UNIT 6: MEETING HIGHER ORDER NEEDS

The nurse is learning about the differences between spirituality, religion, and spiritual care. Which definition demonstrates that the nurse has a correct understanding of spirituality? A map that tells you what to believe and what values are important in life Discussions and theories related to God and God's relation to the world Doctrines about the human soul as it relates to death, judgment, and eternal life Core issues involving divine experiences on a daily basis that include faith, hope, and love

Core issues involving divine experiences on a daily basis that include faith, hope, and love

A patient of Orthodox Jewish faith is admitted to the hospital with heart failure on Yom Kippur. The physician prescribes digoxin 0.25 mg to be given orally for this patient. Based on the patient's religious affiliation, which action should the nurse take? A. Administer the medication as prescribed. B. Hold the medication until after Yom Kippur. C. Explain the importance of taking the medication despite the holiday. D. Ask the physician to change the route of administration.

D. Ask the physician to change the route of administration.

The nurse is a Christian. She is caring for a Jewish patient who has asked her to offer a prayer at the bedside. The nurse feels comfortable doing so. Which action by the nurse is appropriate? A. Offer a prayer for healing using the nurse's usual words and format. B. Begin the prayer with "Jehovah God" as she always does while avoiding the name of Jesus. C. Avoid saying any name for the Supreme Being while praying and quote an Old Testament Bible scripture as the prayer. D. Ask whether the expectation is to pray for the patient or with the patient.

D. Ask whether the expectation is to pray for the patient or with the patient.

A nurse is beginning to use patient-centered care and cultural competence to improve nursing care. Which step should the nurse take first? A. Learning about the world view of others B. Developing cultural skills C. Understanding organizational forces D. Assessing own biases and attitude

D. Assessing own biases and attitude

A patient asks for a carton of milk at bedtime. What action should the nurse take? A. Withhold the milk because it disrupts REM and slow-wave sleep. B. Withhold the milk because it interferes with sleep. C. Withhold the milk because it is a stimulant and will interfere with sleep. D. Provide the milk because it converts adenosine into serotonin to induce sleep.

D. Provide the milk because it converts adenosine into serotonin to induce sleep.

A six year old patient has a history of sleepwalking at home. Which would be the best nursing diagnosis for this patient? A. Sleep Deprivation related to sleepwalking B. Fatigue related to sleepwalking C. Disturbed Sleep Pattern related to dyssomnia D. Risk for Injury related to sleepwalking

D. Risk for Injury related to sleepwalking

What is acculturation? A. Classification of people according to shared biological characteristics. B. A culture's sense of affiliation by it's common practices and heritage. C. Belief held by an individual or group that all/most members of a particular culture, subculture, ethnic group, or race behave in the same way. D. The degree to which a particular ethnic group adopts the values, attitudes, beliefs, and practices of the dominant culture.

D. The degree to which a particular ethnic group adopts the values, attitudes, beliefs, and practices of the dominant culture.

NREM Stage 1

alpha and theta waves; lasts only a few minutes, person quickly gains consciousness, most common hypnagogic hallucination during this time is the sensation of falling, which is accompanied by a myoclonic jerk which often awakes the person

A patient gynecological problem believes she is being punished for having had an abortion as a teenager. What should the nurse do to assist with this patient's spiritual needs? A. Refer her to the hospital chaplain. B. Provide teaching material about the health problem. C. Explain that it is unlikely that the abortion caused the health problem. D. Suggest that the patient forgive herself for an action that occurred when she was a teenager.

A. Refer her to the hospital chaplain.

An elderly patient's daughter is vice president of a large company. She is experiencing great conflict in trying to care for her mother while managing her work-related responsibilities. In planning to help the daughter, the nurse focuses on which component of the daughter's self-concept? A. Role performance B. Personal identity C. Body image D. Self esteem

A. Role performance

A patient undergoing fertility treatments for the past 9 months learns that despite in-vitro fertilization she still is not pregnant. Which component of self-concept is this patient most at risk for experiencing a crisis? A. Self esteem B. Guilt C. Body image D. Autonomy

A. Self esteem

Which factor has the greatest positive effect on sleep quality? A. Sleeping hours in synchrony with circadian rhythm. B. Sleeping in a quiet environment. C. Spending additional time in NREM Stage III of the sleep cycle. D. Napping frequently during the day hours.

A. Sleeping hours in synchrony with circadian rhythm.

A patient tells the nurse , "I feel that God has abandoned me. I am so angry that I can't even pray." The patient refuses to see his clergyman when he calls. Which is the most appropriate nursing diagnosis for this patient? A. Spiritual Distress B. Risk for Spiritual Distress C. Impaired Religiosity D. Moral Distress

A. Spiritual Distress

How can the nurse best provide teaching for a patient whose primary spoken language is not the same as the nurse's? A. Offer written materials in the patient's primary language B. Make arrangements to teach using an interpreter. C. Provide a nonverbal demonstration and request a return D. Use one of the patient's family members who speak the patient's primary language to convey information

B. Make arrangements to teach using an interpreter.

When performing a spiritual assessment, who is the preferred source of information? A. Durable power of attorney B. Next of kin C. Patient D. Patient's clergyman

C. Patient

A nurse is caring for a patient with dementia who becomes agitated every evening. Which intervention by the nurse is best for calming this patient? A. Self-Care Deficit: Dressing B. Ineffective Coping C. Risk for Injury D. Activity Intolerance

C. Risk for Injury

A patient with a hearing impairment comes into the clinic for treatment. What action should the nurse take to enhance communicating with this patient? A. Shout. B. Talk into the most affected ear. C. Use touch to get the client's attention. D. Drop the voice at the end of a sentence.

C. Use touch to get the client's attention.

What are important components of a cultural assessment? (select all that apply) A. Avoiding miscommunication. B. Asking questions regarding the patient's view of health. C. Building a trusting relationship with the patient. D. Using therapeutic communication techniques. E. Teaching the patient about the importance of adopting scientific beliefs regarding medical care and treatment of illness.

A. Avoiding miscommunication. B. Asking questions regarding the patient's view of health. C. Building a trusting relationship with the patient. D. Using therapeutic communication techniques.

A nurse provides care to a patient with a visual impairment. Which intervention should the nurse include in this patient's plan of care? A. Call the patient by name. B. Speak loudly to the patient. C. Touch the patient before speaking to the patient. D. Position herself to the side of the patient.

A. Call the patient by name.

What best describes someone's overall view of themself? A. Self concept B. Self esteem C. Body image D. Role performance

A. Self concept

Which of the following statements made by an older adult whose husband recently died most indicates the need for follow-up by the nurse? A. "I planted a tree at church in my husband's honor." B. "I have been unable to talk with my children lately." C. "My friends think that I need to go to a grief support group." D. "I believe that someday I'll meet my husband in heaven."

B. "I have been unable to talk with my children lately."

Which statement by the patient demonstrates health literacy? A. "I speak and understand little English but will do what I am told." B. "I will take my medications after I ask the nurse a few questions." C. "I have not taken my prescribed antibiotics because I can't read the labels." D. "I stopped my medications when I started feeling better."

B. "I will take my medications after I ask the nurse a few questions."

After the nurse does patient teaching, the patient is asked to return demonstration on a dressing change and to describe the reasons for it to the nurse. This example includes which type of learning and which learning domains? (Select all that apply). A. Affective learning B. Active learning C. Cognitive learning domain D. Psychomotor learning domain E. Passive learning

B. Active learning C. Cognitive learning domain D. Psychomotor learning domain

A patient with a diabetic foot ulcer will need to perform dressing changes after discharge. When should the nurse schedule their teaching session? A. Right after the patient works with the physical therapist. B. After the patient wakes up from a restful nap. C. Within 10 minutes after an oral dose of pain medication as been given. D. Immediately following the diabetic nurse educators teaching session on the importance of medication compliance.

B. After the patient wakes up from a restful nap.

A client from a non-American culture says that to maintain health there needs to be a balance between the body and nature. Which health belief system does this client follow? A. Magico-religious B. Holistic C. Biomedical D. Scientific

B. Holistic

A client is brought to the emergency room via ambulance after sustaining injuries in a motor vehicle accident and is critically injured. The nurse learns the client is a practicing Jehovah's Witness. Which procedure should the nurse question and seek clarification from the client? Blood transfusion Surgical procedures Urinary catheterization Dressing changes to wounds

Blood transfusion

Which teaching technique is best for teaching a student nurse how to perform fingerstick blood glucose testing? A. Suggest that the assistant watch a DVD showing the procedure. B. Explain the best technique for performing glucose testing. C. Demonstrate the procedure; then ask for a return demonstration. D. Provide a manufacturer's pamphlet with detailed instruction.

C. Demonstrate the procedure; then ask for a return demonstration.

The nurse is preparing to teach a client about walking with crutches. Which action would the nurse take first? A. Mutually develop learning goals for walking with crutches. B. Demonstrate how to use the crutches. C. Determine what the client already knows about crutches. D. Create a teaching plan for walking with crutches

C. Determine what the client already knows about crutches.

What can the nurse assess using Erik Erikson's theory? A. Social identity B. Moral development C. Developmental tasks D. Self-esteem

C. Developmental tasks

During a learning assessment the client says, "I love to read." Which assessment category does this information support? A. Emotional readiness B. Ability to learn C. Learning style D. Physical readiness

C. Learning style

A patient becomes confused when aroused so the nurse can provide a treatment. Which stage of sleep was this client most likely experiencing? A. NREM Stage I B. NREM Stage II C. NREM Stage III D. REM

C. NREM Stage III

What should the nurse keep in mind when learning about cultures? Select all that apply. Culture is universal and dynamic. Cultural beliefs contribute to individuality. Culture exists only in nonmaterial possessions. Culture is passed down throughout generations. Culture consists of common beliefs and practices. Cultural assumptions and habits are unconscious.

Culture is universal and dynamic. Cultural beliefs contribute to individuality. Culture is passed down throughout generations. Culture consists of common beliefs and practices. Cultural assumptions and habits are unconscious.

An older adult client is brought into the clinic by an adult child for a checkup. The nurse weighs the client and notices a weight loss of 10 lb since the last visit 6 months ago. For which factors should the nurse assess the client? Select all that apply. Current appetite level Poorly fitting dentures Loss of companionship Available transportation Increased saliva production

Current appetite level Poorly fitting dentures Available transportation

Which instruction should the nurse include when providing discharge teaching for a patient with a serious visual deficit? A. Install blinking lights to alert an incoming phone call. B. Have gas appliances inspected regularly to detect gas leaks. C. Wear properly fitting shoes and socks. D. Avoid using throw rugs on the floors.

D. Avoid using throw rugs on the floors.

The nurse learns about cultural issues involved in the patient's health care belief system and enables patients and families to achieve meaningful and supportive care. Which concept is the nurse demonstrating? A. Assimilation B. Transcultural nursing C. Socialization D. Culturally congruent care

D. Culturally congruent care

Which intervention is helpful when caring for a patient with impaired vision? A. Suggest the patient use bright overhead lighting. B. Advise the patient to avoid wearing sunglasses when outdoors. C. Do not offer large-print books, as this may embarrass the patient. D. Place the patient's eyeglasses within easy reach.

D. Place the patient's eyeglasses within easy reach.

Which phrase is appropriately stated as a teaching goal for a patient who had bowel resection with creation of a colostomy? A. Performs skin care around the stoma site. B. Applies a new ostomy appliance, making sure it adheres properly. C. Empties the colostomy appliance when half filled. D. Will perform ostomy self-care within one week after surgery.

D. Will perform ostomy self-care within one week after surgery.

The nurse is educating a group of teenagers regarding obtaining sufficient amounts of sleep. Which consequences of sleep deprivation should the nurse include in the presentation? Select all that apply. Decreases risk for strokes Increases sensitivity to pain Intensifies insulin resistance Strengthens the immune system Increases the appetite and intake

Increases sensitivity to pain Intensifies insulin resistance Increases the appetite and intake

A new school health nurse is working in a diverse school district. The nurse is interested in learning how to become a more culturally competent nurse for the spiritual care needs of students and staff. What is one of the most important actions the nurse can take? Learn about all the religions and cultures in the school by taking a college course. Make sure all students and staff follow the school lunch policy. Treat all students and staff the same, regardless of various cultures or religions. Self-reflect on spiritual needs of self and be sensitive in communicating about spiritual issues of others.

Self-reflect on spiritual needs of self and be sensitive in communicating about spiritual issues of others.

A nurse has started a new job working in family health and understands that the overall economic climate can be a major challenge. What family unit is most at risk for this challenge? Single-parent families A pregnant teenager who lives at home with her parents Families who have adequate health insurance A family member who is living with HIV

Single-parent families

A client is asking for medication for trouble falling asleep and staying asleep. The client also feels groggy and unrested during the day. What should the nurse assess for as possible etiologies? Select all that apply. Watching TV while in bed Sleeping with smartphone nearby Caffeine consumption Current medications Exercise/activities

Watching TV while in bed Sleeping with smartphone nearby Caffeine consumption Current medications

When assessing a client for sleep disturbances, what is an appropriate question to address the sleeping environment? What room temperature do you prefer? Do you have a regular sleep schedule? What do you do to help yourself fall asleep? Do you sleepwalk?

What room temperature do you prefer?

Which describes anything that triggers a nerve receptor, such as sight, sound, taste, or smell? Adaptation Reception Stimulus Response

Stimulus

Cuddling, feeding, and rocking an infant provide which type of stimulation? Tactile Auditory Visual Olfactory

Tactile

Which factors can affect older adults' ability to obtain adequate sleep at night? Select all that apply. Frequent daytime naps Taking longer to fall asleep Awakening for longer periods during the night Nocturia interfering with sleep Loneliness causing restless sleep

Taking longer to fall asleep Awakening for longer periods during the night Nocturia interfering with sleep

wakefulness

high levels of sensory awareness, thought, and behavior

REM sleep

highly reactive sleep with spontaneous awakenings, not as restful as NREM sleep, dreaming occurs, person reacts normally if awakened, Metabolism and vitals increase, pulse may be irregular, apnea can occur, essential for emotional and mental restoration

NREM Stage 2

light sleep, easily aroused, temperature, BP, RR, HR all begin to decrease, 50% of sleep

The nurse is applying cultural concepts to community outreach work. Which statement by the nurse demonstrates correct understanding of cultural concepts? "Assimilation is the process of learning to become a member of a society or group." "I will provide care based on my cultural beliefs because they are more acceptable." "I believe new members in the community from Thailand are experiencing the acculturation process." "I can care for minority groups the same if they live in the same neighborhood."

"I believe new members in the community from Thailand are experiencing the acculturation process."

Which statement made by the nurse indicates the use of a stereotype? "People who are from China are good with computers." "Some people of Irish descent have red hair and blue eyes." "Many people of Mexican American heritage have brown eyes." "Many people of African descent have a darker color to their skin."

"People who are from China are good with computers."

A nurse utilizing the HOPE approach to spiritual assessment would ask which questions when addressing the "H" part of the method? Select all that apply. "What are your sources of internal support?" "Do you belong to a religious or spiritual community? "Do you believe in God?" "What do you hold on to get through your difficult times?" "Has your illness affected your relationship with God?"

"What are your sources of internal support?" "What do you hold on to get through your difficult times?"

A client who speaks limited English comes to the emergency room with abdominal pain. Which questions would be most appropriate to ask the client first? Select all that apply. "What languages do you speak?" "Can you tell your family member where the pain is?" "Are you comfortable speaking English?" "Who should I speak with about decisions regarding your healthcare needs?" "Are you comfortable with using an interpreter?"

"What languages do you speak?" "Are you comfortable speaking English?" "Are you comfortable with using an interpreter?"

How many hours of sleep per day does a newborn need? 15 to 18 9 to 12 8 to 10 7 to 8

15 to 18

Which statement made by a client would indicate a beginning level of acceptance of a change in body image? A client who is 2 days postoperative with a left below-knee amputation and states a desire to look at the stump and learn how to change the dressing A teenager with severe facial burns who doesn't want any visitors A pregnant woman at 33 weeks who asks if she looks fat A client receiving chemotherapy who has alopecia and refuses to look in a mirror because they feel "ugly"

A client who is 2 days postoperative with a left below-knee amputation and states a desire to look at the stump and learn how to change the dressing

A 17-year-old patient sustained facial fractures and a 6-inch laceration on the left side of her face in a motor vehicle accident. The patient tells the nurse that she does not want anyone to see her "looking this way." Which statement by the nurse is most appropriate? A. "Tell me what you mean by 'looking this way.'" B. "You're young; your face will heal quickly." C. "Your friends and family love you no matter what." D. "Okay, I'll restrict your visitors until your face heals."

A. "Tell me what you mean by 'looking this way.'"

What are the three domains of learning? (Select all that apply) A. Cognitive B. Affective C. Psychomotor D. Developmental E. Emotional

A. Cognitive B. Affective C. Psychomotor

The home-health nurse visits a client who is bedridden after a stroke and notices the client is quiet and withdrawn when the caregiver enters the room. What would the nurse assess for in the caregiver to support the concern for caregiver role strain? Select all that apply. Apathy Neglect Depression Aggression Physical injuries

Apathy Aggression Depression

The nurse is teaching a client with newly diagnosed type 2 diabetes mellitus about self-management. What can the nurse do to focus on the family as the context for care? Check the spouse's blood glucose level. Determine who will be the primary caregiver. Inquire how this illness has impacted the family. Ask the client if the family will be helping with injections.

Ask the client if the family will be helping with injections.

The nurse enters the room of a client who is tearful and holding a rosary. The client states they have been given a terminal diagnosis. In addition to sitting down with the client to talk, what is the best intervention for the nurse to implement first? Ask the client if they would like the chaplain to visit. Inform the client they will be kept in the nurse's prayers. Provide the client some privacy and allow them to grieve alone. Implement a care plan for the client related to grieving a terminal diagnosis.

Ask the client if they would like the chaplain to visit.

The nurse is preparing to give a presentation to parents of adolescents about common risk-taking behaviors during the teenage years. What should the nurse include in the presentation? Select all that apply. Lying to parents Being sexually promiscuous Accepting dares Cheating on tests Using illicit drugs

Being sexually promiscuous Accepting dares Using illicit drugsA

The nurse is working with a client who is working to improve their self-concept. What are the four interrelated components of the process? Select all that apply. Gender Body image Role performance Locus of control Personality Self-esteem

Body image Role performance Personality Self-esteem

Which intervention is appropriate for the patient with a nursing diagnosis of Disturbed Sensory Perception: Gustatory? A. Limit oral hygiene to one time a day. B. Teach the patient to combine foods in each bite. C. Assess for sores or open areas in the mouth. D. Instruct the patient to avoid salt substitutes.

C. Assess for sores or open areas in the mouth.

The nurse, a Roman Catholic, notes that a patient with a terminal illness identifies as being an atheist. What should the nurse do to support this patient's spiritual needs? A. Suggest the chaplain visit with the patient. B. Offer to read Bible passages with the patient . C. Assess the patient's value system and beliefs. D. Explain the importance of religion at end of life.

C. Assess the patient's value system and beliefs.

A nurse is conducting a family health assessment and wants to use a genogram. The genogram, constructed with a diagram that evaluates each family member's health risks, includes what information? Select all that apply. Causes of death Important health problems Infections Neighborhood lived in Occupations Finances

Causes of death Important health problems Infections Occupations

An individual's response to stimuli is based on which factors? Select all that apply. Contrast Medication Adaptation Previous experience Intensity

Contrast Adaptation Previous experience Intensity

The nurse is speaking with a client who the nurse suspects is in spiritual distress. What factors let to this conclusion? Expressing a lack of love, courage, acceptance, or peace A willingness to speak with the clergy, even when they'd prefer not to Reading books about death and the afterlife A willingness to attend a religious service of a different religion

Expressing a lack of love, courage, acceptance, or peace

A new nurse is learning about the three perspectives of family nursing. What do these perspectives include? Select all that apply. Family as the context of care Family as an interactional unit Family as the unit of care Family as a system Family as a developmental process Family with maladaptive coping mechanisms

Family as the unit of care Family as the unit of care Family as a system

When educating student nurses on self-care and sleep hygiene, what information should be included? Select all that apply. Fatigue can cause impaired judgment and decision making. If possible, take frequent breaks (e.g., every 1 to 2 hours) during the night shift. Be smart about your caffeine use. Use breaks and lunch hours for exercise and cardio activity. Plan rest days in between consecutive workdays.

Fatigue can cause impaired judgment and decision making. If possible, take frequent breaks (e.g., every 1 to 2 hours) during the night shift. Be smart about your caffeine use. Plan rest days in between consecutive workdays.

Why might a client use folk healers instead of traditional medicine? Select all that apply. Folk healers share the client's values and beliefs. Folk healers visit the sick in the home. Folk healers may charge more money. Folk healers speak the same language. Folk healers are harder to find when needed.

Folk healers share the client's values and beliefs. Folk healers visit the sick in the home. Folk healers speak the same language.

A client who has just changed to working third shift is concerned about getting enough sleep. What is the probable cause for this? Interrupted circadian rhythm Stress-related insomnia Asynchronous sleeping habits Insufficient melatonin production

Interrupted circadian rhythm

The nurse is considering actions to promote relaxation and sleep for an anxious client. Which actions could the nurse consider teaching? Select all that apply. Guided imagery Music therapy Progressive muscle relaxation Disease education Visitation by the chaplain

Guided imagery Music therapy Progressive muscle relaxation

A client has been having difficulty falling and staying asleep and is feeling unrested during the day. Which action would best assess the situation? Have the client complete a sleep diary for 14 days. Plan, implement, and evaluate nursing care related to the specific nursing diagnoses addressing sleep problems. Have the client remain in the hospital to undergo sleep studies. Work with the client to establish goals and outcomes regarding sleep hygiene.

Have the client complete a sleep diary for 14 days.

The family asks the student nurse if the client can have a piece of cake. The student nurse states, "No, unfortunately, the client is NPO." Which type of communication is the student nurse using? Slang Street talk Unprofessional Healthcare jargon

Healthcare jargon

Which part of the brain controls circadian rhythm? Thalamus Cerebellum Pituitary gland Hypothalamus

Hypothalamus

A nurse is caring for a client with peripheral neuropathy secondary to uncontrolled diabetes, which is causing difficulty sleeping, daytime drowsiness, irritability, and restlessness. The client does not want to take medication for pain but is willing to try alternative therapies. The nurse suggests acupuncture. What component of the PICOT model addresses acupuncture in this situation? P I C O T

I

In which sleep stage would a client's EEG show beta waves? Drowsy stage In periods of wakefulness Earlier phase of NREM When transitioning to deep sleep

In periods of wakefulness

Which factors commonly prevent nurses from providing spiritual care to clients? Select all that apply. Lack of time Lack of privacy Low-tech care Lack of funds Lack of nursing expertise

Lack of time Lack of privacy Lack of funds Lack of nursing expertise

What is the hormone that naturally controls sleep? Melatonin L-tryptophan Progesterone Testosterone

Melatonin

From which stage of sleep are people less likely to remember their dreams? A. NREM Stage I B. NREM Stage II C. NREM Stage III D. REM

NREM Stage I

Which is the restful phase of sleep in which physiological function is slow? Non-rapid eye movement (NREM) Rapid eye movement (REM) Reticular activating system (RAS) Central sleep apnea (CSA)

Non-rapid eye movement (NREM)

The nurse is working at a community clinic and meets a woman who is homeless, lives alone on the streets, and has not eaten in 3 days. What is the priority concern for this client? Anxiety Nutrition Coping Social isolation

Nutrition

A nurse is preparing to give a client an injection. As the nurse begins to give the injection, the client winces and withdraws. Which factor affecting sensory response does this demonstrate? Contrast Intensity Adaptation Previous experience

Previous experience

A nurse is exploring the literature in the influence of religion and spirituality in dealing with illness. Which statement is true? Religion and spirituality have no influence on health outcomes. Religion has no influence on health outcomes, but spirituality does. Religion has an influence on health outcomes, but spirituality does not. Religion and spirituality have a positive influence on health outcomes.

Religion and spirituality have a positive influence on health outcomes.

The nurse is comparing religion and spirituality. Which statements are correct? Select all that apply. Religion is a "roadmap" that defines beliefs, values, code(s) of conduct, and ethics. Religion is a dynamic relationship with that which transcends. Spirituality is considered what is to be believed, how beliefs affect life, and is related to self-image and identity. Religion is a tradition or system of worship that provides rituals, answers, norms, and a connection with God. Both spirituality and religion include the support of faith, hope, and love.

Religion is a "roadmap" that defines beliefs, values, code(s) of conduct, and ethics. Religion is a tradition or system of worship that provides rituals, answers, norms, and a connection with God. Both spirituality and religion include the support of faith, hope, and love.

During an admission assessment, the nurse asks a client about their spiritual needs and beliefs. The client says, "I don't believe in God." How should the nurse document this finding? Religious preference is unknown. Religious preference is not stated. Religious preference is atheism. The client has no religious belief.

Religious preference is atheism.

What priority action should the nurse take to promote sleep for a hospitalized client? Schedule nursing care to avoid interrupting sleep. Promote good body alignment to facilitate relaxation. Control the temperature of the room and provide good ventilation. Offer cool cloths or a back massage.

Schedule nursing care to avoid interrupting sleep.

What is the most important health risk for a family of older adults? Select all that apply. Social isolation and loneliness Nutrition and hydration Falls and safety Forgetfulness and confusion Organ deterioration

Social isolation and loneliness Nutrition and hydration Falls and safety Forgetfulness and confusion

A nurse educator is planning a program for new graduate nurses regarding various religions. Which aspects of Judaism does the nurse educator include? Select all that apply. Sacred writings of Scripture are from the Bible. The Sabbath is celebrated from sunset on Friday to sunset on Saturday. Passover is celebrated in either March or April. A rabbi is consulted for spiritual or dietary advice. Foods must be kosher for some members of the Jewish faith. Blood transfusions are never allowed.

The Sabbath is celebrated from sunset on Friday to sunset on Saturday. Passover is celebrated in either March or April. A rabbi is consulted for spiritual or dietary advice. Foods must be kosher for some members of the Jewish faith

Which is an appropriate statement for the nurse to use when documenting a client's ethnicity? The client is Bosnian. The client is Caucasian. The client is Buddhist. The client practices Orthodox Judaism.

The client is Bosnian.

The nurse is preparing to discharge a client who follows the Orthodox Jewish faith and was diagnosed with end-stage renal disease. As the nurse is coordinating outpatient hemodialysis three times a week and planning dietary instructions, what is the most important aspect for the nurse to consider? The client would need dialysis Mondays, Wednesdays, and Fridays. The client would need to eliminate pork products from their diet. The client would need to observe religious holidays and continue fasting on holidays. The client would need to modify their diet and avoid kosher foods, which can worsen symptoms.

The client would need dialysis Mondays, Wednesdays, and Fridays.

How did Leininger and McFarland define culture? A unique way we view the world by what luggage we carry around in life The totality of socially transmitted behaviors, arts, beliefs, values, customs, and other characteristics of a population of people that guides their worldview and decision making The learned, shared, and transmitted knowledge of values and beliefs of a specific group that are transmitted from generation to generation The integrated pattern of thoughts, communications, actions, customs, beliefs, values, and institutions associated with racial, ethnic, religious, spiritual, biological, geographical, and sociological qualities

The learned, shared, and transmitted knowledge of values and beliefs of a specific group that are transmitted from generation to generation

A client is experiencing depression with secondary insomnia. What type of medication could be prescribed for this client? Tricyclic antidepressant Selective melatonin agonist Benzodiazepine Barbiturate

Tricyclic antidepressant

A nurse is learning about family structures. What does the nurse understand a holistic definition of a family to be? Two or more related people living in the same household A group of people consisting of a wife, husband, and children Two or more individuals who provide physical, emotional, economic, or spiritual support to each other and may or may not be related by blood A group of grandparents, aunts, uncles, and cousins living in a single dwelling

Two or more individuals who provide physical, emotional, economic, or spiritual support to each other and may or may not be related by blood

A nurse is caring for a client who fears being hospitalized for surgery. What action should the nurse take to maintain this client's self-concept? Interrupt the client when they are asking questions about the surgery. Talk about the client in front of the roommate. Use eye contact and touch as appropriate to the client's wishes. Call the client a family nickname without their permission.

Use eye contact and touch as appropriate to the client's wishes.

REM sleep

a stage of sleep characterized by rapid eye movements and a high level of brain activity

NREM Stage 3

deep sleep, may be confused if awakened, vitals drop more, snoring occurs, important for healing, growth, muscle and tissue repair, 20-25% of sleep

two lifestyle factors that can negatively impact sleep

diet- meals in high saturation of fats nicotine and caffeine - smokers have difficulty falling asleep and staying asleep; coffee, tea, etc depends on sensitivities of individual alcohol - disrupts REM, more vivid dreams in REM, nocturia environmental factors - noise and light

NREM Stage 1

easily awakened, groggy, light sleep, some movement, dreams not usually remembered

NREM Stage 3

sleep deepens; theta and delta waves appear; vital signs decline

NREM Stage 2

theta and start of delta waves; start of true sleep, sleep spindles in EEG patterns - sudden bursts of brain activity