HIT 205 Module 8 Coding Application Final Exam Questions And Answers

HIT 205 Module 8 Coding Application Final Exam Questions And Answers ▪ Increased questioning ▪ Mild restlessness ▪ Sleeplessness ▪ Feelings of increased arousal and alertness ▪ Use of learning to adapt - answers S/S of Mild Anxiety Mod 8 Stress PP ▪ Voice tremors and pitch changes ▪ Tremors ▪ Facial twitches ▪ Shakiness ▪ Increased muscle tension ▪ Narrowed focus of attention ▪ Ability to focus but selectively inattentive ▪ Slightly impaired learning ▪ Slight increased RR and HR ▪ Mild gastric symptoms - answers S/S of Moderate Anxiety Mod 8 Stress PP ▪ Communication that is difficult to understand ▪ Increased motor activity ▪ Inability to relax ▪ Fearful facial expression ▪ Inability to focus or concentrate ▪ Easily distracted ▪ Severely impaired learning ▪ Tachycardia ▪ Hyperventilation ▪ Headache ▪ Dizziness ▪ Nausea - answers S/S of Severe Anxiety Mod 8 Stress PP ▪ Communication not understandable ▪ Increased motor activity ▪ Agitation ▪ Unpredictable responses ▪ Trembling ▪ Poor motor coordination ▪ Perception distorted or exaggerated ▪ Inability to learn or function ▪ Dyspnea, palpitations, choking ▪ Chest pain/pressure ▪ Feeling of impending doom ▪ Paresthesia, sweating - answers S/S of Panic Anxiety Mod 8 Stress PP ▪ Physical Exercise ▪ Optimal Nutrition ▪ Adequate Rest and Sleep ▪ Time Management - answers How can a patient reduce stress? Mod 8 Stress PP ▪ Listen attentively ▪ Provide atmosphere of warmth and trust ▪ Convey sense of caring and empathy ▪ Include client in plan of care ▪ Promote feeling of safety and security ▪ Minimize additional stressors ▪ Help with recognition of stressors and coping mechanisms - answers Nursing Interventions: *Reducing Client Stress* Mod 8 Stress PP A. "It sounds like you're having a difficult time." - answers A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make? A. "It sounds like you're having a difficult time." B. "Have you talked to your parents about this yet?" C. "Why do you think you are so anxious?" D. "How long has this been going on?" Mod 8 Practice Questions D. Walk with the client at a gradually slower pace. - answers A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting, and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take? A. Instruct the client to sit down and stop pacing. B. Allow the client to pace alone until physically tired. C. Have a staff member escort the client to her room. D. Walk with the client at a gradually slower pace. Mod 8 Practice Questions B. Establish rapport with the client. C. Identify the cause of the anxiety. D. Validate the client's feelings. - answers A nurse is caring for a client who is experiencing a crisis related to anxiety. Which of the following actions should the nurse take? (Select all that apply). A. Avoid eye contact to prevent escalation of anxiety. B. Establish rapport with the client. C. Identify the cause of the anxiety. D. Validate the client's feelings. E. Develop a flexible crisis intervention plan. Mod 8 Practice Questions C. "I fix myself a pot of coffee when I get anxious." - answers A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective? A. "I journal when I find it difficult to talk." B. "I pray when I begin to breathe fast." C. "I fix myself a pot of coffee when I get anxious." D. "I exercise when my neck is tense." Mod 8 Practice Questions D. "In my dreams, all I can see are the wounded reaching out and trying to grab me." - answers A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements? A. "I check any room I enter because the enemy is still after me and could be hiding anywhere." B. "My child was born with a birth defect due to an exposure I had overseas." C. "I killed four enemy soldiers with my bare hands and saved my entire battalion." D. "In my dreams, all I can see are the wounded reaching out and trying to grab me." Mod 8 Practice Questions C. Ask the client to describe the situation. - answers A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take? A. Discuss self-defense techniques with the client. B. Inform the client photographs of injuries are required for a police report. C. Ask the client to describe the situation. D. Give the client a bed bath prior to physical examination. Mod 8 Practice Questions D. Reflection - answers A nurse is caring for a client who is discussing his posttraumatic stress disorder and states: "Everyone thinks you should be able to put it out of your mind. It happened so long ago - just get over it!" The nurse responds, "It must be very frustrating to encounter this kind of attitude." The nurse is using which of the following therapeutic communication techniques? A. Clarifying B. Focusing C. Paraphrasing D. Reflection Mod 8 Practice Questions D. Self-esteem disturbance - answers A nurse in the emergency department is assessing a client who has experienced intimate partner abuse. The nurse should monitor the client for which of the following behavioral findings? A. Personal identity disturbance B. Body image disturbance C. Altered role performance D. Self-esteem disturbance Mod 8 Practice Questions A. "You seem upset about taking your blood pressure medication." - answers A nurse is caring for a client who has hypertension and is afraid to take his blood pressure medication. Which of the following nursing statements is an example of the therapeutic communication response of reflection? A. "You seem upset about taking your blood pressure medication." B. "Why do you feel afraid to take your medication?" C. "You won't get better until you take your medication?" D. "Did your symptoms occur before or after you took the medication?" Mod 8 Practice Questions A. "Tell me what your concerns are." - answers A nurse manager is talking with a staff nurse who was unable to sleep the night after experiencing unsuccessful client resuscitation. Which of the following responses should the nurse manager make? A. "Tell me what your concerns are.