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NUR 325 Exam 1 | Questions & Answers 100% Verified Correct| Latest Update
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NUR 325 Exam 1 | Questions & Answers 100% Verified Correct| Latest Update
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NUR 325 Exam 1 | Questions & Answers 100%Verified Correct| Latest Update
Which of the following is an example of a primary preventative measure taken to reduce
stress?
a. Taking a screening test to identify stress
b. Taking antidepressants
c. Maintaining positive relationships and overall health
d. Taking muscle relaxants - ✔✔C
After the loss of a loved one, you decide to go to counseling sessions to reduce the amount of
stress in your life. Which level of prevention does this situation represent?
a. Primary
b. Secondary
c. Tertiary
d. Quaternary - ✔✔A
You decide to schedule an appointment for a screening for stress after your divorce. Which
level of prevention does this situation represent?
a. Primary
b. Secondary
c. Tertiary
d. Quaternary - ✔✔B
,After going to counseling because of the loss of a loved one, the therapist decides to prescribe
SSRIs (Selective serotonin repute inhibitors) because of your stress levels. Which level of
prevention does this situation represent?
a. Primary
b. Secondary
c. Tertiary
d. Quaternary - ✔✔C
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?
a. Denial.
b. Conversion.
c. Dissociation.
d. Displacement. - ✔✔A (Denial is avoiding emotional stress by refusing to consciously
acknowledge anything that causes intolerable anxiety. This patient's statements reflect denial
about poorly controlled blood sugars.)
A grandfather living in Japan worries about his two young grandsons who disappeared after a
tsunami. This is an example of:
a. A situational crisis.
b. A maturational crisis.
c. An adventitious crisis.
d. A developmental crisis. - ✔✔C (An adventitious crisis is a type of crisis resulting from a
natural disaster such as a tsunami.)
,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?
a. Loss of autonomy caused by health problems
b. Physical appearance, family, friends, and school
c. Self-esteem issues, changing family structure
d. Search for identity with peer groups and separation from family - ✔✔D (Stressors that
apply to preadolescents are self-esteem issues and a changing family structure. A loss of
autonomy caused by health problems applies to the older adult. Stressors that apply to children
are physical appearance, family, friends, and school.)
When assessing an older adult who is showing symptoms of anxiety, insomnia, anorexia, and
mild confusion, one of the first assessments includes which of the following?
a. The amount of family support
b. A 3-day diet recall
c. A thorough physical assessment
d. Threats to safety in her home - ✔✔C (Stress often causes symptoms similar to physical
illnesses. Physical causes for problems need to be investigated and treated before treatment
for stress-related symptoms can be initiated.)
A 34-year-old single father who is anxious, tearful, and tired from caring for his three young
children tells the nurse that he feels depressed and doesn't see how he can go on much longer.
Which of the following would be the nurse's best response?
a. "Are you thinking of suicide?"
b. "You've been doing a good job raising your children. You can do it!"
c. "Is there someone who can help you during the evenings and weekends?"
d. "What do you mean when you say you can't go on any longer?" - ✔✔D (You need to get
information about what the gentleman means when he says he can't go on any longer. He
might be thinking of turning his children over to a grandparent or seeking other child-care
, arrangements. Asking about suicide initially might be premature. Asking, "Are you thinking of
suicide?" prematurely might shut the patient down entirely. If the patient talks about suicide,
for safety reasons it is very important to further discuss his suicidal thoughts and refer to the
appropriate health care professional. Asking the open-ended question provides an opportunity
to understand what the person is thinking and open lines of communication.)
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, and is suffering from chronic asthma. 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.)
a. Posttraumatic stress disorder
b. Rising hormone levels
c. Chronic illness
d. Return of vital signs to normal
e. Depression - ✔✔C E (An increased allopathic load can result in long-term physiological and
psychological problems such as chronic illness and depression. Posttraumatic stress disorder
results from a single traumatic event. Hormone levels rise in the alarm stage. Vital signs return
to normal in the resistance stage.)
During the assessment interview of an older woman who is recently widowed, the nurse
suspects that this woman is experiencing a developmental crisis. Which of the following
questions provide information about the impact of this crisis? (Select all that apply.)
a. With whom do you talk on a routine basis?
b. What do you do when you feel lonely?
c. How is having diabetes affecting your life?
d. I know this must be hard for you. Let me tell you what might help.
e. Do you have any changes in lifestyle habits: sleeping, eating, smoking, and drinking? -
✔✔A B E (A developmental crisis occurs as a person moves through the stages of life,
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