is dealing with two
| | | | | | | | | | | | |
significant stressors simultaneously. Together, these stressors total more
| | | | | | |
life change units than any of the single stressors cited in the other
| | | | | | | | | | | | | |
options.
A patient newly diagnosed as HIV-positive seeks the nurse's advice on
| | | | | | | | | | |
how to reduce the risk of infections. The patient says, "I went to church
| | | | | | | | | | | | | |
years ago and I was in my best health then. Maybe I should start going
| | | | | | | | | | | | | | |
to church again." Which response will the nurse offer?
| | | | | | | | |
a. "Religion does not usually affect health, but you were younger and
| | | | | | | | | | | |
stronger then." | |
b. "Contact with supportive people at a church might help, but religion
| | | | | | | | | | | |
itself is not especially helpful."
| | | | |
