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NUR 275 EXAM WITH {263} QUESTIONS AND VERIFIED ANSWERS LATEST UPDATED
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NUR 275 EXAM WITH {263} QUESTIONS ANDVERIFIED ANSWERS LATEST UPDATED
What is Mazlow's hierarchy of needs starting with the 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 released in response to the activation of the stress response. Which
effect would the nurse expect first, as an early sign of an increased cortisol level?
a. Diuresis and electrolyte imbalance
b. Focused and alert mental status
c. Drowsiness and lethargy
d. Extreme restlessness and anxiety
b. Focused and alert mental status
A nurse is teaching a client about stress reduction techniques. Which of the
following statements demonstrates 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. "Mindfulness allows me to prioritize the stressors I have in my life and feel less
anxiety."
a. "Cognitive reframing will help me change my irrational thoughts to something
positive."
A client says she is experiencing stress because her 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 recommendations should the nurse suggest to promote a change in
the client's situation?
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 struggling with increased stress at home tells
the school nurse 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 states, "I am so stressed because of my coworker.
He expects me to finish his work because he is too lazy!". When discussing
effective communication, which of the following statements demonstrates
understanding.
a. "You should really complete your own work. I don't think it is fair to expect me
,to complete your responsibilities."
b. "Why do you expect me to finish your work? Surely you realize I have my own
responsibilities."
c. "When I have to pick up extra work, I feel very overwhelmed. I need to focus on
my own responsibilities."
d. "It is not fair to expect me complete your work. If this keeps up, I will have to
report your behavior to the supervisor."
c. "When I have to pick up extra work, I feel very overwhelmed. I need to focus on
my own responsibilities."
A nurse is working on a mental health unit caring for a client with posttraumatic
stress disorder (PTSD). Which of the following findings should 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 talk about the incident
- reflexes are heightened
A patient who had been complaining of intolerable stress at work has demonstrated
the ability to use progressive muscle relaxation and deep breathing techniques.
Which data will best suggest that the patient is successfully using these techniques
, to cope more effectively with 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 levels are all good.
c. His systolic blood pressure has gone from the 140s to the 120s (mm Hg).
d. He reports that he feels better and that things are not bothering him as much.
c. His systolic blood pressure has gone from the 140s to the 120s (mm Hg).
(Measurable)
A client tells the nurse he has been waking up throughout the night for the past few
weeks. Which of the following statements from the client indicates the need for
additional education? Select all that apply.
a. “If I can’t fall asleep in 15-20 minutes I usually get out of bed.”
b. “I try to avoid caffeine several hours before bedtime.”
c. “All I do is lay awake staring at the ceiling, every night.”
d. “I like to watch television to help me fall asleep.”
e. “I try to eat a full meal about an hour or two before bed.”
c. "All I do is lay awake staring at the ceiling, every night."
d. "I like to watch television to help me fall asleep."
e. "I try to eat a full meal about an hour or two before bed."
A nurse is involved in a serious and prolonged mass casualty incident in the
emergency department. Which of the following strategies should the nurse use to
avoid developing a trauma-related disorder? (Select all that apply)
a. Avoid talking about the incident when it’s over.
b. Take breaks for food and water during the incident.
c. Debrief with others after the incident.
d. Hold emotions in check during the days following the incident.
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