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NSG 521 Module 11 Assessment of the Neurologic System Questions With Complete Solutions
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NSG 521 Module 11 Assessment of the Neurologic System Questions With Complete Solutions
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NSG 521 Module 11 Assessment of the Neurologic SystemQuestions With Complete Solutions
A college freshman away from home for the first time says to a
counsellor, "Why did I have to be born into a family of big
bottoms and short fat legs! No one will ever ask me out for a
day. Oh, why can't I have long thin legs like everyone else in my
class? What a frump I am." What type of disturbance in self-
concept is this patient experiencing? Correct Answer Body
Image Disturbance
A group of nursing students is learning about the body's
response to stress. Which system is responsible for initiating the
fight-or-flight response to stress? Correct Answer True
A mother of a 10-year-old daughter tells the nurse: "I feel
incompetent as a parent and don't know how to discipline my
daughter." What should be the nurse's first intervention when
counseling this patient? Correct Answer Assist the mother to
identify both what she believes is preventing her success and
what she can do to improve.
A nurse asks a patient who has few descriptors of himself to list
facts, traits, or qualities that he would like to be descriptive of
himself. The patient quickly lists 25 traits, all of which are
characteristics of a successful man. When asked if he knows
anyone like this, he replies, "My father; I wish I was like him."
The discrepancy between the patient's description of himself as
he is and as he would like to be indicates negative self-concept.
Correct Answer False
,A nurse asks a patient who has few descriptors of his self to list
facts, traits, or qualities that he would like to be descriptive of
himself. The patient quickly lists 25 traits, all of which are
characteristics of a successful man. When asked if he knows
anyone like this, he replies, "My father; I wish I was like him."
What does the discrepancy between the patient's description of
himself as he is and as he would like to be indicate? Correct
Answer Low self-esteem
A nurse is caring for a patient in the shock or alarm reaction
phase of the GAS. The initial shock phase is characterized by
increased energy levels, oxygen intake, cardiac output, blood
pressure, and mental alertness. Correct Answer True
A nurse is caring for a patient who states he has had trouble
sleeping ever since his job at a factor changed from the day shift
to the night shift. For what recommended treatment might the
nurse prepare this patient? Correct Answer Chronotherapy
A nurse is discussing with an older adult patient measures to
take to induce sleep. What teaching point might the nurse
include? Correct Answer Having a small bedtime snack high in
tryptophan and carbohydrates improves sleep.
A nurse is performing a psychological assessment of a 19-year-
old patient who has Down's syndrome. The patient is mildly
developmentally disabled with an intelligence quotient of 82. He
told his nurse, "I'm a good helper. You see I can carry these
trays because I'm so strong. But I'm not very smart, so I have
just learned to help with the things I know how to do." What
findings for self-concept and self-esteem would the nurse
, document for this patient? Correct Answer Positive self-
concept and fairly high self-esteem
A nurse is performing a sleep assessment on a patient being
treated for a sleep disorder. During the assessment, the patient
falls asleep in the middle of a conversation. The nurse would
suspect which disorder? Correct Answer Narcolepsy
A nurse is performing an assessment of a woman who is 8
months pregnant. The woman states, "I worry all the time about
being able to handle becoming a mother." Which nursing
diagnosis would be most appropriate for this patient? Correct
Answer Anxiety related to change in role status
A nurse working the night shift in a pediatric unit observes a 10-
year-old patient who is snoring and appears to have labored
breathing during sleep. Upon reporting the findings to the
primary care provider, what nursing action might the nurse
expect to perform? Correct Answer Anticipating the scheduling
of polysomnography to confirm OSA.
A patient in a nursing home was admitted with a diagnosis of
dementia. He started a fire because he was cooking at home and
forgot that he left a pan on the stove. A high priority nursing
diagnosis for this patient is Risk for Injury. Correct Answer
True
A patient who has been in the United States only 3 months has
recently suffered the loss of her husband and job. She states that
nothing feels familiar—"I don't know who I am supposed to be
here"—and says that she "misses home terribly." For what
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