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NUR 275 Final Exam Questions And Accurate Answers
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NUR 275 Final Exam Questions And Accurate AnswersHierarchy of needs starting with most basic?
- physiological needs: air, water, food, shelter, sleep, clothing
- safety needs: personal security, employment, resources, health, property
- Love and belonging: friendship, intimacy, family, sense of connection
- self esteem: respect, self esteem, status, recognition, strength, freedom
- self actualization: desire to become the most one can be
Cortisol is secreted in response to stimulation of the stress response. Which effect
would the nurse expect first, as an early manifestation of an elevated cortisol level?
a. Diuresis and electrolyte imbalance
b. Sharp and alert mental status
c. Somnolence and lethargy
d. Severe restlessness and anxiety
b. Sharp and alert mental status
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A nurse is teaching a client about stress reduction techniques. Which of the following
statements indicates client understanding?
a. "Cognitive reframing will help me change my irrational thoughts to something
positive."
b. "Progressive muscle relaxation uses a mechanical device to help me gain control my
pulse rate."
c. "Biofeedback causes my body to release endorphins so that I feel less stress and
anxiety."
d. "This mindfulness can allow me to choose which stressors I have in my life and to
develop less anxiety because of such."
The client states that she is stressed because "my partner is pressuring me and my kids
to move in with him. I love him, but I am not ready to do that." Which of the following
suggestions by the nurse would most facilitate a change in the client's circumstance?
a. Learn to practice mindfulness
b. Practice assertive techniques
c. Exercise regularly
d. Rely on the support of a close friend
b. Practice assertive techniques
A 16-year-old student who has been experiencing increased stress at home informs the
school nurse that she needs to find some way to relax or she is going to go "crazy."
Which of the following interventions best demonstrates a positive stress management
technique.
,a. "Relaxation techniques can be even more refreshing than sleep."
b. "Avoiding your family will improve communication."
c. "Snacking more will help decrease your stress."
d. "Sleeping later in the morning is helpful and can restore the body rhythms."
a. "Relaxation techniques can be even more refreshing than sleep."
A nurse is caring for a client who says, "I am so stressed because of my coworker. He
expects me to finish his work because he is too lazy!". Which of the following statements
reveals an understanding of effective communication regarding.
a. "You really need to do your own work. I feel it is not fair to put the load on me to finish
your work."
b. "Why would you think that I should finish your work? Surely you must realize that I
have responsibilities of my own."
c. "If I have to take up additional work, then I am feeling overwhelmed. I need to attend
to my responsibilities."
d. "It is not fair to expect me complete your work. If it goes on like that, I will have to
report about your behavior to the supervisor."
c. "Every time I am expected to take up more workload, I really get overwhelmed. I have
my responsibilities to attend to."
A nurse is working on a mental health unit caring for a client diagnosed with
posttraumatic stress disorder. Which of the following findings does the nurse expect?
(Select all that apply)
a. Difficulty concentrating
b. Obsessive need to talk about the incident
c. Negative self-image
, d. Recurring nightmares
e. Diminished reflexes
a. Difficulty concentrating
c. Negative self-image
d. Recurring nightmares
Rationale:
-patients Generally do not discuss the incident
-reflexes heightened
A patient who has been reporting intolerable stress related to his job has demonstrated
the ability to use progressive muscle relaxation and deep breathing. Which of the
following data most indicates that this patient is successfully using these skills to better
manage his stress?
a. The patient's wife reports that he spends more time sitting quietly at home.
b. He reports that his appetite, mood, and energy are good.
c. Systolic blood pressure has decreased from the 140s to the 120s (mm Hg).
d. States he feels better and that things do not bother him as much.
c. Systolic blood pressure has decreased from the 140s to the 120s (mm Hg).
(Measurable)
A client tells the nurse that he has been awakening nightly for several weeks. Which of
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