The nurse is interviewing a patient in the community clinic and gathers the following information about her: she is intermittently homeless, a single parent with two children who have developmental delays. She has had asthma since she was a teenager. She does not laugh or smile, does not volunteer ...
NURS 1871 - Exam 1 Questions with Correct Answers
The nurse is interviewing a patient in the community clinic and gathers the following information about her: she is intermittently homeless, a single parent with two children who have developmental delays. She has
had asthma since she was a teenager. She does not laugh or smile, does not volunteer any information, and at times appears close to tears. She has no support system and does not work. She is experiencing an allostatic load. As a result, which of the following would be present during complete patient assessment? (Select all that apply.)
1. Post-traumatic stress disorder
2. Rising hormone levels
3. Chronic illness
4. Insomnia
5. Depression Correct Answer-3. Chronic illness
4. Insomnia
5. Depression
A patient who is having difficulty managing his diabetes mellitus responds to the news that his hemoglobin A1c, a measure of blood sugar
control over the past 90 days, has increased by saying, "The hemoglobin A1c is wrong. My blood sugar levels have been excellent for the last 6 months." Which defense mechanism is the patient using?
1. Denial
2. Conversion 3. Dissociation
4. Displacement Correct Answer-1. Denial
When assessing a young woman who was a victim of a home invasion 3 months earlier, the nurse learns that the woman has vivid images of the event whenever she hears loud yelling or a sudden noise. The nurse recognizes this as ____________. Correct Answer-Post-Traumatic Stress Disorder (PTSD)
While assessing an older woman who is recently widowed, the nurse suspects that this woman is experiencing a developmental crisis. Which questions provide information about the impact of this crisis? (Select all that apply.)
1. With whom do you talk on a routine basis?
2. What do you do when you feel lonely?
3. Tell me what your husband was like.
4. I know this must be hard for you. Let me tell you what might help.
5. Have you experienced any changes in lifestyle habits, such as sleeping, eating, smoking, or drinking? Correct Answer-1. With whom do you talk on a routine basis?
2. What do you do when you feel lonely?
5. Have you experienced any changes in lifestyle habits, such as sleeping, eating, smoking, or drinking? The nurse plans care for a 16-year-old male, taking into consideration that stressors experienced most commonly by adolescents include which of the following? (Select all that apply.)
1. Loss of autonomy caused by health problems
2. Physical appearance and body image
3. Accepting one's personal identity
4. Separation from family
5. Taking tests in school Correct Answer-2. Physical appearance and body image
3. Accepting one's personal identity
4. Separation from family
5. Taking tests in school
A 10-year-old girl was playing on a slide at a playground during a summer camp. She fell and broke her arm. The camp notified the parents
and took the child to the emergency department according to the camp protocol for injuries. The parents arrive at the emergency department and are stressed and frantic. The 10-year-old is happy in the treatment room, eating a Popsicle and picking out the color of her cast. List in order of priority what the nurse should say to the parents.
1. "Can I contact someone to help you?"
2. "Your daughter is happy in the treatment room, eating a Popsicle and picking out the color of her cast."
3. "I'll have the doctor come out and talk to you as soon as possible."
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