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Exam (elaborations)

NUR 2101 Module 4 (Info For Final) Questions With Complete Solutions

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NUR 2101 Module 4 (Info For Final) Questions With Complete Solutions

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NUR 2101 Module 4 (Info For Final) Questions With
Complete Solutions

A nurse is caring for a patient who is depressed because her
children have gone away to college. Which type of loss is
experienced by the patient?
a. Perceived
b. Situational
c. Conditional
d. Maturational Correct Answers d. Maturational

People experience maturational losses as they go through a
lifetime of normal developmental processes. For example, when
a child goes to school for the first time she will spend less time
with her parents, leading to a change in the parent-child
relationship. Perceived losses are uniquely experienced by a
grieving person and are often less obvious to others. A perceived
loss is very real to the person who has had the loss. For example,
a person perceives that she is less loved by her parents and
experiences a loss of self-esteem. Situational loss occurs as a
result of an unpredictable life event. There is no such thing as a
conditional loss.

A nurse is caring for a patient who survived cardiopulmonary
resuscitation after almost drowning. How can the nurse best help
the patient to deal with the aftereffects of the experience?
a. Recommend that the patient avoid discussing the experience
with family.
b. Assume that the near-death experience was a positive
experience for the patient.

,c. Be nonjudgmental and help the patient to work through the
near-death experience.
d. Explain that people who have not had a near-death experience
will not understand. Correct Answers c. Be nonjudgmental and
help the patient to work through the near-death experience.

After patients have survived a near-death experience (NDE),
promote spiritual well-being by remaining open, giving patients
a chance to explore what happened, and supporting patients as
they share the experience with significant others. Patients who
have an NDE are often reluctant to discuss it, thinking family or
caregivers will not understand. Isolation and depression often
occur. Furthermore, not all NDEs are positive experiences.
However, individuals experiencing an NDE who discuss it
openly with family or caregivers find acceptance and meaning
from this powerful experience.

A nurse prepares to teach the patient about strategies to
minimize feelings of powerlessness. Which techniques will the
nurse implement that are the best for this type of learning?
(Select all that apply.)
a. Lecture
b. Practice
c. Discussion
d. Role play
e. Return demonstration Correct Answers c. Discussion
d. Role play

Teaching methods for affective learning include role play and
discussion. Lecture is effective for cognitive learning. Practice
and return demonstration are best for psychomotor learning.

,A nurse tells a patient with a recent back injury that damage to
the nerves is comparable to a water hose that has been pinched
off and that time is needed to allow normal nerve transmission.
Which technique did the nurse use?
a. Analogy
b. Discovery
c. Role playing
d. Demonstration Correct Answers a. Analogy

Analogies add to verbal instruction by providing familiar images
that make complex information more real and understandable.
Discovery is a useful tool for teaching problem solving and is a
technique for cognitive learning. During role play your patients
play themselves or someone else in the situation.
Demonstrations are useful when teaching psychomotor skills.

A nurse wants to follow nursing standards of care. Which
document should the nurse follow?
a. National League for Nursing manuscript
b. World Health Organization guiding principles
c. Health care agency's written procedure manual
d. US Department of Health and Human Services guidelines
Correct Answers c. Health care agency's written procedure
manual

The health care agency's written procedure manual is defined as
a standard of care. Standards of care are defined by the
following: (1) state Nurse Practice Acts, (2) state and federal
hospital licensing laws and accreditation rules, (3) professional
and specialty organizations, and (4) written policies and

, procedures of the nurse's health care agency. Manuscripts are
not standards of care. The World Health Organization and US
Department of Health and Human Services are not state or
federal hospitals or professional and specialty organizations for
nurses.

A patient refuses to remove a religious headscarf when being
bathed. Which is appropriate action of the nurse?
a. Remove the headscarf because its presence hinders hygiene.
b. Respect the patient's wishes and work around the headscarf.
c. Explain to the patient that the headscarf has no real spiritual
value.
d. Identify the refusal to remove the headscarf as a sign of
spiritual distress. Correct Answers b. Respect the patient's
wishes and work around the headscarf.

To care for and meet the spiritual needs of your patients, it is
essential to respect each patient's personal beliefs. People
experience the world and find meaning in life in different ways
and the spiritual garment has meaning for the patient. Caring for
your patients' spiritual needs requires you to be compassionate
and remove any personal biases or misconceptions. You need to
recognize that not all patients have spiritual problems. Patients
bring certain spiritual resources that help them assume healthier
lives, recover from illness, or face impending death.

A patient who survived a near-death experience tells the nurse
about feeling a deep sense of peace, light, and unconditional
love while watching the health care providers perform
resuscitation procedures. Which is the best response of the
nurse?

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