NUR 131 EXAM 4 | 275 QUESTIONS | WITH
100% SOLVED ANSWERS!!
The nurses notes on the admission form that the patient has indication "no
religious preference." What does this indicate to the nurse about the patient?
a) does not follow the tenets of a specific faith
b) is in denial about his religious beliefs
c) doesn't believe in God or a "higher power"
d) will not want to pray or visit with the chaplain Answer - a) does not follow
the tenets of a specific faith
Your pt is a 17 year old who lost her right leg in a MVA. After her parents leave,
she asks you, "Why did God let this happen to me? I have always followed his
commandments." Which action best depicts the "caring" aspect of SENC?
a) "Let me call your parents back to support you."
b) I think the chaplain can provide the support you need."
c) cry with the pt as you hug her
d) hold her hand, sit with her, & listen Answer - d) hold her hand, sit with her,
& listen
The student nurse has earned A's in all of her prerequisite courses. For the first
exam in a nursing course, she earns a D and now feels that she may not be
smart enough to become a nurse. What type of "loss" is the student
experiencing?
,a) actual
b) external
c) physical
d) perceived Answer - d) perceived
Your 55 year old pt was just informed that she has metastatic pancreatic cancer
and has 4 months to live. After the provider leaves, she says to you, "I don't
want my family to know. But they have to know. Please don't tell them. Please
tell me what to do, help me." What is your best response?
a) "I know this is difficult for you. Take time to thin about it."
b) "You should get a second opinion before you alarm your family."
c) "Let me hold your hand to make you feel better."
d) "Tell me how you are feeling right now." Answer - d) "Tell me how you are
feeling right now"
The pt is dying of cancer and can no longer swallow. The son states to the
nurse, "You MUST give dad some water, he always drank a lot of water." The
nurse's best response is
a) "You sound very upset. Tell me more about your dad."
b) "Your father is dying from cancer and water will not stop this process."
c) "Research shows that withholding oral fluids decreases edema."
d) "I will call the provider & get a prescription to insert a NG tube for the
water." Answer - a) "You sound very upset. Tell me more about your dad."
The hospitalized pt states, "I need to know when I'm going to be discharged.
I'm so upset & worried that I'm missing work." The nurse knows:
,a) this is an example of "eustress" & no intervention is necessary
b) this is an example of psychological stress & the pt should be placed on
antidepressants
c) this is an example of developmental stress & the pt should talk to someone
his own age
d) this is an example of distress & could affect the pt's health status Answer -
d) this is an example of distress & could affect the pt's health status
A pt who is taking atenolol (Tenormin) may not exhibit a rise in blood pressure
& pulse during the alarm stage of the general adaptation syndrome
a) true
b) false Answer - a) true
Tenormin is a beta-blocker (or otherwise a anti-hypertensive medication)
The nurse should assess every pt to determine if stress reduction interventions
should be part of the plan of care. The rationale for this action is that:
a) there are more persons experiencing mental illness now than in the past
b) life is so much more stressful than it has ever been
c) the occurrence of stress in pts is unpredictable
d) pts often develop maladaptive coping strategies Answer - c) the occurrence
of stress in pts is unpredictable
Mr. Arbor complains to the nurse that he is feeling anxious. He states, "I'm just
so tired of all these tests they are doing, and it's so noisy here at night." Mr.
Arbor's pulse is 110 bpm and his blood pressure is 140/70 mmHg. Nursing
actions should include which of the following?
, a) turn on the TV to provide distraction
b) ask the pt if he would like to discuss his anxiety further
c) close the blinds, dim the lights, and ask the pt what other measures would
help him rest
d) call the physician and obtain an order for an anti-anxiety medication for PRN
use Answer - c) close the blinds, dim the lights, and ask the pt what other
measures would help him rest
For any patient with an altered level of consciousness, the Glasgow Coma Scale
score will help the nurse in planning care.
a) true
b) false Answer - a) true
GCS correlates to the patient's ability to function. The lower the score, the
more nursing intervention required.
When conducting a weekly home visit with an older pt, the nurse realized the
pt has not been adhering to his recommended medication schedule. What
should the nurse do next?
a) investigate why
b) reprimand the pt for being noncompliant and explain how important it is to
not miss dosages of medications
c) explain the effects of missing dosages of certain medications
d) evaluate the medication schedule Answer - a) investigate why
100% SOLVED ANSWERS!!
The nurses notes on the admission form that the patient has indication "no
religious preference." What does this indicate to the nurse about the patient?
a) does not follow the tenets of a specific faith
b) is in denial about his religious beliefs
c) doesn't believe in God or a "higher power"
d) will not want to pray or visit with the chaplain Answer - a) does not follow
the tenets of a specific faith
Your pt is a 17 year old who lost her right leg in a MVA. After her parents leave,
she asks you, "Why did God let this happen to me? I have always followed his
commandments." Which action best depicts the "caring" aspect of SENC?
a) "Let me call your parents back to support you."
b) I think the chaplain can provide the support you need."
c) cry with the pt as you hug her
d) hold her hand, sit with her, & listen Answer - d) hold her hand, sit with her,
& listen
The student nurse has earned A's in all of her prerequisite courses. For the first
exam in a nursing course, she earns a D and now feels that she may not be
smart enough to become a nurse. What type of "loss" is the student
experiencing?
,a) actual
b) external
c) physical
d) perceived Answer - d) perceived
Your 55 year old pt was just informed that she has metastatic pancreatic cancer
and has 4 months to live. After the provider leaves, she says to you, "I don't
want my family to know. But they have to know. Please don't tell them. Please
tell me what to do, help me." What is your best response?
a) "I know this is difficult for you. Take time to thin about it."
b) "You should get a second opinion before you alarm your family."
c) "Let me hold your hand to make you feel better."
d) "Tell me how you are feeling right now." Answer - d) "Tell me how you are
feeling right now"
The pt is dying of cancer and can no longer swallow. The son states to the
nurse, "You MUST give dad some water, he always drank a lot of water." The
nurse's best response is
a) "You sound very upset. Tell me more about your dad."
b) "Your father is dying from cancer and water will not stop this process."
c) "Research shows that withholding oral fluids decreases edema."
d) "I will call the provider & get a prescription to insert a NG tube for the
water." Answer - a) "You sound very upset. Tell me more about your dad."
The hospitalized pt states, "I need to know when I'm going to be discharged.
I'm so upset & worried that I'm missing work." The nurse knows:
,a) this is an example of "eustress" & no intervention is necessary
b) this is an example of psychological stress & the pt should be placed on
antidepressants
c) this is an example of developmental stress & the pt should talk to someone
his own age
d) this is an example of distress & could affect the pt's health status Answer -
d) this is an example of distress & could affect the pt's health status
A pt who is taking atenolol (Tenormin) may not exhibit a rise in blood pressure
& pulse during the alarm stage of the general adaptation syndrome
a) true
b) false Answer - a) true
Tenormin is a beta-blocker (or otherwise a anti-hypertensive medication)
The nurse should assess every pt to determine if stress reduction interventions
should be part of the plan of care. The rationale for this action is that:
a) there are more persons experiencing mental illness now than in the past
b) life is so much more stressful than it has ever been
c) the occurrence of stress in pts is unpredictable
d) pts often develop maladaptive coping strategies Answer - c) the occurrence
of stress in pts is unpredictable
Mr. Arbor complains to the nurse that he is feeling anxious. He states, "I'm just
so tired of all these tests they are doing, and it's so noisy here at night." Mr.
Arbor's pulse is 110 bpm and his blood pressure is 140/70 mmHg. Nursing
actions should include which of the following?
, a) turn on the TV to provide distraction
b) ask the pt if he would like to discuss his anxiety further
c) close the blinds, dim the lights, and ask the pt what other measures would
help him rest
d) call the physician and obtain an order for an anti-anxiety medication for PRN
use Answer - c) close the blinds, dim the lights, and ask the pt what other
measures would help him rest
For any patient with an altered level of consciousness, the Glasgow Coma Scale
score will help the nurse in planning care.
a) true
b) false Answer - a) true
GCS correlates to the patient's ability to function. The lower the score, the
more nursing intervention required.
When conducting a weekly home visit with an older pt, the nurse realized the
pt has not been adhering to his recommended medication schedule. What
should the nurse do next?
a) investigate why
b) reprimand the pt for being noncompliant and explain how important it is to
not miss dosages of medications
c) explain the effects of missing dosages of certain medications
d) evaluate the medication schedule Answer - a) investigate why
