Nur 204 exam 5 test bank chapters 40,41,32,33 Questions
With Complete Solutions
The nurse is caring for a patient who is undergoing a major
cardiac procedure. When the patient complains of a racing heart
and nausea, the nurse recognizes these complaints as part of
what hormone response?
a. Sense of coherence
b. Stress appraisal
c. Fight or flight
d. Sympathoadrenal response
fight or flight
When the nurse measures the patient's blood glucose levels after
an acute myocardial infarction (MI), the nurse knows this action
is based on which rationale?
a. Damaged muscle tissue releases glucose.
b. Corticosteroids increase glucose.
c. Myocardial infarctions are often seen in diabetics.
d. All patients should have their blood glucose checked
Corticosteroids increase glucose.
The nurse is teaching a patient about the difference between
mild anxiety and moderate anxiety. Which statement by the
patient indicates a need for further education?
a. "Mild anxiety can help me remember things."
b. "Moderate anxiety will narrow my focus."
,c. "Mild anxiety will help me be creative."
d. "Moderate anxiety will increase my perception."
"Moderate anxiety will increase my perception."
The nurse is providing discharge instructions for a patient with
multiple sclerosis. Which discharge instruction is aimed at
preventing a future exacerbation?
a. Engage in some form of exercise as tolerated.
b. Avoid highly stressful situations.
c. Check your skin regularly for pressure sores.
d. Eat a diet with lots of fiber.
Avoid highly stressful situations.
The nurse is assessing level of stress in a patient from another
culture. Which question is the most appropriate in helping the
nurse understand the impact of the patient's belief system?
a. "Do you engage in prayer to help you during times of stress?"
b. "Do you go to church or other form of organized worship?"
c. "Do you have certain beliefs that are helpful during times of
stress?"
d. "Do you want spiritual counseling while you are here?"
"Do you have certain beliefs that are helpful during times of
stress?"
The nurse is performing a physical assessment of patient who is
undergoing a bone marrow biopsy. What finding by the nurse
indicates the patient is experiencing stress?
a. Blood pressure of 120/84
b. Temperature of 99.5 °F (37.5 °C)
,c. Heart rate of 110 beats/min
d. Respiratory rate of 10 breaths/min
Heart rate of 110 beats/min
The nurse is assessing the patient's use of coping skills in
response to stressful situations. The nurse identifies which
question to be the most useful?
a. "Have you been evaluated for stress?"
b. "Do you have someone you can go to for help when you are
stressed?"
c. "How have you managed stressful situations in the past?"
d. "Does stress cause you to experience muscle tension or
headaches?"
"How have you managed stressful situations in the past?"
The nurse is caring for a patient on a medical-surgical inpatient
unit when the patient tells the nurse he is very sad and is
considering suicide. What is the first thing the nurse should do?
a. Notify the health care provider.
b. Make a referral to psychiatric services.
c. Implement one-on-one observations.
d. Document in the electronic medical record.
Implement one-on-one observations.
The nurse identifies which goal to be appropriate for the nursing
diagnosis of difficulty coping?
a. The patient will report an ability to remember discharge
instructions.
b. The patient's family will understand how to access respite
, care services.
c. The patient will discuss possible coping strategies during
weekly counseling sessions.
d. The patient will attend an online support group weekly.
The patient will discuss possible coping strategies during weekly
counseling sessions.
The nurse recognizes which goal to be appropriate for the
nursing diagnosis of anxiety?
a. The patient will attend a weekly support group.
b. The patient will discuss possible coping strategies during
weekly office visits.
c. The patient will report increased ability to concentrate on care
instructions before discharge.
d. The patient's family will use respite care once a week for the
next
month.
The patient will report increased ability to concentrate on care
instructions before discharge
The nurse knows which goal to be appropriate for the nursing
diagnosis of caregiver stress?
a. The patient will report an ability to focus on discharge
instructions.
b. The caregiver will attend a coping skills class on a weekly
basis.
c. Caregiver will use respite care for the family loved one once a
week for the next month.
With Complete Solutions
The nurse is caring for a patient who is undergoing a major
cardiac procedure. When the patient complains of a racing heart
and nausea, the nurse recognizes these complaints as part of
what hormone response?
a. Sense of coherence
b. Stress appraisal
c. Fight or flight
d. Sympathoadrenal response
fight or flight
When the nurse measures the patient's blood glucose levels after
an acute myocardial infarction (MI), the nurse knows this action
is based on which rationale?
a. Damaged muscle tissue releases glucose.
b. Corticosteroids increase glucose.
c. Myocardial infarctions are often seen in diabetics.
d. All patients should have their blood glucose checked
Corticosteroids increase glucose.
The nurse is teaching a patient about the difference between
mild anxiety and moderate anxiety. Which statement by the
patient indicates a need for further education?
a. "Mild anxiety can help me remember things."
b. "Moderate anxiety will narrow my focus."
,c. "Mild anxiety will help me be creative."
d. "Moderate anxiety will increase my perception."
"Moderate anxiety will increase my perception."
The nurse is providing discharge instructions for a patient with
multiple sclerosis. Which discharge instruction is aimed at
preventing a future exacerbation?
a. Engage in some form of exercise as tolerated.
b. Avoid highly stressful situations.
c. Check your skin regularly for pressure sores.
d. Eat a diet with lots of fiber.
Avoid highly stressful situations.
The nurse is assessing level of stress in a patient from another
culture. Which question is the most appropriate in helping the
nurse understand the impact of the patient's belief system?
a. "Do you engage in prayer to help you during times of stress?"
b. "Do you go to church or other form of organized worship?"
c. "Do you have certain beliefs that are helpful during times of
stress?"
d. "Do you want spiritual counseling while you are here?"
"Do you have certain beliefs that are helpful during times of
stress?"
The nurse is performing a physical assessment of patient who is
undergoing a bone marrow biopsy. What finding by the nurse
indicates the patient is experiencing stress?
a. Blood pressure of 120/84
b. Temperature of 99.5 °F (37.5 °C)
,c. Heart rate of 110 beats/min
d. Respiratory rate of 10 breaths/min
Heart rate of 110 beats/min
The nurse is assessing the patient's use of coping skills in
response to stressful situations. The nurse identifies which
question to be the most useful?
a. "Have you been evaluated for stress?"
b. "Do you have someone you can go to for help when you are
stressed?"
c. "How have you managed stressful situations in the past?"
d. "Does stress cause you to experience muscle tension or
headaches?"
"How have you managed stressful situations in the past?"
The nurse is caring for a patient on a medical-surgical inpatient
unit when the patient tells the nurse he is very sad and is
considering suicide. What is the first thing the nurse should do?
a. Notify the health care provider.
b. Make a referral to psychiatric services.
c. Implement one-on-one observations.
d. Document in the electronic medical record.
Implement one-on-one observations.
The nurse identifies which goal to be appropriate for the nursing
diagnosis of difficulty coping?
a. The patient will report an ability to remember discharge
instructions.
b. The patient's family will understand how to access respite
, care services.
c. The patient will discuss possible coping strategies during
weekly counseling sessions.
d. The patient will attend an online support group weekly.
The patient will discuss possible coping strategies during weekly
counseling sessions.
The nurse recognizes which goal to be appropriate for the
nursing diagnosis of anxiety?
a. The patient will attend a weekly support group.
b. The patient will discuss possible coping strategies during
weekly office visits.
c. The patient will report increased ability to concentrate on care
instructions before discharge.
d. The patient's family will use respite care once a week for the
next
month.
The patient will report increased ability to concentrate on care
instructions before discharge
The nurse knows which goal to be appropriate for the nursing
diagnosis of caregiver stress?
a. The patient will report an ability to focus on discharge
instructions.
b. The caregiver will attend a coping skills class on a weekly
basis.
c. Caregiver will use respite care for the family loved one once a
week for the next month.
