The nurse in the long-term care facility cares for a 70-yr-old man with late-stage
dementia who is undernourished and has problems chewing and swallowing. What
should the nurse include in the plan of care for this patient?
a. Turn on the television to provide a distraction during meals.
b. Provide thickened fluids and moist foods in bite-size pieces.
c. Limit fluid intake during scheduled meals to prevent aspiration.
d. Allow the patient to select favorite foods from the menu choices.
Give this one a try later!
, B (If patients with dementia have problems chewing or swallowing, pureed
foods, thickened liquids, and nutritional supplements should be provided.
Foods that are easy to swallow are moist and should be in bite-size pieces.
Distractions at mealtimes, including the television, should be avoided.
Fluids should not be limited but offered frequently; fluids should be
thickened. Patients with late-stage dementia have difficulty understanding
words and would not have the cognitive ability to select menu choices.)
What role do patients have in complementary and alternative therapies?
a. Submissive to the practitioner
b. Actively involved in the treatment
c. Allow practitioner to experiment
d. Total believer in what is being taught
Give this one a try later!
B (One of the characteristics of complementary therapy users is that they
want to be more involved in their care and decision making about the types
of treatments that are used. Complementary therapies are one way to
provide the patient with increased control of the health care.)
A patient with chronic neck pain is seen in the pain clinic for follow-up. In order to
evaluate whether the pain management is effective, which question is best for the
nurse to ask?
a. Can you describe the quality of your pain?
b. Has there been a change in the pain location?
c. How would you rate your pain on a 0 to 10 scale?
d. Does the pain keep you from doing things you enjoy?
Give this one a try later!
, D
While planning care for a patient, a nurse understands that providing integrative care
includes treating which of the following?
a. Disease, spirit, and family interactions
b. Desires and emotions of the patient
c. Mind-body-spirit of patients and their families
d. Muscles, nerves, and spine disorders
Give this one a try later!
C (You could argue that, when you consider the totality of the
patient/family, all of these come into play; but AHNA/ANA Standards of
Holistic Nursing speak specifically to the mind-body-spirit focus of holistic
nursing.)
Which of the following statements best explains the actions of therapeutic touch (TT)?
a. Intentionally mobilizes energy to balance, harmonize, and repattern the recipient's
biofield
b. Intentionally heals specific diseases or corrects certain symptoms
c. Is overwhelmingly effective in many conditions
d. Is completely safe and does not warrant any special precautions
Give this one a try later!
A (TT is focused on healing the whole person and providing energy to the
body that supports innate healing responses. The research literature is
questionable; systematic analyses claim that the research designs are too
weak for any conclusive evidence to be identified with confidence.
Although TT is relatively safe and there have been very few negative events
, associated with its use, all therapies (complementary or conventional)
should be used with caution in certain populations.)
Which nursing interventions are likely to help the patient to cope by addressing the
mediators of stress? (Select all that apply.)
a. "A divorce, while stressful, can be the beginning of a new, better phase of life."
b. "You said you used to jog; getting back to aerobic exercise could be helpful."
c. "Journaling gives one more awareness of how experiences have affected them."
d. "Perhaps a short-term loan from your father will make your layoff less stressful."
e. "Slowing your breathing by counting to three between breaths will calm you."
f. "I have found a support group for newly divorced persons in your neighborhood."
Give this one a try later!
A C D F (Stress mediators are factors that can help persons cope by
influencing how they perceive and respond to stressors; they include
personality, social support, perceptions, and culture. Suggesting that a
divorce may have positive as well as negative aspects helps the patient to
alter his perceptions of the stressor. Journaling increases self-awareness
regarding how life experiences may have shaped how one perceives and
responds to stress (or how one's personality affects how one responds to
stressors). A loan could help the patient perceive a layoff differently by
reducing the financial pressures that accompany it. Participation in support
groups is an excellent way to expand one's support network relative to
specific issues. However, neither aerobic exercise nor breathing-control
exercises, while helpful in other ways, affect stress mediators.)
Which of the following are examples of psychological sources of stress? (Select all
that apply).
a. Cancer
b. Divorce
c. Loss of a job
dementia who is undernourished and has problems chewing and swallowing. What
should the nurse include in the plan of care for this patient?
a. Turn on the television to provide a distraction during meals.
b. Provide thickened fluids and moist foods in bite-size pieces.
c. Limit fluid intake during scheduled meals to prevent aspiration.
d. Allow the patient to select favorite foods from the menu choices.
Give this one a try later!
, B (If patients with dementia have problems chewing or swallowing, pureed
foods, thickened liquids, and nutritional supplements should be provided.
Foods that are easy to swallow are moist and should be in bite-size pieces.
Distractions at mealtimes, including the television, should be avoided.
Fluids should not be limited but offered frequently; fluids should be
thickened. Patients with late-stage dementia have difficulty understanding
words and would not have the cognitive ability to select menu choices.)
What role do patients have in complementary and alternative therapies?
a. Submissive to the practitioner
b. Actively involved in the treatment
c. Allow practitioner to experiment
d. Total believer in what is being taught
Give this one a try later!
B (One of the characteristics of complementary therapy users is that they
want to be more involved in their care and decision making about the types
of treatments that are used. Complementary therapies are one way to
provide the patient with increased control of the health care.)
A patient with chronic neck pain is seen in the pain clinic for follow-up. In order to
evaluate whether the pain management is effective, which question is best for the
nurse to ask?
a. Can you describe the quality of your pain?
b. Has there been a change in the pain location?
c. How would you rate your pain on a 0 to 10 scale?
d. Does the pain keep you from doing things you enjoy?
Give this one a try later!
, D
While planning care for a patient, a nurse understands that providing integrative care
includes treating which of the following?
a. Disease, spirit, and family interactions
b. Desires and emotions of the patient
c. Mind-body-spirit of patients and their families
d. Muscles, nerves, and spine disorders
Give this one a try later!
C (You could argue that, when you consider the totality of the
patient/family, all of these come into play; but AHNA/ANA Standards of
Holistic Nursing speak specifically to the mind-body-spirit focus of holistic
nursing.)
Which of the following statements best explains the actions of therapeutic touch (TT)?
a. Intentionally mobilizes energy to balance, harmonize, and repattern the recipient's
biofield
b. Intentionally heals specific diseases or corrects certain symptoms
c. Is overwhelmingly effective in many conditions
d. Is completely safe and does not warrant any special precautions
Give this one a try later!
A (TT is focused on healing the whole person and providing energy to the
body that supports innate healing responses. The research literature is
questionable; systematic analyses claim that the research designs are too
weak for any conclusive evidence to be identified with confidence.
Although TT is relatively safe and there have been very few negative events
, associated with its use, all therapies (complementary or conventional)
should be used with caution in certain populations.)
Which nursing interventions are likely to help the patient to cope by addressing the
mediators of stress? (Select all that apply.)
a. "A divorce, while stressful, can be the beginning of a new, better phase of life."
b. "You said you used to jog; getting back to aerobic exercise could be helpful."
c. "Journaling gives one more awareness of how experiences have affected them."
d. "Perhaps a short-term loan from your father will make your layoff less stressful."
e. "Slowing your breathing by counting to three between breaths will calm you."
f. "I have found a support group for newly divorced persons in your neighborhood."
Give this one a try later!
A C D F (Stress mediators are factors that can help persons cope by
influencing how they perceive and respond to stressors; they include
personality, social support, perceptions, and culture. Suggesting that a
divorce may have positive as well as negative aspects helps the patient to
alter his perceptions of the stressor. Journaling increases self-awareness
regarding how life experiences may have shaped how one perceives and
responds to stress (or how one's personality affects how one responds to
stressors). A loan could help the patient perceive a layoff differently by
reducing the financial pressures that accompany it. Participation in support
groups is an excellent way to expand one's support network relative to
specific issues. However, neither aerobic exercise nor breathing-control
exercises, while helpful in other ways, affect stress mediators.)
Which of the following are examples of psychological sources of stress? (Select all
that apply).
a. Cancer
b. Divorce
c. Loss of a job
