EXAM FORM A B AND C ACTUAL EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS
A nurse is caring for a client who smokes and has lung cancer. The client
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reports "I'm coughing because I have that cold that everyone has been
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| getting." The nurse should identify that the client is using which of the
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| following defense mechanisms? (B) -<<< ANSWERa) reaction formation
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b) denial
c) displacement
d) sublimation
A nurse is providing preop. teaching for a client who was informed of the need
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for emergency surgery. The client has a respiration rate of 30/min. and says
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"This is difficult to comprehend. I feel shaky and nervous." The nurse should
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| identify that the client is experiencing which of the following levels of
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anxiety? (B)
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-<<< ANSWERa) mild
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b) moderate
c) severe
d) panic
A nurse is caring for a client who is experiencing moderate anxiety. Which of
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| the following actions should the nurse take when trying to give necessary
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information to the client? (Select all that apply) (BD) -<<< ANSWERa) reassure
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| the client that everything will be ok
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b) discuss prior use of coping mechanisms with the client
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,c) ignore the client's anxiety so that she will not be embarrassed
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d) gather information from the client using closed-ended questions
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A nurse is preparing an educational seminar on stress for other nursing staff.
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| Which of the following information should the nurse include in the discussion?
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(A)
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-<<< ANSWERa) excessive stressors cause the client to experience distress
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b) the body's initial adaptive response to stress is denial
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c) absence of stressors results in homeostasis
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d) negative, rather than positive, stressors produce a biological response
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A nurse is discussing acute vs. prolonged stress with a client. Which of the
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| following effects should the nurse identify as an acute stress response?
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(Select all that apply) (BCE) -<<< ANSWERa) chronic pain
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b) depressed immune system
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| c increased blood pressure
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d) panic attacks |
e) unhappiness
A nurse is teaching a client about stress-reduction techniques. Which of the
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| following client statements indicates understanding of the teaching? (A) -<<<
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| ANSWERa) "Cognitive reframing will help me change my irrational thoughts to
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| something positive" |
b) "Progressive muscle relaxation uses a mechanical device to help me
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gain control over my pulse rate"
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, c) "Biofeedback causes my body to release endorphins so that I feel less | | | | | | | | | | |
stress and anxiety"
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d) "Mindfulness allows me to prioritize the stressors that I have in my life so | | | | | | | | | | | | |
that I have less anxiety"
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A nurse is talking with a client who reports experiencing increased stress
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because a new partner is "pressuring me and my kids to go live with him. I
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| love him, but I'm not ready to do that." Which of the following
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| recommendations should the nurse make to promote a change in the | | | | | | | | | |
| client's situation? (B) -<<< ANSWERa) learn to practice mindfulness
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b) use assertiveness techniques
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c) exercise regularly |
d) rely on the support of a close friend
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A nurse is caring for a client who states, "I'm so stressed at work because of
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| my coworker. I am expected to finish other's work because of their laziness!"
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When discussing effective communication, which of the following statements
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| by the client to the coworker indicates client understanding? (D) -<<<
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| ANSWERa) "You really should complete your own work. I don't think it's
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| right to expect me to complete your responsibilities."
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b) "Why do you expect me to finish your work? You must realize that I
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have my own responsibilities."
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c) "It is not fair to expect me to complete your work. If you continue, then
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I will report your behavior to our supervisor."
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