Stress/Adaptation
When released in response to the alarm stage, which of the following hormones promotes a sense of well-being?
A. Endorphins
B. Aldosterone
C. Thyroid-stimulating hormone
D. Adrenocorticotrophic Hormone
Endorphins act like opiates to produce a sense of well-being; they are released by the hypothalamus and posterior pituitary gland in response to the alarm stage of stress.
Which religion refuses blood transfusions, wont eat raw meat, red meat, or meat that has not been bled properly. Won't celebrate birthdays or holidays, expect for the anniversary of the death of Christ?
Jehovah's Witness adhere to the commands of God as written in both the Old and New Testaments of the Bible.
What is an advance directive?
is a group of instructions stating the patients healthcare wishes should he or she become unable to make decisions.
What is the correct order of steps in the nursing process?
assessment, diagnosis, planning, implementation, evaluation.
What objective findings would you expect to see with someone in liver failure?
a. Erythema
b. Cyanosis
c. Jaundice
d. Pallor
Jaundice--- is a the yellow-orange discoloration of the skin. it is often associated with liver disorders, and is best assessed in the sclera, mucous membranes, palms, hard palate of the mouth, and the sole of the feet.
A patient suddenly experiences a dangerous drop in blood sugar. Which primary physiological response, characteristic of the Alarm Stage of GAS, immediately occurs to increase glucose availability and maintain vital functions?
A. Increased insulin secretion
B. Peripheral vasodilation and decreased heart rate
C. Release of epinephrine and cortisol, leading to vasoconstriction and increased heart rate
D. Activation of the parasympathetic nervous system
Release of epinephrine and cortisol; during the Alarm stage the body reacts to an emergency situation by increasing heart rate.
A student nurse is preparing a Mormon Female patient for surgery. Which statement made or question asked by the nurse indicates an understanding of the patients religious practices or beliefs?
a. This is a new gown. No one else has worn it.
b. I will let your surgical team know you cannot receive blood products.
c. how would you like me to handle your undergarments
d. would you like me to pray with you
Both male and female Mormons ear special sacred undergarments that are removed only for hygiene, intimacy, and bathroom use. Nurse may also remove it before surgery, but it must be considered intensely private and be treated with respect.
When providing postmortem care. The nurse cloes the eyes and mouth of the patient within 1 hour after death. why is this?
a. to prevent blood from settling in the head and neck.
b. to perform these actions more easily before rigor mortis develops.
c. to set the mouth in a natural position
rigor mortis develops 2 to 4 hours after death; therefore the nurse should place mouth and eyes close before that time.
A. liver
B. Skin
C. Lungs
D. Kidneys
Kidneys are the primary site of drug excretion
a. proper use of SBAR
b. Debrief at the end of shift.
c. use of a checklist
d. repeat back, close-loop.
What does the antidiuretic hormone do when released in the GAS alarm stage?
a. promotes fluid retention by increasing renal reabsorption
b. increased the use of fat & and proteins for energy and conserves glucose for use by the brain.
c. promotes fluid excretion by causing the kidney to reabsorb more sodium.
D. increases the efficiency of cellular metabolism and fat conversion to energy for cell and muscle needs
d.
A. ADH
B. Cortisol,
C. Aldosterone
d. Thyroid-stimulating hormone (TSH)
A nurse is caring for a 45-year-old client newly diagnosed with a terminal illness. The client states, "Why is God punishing me? I've always lived a good life, and now I feel completely alone. Everything I believed in seems meaningless." The nurse recognizes that the client is exhibiting signs of which nursing diagnosis?
A. ineffective coping
B. Chronic Sorrow
C. Moral Distress
D. Spiritual distress
Spiritual Distress--- (feeling abandoned by God, inability to pray, refusing to see a religion leader)
When can someone be declared dead according to the Uniform Determination of Death Act?
A. have no brainstem function
b. no cardiac function
c. Cephalic reflexes present
d. unconsciousness.
Which one of the six rights of medicaiton administration missing? the right patient, right medication, right route, right time, right dose.
a. expiration date
b. site
c. documentation
d. assessment
A nurse is explaining factors that may influence health and illness to a group of patients. Which would be considered a biological?
a. smoking
b. culture
c. exercise
d. age
Age is considered a biological because you can not change your age but can change all the others to help with health and illness.
Patient had an argument with their significant other, she becomes agitated and verbally abusive to the nurse who is caring for her. Which coping mechanism is this patient exhibiting?
a. Denial
B. displacement
C. Rationalization
D. Repression
Displacement -- she is transferring the emotions she feels toward her significant other to the nurse.
It would be most important for the nurse to instruct unlicensed assistive personnel (U A P) to assist clients of which faith to wash their hands before meals?
A. Christian
B. Jewish
C. Mormon
D. Muslim
D. Cleanliness is an important value in the Islamic faith. Muslims may engage in ritualistic washing of the hands and face and prefer free-flowing water.
What primary intervention for someone on hospice care?
a. assisting the patient into the chair twice a day.
b. turn and reposition the patient every four hours.
c. Administer pain/anxiety medication to keep the patient comfortable.
d. provide the pt with 3 large meals a day.
Patient is on a mechanical soft diet for chewing difficulties. which bowel elimination problem should the nurse monitor for?
a. GERD
b. Normal bowel movement
c. flatulence
d. constipation
mechanical soft diet provides a full range of nutrients but low in fiber. as a result put patient at risk for constipation. The nurse should monitor for constipation.
Breastfeeding is an example of what time of immunity?
A. Natural passive immunity
b. Artificial Active immunity
c. natural active immunity
d. artificial passive immunity.
A patient is in crisis. After assessing the situation, what should be the nurses first thing to do?
A. determine the imminent cause of the crisis
B. ensure the safety of both the pt and the nurse
c. Intervene to relieve the patients anxiety
D. evaluate the needs of the patient
Ensure the safety of both the patient and the nurse ---- people in crisis are at risk for physical and emotional harm. Goal of crisis intervention to assess the situation first. then ensure the safety.
An elderly women lost her husband about a year ago to cancer. The women told the nurse she has begun adjusting to life without her husband. According to Bowlby, which stage of grief is this?
Reorganization- a person adjusted to life without the decreased during the reorganization phase.
Which statement below is the best description of the nursing process?
a. a way to create nursing knowledge for use in practice.
b. a systematic view of a specific in nursing.
c. a systematic process for decision-making and delivery of nursing care.
d. a linear process for providing care.
a systematic process for problem solving, process that guides all nursing actions.
According to Joint commission, all patient admitted in an acute care hospital should be assessed for which of the following within 24-hours?
a. family planning
b. OT/PT
c. pain assessment
d. visual acuity
pain assessment should be completed before 24 hours of being admitted to an acute care hospital.