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NRSG 200 practice exam Latest update(QUESTIONS AND ANSWERS) 2024_2025
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NRSG 200 practice exam Latest update(QUESTIONS AND ANSWERS) 2024_2025
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NRSG 200 practice exam Latestupdate(QUESTIONS AND ANSWERS)
2024/2025
After the death of several long-term clients, which action
indicates the nurse is demonstrating ineffective coping?
1. The nurse talks at length to her partner about the deaths.
2. The nurse keeps busy with other actions and doesn't think about
the deaths for several days.
3. The nurse offers to work extra shifts for several weeks.
4. Several nurses schedule a group session with the agency clergy to
discuss the deaths. - ANSWER-3.
rationale:
Rationale: Taking on additional work would only serve as an
additional stressor. In addition, a nurse who has not begun resolution
of feelings is unlikely to be able to meet clients' emotional needs.
Effective coping may include verbalizing feelings (one-on-one or in
,groups) or initiating distractions (options 1, 2, and 4). Of course, the
nurse may not disclose confidential information to her partner or
others who would not already have this information.
The nurse helps a 50-year-old 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?
1. Interviewing for a new job
2. Death of a pet while the person was a teenager
3. The person's partner filing for a divorce
4. Starting to wear eyeglasses at age 30 - ANSWER-4.
Rationale: Wearing glasses is another example of beginning a new
strategy to assist with what will be a lifelong health need even though
it is not necessarily a desired change. Interviewing for a job (option 1)
is a very short-lived situational stressor. Coping strategies effective
while a teenager may not be relevant at age 50 (option 2).
Experiencing the stress of a divorce is a social/role stressor quite
unlike that of a health problem (option 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
1. Based on previous experience and personal characteristics.
2. Extremely similar since they had the same stimulus.
,3. The identical physiological alarm reaction.
4. Different depending on their external resources and support levels.
- ANSWER-1.
. Rationale: In the transaction model, stress is a very personal
experience and varies widely among individuals. Option 2 represents
the stimulus model, and option 3 represents the response model of
stress. In option 4, external resources and support are a factor in
determining stress levels but omit the key aspects of
internal/personal influences. Cognitive Level: Applying. Client Need:
Psychosocial Integrity.
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?
1. Constricted pupils
2. Dilated peripheral blood vessels (flush)
3. Hyperventilation
4. Decreased heart rate - ANSWER-3.
Rationale: With stress, respirations increase, pupils dilate, peripheral
blood vessels constrict, and the heart rate increases.
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?
1. Ineffective Denial
2. Caregiver Role Strain
3. Fear
4. Compromised Family Coping - ANSWER-2.
Rationale: It is too soon for Caregiver Role Strain to be an appropriate
nursing diagnosis—especially since the child is not at home.
Ineffective Denial and Fear are common reactions to this type of
threat (options 1 and 3). The father demonstrates Compromised
Family Coping by his difficulty in being supportive (option 4
The 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.
1. Marriage
2. Aging parents
3. Starting a new job
4. Leaving the parental home
5. Decreased physical abilities
6. Changing body structure - ANSWER-1,3,4
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