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Fundamentals Exam 5 practice questions with answers
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Fundamentals Exam 5 practice questions with answers
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Fundamentals Exam 5 practicequestions with answers
1) After the death of several long-term clients, which action indicates the
nurse is demonstrating ineffective coping?
A. The nurse talks at length to her partner about deaths
B. The nurse keeps busy with other actions and doesn't think about the
deaths for several days
C. The nurse offers to work extra shifts for several weeks
D. Several nurses schedule a group session with the agency clergy to discuss
deaths - -C. The nurse offers to work extra shifts for several weeks
-2) The nurse helps a 50 y/o client with diabetes who is to begin giving
insulin injections identify previously successful coping strategies that may be
useful in the current situation. Which stressor is closely related to the new
stressor?
A. Interviewing for a new job
B. Death of a pet while the person was a teenager
C. The person's partner filing for a divorce
D. Starting to wear eyeglasses at age 30 - -D. Starting to wear eyeglasses at
age 30
-3) Two people have been in a motor vehicle crash and have similar injuries.
According to the transaction-based model, their degree of stress from the
crash would be
A. Based on previous experience and personal characteristics
B. Extremely similar since they had the same stimulus
C. The identical physiological alarm reaction
D. Different depending on their external resources and support levels - -A.
Based on previous experience and personal characteristics
-4) A client informed of a cancer diagnosis assures the nurse he is fine.
Which of the following is the most indicative physical evidence to the nurse
of the client's stress?
A. Constricted pupils
B. Dilated peripheral blood vessels (flush)
C. Hyperventilation
D. Decreased heart rate - -C. Hyperventilation
-5) Immediately after the parents of a hospitalized child are informed that
the child has leukemia, the father responds by continuing his usual work
schedule, rarely visiting, and asking when the child can return to school. Of
the following, which is the least likely to be an appropriate nursing diagnosis
at this time?
, A. Ineffective denial
B. Caregiver role strain
C. Fear
D. Compromised family coping - -B. Caregiver role strain
-6) Then nurse has recently changed jobs to work with young adults and
recognizes that sources of stress common to that population include which of
the following? (Select all that apply)
A. Marriage
B. Aging parents
C. Starting a new job
D. Leaving the parental home
E. Decreased physical abilities
F. Changing body structure - -A. Marriage, C. Starting a new job, D. Leaving
the parental home
-7) A middle-aged male client is experiencing job-related stress associated
with the fear of being laid off, resulting in his accepting projects that require
a great deal of travel. Which of the following would be the most important
health promotion strategy for this client?
A. Exercise
B. Sleep
C. Nutrition
D. Time management - -B. Sleep
-8) The first time the nurse enters the client's room, the client is on the
phone. Immediately, the client slams down the phone, sweeps everything off
the overbed table, and demands that the nurse perform several duties "this
very minute." Which of the following would be the most appropriate response
for the nurse?
A. Tell the client "I will return" and then leave the room.
B. Tell the client no care will be given until the screaming ends.
C. Begin providing needed care calmly and quietly.
D. Allow the client to complete venting, then respond calmly. - -D. Allow the
client to complete venting, then respond calmly.
-9) A client newly diagnosed with a chronic condition that will significantly
change the lifestyle must learn aspects of self-care. The client exhibits
severe anxiety: increased blood pressure and pulse, headache, and
nervousness. Based on this situation, how would the nurse appropriately plan
the teaching?
A. Recognize the client's ability to learn is severely impaired
B. Recognize the client's learning will be adaptive and begin immediately
C. Recognize the client's ability to learn will be slightly impaired and modify
teaching
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