NUR 131 Exam 4 Questions With Correct
Answers
The nurses notes on the admission form that the patient has indication "no
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religious preference." What does this indicate to the nurse about the patient?
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a) does not follow the tenets of a specific faith
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b) is in denial about his religious beliefs
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c) doesn't believe in God or a "higher power"
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d) will not want to pray or visit with the chaplain - CORRECT ANSWER✔✔-a) does
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not follow the tenets of a specific faith
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Your pt is a 17 year old who lost her right lef in a MVA. After her parents leave,
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she asks you, "Why did God let this happen to me? I have always followed his
| | | | | | | | | | | | | | | |
commandments." Which action best depicts the "caring" aspect of SENC? | | | | | | | | |
a) "Let me call your parents back to support you."
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b) I think the chaplain can provide the support you need."
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c) cry with the pt as you hug her
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d) hold her hand, sit with her, & listen - CORRECT ANSWER✔✔-d) hold her hand,
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sit with her, & listen
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,The student nurse has earned A's in all of her prerequisite courses. For the first
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exam in a nursing course, she earns a D and now feels that she may not be smart
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enough to become a nurse. What type of "loss" is the student experiencing?
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a) actual
|
b) external
|
c) physical
| |
d) perceived - CORRECT ANSWER✔✔-d) perceived
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Your 55 year old pt was just informed that she has metastatic pancreatic cancer
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and has 4 months to live. After the provider leaves, she says to you, "I don't want
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my family to know. But they have to know. Please don't tell them. Please tell me
| | | | | | | | | | | | | | | |
what to do, help me." What is your best response?
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a) "I know this is difficult for you. Take time to thin about it."
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b) "You should get a second opinion before you alarm your family."
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c) "Let me hold your hand to make you feel better."
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d) "Tell me how you are feeling right now." - CORRECT ANSWER✔✔-d) "Tell me
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how you are feeling right now"
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The pt is dying of cancer and can no longer swallow. the son states to the nurse,
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"You MUST give dad some water, he always drank a lot of water." The nurse's
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best response is| |
a) "You sound very upset. Tell me more about your dad."
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b) "Your father is dying from cancer and water will not stop this process."
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,c) "Research shows that withholding oral fluids decreases edema."
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d) "I will call the provider & get a prescription to insert a NG tube for the water." -
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CORRECT ANSWER✔✔-a) "You sound very upset. Tell me more about your dad."
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The hospitalized pt states, "I need to know when I'm going to be discharged. I'm
| | | | | | | | | | | | | | |
so upset & worried that I'm missing work." The nurse knows:
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a) this is an example of "eustress" & no intervention is necessary
| | | | | | | | | | |
b) this is an example of psychological stress & the pt should be placed on
| | | | | | | | | | | | | | |
antidepressants
c) this is an example of developmental stress & the pt should talk to someone his
| | | | | | | | | | | | | | | |
own age |
d) this is an example of distress & could affect the pt's health status - CORRECT
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ANSWER✔✔-d) this is an example of distress & could affect the pt's health status
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A pt who is taking atenolol (Tenormin) may not exhibit a rise in blood pressure &
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pulse during the alarm stage of the general adaptation syndrome
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a) true |
b) false - CORRECT ANSWER✔✔-a) true
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Tenormin is a beta-blocker (or otherwise a anti-hypertensive medication)
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The nurse should assess every pt to determine if stress reduction interventions
| | | | | | | | | | | |
should be part of the plan of care. The rationale for this action is that:
| | | | | | | | | | | | | |
, a) there are more persons experiencing mental illness now than in the past
| | | | | | | | | | | |
b) life is so much more stressful than it has ever been
| | | | | | | | | | |
c) the occurrence of stress in pts is unpredictable
| | | | | | | |
d) pts often develop maladaptive coping strategies - CORRECT ANSWER✔✔-c) the
| | | | | | | | | |
occurrence of stress in pts is unpredictable
| | | | | | |
Mr. Arbor complains to the nurse that he is feeling anxious. He states, "I'm just so
| | | | | | | | | | | | | | |
|tired of all these tests they are doing, and it's so noisy here at night." Mr. Arbor's
| | | | | | | | | | | | | | | | |
pulse is 110 bpm and his blood pressure is 140/70 mmHg. Nursing actions should
| | | | | | | | | | | | | |
include which of the following? | | | |
a) turn on the TV to provide distraction
| | | | | | |
b) ask the pt if he would like to discuss his anxiety further
| | | | | | | | | | | |
c) close the blinds, dim the lights, and ask the pt what other measures would help
| | | | | | | | | | | | | | |
him rest
| |
d) call the physician and obtain an order for an anti-anxiety medication for PRN
| | | | | | | | | | | | | |
use - CORRECT ANSWER✔✔-c) close the blinds, dim the lights, and ask the pt
| | | | | | | | | | | | | |
what other measures would help him rest
| | | | | |
For any patient with an altered level of consciousness, the Glasgow Coma Scale
| | | | | | | | | | | | |
score will help the nurse in planning care.
| | | | | | |
a) true
|
b) false - CORRECT ANSWER✔✔-a) true
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Answers
The nurses notes on the admission form that the patient has indication "no
| | | | | | | | | | | | |
religious preference." What does this indicate to the nurse about the patient?
| | | | | | | | | | |
a) does not follow the tenets of a specific faith
| | | | | | | | |
b) is in denial about his religious beliefs
| | | | | | |
c) doesn't believe in God or a "higher power"
| | | | | | | |
d) will not want to pray or visit with the chaplain - CORRECT ANSWER✔✔-a) does
| | | | | | | | | | | | | |
not follow the tenets of a specific faith
| | | | | | | |
Your pt is a 17 year old who lost her right lef in a MVA. After her parents leave,
| | | | | | | | | | | | | | | | | | |
she asks you, "Why did God let this happen to me? I have always followed his
| | | | | | | | | | | | | | | |
commandments." Which action best depicts the "caring" aspect of SENC? | | | | | | | | |
a) "Let me call your parents back to support you."
| | | | | | | | |
b) I think the chaplain can provide the support you need."
| | | | | | | | | |
c) cry with the pt as you hug her
| | | | | | | |
d) hold her hand, sit with her, & listen - CORRECT ANSWER✔✔-d) hold her hand,
| | | | | | | | | | | | | | |
sit with her, & listen
| | | |
,The student nurse has earned A's in all of her prerequisite courses. For the first
| | | | | | | | | | | | | | |
exam in a nursing course, she earns a D and now feels that she may not be smart
| | | | | | | | | | | | | | | | | |
enough to become a nurse. What type of "loss" is the student experiencing?
| | | | | | | | | | | |
a) actual
|
b) external
|
c) physical
| |
d) perceived - CORRECT ANSWER✔✔-d) perceived
| | | | |
Your 55 year old pt was just informed that she has metastatic pancreatic cancer
| | | | | | | | | | | | | |
and has 4 months to live. After the provider leaves, she says to you, "I don't want
| | | | | | | | | | | | | | | | |
my family to know. But they have to know. Please don't tell them. Please tell me
| | | | | | | | | | | | | | | |
what to do, help me." What is your best response?
| | | | | | | | |
a) "I know this is difficult for you. Take time to thin about it."
| | | | | | | | | | | | |
b) "You should get a second opinion before you alarm your family."
| | | | | | | | | | |
c) "Let me hold your hand to make you feel better."
| | | | | | | | | |
d) "Tell me how you are feeling right now." - CORRECT ANSWER✔✔-d) "Tell me
| | | | | | | | | | | | | |
how you are feeling right now"
| | | | |
The pt is dying of cancer and can no longer swallow. the son states to the nurse,
| | | | | | | | | | | | | | | |
"You MUST give dad some water, he always drank a lot of water." The nurse's
| | | | | | | | | | | | | | | |
best response is| |
a) "You sound very upset. Tell me more about your dad."
| | | | | | | | | |
b) "Your father is dying from cancer and water will not stop this process."
| | | | | | | | | | | | |
,c) "Research shows that withholding oral fluids decreases edema."
| | | | | | | |
d) "I will call the provider & get a prescription to insert a NG tube for the water." -
| | | | | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-a) "You sound very upset. Tell me more about your dad."
| | | | | | | | | | | |
The hospitalized pt states, "I need to know when I'm going to be discharged. I'm
| | | | | | | | | | | | | | |
so upset & worried that I'm missing work." The nurse knows:
| | | | | | | | | |
a) this is an example of "eustress" & no intervention is necessary
| | | | | | | | | | |
b) this is an example of psychological stress & the pt should be placed on
| | | | | | | | | | | | | | |
antidepressants
c) this is an example of developmental stress & the pt should talk to someone his
| | | | | | | | | | | | | | | |
own age |
d) this is an example of distress & could affect the pt's health status - CORRECT
| | | | | | | | | | | | | | | |
ANSWER✔✔-d) this is an example of distress & could affect the pt's health status
| | | | | | | | | | | | |
A pt who is taking atenolol (Tenormin) may not exhibit a rise in blood pressure &
| | | | | | | | | | | | | | | |
pulse during the alarm stage of the general adaptation syndrome
| | | | | | | | |
a) true |
b) false - CORRECT ANSWER✔✔-a) true
| | | | |
Tenormin is a beta-blocker (or otherwise a anti-hypertensive medication)
| | | | | | | |
The nurse should assess every pt to determine if stress reduction interventions
| | | | | | | | | | | |
should be part of the plan of care. The rationale for this action is that:
| | | | | | | | | | | | | |
, a) there are more persons experiencing mental illness now than in the past
| | | | | | | | | | | |
b) life is so much more stressful than it has ever been
| | | | | | | | | | |
c) the occurrence of stress in pts is unpredictable
| | | | | | | |
d) pts often develop maladaptive coping strategies - CORRECT ANSWER✔✔-c) the
| | | | | | | | | |
occurrence of stress in pts is unpredictable
| | | | | | |
Mr. Arbor complains to the nurse that he is feeling anxious. He states, "I'm just so
| | | | | | | | | | | | | | |
|tired of all these tests they are doing, and it's so noisy here at night." Mr. Arbor's
| | | | | | | | | | | | | | | | |
pulse is 110 bpm and his blood pressure is 140/70 mmHg. Nursing actions should
| | | | | | | | | | | | | |
include which of the following? | | | |
a) turn on the TV to provide distraction
| | | | | | |
b) ask the pt if he would like to discuss his anxiety further
| | | | | | | | | | | |
c) close the blinds, dim the lights, and ask the pt what other measures would help
| | | | | | | | | | | | | | |
him rest
| |
d) call the physician and obtain an order for an anti-anxiety medication for PRN
| | | | | | | | | | | | | |
use - CORRECT ANSWER✔✔-c) close the blinds, dim the lights, and ask the pt
| | | | | | | | | | | | | |
what other measures would help him rest
| | | | | |
For any patient with an altered level of consciousness, the Glasgow Coma Scale
| | | | | | | | | | | | |
score will help the nurse in planning care.
| | | | | | |
a) true
|
b) false - CORRECT ANSWER✔✔-a) true
| | | | |
