Answer Choices:
a. Exercise will stimulate endorphins and improve the patient’s feelings of well-being.
b. Exercise prevents damage from overstimulation of the sympathetic nervous system.
c. Exercise detoxifies the body by removing metabolic wastes and other toxins.
d. Exercise will prevent exacerbation of the stress by the limbic system.
Answer:
a. Exercise will stimulate endorphins and improve the patient’s feelings of well-being.
Question: A nurse says, “I am the only one who truly understands this patient. Other staff members are too critical.” What does the nurse’s statement indicate? a. Boundary blurring b. Sexual harassment c. Positive regard d. Advocacy
Answer Choices:
a. Boundary blurring
b. Sexual harassment
c. Positive regard
d. Advocacy
Answer:
A
Question: A nurse assessing a patient diagnosed with a somatic system disorder is most likely to note what patient characteristic?
Answer Choices:
a. Readily sees a relationship between symptoms and interpersonal conflicts.
b. Rarely derives personal benefit from the symptoms.
c. Has little difficulty communicating emotional needs.
d. Has unmet needs related to comfort and activity.
Answer:
d. Has unmet needs related to comfort and activity.
Question: At one point in an assessment interview a nurse asks, “Does your faith help you in stressful situations?” This question would be asked during the assessment of what focus?
Answer Choices:
a. Culture
b. Religious affiliation
c. Educational background
d. Coping strategies
Answer:
b. Religious affiliation
Question: Which patient statement best supports the diagnosis of somatic disorders?
Answer Choices:
a. “I can’t do much because of the severe pain.”
b. “I feel as if I’m living in a fuzzy dream state.”
c. “I feel like different parts of my body are at war.”
d. “I feel very anxious and worried about my problems.”
Answer:
a. “I can’t do much because of the severe pain.”
Question: A 4-year-old child grabs toys from siblings, saying, “I want that toy now!” The siblings cry, and the child’s parent becomes upset with the behavior. Using the Freudian theory, a nurse can interpret the child’s behavior as a product of impulses originating in the:
Answer Choices:
a. id
b. ego
c. superego
d. preconscious
Answer:
A. id
Question: As part of the stress response, the HPA axis is stimulated. Which structures make up this system? a. Hippocampus, parietal lobe, and amygdala b. Hypothalamus, pituitary gland, and adrenal glands c. Hind brain, pyramidal nervous system, and anterior cerebrum d. Hepatic artery, parasympathetic nervous system, and acoustic nerve
Answer Choices:
a. Hippocampus, parietal lobe, and amygdala
b. Hypothalamus, pituitary gland, and adrenal glands
c. Hind brain, pyramidal nervous system, and anterior cerebrum
d. Hepatic artery, parasympathetic nervous system, and acoustic nerve
Answer:
B
Question: A patient who has been taking escitalopram for 2 days says, “This medicine isn’t working.” What is the nurse’s best intervention?
Answer Choices:
a. Discontinuing the medication
b. Explaining that it will take a while for the medication to take effect
c. Escalating the use of the medication
d. Calmly assessing the patient for symptom relief
Answer:
B
Question: A nurse should assess a patient taking a medication with anticholinergic properties for inhibition of what function?
Answer Choices:
a. Parasympathetic nervous system
b. Sympathetic nervous system
c. Reticular activating system
d. Medulla oblongata
Answer:
A. Parasympathetic nervous system
Question: Operant conditioning will be used to encourage speech in a child who is nearly mute. Which technique would a nurse include in the treatment plan?
Answer Choices:
a. Ignore the child for using silence.
b. Give the child a small treat for speaking.
c. Have the child observe others talking.
d. Teach the child relaxation techniques, then coax speech.
Answer:
B. Give the child a small treat for speaking.