NURS 400 Exam 1 Graded A plus | Exams Nursing

NURS 400 Exam 1

A client is admitted to the hospital after witnessing the death of a loved one in a motor

vehicle accident. Which fight-or-flight biological response will the client experience

during the immediate response? - ansThe adrenal medulla releases norepinephrine and

epinephrine into the bloodstream.

A client is admitted to the psychiatric unit for the fourth time in a month after being found

face down in parking lot with an extremely high blood alcohol level. While speaking with

the nurse, the client explains he drinks alcohol to ease the pain of losing his family.

What ego defense mechanism is the client exemplifying? - ansDenial

A client tells the nurse, "I drink because it's the only way I can deal with my bad

marriage and my worse job." What does the nurse understand from the client's

statement? - ansThe client is showing the rationalization type of ego defense

mechanism.

A client with renal failure is admitted to the hospital. The nurse finds that the client is

depressed due to a lack of family support and has decreased social interaction with the

people from her church. Which nursing diagnosis is most applicable to the client,

according to the given data? - ansRisk of impaired religiosity

A nursing instructor is teaching a group of student nurses about the methods used to

determine right or wrong behavior during nursing practice. Which concept is the nursing

instructor trying to teach the students? - ansBioethics

A nursing instructor tells a group of nursing students, "You have to treat clients with the

same respect and dignity with which you would expect to be treated." Which ethical

theory is the nursing instructor teaching the students? - ansChristian ethics

A nursing student is studying cultural syndromes. Which culture is most likely to know

about "ghost sickness"? - ansAmerican Indians

After interacting with the partner of a client who has terminal cancer, the nurse

anticipates that the client is experiencing denial. Which statement of the caregiver

supports the nurse's conclusion? - ans"My partner wants to shift to another hospital for

a second opinion, even though it is obvious from his symptoms and diagnostic reports."

After undergoing an abortion, a teenager asks the nurse, "Can you provide me with

some information regarding birth control pills?" Which response from the nurse indicates

ethical egoism? - ans"I am sorry. Providing information about birth control pills to

teenagers will pose a risk for my job."

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NURS 400 Exam 1

A client is admitted to the hospital after witnessing the death of a loved one in a motor vehicle accident. Which fight-or-flight biological response will the client experience during the immediate response? - ansThe adrenal medulla releases norepinephrine and epinephrine into the bloodstream. A client is admitted to the psychiatric unit for the fourth time in a month after being found face down in parking lot with an extremely high blood alcohol level. While speaking with the nurse, the client explains he drinks alcohol to ease the pain of losing his family. What ego defense mechanism is the client exemplifying? - ansDenial A client tells the nurse, "I drink because it's the only way I can deal with my bad marriage and my worse job." What does the nurse understand from the client's statement? - ansThe client is showing the rationalization type of ego defense mechanism. A client with renal failure is admitted to the hospital. The nurse finds that the client is depressed due to a lack of family support and has decreased social interaction with the people from her church. Which nursing diagnosis is most applicable to the client, according to the given data? - ansRisk of impaired religiosity A nursing instructor is teaching a group of student nurses about the methods used to determine right or wrong behavior during nursing practice. Which concept is the nursing instructor trying to teach the students? - ansBioethics A nursing instructor tells a group of nursing students, "You have to treat clients with the same respect and dignity with which you would expect to be treated." Which ethical theory is the nursing instructor teaching the students? - ansChristian ethics A nursing student is studying cultural syndromes. Which culture is most likely to know about "ghost sickness"? - ansAmerican Indians After interacting with the partner of a client who has terminal cancer, the nurse anticipates that the client is experiencing denial. Which statement of the caregiver supports the nurse's conclusion? - ans"My partner wants to shift to another hospital for a second opinion, even though it is obvious from his symptoms and diagnostic reports." After undergoing an abortion, a teenager asks the nurse, "Can you provide me with some information regarding birth control pills?" Which response from the nurse indicates ethical egoism? - ans"I am sorry. Providing information about birth control pills to teenagers will pose a risk for my job."

Following an accident, the health-care provider schedules surgery for an 8-year-old child. Which intervention should the nurse implement prior to surgery? - ansObtain consent from the child's guardian hat are the four main Jewish religious groups that exist today in the United Sates? Select all that apply. - ansReform Orthodox Conservative Reconstructionist The nurse finds that the client's blood pressure has been consistently high after the loss of a friend in a motor vehicle accident. Which of the following hormones causes this physiological response? - ansVasopressin The nurse informs a client that his/her spouse was killed in an automobile accident. The client begins to scream "No, no, that's a lie!" while covering her ears and rocking back and forth. Which stage of grief would the nurse anticipate next? - ansAnger The nurse interacts with a Native American client who has recently been admitted to the psychiatric care unit. Which intervention by the nurse is valid while communicating with the client? - ansOffering a hand shake to the client, with a light touch The nurse is assessing a client who is exhibiting signs of "flight or fight" response. Which vital sign remains unchanged during the initial response? - ansTemperature The nurse is caring for a client who is having difficulty achieving satisfactory interpersonal relationships. Which level of Maslow's Hierarchy of needs would the nurse conclude the client is attempting to achieve? - ansLove and belonging The nurse is caring for an African American client with the culture-bound syndrome brain fag. Which outcome will the nurse expect after successful therapy? - ansThe client will be able to concentrate more and demonstrate good memory retention. The nurse is documenting the morning assessment in the client's medical record. Which term will the nurse use to describe a client who refuses to acknowledge that he or she has any psychiatric problems? - ansAnosognosia The nurse is observing the communication, internal values, time maintenance, and environmental control of a client with a psychotic disorder. What is the nurse assessing in the client? - ansCulture The nurse is reviewing a chart of a new client and sees that the physician has documented the client has a somatic symptom disorder. What does this information tell the nurse about the client? - ansThis client will demonstrate physical symptoms for which there is no demonstrable organic pathology.

taken for the child. Which characteristics of the parents indicate that they are in the acceptance stage of grief? - ansBeing sad but determined to spend meaningful last days with their child letting her know their love The registered nurse is teaching student nurses about the cultural aspects of mental illness. Which statement of the registered nurse needs correction? - ans"Relatives are more likely than others to label an individual's behavior as mentally ill." The topic of discussion in a session of group therapy is encouraging spiritual growth. Which mantra best relates to reducing craving and finding the soul's desire? - ans"Transform your motivation" To find relief from anxiety, a client tells the nurse, "Sorry, I did not take my medication today; my mother did not remind me to take it." Which defense mechanism does the nurse suspect from the client's statement? - ansProjection What are common characteristics of clients with neurosis? Select all that apply. - ansThey feel helpless to change their situation They are aware that they are experiencing distress They are aware that their behaviors are maladaptive What are the advantages for an individual with a religious commitment, according to the Maryland psychologist John Gartner's review in 1996? Select all that apply. - ansLower divorce rates Lower suicidal attempts Less juvenile delinquency What are the coping mechanisms adopted by a client to relieve mild anxiety? Select all that apply. - ansSleeping Laughing What characteristics will the nurse observe in a client who is suit prone? Select all that apply - ansCritical behavior Complaining nature Uncooperative during treatment What does the nurse find in the laboratory reports of a client whose stress response is sustained over a long period? Select all that apply. - ansIncreased sodium levels Increased blood glucose levels What is a culture-bound psychiatric syndrome of American Indian tribes? - ansGhost- sickness What is the distance of personal zone space that should be maintained during an interpersonal interaction in Western culture? - ans18 inches to 3 feet

What provisions are included in a state's nursing practice act? Select all that apply. - ansThe scope of practice for various levels of nursing The general powers and authority of the state board of nursing The educational and training requirements for nursing licensure When the sympathetic nervous system is stimulated, which process runs parallel to increased cardiac output? - ansIncreased heart rate Which action may place a nurse at risk of being charged with slander? - ansSpreading oral defamation of the client by malicious or false information Which action of the nurse is appropriate while speaking with an Arab American client of the opposite gender? - ansMaintaining steady eye contact with the client Which are common responses that can be observed in a client with general adaptation syndrome? Select all that apply. - ansAlarm Response Exhaustion Which aspect of communication is categorized into paralanguage? - ansIntonation Which basic need is at the top of Maslow's hierarchy of needs? - ansSelf-fulfillment Which behavioral adaptation response occurs in a client who has severe anxiety? - ansPsychoneurotic responses Which biological responses occur at the sustained stage of stress during the "fight or flight" syndrome? Select all that apply. - ansDecreased immune response Decreased inflammatory response Which characteristic behavior does the nurse notice in a client with psychosis? - ansMinimal distress Which client behavior noted by the nurse is indicative of using projection? - ansA client blaming his or her boss after getting fired from his or her job Which client requires the renewal of restraint orders for every 2 hours unless state law is more restrictive? - ansA client who is 13 years old Which communication technique will the nurse use while interviewing an Asian American client with a severe psychotic disorder? Select all that apply. - ansMaintain the same verbal intonation and speed throughout the interview process. Avoid using facial gestures and body movements. Which contributor to mental health research asserted that there are cultural aspects of mental illness? - ansHorwitz

Which ethical theory involves a mental conflict between moral values? - ansEthical dilemma Which final outcome will indicate the effectiveness of the care plan for a client who is diagnosed with a risk of impaired religiosity? - ansThe client will be able to express the achievement of support and personal satisfaction from religious practices Which group of Americans carries a strong hereditary risk factor for hypertension? - ansAfrican Americans Which hormone plays an important role in maintaining the basic metabolic rate? - ansThyrotropic hormone Which intervention of the nurse supports the principle of Kantianism? - ansProviding information to the client about his or her condition as suggested by the health-care provider Which is a psychological risk factor for impaired religiosity? - ansLack of security Which laboratory value will the nurse expect to be increased in a client as a result of a prolonged stress response? - ansGlucose Which nursing intervention is most beneficial while assessing a client with schizophrenia and religious delusions? - ansEngaging a family member or a significant person in the assessment process Which physical characteristics may be noticed in a client with severe anxiety? Select all that apply. - ansDiarrhea Headaches Urinary frequency Which psychiatric client requires the nurse to obtain informed consent from the closest relative before treatment? - ansA client who is scheduled for electroconvulsive therapy Which psychotic response may the nurse observe in a client during the panic anxiety stage? - ansSchizophrenia Which spiritual factor offers freedom and peace of mind to a person? - ansForgiveness Which spiritual need is defined as the acceptance of a belief in the absence of physical or empirical evidence? - ansFaith Which statement made by the client enables the nurse to recognize that the client is Jewish American? - ans"My parents consider me a blessing, treat me with respect, and I am deeply loved."

Which symptoms are commonly observed in a client with psychosis? Select all that apply.` - ansDelusions Hallucinations Disorganized speech Which theory of ethical decision-making states that whether an ethical decision is right is determined by its tendency to bring happiness to the client? - ansUtilitarianism Which theory of ethical decision-making suggests that nursing actions should be bound by a sense of duty? - ansKantianism Which type of culture-bound psychiatric syndrome is associated with symptoms like physical and verbal aggression in the client, according to Latin Americans? - ansAtaque de nervios While assessing a client, the nurse learns that client has been diagnosed with anxiety in the past. The client also he or she is afraid of "going crazy." Which level of anxiety will the nurse expect to see when reviewing the client's previous history? - ansPanic While caring for a client with anxiety, the nurse finds that the client is unable to comprehend even simple directions. On further evaluation, the nurse finds hyperactive nature and bizarre behavior in the client. Which type of anxiety does the nurse suspect in this client? - ansPanic While caring for a client with spiritual distress, the nurse observes that the client's behavior is indicative of poor relationships with others. How is this assessment beneficial for the nurse? - ansTo develop an accurate care plan for the client While communicating with a client, the nurse finds that the client is unable to remember anything about her sexual assault when she was 15 years old. Which ego defense mechanism does the nurse suspect in this client? - ansRepression While evaluating a client's mental status, the nurse anticipates that the client may believe he has the culture-bound syndrome koro? Which observations made the nurse reach such a conclusion? Select all that apply - ansThe client is anxious because of a fear that his penis may retract into the body The client has fear that retraction of nipples may cause death While evaluating a female client with moderate anxiety, the nurse finds a reaction formation type of ego defense mechanism in the client. Which behavior in the client supports the nurse's findings? - ansSpeaking to her relatives very politely even though she does not like them

NURS 400 Exam 1 Graded A plus, Exams of Nursing

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NURS 400 Exam 1