Exam Review

A client is brought to the emergency department after a motorcycle accident. The client is alert, responsive, and diagnosed with a broken leg. The client's vital signs are pulse 72 and respiration 16. After being informed surgery is required for the broken leg, which vital sign readings would be expected?
A)
Pulse 72 and respiration 16.
B)
Pulse 90 and respiration 22.
C)
Pulse 58 and respiration 14.
D)
Pulse 70 and respiration 16.
Negative emotions and prolonged stress interfere with the body's ability to protect itself and can increase the likelihood of illness. The adult child of a client diagnosed with severe anxiety asks, "Do you think anxiety and physical illness are connected?" "Since my father's death, my mother has had shingles and the flu, but she's usually not one who gets sick.”. Which answer by the nurse best reflects current knowledge?
A)
"You may be paying more attention to your mother since your father died and noticing more things such as minor illness.”.
B)
"It is probably a coincidence. Emotions and physical responses travel on different tracts of the nervous system.”.
C)
"So far, research on emotions or stress and becoming ill more easily is unclear. We do not know for sure if there is a link.”.
D)
"There is a strong connection between stress, negative emotions, and the body's ability to fight off illness.”.
What was Dr. Hans Selye's contribution to the study of stress?
A)
He created a Questionnaire to learn how stressful events influence health.
B)
He developed a scale to measure life events that individuals view as stressful.
C)
He described the stages of the stress cycle that make up the General Adaption Syndrome (GAS).
D)
He defined the stress resistance stage as the use of defense mechanisms to avoid confronting the stressful event.
A client diagnosed with emphysema has severe shortness of breath and needs portable oxygen when leaving home. Recently the client has reduced activity because of fear that breathing difficulty will occur. A nurse suggests using guided imagery. Which image should the client be encouraged to visualize?
A)
Having a younger, healthier body that knows no exercise limitations.
B)
Surfing at the beach.
C)
Engaging in activity without using any supplemental oxygen.
D)
Feeling relaxed and taking deep breaths when leaving home.

Page 1 of 7

Exam Review

A Mexican American client puts a picture of the Virgin Mary on the bedside table. What is the nurse's best action?
A)
Leave the picture where the client placed it.
B)
Send the picture home with the client's family.
C)
Send the picture to the business office safe.
D)
Move the picture so it is beside a window.
A healthcare provider prescribed long-acting antipsychotic medication injections every 3 weeks at the clinic for a client with a history of medication non-adherence. For this plan to be successful, which factor will be of critical importance?
A)
Nutrition services in the client's neighborhood.
B)
The level of trust between the client and nurse.
C)
The attitude of significant others toward the client.
D)
The availability of transportation to the clinic.
In which cultural tradition is reality stable because there are causes to diseases?
A)
Indigenous.
B)
Eastern.
C)
Western.
D)
Southern.
Which pair of responses is an example of psychological stress?
A)
Elevated blood pressure and excessive sleeping.
B)
Racing heart rate and avoiding others.
C)
Headaches and tense muscles.
D)
Self-doubt and apprehension.

Page 2 of 7

Exam Review

The nurse struggles with providing care to a particular client because they remind them of a past abusive boyfriend. What type of behavior is the nurse experiencing?
A)
Countertransference.
B)
Blurred boundaries.
C)
Normal findings.
D)
Transference.
Which of the following constructs helps nurses build rapport with their client?
A)
Cultural awareness.
B)
Cultural knowledge.
C)
Cultural skill.
D)
Cultural desire.
A nurse inspects an inpatient psychiatric unit and finds that all areas are free of any harmful objects. What do these observations relate to?
A)
Use of therapeutic intervention strategies.
B)
Management of the interpersonal climate.
C)
Management of milieu therapy safety.
D)
Coordinating care of clients.
The psychiatric unit has one bed available. Which client should be admitted from the emergency department?
A)
The client who is a new parent and hears voices saying, "Smother your baby.”.
B)
The client who self-inflicted a superficial cut on the forearm after a family argument.
C)
The client feeling anxiety and a sad mood after separation from a spouse of 10 years.
D)
The client experiencing dry mouth and tremor related to taking antipsychotic medication.

Page 3 of 7

Exam Review

A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?
A)
Sympathetic nervous system.
B)
Parasympathetic nervous system.
C)
Vagus nerve.
D)
Limbic system.
Which client would be most appropriate to refer for assertive community treatment (ACT)?
A)
One diagnosed with a phobic fear of crowded places.
B)
One diagnosed with schizophrenia who had four hospitalizations in the past year.
C)
One who experienced an episode of severe anxiety to a tornado in the community.
D)
One who experienced a single episode of major depressive disorder.
A client who was admitted 5 days ago for medication non-adherence is ready for discharge. The client's thoughts are now more organized. What is covered during the termination phase?
A)
Ask the client about their problems to gather data.
B)
Review events during the nurse-patient relationship.
C)
Ask the case manager to arrange a transfer to a long-term care facility.
D)
Have a discussion about relationship parameters.
A recent immigrant from Honduras comes to the clinic with a family member who has been a U.S. resident for 10 years. The family member says, "The immigration to America has been very difficult.”. What type of stress is noted?
A)
Mild anxiety.
B)
Generalized anxiety.
C)
Distress.
D)
Eustress.

Page 4 of 7

Exam Review

A client is brought to the emergency department after a motorcycle accident. The client is alert, responsive, and diagnosed with a broken leg. The client's vital signs are pulse (P) 72 and respiration (R) 16. After being informed surgery is required for the broken leg, which vital sign readings would be expected?
A)
Pulse (P) 60 and respiration (R) 14.
B)
Pulse (P) 72 and respiration (R) 16.
C)
Pulse (P) 90 and respiration (R) 24.
D)
Pulse (P) 68 and respiration (R) 12.
Negative emotions and prolonged stress interfere with the body's ability to protect itself and can increase the likelihood of illness. The adult child of a client diagnosed with severe anxiety asks, "Do you think anxiety and physical illness are connected?" "Since my father's death, my mother has had shingles and the flu, but she's usually not one who gets sick.”. Which answer by the nurse best reflects current knowledge?
A)
"You may be paying more attention to your mother since your father died and noticing more things such as minor illness.”.
B)
"It is probably a coincidence. Emotions and physical responses travel on different tracts of the nervous system.”.
C)
"So far, research on emotions or stress and becoming ill more easily is unclear. We do not know for sure if there is a link.”.
D)
"Research shows a definite connection between stress and the body's ability to fight off illness.”.
What was Dr. Hans Selye's contribution to the study of stress?
A)
He created a Questionnaire to learn how stressful events influence health.
B)
He developed a scale to measure life events that individuals view as stressful.
C)
He described the stages of the stress cycle that make up the General Adaption Syndrome (GAS).
D)
He defined the stress resistance stage as the use of defense mechanisms to avoid confronting the stressful event.
A client diagnosed with emphysema has severe shortness of breath and needs portable oxygen when leaving home. Recently the client has reduced activity because of fear that breathing difficulty will occur. A nurse suggests using guided imagery. Which image should the client be encouraged to visualize?
A)
Having a younger, healthier body that knows no exercise limitations.
B)
Surfing at the beach.
C)
Engaging in activity without using any supplemental oxygen.
D)
Feeling relaxed and taking deep breaths when leaving home.

Page 5 of 7

Exam Review

A Mexican American client puts a picture of the Virgin Mary on the bedside table. What is the nurse's best action?
A)
Leave the picture where the client placed it.
B)
Send the picture home with the client's family.
C)
Send the picture to the business office safe.
D)
Move the picture so it is beside a window.
A health care provider prescribed long-acting antipsychotic medication injections every 3 weeks at the clinic for a client with a history of medication nonadherence. For this plan to be successful, which factor will be of critical importance?
A)
Nutrition services in the client's neighborhood.
B)
The level of trust between the client and nurse.
C)
The attitude of significant others toward the client.
D)
The availability of transportation to the clinic.
In which cultural tradition is reality stable because there are causes to diseases?
A)
Eastern.
B)
Indigenous.
C)
Western.
D)
Southern.
Which principle has the highest priority when addressing a behavioral crisis in an inpatient setting?
A)
Rights of an individual client supersede the rights of the majority of clients.
B)
Clients should have every opportunity to regain control regardless of the crisis.
C)
Swift intervention is justified to maintain the integrity of a therapeutic milieu.
D)
Resolve the crisis with the least restrictive intervention possible.

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