OSU OKC FUNDAMENTALS FINAL 2017, UNIT 2 FINAL
QUESTIONS WITH ACCURATE ANSWERS
A 34-year-old female executive has a job with frequent deadlines. She notes that,
when the deadlines appear, she has a tendency to eat high-fat, high-carbohydrate
foods. She also explains that she gets frequent headaches and stomach pain
during these deadlines. The nurse provides a number of options for the executive,
and she chooses yoga. In this scenario yoga is used as a (n):
Outpatient referral.
Counseling technique.
Health promotion activity.
Stress-management technique. correct answer Stress-management technique.
Correct
Relaxation techniques such as imagery, biofeedback and yoga help recondition
the patient's response to stress. Yoga is an ancient practice of controlling body
and mind by which there is a physical and mental harmony. It is frequently used
as an effective intervention for stress and stress-related physical symptoms.
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 answer
Answer: 4
,You need to get information about what the gentleman means when he says he
can't go on any longer. He might be thinking of turning his children over to a
grandparent or seeking other child-care arrangements. Asking about suicide
initially might be premature. Asking, "Are you thinking of suicide?" prematurely
might shut the patient down entirely. If the patient talks about suicide, for safety
reasons it is very important to further discuss his suicidal thoughts and refer to
the appropriate health care professional. Asking the open-ended question
provides an opportunity to understand what the person is thinking and open lines
of communication.
A 45-year-old woman who is obese tells a nurse that she wants to lose weight.
After conducting a thorough assessment, the nurse concludes that which of the
following may be contributing factors to the woman's obesity? (Select all that
apply.)
The woman works in an executive position that is very demanding.
The woman works out at the corporate gym at 5 am two mornings per week.
The woman says that she has little time to prepare meals at home and eats out at
least four nights a week.
The woman says that she tries to eat "low-cholesterol" foods to help lose weight.
The woman says that she vacations annually to reduce stress. correct answer The
woman works in an executive position that is very demanding. Correct
The woman says that she has little time to prepare meals at home and eats out at
least four nights a week. Correct
The woman says that she tries to eat "low-cholesterol" foods to help lose weight.
Correct
Demanding and stressful work environments can lead to frequent "stress" eating
of nonnutritious foods. Frequently eating away from home and eating fast food
,have been identified as contributing factors to obesity. Product claims that foods
are "lite" or "low cholesterol" do not always mean low fat or lower calories.
A 50-year-old male patient is seen in the clinic. He tells a nurse that he has
recently lost his job and his wife of 26 years has asked for a divorce. He has a flat
affect. Family history reveals that his father committed suicide at the age of 53.
The nurse assesses for the following:
Cardiovascular disease
Depression
Sexually transmitted infection
Iron deficiency anemia correct answer Depression Correct
Depression is common among middle-age adults and has a variety of causes. Risk
factors for depression include disappointments or losses at work, at school, in
family relationships, and family history.
A 50-year-old woman has elevated serum cholesterol levels that increase her risk
for cardiovascular disease. One method to control this risk factor is to identify
current diet trends and describe dietary changes to reduce the risk. This nursing
activity is a form of:
Referral.
Counseling.
Health education.
Stress-management techniques. correct answer Health education. Correct
The nurse is engaged in health teaching when offering dietary information to the
woman to enable her to make decisions about her dietary health practices in an
attempt to lower her cholesterol.
, A 52-year-old woman is admitted with dyspnea and discomfort in her left chest
with deep breaths. She has smoked for 35 years and recently lost over 10 lbs. Her
vital signs on admission are: HR 112, BP 138/82, RR 22, tympanic temperature
36.8° C (98.2° F), and oxygen saturation 94%. She is receiving oxygen at 2 L via a
nasal cannula. Which vital sign reflects a positive outcome of the oxygen therapy?
1. Temperature: 37° C (98.6° F)
2. Radial pulse: 112
3. Respiratory rate: 24
4. Oxygen saturation: 96%
5. Blood pressure: 134/78 correct answer Answer: 4.
Oxygen saturation is an assessment of oxygen perfusion. Respiratory rate
assesses ventilation, radial pulse and blood pressure assess the cardiovascular
system, and temperature is an assessment of thermal regulation.
A 55-year-old female patient was in a motor vehicle accident and is admitted to a
surgical unit after repair of a fractured left arm and left leg. She also has a
laceration on her forehead. An intravenous (IV) line is infusing in the right
antecubital fossa, and pneumatic compression stockings are on the right lower
leg. She is receiving oxygen via a simple face mask. Which sites do you instruct the
nursing assistant to use for obtaining the patient's blood pressure and
temperature?
1. Right antecubital and tympanic membrane
2. Right popliteal and rectal
3. Left antecubital and oral
4. Left popliteal and temporal artery correct answer Answer: 1.
QUESTIONS WITH ACCURATE ANSWERS
A 34-year-old female executive has a job with frequent deadlines. She notes that,
when the deadlines appear, she has a tendency to eat high-fat, high-carbohydrate
foods. She also explains that she gets frequent headaches and stomach pain
during these deadlines. The nurse provides a number of options for the executive,
and she chooses yoga. In this scenario yoga is used as a (n):
Outpatient referral.
Counseling technique.
Health promotion activity.
Stress-management technique. correct answer Stress-management technique.
Correct
Relaxation techniques such as imagery, biofeedback and yoga help recondition
the patient's response to stress. Yoga is an ancient practice of controlling body
and mind by which there is a physical and mental harmony. It is frequently used
as an effective intervention for stress and stress-related physical symptoms.
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 answer
Answer: 4
,You need to get information about what the gentleman means when he says he
can't go on any longer. He might be thinking of turning his children over to a
grandparent or seeking other child-care arrangements. Asking about suicide
initially might be premature. Asking, "Are you thinking of suicide?" prematurely
might shut the patient down entirely. If the patient talks about suicide, for safety
reasons it is very important to further discuss his suicidal thoughts and refer to
the appropriate health care professional. Asking the open-ended question
provides an opportunity to understand what the person is thinking and open lines
of communication.
A 45-year-old woman who is obese tells a nurse that she wants to lose weight.
After conducting a thorough assessment, the nurse concludes that which of the
following may be contributing factors to the woman's obesity? (Select all that
apply.)
The woman works in an executive position that is very demanding.
The woman works out at the corporate gym at 5 am two mornings per week.
The woman says that she has little time to prepare meals at home and eats out at
least four nights a week.
The woman says that she tries to eat "low-cholesterol" foods to help lose weight.
The woman says that she vacations annually to reduce stress. correct answer The
woman works in an executive position that is very demanding. Correct
The woman says that she has little time to prepare meals at home and eats out at
least four nights a week. Correct
The woman says that she tries to eat "low-cholesterol" foods to help lose weight.
Correct
Demanding and stressful work environments can lead to frequent "stress" eating
of nonnutritious foods. Frequently eating away from home and eating fast food
,have been identified as contributing factors to obesity. Product claims that foods
are "lite" or "low cholesterol" do not always mean low fat or lower calories.
A 50-year-old male patient is seen in the clinic. He tells a nurse that he has
recently lost his job and his wife of 26 years has asked for a divorce. He has a flat
affect. Family history reveals that his father committed suicide at the age of 53.
The nurse assesses for the following:
Cardiovascular disease
Depression
Sexually transmitted infection
Iron deficiency anemia correct answer Depression Correct
Depression is common among middle-age adults and has a variety of causes. Risk
factors for depression include disappointments or losses at work, at school, in
family relationships, and family history.
A 50-year-old woman has elevated serum cholesterol levels that increase her risk
for cardiovascular disease. One method to control this risk factor is to identify
current diet trends and describe dietary changes to reduce the risk. This nursing
activity is a form of:
Referral.
Counseling.
Health education.
Stress-management techniques. correct answer Health education. Correct
The nurse is engaged in health teaching when offering dietary information to the
woman to enable her to make decisions about her dietary health practices in an
attempt to lower her cholesterol.
, A 52-year-old woman is admitted with dyspnea and discomfort in her left chest
with deep breaths. She has smoked for 35 years and recently lost over 10 lbs. Her
vital signs on admission are: HR 112, BP 138/82, RR 22, tympanic temperature
36.8° C (98.2° F), and oxygen saturation 94%. She is receiving oxygen at 2 L via a
nasal cannula. Which vital sign reflects a positive outcome of the oxygen therapy?
1. Temperature: 37° C (98.6° F)
2. Radial pulse: 112
3. Respiratory rate: 24
4. Oxygen saturation: 96%
5. Blood pressure: 134/78 correct answer Answer: 4.
Oxygen saturation is an assessment of oxygen perfusion. Respiratory rate
assesses ventilation, radial pulse and blood pressure assess the cardiovascular
system, and temperature is an assessment of thermal regulation.
A 55-year-old female patient was in a motor vehicle accident and is admitted to a
surgical unit after repair of a fractured left arm and left leg. She also has a
laceration on her forehead. An intravenous (IV) line is infusing in the right
antecubital fossa, and pneumatic compression stockings are on the right lower
leg. She is receiving oxygen via a simple face mask. Which sites do you instruct the
nursing assistant to use for obtaining the patient's blood pressure and
temperature?
1. Right antecubital and tympanic membrane
2. Right popliteal and rectal
3. Left antecubital and oral
4. Left popliteal and temporal artery correct answer Answer: 1.
