RNSG 1430 EXAM 2 STUDY GUIDE | 150
QUESTIONS | WITH COMPLETE SOLUTIONS.
1 of 150
Term
Crises Resulting from Traumatic Stress
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A. Denial
(Denial is avoiding emotional stress by refusing to consciously acknowledge anything
that causes intolerable anxiety. This patient statements reflect denial
about poorly controlled blood sugars.)
, C. Adventitious crisis
(An adventitious crisis is a type of crisis resulting from a natural disaster such as a
tsunami)
Without adequate situational supports (persons who are available, who can be
depended on to help solve the problem) during a stressful situation, an
individual is most likely to feel overwhelmed and alone.
Unexpected external stressor which individual has little/no control resulting
in feeling emotionally overwhelmed and defeated.
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2 of 150
Term
The hypothalamus secretes what to promote wakefulness, and REM
sleep?
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Epinephrine Thyroid-stimulating hormone
Thyroxine Hypocretins (orexins)
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3 of 150
,Term
The nurse is administering a benzodiazepine sleep aid to an older
adult. What should the priority assessment for the patient?
A. Incontinence
B.Nausea and vomiting
C. Bradycardia
D.Respiratory depression
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An unexpected occurrence involving death, serious physical or psychological
injury.
(Loss of limb/function, "sentinel" = immediate investigation)
B. "Antihistamines should not be used because they can cause confusion and
increase your risk of falls."
D. High-pitched and hyperactive above the area of obstruction
(Early in intestinal obstruction, the patient's bowel sounds are hyperactive and
high pitched, sometimes referred to as "tinkling," above the level of the
obstruction. This occurs because peristaltic action increases to "push past" the
area of obstruction. As the obstruction becomes complete, bowel sounds
decrease and finally become absent.)
D. Respiratory depression
(Potter page 1010)
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, 4 of 150
Term
Defense mechanism: Rationalization
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A condition in which ADH is secreted despite normal or low plasma osmolarity,
resulting in water retention and dilutional hyponatremia.
(the increase in plasma volume allows aldosterone secretion which increases
further sodium loss)
An attempt to avoid expressing actual emotions associated with a stressful
situation by using the intellectual processes of logic, reasoning, and analysis.
(Susan's husband is being transferred with his job to a city far away from her
parents. She hides anxiety by explaining to her parents the advantages
associated with the move.)
Attempting to make excuses or formulate logical reasons to justify
unacceptable feelings or behaviors.
(John tells the rehab nurse, "I drink because it's the only way I can deal with my
bad marriage and my worse job.")
Responding to stress by retreating to an earlier level of development and the
comfort measures associated with that level of functioning.
(When 2-year-old Jay is hospitalized for tonsillitis, he will drink only from a bottle,
although his mother states he has been drinking from a cup for 6 months.)
Don't know?
QUESTIONS | WITH COMPLETE SOLUTIONS.
1 of 150
Term
Crises Resulting from Traumatic Stress
Give this one a try later!
A. Denial
(Denial is avoiding emotional stress by refusing to consciously acknowledge anything
that causes intolerable anxiety. This patient statements reflect denial
about poorly controlled blood sugars.)
, C. Adventitious crisis
(An adventitious crisis is a type of crisis resulting from a natural disaster such as a
tsunami)
Without adequate situational supports (persons who are available, who can be
depended on to help solve the problem) during a stressful situation, an
individual is most likely to feel overwhelmed and alone.
Unexpected external stressor which individual has little/no control resulting
in feeling emotionally overwhelmed and defeated.
Don't know?
2 of 150
Term
The hypothalamus secretes what to promote wakefulness, and REM
sleep?
Give this one a try later!
Epinephrine Thyroid-stimulating hormone
Thyroxine Hypocretins (orexins)
Don't know?
3 of 150
,Term
The nurse is administering a benzodiazepine sleep aid to an older
adult. What should the priority assessment for the patient?
A. Incontinence
B.Nausea and vomiting
C. Bradycardia
D.Respiratory depression
Give this one a try later!
An unexpected occurrence involving death, serious physical or psychological
injury.
(Loss of limb/function, "sentinel" = immediate investigation)
B. "Antihistamines should not be used because they can cause confusion and
increase your risk of falls."
D. High-pitched and hyperactive above the area of obstruction
(Early in intestinal obstruction, the patient's bowel sounds are hyperactive and
high pitched, sometimes referred to as "tinkling," above the level of the
obstruction. This occurs because peristaltic action increases to "push past" the
area of obstruction. As the obstruction becomes complete, bowel sounds
decrease and finally become absent.)
D. Respiratory depression
(Potter page 1010)
Don't know?
, 4 of 150
Term
Defense mechanism: Rationalization
Give this one a try later!
A condition in which ADH is secreted despite normal or low plasma osmolarity,
resulting in water retention and dilutional hyponatremia.
(the increase in plasma volume allows aldosterone secretion which increases
further sodium loss)
An attempt to avoid expressing actual emotions associated with a stressful
situation by using the intellectual processes of logic, reasoning, and analysis.
(Susan's husband is being transferred with his job to a city far away from her
parents. She hides anxiety by explaining to her parents the advantages
associated with the move.)
Attempting to make excuses or formulate logical reasons to justify
unacceptable feelings or behaviors.
(John tells the rehab nurse, "I drink because it's the only way I can deal with my
bad marriage and my worse job.")
Responding to stress by retreating to an earlier level of development and the
comfort measures associated with that level of functioning.
(When 2-year-old Jay is hospitalized for tonsillitis, he will drink only from a bottle,
although his mother states he has been drinking from a cup for 6 months.)
Don't know?
