NR341 Complex Adult Health Exam 1 Textbook Questions with
Rationales Exam Questions AND Correct Answers
4 processes of nociception: - ✔✔(1) transduction - noxious
stimuli causes cell damage & releases sensitizing chemicals
(2) transmission - action potential travels up spinal cord from
injury to brain, into the thalamus & cortex for processing
(3) perception - conscious experience of pain
(4) modulation - neurons in brainstem descend to spinal cord
& modify incoming impulses
A 10-year-old girl was playing on a slide at a playground
during a summer camp. She fell and broke her arm. The camp
notified the parents and took the child to the emergency
department according to the camp protocol for injuries. The
parents arrive at the emergency department and are stressed
and frantic. The 10-year-old is happy in the treatment room,
eating a Popsicle and picking out the color of her cast. List in
order of priority what the nurse should say to the parents?
1. "Can I contact someone to help you?"
2. "Your daughter is happy in the treatment room, eating a
Popsicle and picking out the color of her cast."
,3. "I'll have the doctor come out and talk to you as soon as
possible."
4. "Let me help you two calm down a bit so I can take you to
your daughter." - ✔✔2, 4, 3, 1
(My rationales: 2 directly lets the parents know that their
daughter is fine, which would help to calm them down and
leave them with no wonder of "is my daughter okay?" 4 is
second best because the parents will still get to see their
daughter soon and it addresses that they are freaking out and
probably shouldn't be, at least for the sake of their daughter.
3 would probably make them even more anxious as it does
not tell them anything about the status of their child, but still
would send someone out to them soon. 1 is just bad because
you aren't doing anything to help them and you aren't even
telling them who will help them.)
A 34-year-old single father who is anxious, tearful, and tired
from caring for his three young children tells the nurse that he
feels depressed and doesn't see how he can go on much
,longer. Which of the following would be the nurse's best
response?
1. "Are you thinking of suicide?"
2. "You've been doing a good job raising your children. You
can do it!"
3. "Is there someone who can help you during the evenings
and weekends?"
4. "What do you mean when you say you can't go on any
longer?" - ✔✔4
(Though you should be direct in asking about suicide, the
father did not explicitly give a hint that he was contemplating
suicide. Putting the idea into his head might bring harm to the
patient)
A community health nurse is providing teaching to the family
of a client who has primary dementia. Which of the following
manifestations should the nurse tell the family to expect?
, A. Decreased auditory and visual acuity.
B. Decreased display of emotion.
C. Personality traits that are opposite of original traits.
D. Forgetfulness gradually progressing to disorientation. -
✔✔D.
(Dementia usually appears first as forgetfulness. Other
manifestations may be apparent only upon neurologic
examination or cognitive testing. Loss of functioning
progresses slowly from impaired language skills and difficulty
with ordinary daily activities to severe memory loss and
complete disorientation with withdrawal from social
interaction.)
A crisis intervention nurse is working with a mother whose
Down syndrome child has been hospitalized with pneumonia
and who has lost her child's disability payment while the child
is hospitalized. The mother worries that her daughter will fall
behind in special-school classes during hospitalization. Which
strategies are effective in helping this mother cope with these
stressors? (Select all that apply.)
Rationales Exam Questions AND Correct Answers
4 processes of nociception: - ✔✔(1) transduction - noxious
stimuli causes cell damage & releases sensitizing chemicals
(2) transmission - action potential travels up spinal cord from
injury to brain, into the thalamus & cortex for processing
(3) perception - conscious experience of pain
(4) modulation - neurons in brainstem descend to spinal cord
& modify incoming impulses
A 10-year-old girl was playing on a slide at a playground
during a summer camp. She fell and broke her arm. The camp
notified the parents and took the child to the emergency
department according to the camp protocol for injuries. The
parents arrive at the emergency department and are stressed
and frantic. The 10-year-old is happy in the treatment room,
eating a Popsicle and picking out the color of her cast. List in
order of priority what the nurse should say to the parents?
1. "Can I contact someone to help you?"
2. "Your daughter is happy in the treatment room, eating a
Popsicle and picking out the color of her cast."
,3. "I'll have the doctor come out and talk to you as soon as
possible."
4. "Let me help you two calm down a bit so I can take you to
your daughter." - ✔✔2, 4, 3, 1
(My rationales: 2 directly lets the parents know that their
daughter is fine, which would help to calm them down and
leave them with no wonder of "is my daughter okay?" 4 is
second best because the parents will still get to see their
daughter soon and it addresses that they are freaking out and
probably shouldn't be, at least for the sake of their daughter.
3 would probably make them even more anxious as it does
not tell them anything about the status of their child, but still
would send someone out to them soon. 1 is just bad because
you aren't doing anything to help them and you aren't even
telling them who will help them.)
A 34-year-old single father who is anxious, tearful, and tired
from caring for his three young children tells the nurse that he
feels depressed and doesn't see how he can go on much
,longer. Which of the following would be the nurse's best
response?
1. "Are you thinking of suicide?"
2. "You've been doing a good job raising your children. You
can do it!"
3. "Is there someone who can help you during the evenings
and weekends?"
4. "What do you mean when you say you can't go on any
longer?" - ✔✔4
(Though you should be direct in asking about suicide, the
father did not explicitly give a hint that he was contemplating
suicide. Putting the idea into his head might bring harm to the
patient)
A community health nurse is providing teaching to the family
of a client who has primary dementia. Which of the following
manifestations should the nurse tell the family to expect?
, A. Decreased auditory and visual acuity.
B. Decreased display of emotion.
C. Personality traits that are opposite of original traits.
D. Forgetfulness gradually progressing to disorientation. -
✔✔D.
(Dementia usually appears first as forgetfulness. Other
manifestations may be apparent only upon neurologic
examination or cognitive testing. Loss of functioning
progresses slowly from impaired language skills and difficulty
with ordinary daily activities to severe memory loss and
complete disorientation with withdrawal from social
interaction.)
A crisis intervention nurse is working with a mother whose
Down syndrome child has been hospitalized with pneumonia
and who has lost her child's disability payment while the child
is hospitalized. The mother worries that her daughter will fall
behind in special-school classes during hospitalization. Which
strategies are effective in helping this mother cope with these
stressors? (Select all that apply.)
