NURA 303 Exam 2 Questions With Complete Solutions
A certified nurse midwife is teaching a pregnant woman
techniques to reduce the pain of childbirth. Which stress
reduction activities would be most effective? Select all that
apply.
A. Progressive muscle relaxation
B. Meditation
C. Anticipatory socialization
D. Biofeedback
E. Rhythmic breathing
F. Guided imagery correct answers a, b, e, f. Relaxation
techniques are useful in many situations, including childbirth,
and consist of rhythmic breathing and progressive muscle
relaxation. Meditation and guided imagery could also be used to
distract a patient from the pain of childbirth. Anticipatory
socialization helps to prepare people for roles they don't have
yet, but aspire to, such as parenthood. Biofeedback is a method
of gaining mental control of the autonomic nervous system and
thus regulating body responses, such as blood pressure, heart
rate, and headaches.
A college student visits the school's health center with vague
complaints of anxiety and fatigue. The student tells the nurse,
"Exams are right around the corner and all I feel like doing is
sleeping." The student's vital signs are within normal
parameters. What would be an appropriate question to ask in
response to the student's verbalizations?
A. "Are you worried about failing your exams?"
B. "Have you been staying up late studying?"
C. "Are you using any recreational drugs?"
,D. "Do you have trouble managing your time?" correct answers
a. Mild anxiety is often handled without conscious thought
through the use of coping mechanisms, such as sleeping, which
are behaviors used to decrease stress and anxiety. Based on the
complaints and normal vital signs, it would be best to explore
the patient's level of stress and physiologic response to this
stress.
A nurse assisting with a patient bed bath observes that an older
female adult has dry skin. The patient states that her skin is
always "itchy." Which nursing action would be the nurse's best
response?
A. Bathe the patient more frequently.
B. Use an emollient on the dry skin.
C. Massage the skin with alcohol.
D. Discourage fluid intake. correct answers b. An emollient
soothes dry skin, whereas frequent bathing increases dryness, as
does alcohol. Discouraging fluid intake leads to dehydration
and, subsequently, dry skin.
A nurse caring for patients in a busy hospital environment
should implement which recommendation to promote sleep?
A. Keep the room light dimmed during the day.
B. Keep the room cool.
C. Keep the door of the room open.
D. Offer a sleep aid medication to patients on a regular basis.
correct answers b. The nurse should keep the room cool and
provide earplugs and eye masks. The nurse should also maintain
a brighter room environment during daylight hours and dim
lights in the evening, and keep the door of the room closed.
Sleep aid medications should only be offered as prescribed.
,A nurse caring for patients in a critical care unit knows that
providing good oral hygiene is an essential part of nursing care.
What are some of the benefits of providing this care? Select all
that apply.
A. It promotes the patient's sense of well-being.
B. It prevents deterioration of the oral cavity.
C. It contributes to decreased incidence of aspiration pneumonia.
D. It eliminates the need for flossing.
E. It decreases oropharyngeal secretions.
F. It helps to compensate for an inadequate diet. correct answers
a, b, c. Adequate oral hygiene is essential for promoting the
patient's sense of well-being and preventing deterioration of the
oral cavity. Diligent oral hygiene care can also improve oral
health and limit the growth of pathogens in oropharyngeal
secretions, decreasing the incidence of aspiration pneumonia and
other systemic diseases. Oral care does not eliminate the need
for flossing, decrease oropharyngeal secretions, or compensate
for poor nutrition.
A nurse caring for patients in a hospital setting uses anticipatory
guidance to prepare them for painful procedures. Which nursing
intervention is an example of this type of stress management?
A. The nurse teaches a patient rhythmic breathing to perform
prior to the procedure.
B. The nurse tells a patient to focus on a pleasant place, mentally
place himself in it, and breathe slowly in and out.
C. The nurse teaches a patient about the pain involved in the
procedure and describes methods to cope with it.
D. The nurse teaches a patient to create and focus on a mental
image during the procedure in order to be less responsive to the
, pain. correct answers c. Anticipatory guidance focuses on
psychologically preparing a person for an unfamiliar or painful
event. When the patient know what to expect—for example,
when the nurse tells the patient about the pain he or she should
expect to experience during a procedure, and describes related
pain relief measures—the patient's anxiety is reduced. Rhythmic
breathing is a relaxation technique, focusing on a pleasant place
and breathing slowly in and out is a meditation technique, and
focusing on a mental image to reduce responses to stimuli is a
guided imagery technique.
A nurse caring for patients in a long-term care facility is
implementing interventions to help promote sleep in older
adults. Which action is recommended for these patients?
A. Increase physical activities during the day.
B. Encourage short periods of napping during the day.
C. Increase fluids during the evening.
D. Dispense diuretics during the afternoon hours. correct
answers a. In order to promote sleep in the older adult, the nurse
should encourage daily physical activity such as walking or
water aerobics, discourage napping during the day, decrease
fluids at night, and dispense diuretics in the morning or early
evening.
A nurse caring for patients in a pediatrician's office assesses
infants and toddlers for physical developmental milestones.
Which patient would the nurse refer to a specialist based on
failure to achieve these milestones?
A. A 4-month-old infant who is unable to roll over
B. A 6-month-old infant who is unable to hold his head up
himself
A certified nurse midwife is teaching a pregnant woman
techniques to reduce the pain of childbirth. Which stress
reduction activities would be most effective? Select all that
apply.
A. Progressive muscle relaxation
B. Meditation
C. Anticipatory socialization
D. Biofeedback
E. Rhythmic breathing
F. Guided imagery correct answers a, b, e, f. Relaxation
techniques are useful in many situations, including childbirth,
and consist of rhythmic breathing and progressive muscle
relaxation. Meditation and guided imagery could also be used to
distract a patient from the pain of childbirth. Anticipatory
socialization helps to prepare people for roles they don't have
yet, but aspire to, such as parenthood. Biofeedback is a method
of gaining mental control of the autonomic nervous system and
thus regulating body responses, such as blood pressure, heart
rate, and headaches.
A college student visits the school's health center with vague
complaints of anxiety and fatigue. The student tells the nurse,
"Exams are right around the corner and all I feel like doing is
sleeping." The student's vital signs are within normal
parameters. What would be an appropriate question to ask in
response to the student's verbalizations?
A. "Are you worried about failing your exams?"
B. "Have you been staying up late studying?"
C. "Are you using any recreational drugs?"
,D. "Do you have trouble managing your time?" correct answers
a. Mild anxiety is often handled without conscious thought
through the use of coping mechanisms, such as sleeping, which
are behaviors used to decrease stress and anxiety. Based on the
complaints and normal vital signs, it would be best to explore
the patient's level of stress and physiologic response to this
stress.
A nurse assisting with a patient bed bath observes that an older
female adult has dry skin. The patient states that her skin is
always "itchy." Which nursing action would be the nurse's best
response?
A. Bathe the patient more frequently.
B. Use an emollient on the dry skin.
C. Massage the skin with alcohol.
D. Discourage fluid intake. correct answers b. An emollient
soothes dry skin, whereas frequent bathing increases dryness, as
does alcohol. Discouraging fluid intake leads to dehydration
and, subsequently, dry skin.
A nurse caring for patients in a busy hospital environment
should implement which recommendation to promote sleep?
A. Keep the room light dimmed during the day.
B. Keep the room cool.
C. Keep the door of the room open.
D. Offer a sleep aid medication to patients on a regular basis.
correct answers b. The nurse should keep the room cool and
provide earplugs and eye masks. The nurse should also maintain
a brighter room environment during daylight hours and dim
lights in the evening, and keep the door of the room closed.
Sleep aid medications should only be offered as prescribed.
,A nurse caring for patients in a critical care unit knows that
providing good oral hygiene is an essential part of nursing care.
What are some of the benefits of providing this care? Select all
that apply.
A. It promotes the patient's sense of well-being.
B. It prevents deterioration of the oral cavity.
C. It contributes to decreased incidence of aspiration pneumonia.
D. It eliminates the need for flossing.
E. It decreases oropharyngeal secretions.
F. It helps to compensate for an inadequate diet. correct answers
a, b, c. Adequate oral hygiene is essential for promoting the
patient's sense of well-being and preventing deterioration of the
oral cavity. Diligent oral hygiene care can also improve oral
health and limit the growth of pathogens in oropharyngeal
secretions, decreasing the incidence of aspiration pneumonia and
other systemic diseases. Oral care does not eliminate the need
for flossing, decrease oropharyngeal secretions, or compensate
for poor nutrition.
A nurse caring for patients in a hospital setting uses anticipatory
guidance to prepare them for painful procedures. Which nursing
intervention is an example of this type of stress management?
A. The nurse teaches a patient rhythmic breathing to perform
prior to the procedure.
B. The nurse tells a patient to focus on a pleasant place, mentally
place himself in it, and breathe slowly in and out.
C. The nurse teaches a patient about the pain involved in the
procedure and describes methods to cope with it.
D. The nurse teaches a patient to create and focus on a mental
image during the procedure in order to be less responsive to the
, pain. correct answers c. Anticipatory guidance focuses on
psychologically preparing a person for an unfamiliar or painful
event. When the patient know what to expect—for example,
when the nurse tells the patient about the pain he or she should
expect to experience during a procedure, and describes related
pain relief measures—the patient's anxiety is reduced. Rhythmic
breathing is a relaxation technique, focusing on a pleasant place
and breathing slowly in and out is a meditation technique, and
focusing on a mental image to reduce responses to stimuli is a
guided imagery technique.
A nurse caring for patients in a long-term care facility is
implementing interventions to help promote sleep in older
adults. Which action is recommended for these patients?
A. Increase physical activities during the day.
B. Encourage short periods of napping during the day.
C. Increase fluids during the evening.
D. Dispense diuretics during the afternoon hours. correct
answers a. In order to promote sleep in the older adult, the nurse
should encourage daily physical activity such as walking or
water aerobics, discourage napping during the day, decrease
fluids at night, and dispense diuretics in the morning or early
evening.
A nurse caring for patients in a pediatrician's office assesses
infants and toddlers for physical developmental milestones.
Which patient would the nurse refer to a specialist based on
failure to achieve these milestones?
A. A 4-month-old infant who is unable to roll over
B. A 6-month-old infant who is unable to hold his head up
himself
