102 ADN Mod I

A nurse is caring for a patient experiencing a stress response. The nurse plans care with the knowledge that systems respond to stress in what manner? SATA 1. Always fail and cause illness and disease 2. Protect an individual from harm in the short term 3. React the same way for all individuals 4. Cause negative responses overtime 5. Tolerate the stress response indefinitely

2, 4

REM sleep accounts for how much of sleep

20-25%

While planning care for a patient, a nurse understands that providing integrative care includes treating which of the following? 1. Disease, spirit, and family interaction 2. Desires and emotions if the patient 3. Mind-body-spirit of patients and their families 4. Muscles, nerves, and spine disorders

3

Which complimentary therapies are most easily learned and applied by a nurse? SATA 1. Therapeutic massage therapy 2. Traditional Chinese medicine 3. Progressive relaxation 4. Breathwork and guided imagery 5. Therapeutic touch

3, 4

Meditation may intensify the effects of which of these medications? (Select all that apply.) 1. Steroid medications 2. Insulin 3. Thyroid-regulating medications 4. Cough syrups 5. Antihypertensive medications

3, 5

When planning patient education, it is important to remember that patients with which of the following illnesses may find relief in complementary therapies? 1. Lupus and diabetes 2. Ulcers and hepatitis 3. Heart disease and pancreatitis 4. Chronic back pain and arthritis

4

A nurse at a clinic is collecting data about pain from a client who reports sever abdominal pain. The nurse asks the client if there has been any accompanying nausea or vomiting. Which of the following pain characteristics is the nurse attempting to determine? A. Presence of associated manifestations B. Location of pain C. Pain quality D. Aggravating and relieving factors

A

A nurse is assessing a client who reports insomnia. Which of the following findings can contribute to the clients insomnia? (SATA) A. Irregular schedule B. Stress C. Warm bath D. Alcohol intake E. Morning walk

A, B, D

Which statement most accurately describes interventions offered by TCM providers? 1. Uses acupuncture as its primary intervention modality 2. Uses many modalities based on the individuals needs 3. Uses primarily herbal remedies and exercise 4. Is the equivalent of medical accupuncture

2

A nurse is instructing a client who has narcolepsy. Which of the following client statements indicates an understanding of these instructions? A. "I will add plenty of carbohydrates to my meals" B. "I will take a short nap when I feel sleepy." C. "I will increase the heat in my office so I stay warm" D. "I will limit alcohol intake to one drink per day"

B

A nurse is assisting a client who is reporting pain despite taking analgesia. Which of the following actions should the nurse take to determine the intensity of the clients pain? A. Ask the client what precipitates the pain B. Question the client about the location of the pain C. Offer the client a pain scale to measure their pain D. Use open ended questions to identify the clients pain sensations

C

A nurse is caring for a client who is receiving morphine via PCA pump after abdominal surgery. Which of the following statements indicates that the client knows how to use the device? A. "I'll wait to use the device until absolutely necessary" B. "Ill be careful about pushing the button too much so I don't get an overdose" C. "I should tell the nurse if the pain doesn't stop while using this device" D. "I will ask my adult child to push the dose button when I am sleeping"

C

A nurse is monitoring a client for adverse effects following the administration of an opioid. Which of the following effects should the nurse identify as an adverse effect of opioids? SATA A. Urinary incontinence B. Diarrhea C. Bradypnea D. Orthostatic hypotension E. Nausea

C, D , E

Meditation

any activity that limits stimulus input by directing attention to a single unchanging or repetitive stimulus so the person is able to become more aware of self

Moxibustion

burning moxa, a cone or stick of dried herbs that have healing properties on or near the skin

Imagery

mind-body therapy that uses the conscious mind to create mental images to stimulate physical changes in the body, improve perceived well being, and enhance self awareness

Cupping

placing a heated cup on the skin to create a slight suction

Relaxation response

reduces generalized cognitive, physiological, and/or behavioral arousal

Progressive relaxation

teaches an individual how to effectively rest and reduce tension in the body

Passive relaxation

to still the mind and body intentionally without the need to tighten and relax any particular body part

Which of the following statements best explains therapeutic touch (TT)? 1. Intentionally mobilizes energy to balance, harmonize, and repattern the recipients biofield 2. Intentionally heals tissue damage or corrects certain disease symptoms 3. Is overwhelmingly effective in many conditions 4.. Is completely safe and does not warrant any special precaution

1

A nurse is caring for a patient with chronic arthritis pain. The patient wants to add some complimentary therapies to help with pain management. Which therapies might be most effective for controlling pain? SATA 1. Biofeedback 2. Acupuncture 3.Therapeutic touch 4. Chiropractic therapy 5. Herbal medicines

1, 2, 3, 4, 5

The nurse manager of a community clinic arranges for staff inservices about various complimentary therapies available in the community. What is the purpose of this training? SATA 1. Nurses play an essential role in the safe use of complementary therapies 2. Nurses are often asked for recommendations and strategies that promote well being and quality of life 3. Nurses learn how to provide all of the complimentary modalities during their basic education 4. Nurses play an essential role in patient education to provide information about the safe use of these healing strategies 5. Nurses appreciate the cultural aspects of care and recognize that many of these complimentary strategies are part of the patients life

1, 2, 4, 5

Which cognitive skills can a patient develop while practicing relaxation? SATA 1. Increasing an ability to focus attention for an extended period of time 2. Limiting stimuli that come into one's field of vision 3. Stopping a focus on unnecessary goal directed activity 4. Being able to tolerate experiences that are uncertain 5. Building relationships with significant others

1, 3, 4

A nurse is discussing the care of a group of clients with a new nurse. Which of the following clients should the new nurse identify as experiencing chronic pain? A. A client who has a broken femur and reports hip pain B. A client who has incisional pain 72 hours following pacemaker insertion C. A client who has food poisoning and reports abdominal cramping D. A client who has episodic back pain following a fall 2 years ago

D

A nurse is preparing a presentation at a local community center about sleep hygiene. Sort the following characteristics into either rapid eye movement (REM) sleep or non rapid eye movement (NREM) sleep. A. Cognitive restoration occurs B. 75% of time sleeping C. Light sleep D. Loss of muscle tone occurs E. Vivid dreams occur

REM: A, D, E NREM: B, C