NUR 131 Exam 4 || Guaranteed Pass.
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 answers 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 answers 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 answers 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 answers 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 answers
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 answers 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 answers 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 answers 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
answers 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 answers a) true
GCS correlates to the patient's ability to function. The lower the score, the more nursing
intervention required.
When conducting a weekly home visit with an older pt, the nurse realized the pt has not been
adhering to his recommended medication schedule. What should the nurse do next?
a) investigate why
b) reprimand the pt for being noncompliant and explain how important it is to not miss dosages
of medications
c) explain the effects of missing dosages of certain medications
d) evaluate the medication schedule correct answers a) investigate why
It's important to understand why the pt hasn't been adhering to the scheduled med schedule
Issues like vision, literacy, & side effects could be easily rectified if investigated
A 4 year old patient resists going to sleep. To assist this pt, the best action to take would be:
a) adding a daytime nap
b) allowing the child to sleep longer in the morning
c) maintaining the child's home sleep routine
d) offering the child a bedtime snack correct answers c) maintaining the child's home sleep
routine
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 answers 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 answers 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 answers 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 answers 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 answers
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 answers 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 answers 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 answers 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
answers 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 answers a) true
GCS correlates to the patient's ability to function. The lower the score, the more nursing
intervention required.
When conducting a weekly home visit with an older pt, the nurse realized the pt has not been
adhering to his recommended medication schedule. What should the nurse do next?
a) investigate why
b) reprimand the pt for being noncompliant and explain how important it is to not miss dosages
of medications
c) explain the effects of missing dosages of certain medications
d) evaluate the medication schedule correct answers a) investigate why
It's important to understand why the pt hasn't been adhering to the scheduled med schedule
Issues like vision, literacy, & side effects could be easily rectified if investigated
A 4 year old patient resists going to sleep. To assist this pt, the best action to take would be:
a) adding a daytime nap
b) allowing the child to sleep longer in the morning
c) maintaining the child's home sleep routine
d) offering the child a bedtime snack correct answers c) maintaining the child's home sleep
routine
