NUR 298 UNIT 2 EXAM QUESTIONS
WITH CORRECT ANSWERS
Which action should the nurse take to monitor the effects of an acute stressor on a
hospitalized
patient? (Select all that apply.)
a. Assess for bradycardia.
b. Ask about epigastric pain.
c. Observe for increased appetite.
d. Check for elevated blood glucose levels.
e. Monitor for a decrease in respiratory rate. - ANSWER-b. Ask about epigastric
pain.
c. Observe for increased appetite.
d. Check for elevated blood glucose levels.
The nurse is working with a patient who recently lost her spouse after a lengthy
illness. The patient shares that she would like to sell her home and move to another
state now that her spouse has passed away. Which of the following interventions
would be considered a priority for this patient? (Select all that apply.)
a. Notify the provider to evaluate for antidepressant therapy.
b. Suggest that the patient consider a support group for widows.
c. Suggest that the patient learn stress reduction breathing exercises.
d. Suggest that the patient take prescribed antianxiety medications.
e. Assist the patient in identifying support systems.
f. Notify the provider to evaluate the need for antianxiety medications. - ANSWER-b.
Suggest that the patient consider a support group for widows.
c. Suggest that the patient learn stress reduction breathing exercises.
e. Assist the patient in identifying support systems.
The nurse is reviewing the care plan for a patient experiencing difficulty coping with
stress. The nurse recognizes that an example of initiating a cognitive restructuring
intervention to enhance coping abilities is known as which of the following?
a. Identifying the cause of fear
b. Accessing a community support group
c. Identifying relaxation methods
d. Reviewing an educational pamphlet - ANSWER-a. Identifying the cause of fear
The nurse is developing a care plan for a patient with ineffective coping skills. Which
intervention would be an example of a problem-focused coping strategy?
a. Scheduling a regular exercise program
b. Attending a seminar on treatment options
c. Identifying a confidant to share feelings
d. Attending a support group for families - ANSWER-c. Identifying a confidant to
share feelings
,The school nurse is assessing coping skills of high school students who attend an
alternative school for students at high risk to not graduate. What is the priority
concern that the nurse has for this student population?
a. Altered vital sign readings
b. Inaccurate perceptions of stressors
c. Increased risk for suicide
d. Decreased access to alcoholic beverages - ANSWER-c. Increased risk for suicide
A patient is the primary caregiver for a disabled family member at home, and has
now been unexpectedly hospitalized for surgery. What action can the nurse take to
enhance the coping ability of the patient?
a. Ask if there is another family member who can help at home while the patient is in
the hospital.
b. Plan to transfer the patient to a rehabilitation unit after surgery to allow
uninterrupted time to recover.
c. Coordinate an ambulance transfer of the family member to an alternate family
member's home.
d. Ask social services to assess what the patient's needs will be after discharge to
home. - ANSWER-a. Ask if there is another family member who can help at home
while the patient is in the hospital.
After a management decision to admit terminal care patients to a medical unit, the
nursing manager notes that nursing staff on the unit appear tired and anxious. Staff
absences from work are increasing. The nurse manager is concerned that staff may
be experiencing stress and burnout at work. What action would be best for the
manager to take that will help the staff?
a. Ask administration to require staff to meditate daily for at least 30 minutes.
b. Have a staff psychologist available on the unit once a week for required
counseling.
c. Have training sessions to help the staff understand their new responsibilities.
d. Ask support staff from other disciplines to complete some nursing tasks to provide
help. - ANSWER-c. Have training sessions to help the staff understand their new
responsibilities.
The nurse has been asked to administer a coping measurement instrument to a
patient. What education would the nurse present to the patient related to this tool?
a. "This tool will let us compare your stress to other patients in the hospital."
b. "This tool is short because it only measures the negative stressors you are
experiencing."
c. "You will need to ask your parents about stressors you had as a child to complete
this tool."
d. "This tool will help assess recent positive and negative events you are
experiencing." - ANSWER-d. "This tool will help assess recent positive and negative
events you are experiencing."
, The nurse is assessing the coping patterns of a newly admitted patient. What will the
nurse include in this assessment? (Select all that apply.)
a. Current stressors as perceived by the patient
b. Use of drugs or alcohol
c. Recent weight changes
d. Age and height
e. Temperature - ANSWER-a. Current stressors as perceived by the patient
b. Use of drugs or alcohol
c. Recent weight changes
Approach behaviors are coping mechanisms that result in a family's movement
toward adjustment and resolution of the crisis of having a child with a chronic illness
or disability. What is considered an approach behavior in parents?
a. Are unable to adjust to a progression of the disease or condition
b. Anticipate future problems and seek guidance and answers
c. Look for new cures without a perspective toward possible benefit
d. Fail to recognize seriousness of child's condition despite physical evidence -
ANSWER-b. Anticipate future problems and seek guidance and answers
Families progress through various stages of reactions when a child is diagnosed with
a chronic illness or disability. After the shock phase, a period of adjustment usually
follows. This is often characterized by:
a. Denial.
c. Social reintegration.
b. Guilt and anger.
d. Acceptance of child's limitations. - ANSWER-b. Guilt and anger.
What nursing assessment is an immediate concern are admitted in the telemetry unit
with diagnosed with hemorrhagic stroke?
a. LOC
b. oxygen level - ANSWER-a, b, and more (not sure)
A patient who was recently diagnosed with diabetes is having trouble concentrating.
This patient is usually very organized and laid back. Which action should the nurse
take?
a. Ask the health care provider for a psychiatric referral.
b. Administer the PRN sedative medication every 4 hours.
c. Suggest the use of a home caregiver to the patient's family.
d. Plan to reinforce and repeat teaching about diabetes management. - ANSWER-d.
Plan to reinforce and repeat teaching about diabetes management.
A diabetic patient who is hospitalized tells the nurse, "I don't understand why I can
keep my blood sugar under control at home with diet alone, but when I get sick, my
blood sugar goes up." Which response by the nurse is appropriate?
WITH CORRECT ANSWERS
Which action should the nurse take to monitor the effects of an acute stressor on a
hospitalized
patient? (Select all that apply.)
a. Assess for bradycardia.
b. Ask about epigastric pain.
c. Observe for increased appetite.
d. Check for elevated blood glucose levels.
e. Monitor for a decrease in respiratory rate. - ANSWER-b. Ask about epigastric
pain.
c. Observe for increased appetite.
d. Check for elevated blood glucose levels.
The nurse is working with a patient who recently lost her spouse after a lengthy
illness. The patient shares that she would like to sell her home and move to another
state now that her spouse has passed away. Which of the following interventions
would be considered a priority for this patient? (Select all that apply.)
a. Notify the provider to evaluate for antidepressant therapy.
b. Suggest that the patient consider a support group for widows.
c. Suggest that the patient learn stress reduction breathing exercises.
d. Suggest that the patient take prescribed antianxiety medications.
e. Assist the patient in identifying support systems.
f. Notify the provider to evaluate the need for antianxiety medications. - ANSWER-b.
Suggest that the patient consider a support group for widows.
c. Suggest that the patient learn stress reduction breathing exercises.
e. Assist the patient in identifying support systems.
The nurse is reviewing the care plan for a patient experiencing difficulty coping with
stress. The nurse recognizes that an example of initiating a cognitive restructuring
intervention to enhance coping abilities is known as which of the following?
a. Identifying the cause of fear
b. Accessing a community support group
c. Identifying relaxation methods
d. Reviewing an educational pamphlet - ANSWER-a. Identifying the cause of fear
The nurse is developing a care plan for a patient with ineffective coping skills. Which
intervention would be an example of a problem-focused coping strategy?
a. Scheduling a regular exercise program
b. Attending a seminar on treatment options
c. Identifying a confidant to share feelings
d. Attending a support group for families - ANSWER-c. Identifying a confidant to
share feelings
,The school nurse is assessing coping skills of high school students who attend an
alternative school for students at high risk to not graduate. What is the priority
concern that the nurse has for this student population?
a. Altered vital sign readings
b. Inaccurate perceptions of stressors
c. Increased risk for suicide
d. Decreased access to alcoholic beverages - ANSWER-c. Increased risk for suicide
A patient is the primary caregiver for a disabled family member at home, and has
now been unexpectedly hospitalized for surgery. What action can the nurse take to
enhance the coping ability of the patient?
a. Ask if there is another family member who can help at home while the patient is in
the hospital.
b. Plan to transfer the patient to a rehabilitation unit after surgery to allow
uninterrupted time to recover.
c. Coordinate an ambulance transfer of the family member to an alternate family
member's home.
d. Ask social services to assess what the patient's needs will be after discharge to
home. - ANSWER-a. Ask if there is another family member who can help at home
while the patient is in the hospital.
After a management decision to admit terminal care patients to a medical unit, the
nursing manager notes that nursing staff on the unit appear tired and anxious. Staff
absences from work are increasing. The nurse manager is concerned that staff may
be experiencing stress and burnout at work. What action would be best for the
manager to take that will help the staff?
a. Ask administration to require staff to meditate daily for at least 30 minutes.
b. Have a staff psychologist available on the unit once a week for required
counseling.
c. Have training sessions to help the staff understand their new responsibilities.
d. Ask support staff from other disciplines to complete some nursing tasks to provide
help. - ANSWER-c. Have training sessions to help the staff understand their new
responsibilities.
The nurse has been asked to administer a coping measurement instrument to a
patient. What education would the nurse present to the patient related to this tool?
a. "This tool will let us compare your stress to other patients in the hospital."
b. "This tool is short because it only measures the negative stressors you are
experiencing."
c. "You will need to ask your parents about stressors you had as a child to complete
this tool."
d. "This tool will help assess recent positive and negative events you are
experiencing." - ANSWER-d. "This tool will help assess recent positive and negative
events you are experiencing."
, The nurse is assessing the coping patterns of a newly admitted patient. What will the
nurse include in this assessment? (Select all that apply.)
a. Current stressors as perceived by the patient
b. Use of drugs or alcohol
c. Recent weight changes
d. Age and height
e. Temperature - ANSWER-a. Current stressors as perceived by the patient
b. Use of drugs or alcohol
c. Recent weight changes
Approach behaviors are coping mechanisms that result in a family's movement
toward adjustment and resolution of the crisis of having a child with a chronic illness
or disability. What is considered an approach behavior in parents?
a. Are unable to adjust to a progression of the disease or condition
b. Anticipate future problems and seek guidance and answers
c. Look for new cures without a perspective toward possible benefit
d. Fail to recognize seriousness of child's condition despite physical evidence -
ANSWER-b. Anticipate future problems and seek guidance and answers
Families progress through various stages of reactions when a child is diagnosed with
a chronic illness or disability. After the shock phase, a period of adjustment usually
follows. This is often characterized by:
a. Denial.
c. Social reintegration.
b. Guilt and anger.
d. Acceptance of child's limitations. - ANSWER-b. Guilt and anger.
What nursing assessment is an immediate concern are admitted in the telemetry unit
with diagnosed with hemorrhagic stroke?
a. LOC
b. oxygen level - ANSWER-a, b, and more (not sure)
A patient who was recently diagnosed with diabetes is having trouble concentrating.
This patient is usually very organized and laid back. Which action should the nurse
take?
a. Ask the health care provider for a psychiatric referral.
b. Administer the PRN sedative medication every 4 hours.
c. Suggest the use of a home caregiver to the patient's family.
d. Plan to reinforce and repeat teaching about diabetes management. - ANSWER-d.
Plan to reinforce and repeat teaching about diabetes management.
A diabetic patient who is hospitalized tells the nurse, "I don't understand why I can
keep my blood sugar under control at home with diet alone, but when I get sick, my
blood sugar goes up." Which response by the nurse is appropriate?
