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NUR 501 Exam 3 Questions Bank | Complete Accurate Quizzes with Verified Answers

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Prepare for NUR 501 Exam 3 with this comprehensive question bank featuring accurate quizzes and verified answers. Covers stress and coping, crisis intervention, defense mechanisms, evidence-based practice, documentation, quality improvement, and legal/ethical nursing concepts. Essential study resource.

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NUR 501 EXAM 3 QUESTIONS
BANK; COMPLETE ACCURATE
QUIZZES WITH VERIFIED ANSWERS


A 4-year-old boy has been admitted to the hospital with
pneumonia. He has been in the hospital for 3 days and has
suddenly started to become incontinent of urine. The
nurse knows that this is most likely a result of what ego-
defense mechanism?


a. Compensation
b. Conversion
c. Denial
d. Regression - correct answer- D
Regression is coping with a stressor through actions and
behaviors associated with an earlier developmental
period. Compensation is making up for a deficiency in one
aspect of self-image by strongly emphasizing a feature
considered an asset. Conversion is unconsciously
repressing an anxiety-producing emotional conflict and
transforming it into nonorganic symptoms (e.g., difficulty
sleeping, loss of appetite). Denial is avoiding emotional

,conflicts by refusing to consciously acknowledge anything
that causes intolerable emotional pain.


A 15-year-old patient was admitted to the hospital with a
bowel obstruction. The patient underwent surgery and
was experiencing postoperative pain. The nurse caring for
the patient had recently read a research article in which a
study had been done with neonatal (infant) patients and
the use of therapeutic touch to assist with pain control.
Which factor is most important for the nurse to consider
in this case when applying research to clinical practice?


a. The patients gender
b. The patients preference
c. The patients allergies
d. The patients roommate - correct answer- B
Using clinical expertise and considering patients values
and preferences ensures that a nurse will apply the
available evidence to practice both safely and
appropriately. Even when you use the best evidence
available, application and outcomes differ based on your
patients values, state of health, preferences, concerns,

,and/or expectations. Patients allergies, gender, and
roommate are not important in this scenario as it does
not affect therapeutic touch.


A 48-year-old nurse is complaining of being continually
exhausted because of the workload on her unit. She
states that the patients are getting heavier and the halls
are getting longer. Sometimes I just dont think I can get
through the day. The nurse is dealing with stress caused
by:


a. situational factors.
b. maturational factors.
c. sociocultural factors.
d. compassion fatigue. - correct answer- A
Situational factors include work stress that happens with
work overload (patient load, distractions, conflicting
priorities), heavy physical work, long hour work shifts,
patient concerns (dealing with death and medical
treatment), and interpersonal problems with other health
care professionals and staff. Coping strategies vary with
the individual and the situation. Maturational factors

, involve stressors and coping strategies that vary with life
stage. Sociocultural factors include prolonged poverty,
physical handicap, and chronic illness. Compassion fatigue
is a term used to describe a state of burnout and
secondary traumatic stress.


A nurse is describing types of performance improvement
models. Which information should the nurse include?
(Select all that apply.)


a. Six Sigma
b. Balanced scorecard
c. Plan-Do-Study-Act
d. Root cause analysis
e. Human subjects committee - correct answer-
A, B, C, D
Performance improvement models include Six Sigma,
balanced scorecard, Plan-Do-Study-Act, and root cause
analysis. Research studies must be approved by an
institutional review board (IRB), also called a human
subjects committee, which is not involved with
performance improvement models but with research.

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