U Prep

A nurse interviews a client and finds that, because of religious beliefs, the client's view on health care does not involve blood transfusions. How can the nurse best handle this client situation?

Record this information in the clients chart

How would the nurse respond to a female client who says, "I do not think I have ever experienced an orgasm. Is that normal?

"A normal sexual response for women may include multiple plateaus without an orgasm as a result."

Which assessment question is most likely to yield clinically meaningful data about a female client's sexual identity?

"How do you feel about yourself as a woman?"

Which question would be helpful in eliciting data about the effects of stress during a health history?

"How does your body feel when you are upset?"

What might a nurse ask during a health history to assess personal identity?

"How would you describe yourself to others?"

A nurse is conducting a health history on a 45-year-old client. The nurse is preparing to address the client's sexual history. Which statement by the nurse would be most appropriate at this time?

"I am going to ask you some questions about your sexual health."

A mother tells the school nurse that her 5-year-old is refusing to go to school and won't accept a "school night" bedtime. The school nurse knows the mother will need more instruction when the mother makes which statement?

"I don't know why he is acting like this. He hasn't had anyone to play with but his little brother all summer."

A nurse is collecting a sexual health history from an older adult woman who is postmenopausal. Which client statement requires further education by the nurse?

"I have noticed I have less lubrication with sexual intercourse."

The nurse is providing care to a client who is recovering from mild myocardial infarction. The nurse determines that the client has an internal locus of control based on which client statement?

"I've been eating healthy and taking my medication. Otherwise, it could have been a lot worse."

A client that is 90 days postpartum states to the nurse, "I have not had a period since I had the baby. Do you think something may be wrong?" What is the best response by the nurse?

"If you are breastfeeding, it is common for there to be a delay before resuming menstruation."

A young adult woman comes to the clinic for an evaluation. During the visit, the client asks the nurse, "I have heard about the morning after pill that you take in case you have unprotected sex. What do I need to know?" Which education will the nurse provide to the client?

"It is important to take the pill within 72 hours of having unprotected sex."

A teenage female client tells the nurse that she is having intercourse with her boyfriend. The client asks the nurse about methods to prevent pregnancy. Which statement by the nurse would be most accurate?

"Many unintended pregnancies result from the use of less effective methods of contraception."

The nurse is caring for a client who has just died after a long diagnosis of dementia. Which nursing assessment is the priority for documentation?

"No breathing and no pulse at 0840."

A client diagnosed with a terminal illness is displaying periods of depression and anger alternating with acceptance. The client's spouse is concerned about the client's labile mood. When talking with the client's spouse, which statement made by the nurse best addresses principles of loss and grieving?

"Not everyone experiences grief in the same way and your loved one needs our support."

Which response will the nurse provide to a 13-year-old female client who says to the nurse, "My parents said masturbation is wrong. Is that true?"

"Tell me more about what you know of masturbation."

While teaching sexual education to a group of high school students, the nurse talks about forms of birth control and when a woman can become pregnant. Which explanation by the nurse about the chance of the woman becoming pregnant is accurate?

"The intrauterine device is a highly effective and reversible contraceptive."

The nurse is conducting a sexual history assessment of a 24-year-old female client, who casually remarks she would love to have sex with several actors. What is the best response from the nurse?

"What do you hope to accomplish by doing that?"

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea?

Sit with the client and ask them about their feelings

The nurse is in the process of assessing a 24-year-old female client's sexual history. After reviewing the nurse's current notes, which additional information should the nurse prioritize for this client's assessment? Select all that apply.

-"Are you planning a pregnancy in the future?" -"Do you have any sexual problems?" -"Do you feel safe with your sexual partner?" -"Have you had any abnormal Papanicolaou tests?"

A nurse is reviewing the health history of a client. Which statement documented in the history would lead the nurse to suspect that the client has a negative self-concept? Select all that apply.

-"I feel like I'm so ugly." -"What good am I?" -"I'm such a horrible person." -"Who would want to marry me now the way I look?"

A nurse is conducting the initial assessment of a client admitted to the hospital for surgery. The nurse determines that the client has a healthy self-esteem based on which statement? Select all that apply.

-"I have several very close friends that I depend on." -"I find it very easy to offer my opinions and tell people what I need." -"I've been through a lot and came back even stronger."

The nurse cares for a successful chemical engineer, age 29 years, who is admitted with a respiratory infection. The client reports feeling more stress than ever since a job promotion 6 months ago and asks, "Why would something so positive and wonderful cause so much stress for me?" Which is an appropriate response by the nurse? Select all that apply.

-"People vary greatly in their perception of what constitutes a crisis or stressor." -"All major life events can cause stress for us." -"Even positive life events can affect us in negative ways."

A nurse is assessing the spouse of a client who has just died. Which subjective findings of grief would the nurse expect to assess? Select all that apply.

-Detachment -Bitterness -Preoccupation with the loss

The nurse is caring for a client who scored 3 on the Hendrich II Fall Risk Model. Which intervention(s) is appropriate? Select all that apply.

-Implement normal fall prevention measures -Document the finding in the electronic health record

The nurse is advising an adolescent male about sexual myths that have him concerned. Which statements describe accurate client education regarding these concerns? Select all that apply.

-Masturbation or self-stimulation is a natural and healthy outlet for sexual urges. -No male or female should feel pressured into sexual activity at any age. -Nocturnal emissions are normal in men of all ages.

PICO stand for?

-Patient -intervention -compare or contrast -outcome

A nurse is providing anticipatory guidance to the parents of an adolescent regarding issues related to developmental changes that affect self-concept. What should the nurse discuss with the parents regarding these changes? Select all that apply.

-Peers become more important than parental influences. -The adolescent's sense of self is consolidated. -The adolescent is developing a sexual identity. -The adolescent is developing secondary sex characteristics and experiencing rapid body

A nurse is preparing a class for a group of middle-aged women about changes that may occur as a result of menopause. Which change would the nurse most likely include in the discussion? Select all that apply.

-Reduced verbal fluency -Genitourinary atrophy -Increased fatigue

Which dimension(s) will a nurse include when assessing a client's self-perception? Select all that apply.

-Self Knowledge -Self Expectation -Social Self -Self Evaluation

The nurse is teaching a client with terminal cancer who is interested in hospice care. Which home hospice benefits will the nurse explain? Select all that apply.

-The nurse and physician are on call 24 hours, every day of the week. -Counseling services are available. -Pain will be managed with medication, if needed. -Homemaker services can be included.

A rehabilitation nurse is caring for Steve Branson, a 23-year-old man, who has suffered a spinal cord injury and has tetraplegia. One of the rehabilitative goals for Steve is to attain adaptive patterns of behavior related to his injury. Which of the following would indicate that he is achieving this goal? Choose all that apply.

-Uses Available Resources -Makes decisions related to his care

The nurse is caring for a female client 64 years of age who is admitted for knee replacement. As the nurse performs the shift assessment, the client comments, "I wouldn't mind getting old if it were not for the physical losses, like the wrinkles, all the drooping, and the wearing out of everything. People like to be around youthful, beautiful men and women; I feel so unattractive." Is the client correct about how society views older people? In general, which of the following does society emphasize and reward? Choose all that apply.

-Youthfulness -Health and fitness -Physical attractiveness

A nurse is assessing a client and suspects that the client is experiencing a dysfunction in self-concept based on which behavioral findings? Select all that apply.

-inability to discuss a change in body function -social withdrawal -difficulty making decisions

A nurse is educating the parents of an infant about the development of self-concept. Applying Freud's psychodynamic theory, the nurse would explain that the infant begins to be able to distinguish his body from objects in the environment at approximately what age?

3 months

A client is admitted to the oncology unit with a diagnosis of leukemia. Her sister comes to visit. The healthy sibling tells the nurse that her sister is sick because "I got mad at her and wished she would go away." Based on this information, the nurse would estimate the sister's age to be:

7 years

A nurse always addresses clients by their preferred name when entering a client's home or room. What is the nurse facilitating by this action?

A sense of self and worth

A woman has had a breast removed to treat cancer. What type of loss will she most likely experience?

Actual loss

A 56-year-old construction worker is in for his annual physical. As the nurse takes his vital signs, he tells her that his blood pressure may be a little off this morning. He tells the nurse that he is recently unemployed, is quite stressed, and is having a hard time coping. He feels like he needs to numb the pain. What is the nurse most concerned about regarding this client?

Alcohol use

The nurse is justified in assessing for sexual dysfunction among male clients who are receiving which of the following?

Antihypertensive medication

A client had a traumatic amputation of the arm in a motor vehicle accident. Which intervention will the nurse use to assist a client in managing body image disturbance?

Assist the client in exploring thoughts and feelings related to body image changes.

A nurse is providing care to a client who has undergone skin grafting to her face due to a burn injury. The client states, "I know it could have been worse, but my face will never be the same as it was. I haven't been able to look at myself in the mirror because of what I might see." The nurse interprets this statement as most likely reflecting which pattern?

Body Image

When nurses become overwhelmed in their jobs and develop symptoms of anxiety and stress, they are experiencing what condition?

Burnout

A client has been receiving dialysis for years and now states, "I have been thinking about this for a long time. I no longer wish to continue dialysis. I just want to die." What is the most appropriate statement by the nurse?

Can you tell me about why you've made this decision?

A client has a diagnosis of bladder cancer with metastasis. The client asks the nurse about the characteristics of hospice care. The nurse should explain that:

Care is premised on the fact that dying is a normal process

A client who is diagnosed with renal failure has been informed about the need to start dialysis. Which assessment information supports the client is struggling with a change in life role?

Client's worry about the inability to continue work

Which principle underlies the ethical conduction of research in a hospital setting?

Clients must grant informed consent if they are to participate

What factor is necessary to express and experience spirituality?

Connectedness with other people

It is a religious holy day. The hospitalized client is withdrawn, occasionally tearful, and requests a minister to see him. Family is at the bedside. What action would the nurse take to address the client's spiritual distress on this day?

Contact the chaplain to request to see the client today.

A female nurse is giving a complete bed bath to a young male client. The nurse notices the client has an erection. Which action will the nurse take?

Continue bathing the client.

A nurse who is caring for a client in critical condition uses interventions to help the client maintain a sense of self. Which is the most appropriate nursing intervention?

Converse with the client about the individual's life experience.

The nurse is caring for a young adult who experienced the death of a spouse 10 months ago. Which behavior is consistent with effective coping?

Crying while reminiscing about the spouse

A client is informed about the results of a biopsy, which indicate a malignant tumor that has spread. The client states, "Well once you remove the tumor, I will be just fine." What stage of the grief process does the nurse identify the client is experiencing?

Denial

The nurse is working on the rehabilitation unit caring for a 16-year-old client who has suffered a traumatic amputation of the left leg. During the physical assessment, the client comments to the nurse, "I hate the way I look now with my leg gone." Which action will the nurse take to support the client?

Discuss the benefit of talking with others who have lost a limb.

A nurse has accepted numerous overtime shifts over the past several months. Which behavior indicates the nurse is experiencing burnout?

Dozing at the desk during downtime

What term is used to describe painful intercourse?

Dyspareunia

The nurse is caring for Mr. Z., a 55-year-old man admitted to the hospital for liver failure. He is an active member in the Latter-Day Saints (Mormon) church. Mr. Z. tells the nurse that he strictly adheres to the religious practices that are condoned by the church. However, the nurse overhears two of his physicians discussing that Mr. Z.'s liver failure is likely due to chronic alcohol use. The nurse suspects that they are wrong. Which of the following is an appropriate nursing activity?

Engage Mr. Z. in a discussion about past and present religious practices.

A nurse is nervous about interacting with a new client due to the memories of a similar past situation the nurse has experienced. Which action should this nurse prioritize when caring for this client?

Evaluate his or her own self-concept

An 18-year-old says that it was just bad luck that he got in a motor vehicle accident and broke his arm. What is the client demonstrating by saying this?

External Locus of Control

During a health history, a client states, "Whatever happens, happens because of luck." The nurse interprets this statement as indicating:

External Locus of control

During a health history, a client states, "Whatever happens, happens because of luck." The nurse interprets this statement as indicating:

External locus of control

The nurse is assessing a 25-year-old female client who has come to the clinic for a well maintenance check. Which question should the nurse prioritize based on the above notes?

Has anyone ever hurt you?

A 13-year-old female client comes in for a sports physical for school. During the exam, the client mentions she has a great boyfriend. Which question should the nurse prioritize with this client?

Have you received a human papillomavirus (HPV) vaccination?

Nurse researchers have predicted that a newly created mentorship program will result in decreased absenteeism, increased retention, and decreased attrition among a hospital's nursing staff. What does this predicted relationship represent?

Hypothesis

A nurse is explaining the use of an IUD to a female client interested in obtaining contraception. Which of the following statements regarding the IUD is correct?

IUDs are a safe form of birth control that can be removed if the client wants to become pregnant.

The emergency department nurse is triaging a 15-year-old adolescent who is brought in by a family member after finding the client with a bottle filled with a variety of pills. The family member shares that the client's parents recently divorced and the client's mother moved out-of-state, leaving the client and two younger siblings with the father. The father travels frequently for work, leaving the client alone to take care of the younger siblings. Which factor should the nurse prioritize?

Inadequate coping

A home hospice client who has Medicare is experiencing extreme pain at home and is refusing to receive inpatient care due to concerns over the cost of inpatient care. What teaching will the nurse include in the plan of care?

Inpatient pain management for hospice patients is covered by Medicare.

Which statement is true of gender identity?

It may be the same as or different from biologic identity.

An older adult client assumed care of a parent with dementia and had to decrease work hours to stay and home and care for the parent. Due to the decrease in hours, it is difficult to meet financial obligations. What actions by the nurse would be appropriate for this client? Select all that apply.

MHS -Make a referral to the case manager to determine available resources. -Have the client make an appointment with social services to assist with financial resources. -Suggest the client join a support group for caregivers of parents with dementia.

The school nurse is educating a group of 5th and 6th grade girls on menstruation. One girl asks if there is a name for having her first menstrual period. The nurse replies with which of the following terms?

Menarche

Which level of health care provider may make the decision to apply physical restraints to a client?

Nurse practitioner

The nurse is assessing for information about a client's self-concept. The information needed first is about which of the following?

Personal Identity

A school nurse is educating parents on how to build self-esteem in their children. Which is a recommended strategy?

Provide opportunities for your child to display the child's abilities.

A 2-year-old boy has had a bowel repair for gastroparesis. He is doing well but has a colostomy to aid in healing of the surgical bowel. What would be an appropriate nursing intervention for the client to enhance self-concept?

Provide the client with room to move around in, and lots of toys to interact with, while securing his colostomy so it does not get in his way.

An older adult client at a health care facility dies after a prolonged illness. Which is a psychological reaction associated with the different stages of grief?

Refusal to accept death

Which statement about religion and spirituality is most accurate?

Religion is an organized system of spiritual beliefs and practices

During a counseling session a client states, "I just try to forget about my spouse hitting me." Which coping mechanism should the nurse document on the basis of this client's statement?

Repression

A client with cancer has recovered from tumor removal surgery and is now stable while undergoing a chemotherapy treatment schedule. She is not having any symptoms at this time and is continuing to work and enjoy social events. What stage of the general adaptation syndrome (GAS) would the nurse place her in?

Resistance

A client comes to the clinic for an annual physical exam. During the history, the client tells the nurse about starting a new job but being unsure about success in this new role because since the expectations are unknown. What does the nurse determine this indicates for the client?

Role Ambiguity "The client is exhibiting role ambiguity, which occurs when the person lacks knowledge of role expectations, which fosters anxiety and confusion. Role strain occurs when the person perceives himself as inadequate or unsuited for a role. Intrapersonal role conflict exists when role expectations conflict with the person's values, such as a nurse being asked to assist with an abortion when she believes it is immoral. Role transitions occur due to aging and growth or with a change in relationships."

A client started a nursing program and is trying to balance going to school full-time, a part-time job, and spending time with family. The client states, "I am trying to do everything and doing nothing well." Which role problem is this client experiencing from this role transition?

Role Strain

The family members of a dying client have asked for the hospital chaplain's help in having a member of the clergy come to the client's bedside to perform the anointing of the sick. The nurse who is providing care for the client should recognize that the family is likely which religion?

Roman Catholic

Which behaviors represent effective coping mechanisms? Select all that apply.

SLT -setting limits with family members who upset you -learning relaxation techniques -taking a vacation

A group of nursing students is reviewing information about the theories of self-concept development, focusing on Sullivan's interpersonal theory. The students demonstrate understanding of this theory when they identify which stage as the time when individuation begins?

School-age children

After reviewing several research articles, the clinical nurse specialist on a medical surgical unit rewrites the procedure on assessing placement of a nasogastric tube. What source of nursing knowledge did the nurse use in this situation?

Scientific knowledge

A nurse is assessing a client's self-perception. Which dimension is reflected by the client's statement, "I want to use my skills to become the best artist I can be"?

Self-Expectation

A nurse is assessing a client's self-perception. Which dimension is reflected by the client's statement, "I want to use my skills to become the best artist I can be"?

Self-expectation

A nurse is assisting a terminally ill female client with bathing. The client tells the nurse that she has great respect and faith in a particular spiritual leader. The nurse interprets this information as fulfilling which need for the client?

Sense of security for present and future

An adolescent client tells the nurse about asking oneself, "Do I like who I see in the mirror?" Which additional strategy can the nurse encourage the client to use to promote self-evaluation?

Setting goals

Which of the following statements best describes the relationship between biologic sex and gender identity?

Sex is chromosomally determined, while gender is a psychosocial construct.

A child age 5 years wakes up at night and finds he has wet the bed. He feels embarrassed that he had this accident and sleeps in the wet bed all night, afraid to tell his parents. In the morning, he wakes up early, gets dressed, and hides his pajamas because he still feels shame for this accident. This child is experiencing which feeling of self-evaluation?

Shame

The nurse is caring for a client who recently found out he has a terminal illness. The nurse notes that the client is hostile and yelling. Which statement by the nurse shows that she has understanding of the Kübler-Ross emotional responses to impending death?

Sometimes a person returns to a previous stage

The nurse is caring for an older adult client admitted with a terminal illness. The client's chart indicates do not resuscitate (DNR) status. Which communication technique will facilitate a trusting nurse-client relationship?

Speak in a well-modulated voice and listen carefully to what the client says.

The pediatric nurse is caring for a 3-year-old child who is admitted for pneumonia. The nurse notes the child is becoming more depressed, see note above. When similar actions occur the following day, which action should the nurse prioritize?

Speak with the father concerning the childs needs

A nurse is developing a plan of care to meet a client's spiritual needs. When identifying appropriate interventions, which concept would the nurse need to integrate as the foundation for all the interventions?

Supportive presence

The school nurse is presenting a class on female reproductive health. While discussing prevention the nurse teaches what about a Pap smear?

The Pap smear detects cervical cancer.

As part of a class project, a nursing student is to discuss the anatomic and physiologic changes that occur in a woman's breast during pregnancy and lactation. What would the student be most likely to include?

The alveolar cells begin to secrete colostrum.

A new nurse observes a priest visiting the clients every Saturday afternoon and praying with them. This activity supports which of the nursing outcomes?

The client uses a type of spiritual experience that provides comfort

A nurse is educating a client about smoking cessation. The nurse determines that the client has high self-efficacy. Which outcome would the nurse expect to occur?

The client will be able to stop smoking.

A client has been brought to the health care facility with accident-related injuries. During the initial interview, the client becomes agitated and upset and is unable to answer any more of the nurse's questions. What does the nurse conclude about the condition of the client?

The client's mind is preparing for a fight-or-flight response as he relates the incident.

A client severely injured in a motor vehicle accident is rushed to the health care facility with severe head injuries and profuse loss of blood. Which sign indicates approaching death?

The clients breathing becomes noisy

Mr. J. is a 78-year-old man, who is actively dying of unknown causes. Mr. J. is a practicing Muslim. His wife, children, and grandchildren are present. The physician in charge of Mr. J.'s care plans to discuss Mr. J.'s impending death with the family. Based on the nurse's knowledge of the Muslim faith, which of the following is not true?

The family will likely want an autopsy.

The nurse is conducting an interview with a client who has a sexual concern. To obtain accurate and complete information from the client, which method will the nurse use to create a comfortable environment to encourage communication?

The nurse should demonstrate ease.

A dying client requests that the nurse pray with him. The nurse is not accustomed to praying aloud but is comfortable praying silently. What is the best approach for this nurse to follow to pray with this client?

The nurse should select a formal prayer or Bible passage to use to pray aloud.

which of the following is objective data related to self-concept?

The person refuses to make eye contact

A hospital is being evaluated by the Centers for Medicare & Medicaid Services. Which of these findings from the evaluation may result in a reduction in the hospital's reimbursement under the value-based purchasing (VBP) program?

The rate of postoperative complications is significantly higher than national averages

The nurse is caring for a client with terminal illness. Which should the nurse teach the family about physiological signs of imminent death?

There will be changes in vital signs, skin color, and responsiveness.

The school nurse is educating 7th grade children about safety. Which recommendation is most appropriate for this age group?

Use of protective sporting equipment

A male client comes to the clinic because he thinks that he has syphilis. Which test would the nurse expect the client to have done?

VDRL

The nurse is assessing the sexual health of a female client age 20 years. During the interview, the client says, "I feel that my vaginal opening constricts whenever I am about to have intercourse. I seem to have no control over it." What would the nurse use when documenting the client's report?

Vaginismus

During a self-esteem assessment of a young woman undergoing a complicated divorce, a nurse states: "Tell me something about the moral-ethical principles that govern your life." What aspect of self-esteem is the nurse assessing?

Virtue

A nurse is preparing the client for a visit from a spiritual counselor. Which topic would be helpful for the nurse to discuss with the client prior to the visit?

What is needed to prepare for the visit?

Which of the following best describes stress?

a response to changes in the normal balanced state

A client has been admitted with a gastrointestinal bleed. Two nurses should perform checks before which intervention is performed?

administering a unit of packed red blood cells

A nurse is caring for a client who is an investment banker. The client is stressed because of the sudden fall of share prices in the stock exchange. Which stress-reduction technique should the nurse use with this client?

advocate on behalf of the client to others

A care facility has introduced care bundles for clients who have indwelling urinary catheters. When describing the use of care bundles, what benefit should be explained?

ensuring that each necessary element of catheter care is consistently provided

A client, while driving, hits a small child crossing the road. The child survives with some minor bruises and cuts. The client feels very stressed and is depressed when thinking of the child's injury. Which technique should the nurse implement in this case?

alternative thinking

Which of the following is an example of a perceived loss?

an older client grieves for the loss of his independence

A man is diagnosed with terminal kidney failure. His wife demonstrates loss and grief behaviors. What type of loss is the wife experiencing?

anticipatory loss

The nurse walks into the client's room and finds her sobbing uncontrollably. When the nurse asks what the problem is, the client responds, "I am so scared. I have never known anyone who goes into a hospital and comes out alive." On this client's care plan, the nurse notes a nursing diagnosis of Ineffective Coping related to stress. What is the best outcome the nurse can expect for this client?

client will adapt relaxation techniques to reduce stress

What are the uterus and vagina connected by?

cervix

A client at a health care facility has died after a prolonged illness. A nurse is assigned to perform postmortem care for the client. Which intervention should the nurse perform when providing postmortem care?

cleanse drainage from the skin

The nurse involved in coordinating a support group for spinal cord injury clients learns that one of the participants in the support group was a college athlete prior to his diving accident. The client informs the group that he earned a scholarship based upon his athletic abilities and not his academic performance, and after the injury, he focused his energies on his studies. He has been on the dean's list for two semesters. What defense mechanism is illustrated in this scenario?

compensation

A nurse is caring for a 55-year-old man found unconscious at a construction site. He has not regained consciousness in 6 days and is on full life support. His wife and children are present at his bedside. The family members are practicing Orthodox Jews. Based on this information, how would the nurse expect the family to respond to a discussion regarding the client's care?

continued life support is appropriate as long as the measures are not heroic

A client responds to bad news regarding test results by crying uncontrollably. What is the term for this response to a stressor?

coping mechanism

A client who responds to bad news concerning his lab reports by crying uncontrollably is handling stress by using:

coping mechanism

A young mother tells the nurse, "I can't stop smoking. That is what I do to make myself feel better." What is the term used to describe this behavior?

coping mechanism

The nurse is performing a psychosocial assessment on an older adult client. For which issue of clients in their later adult years should the nurse assess as a priority?

depression and substance use

An infant who was born with Down syndrome, gastrointestinal anomalies, and cardiac defects has required nearly continuous hospitalization in the neonatal intensive care and pediatric care units of the hospital during her first year of life. To counteract the negative effects of prolonged hospitalization, the nurse should:

facilitate as many opportunities as possible for infant-parent attachment.

A nurse introduces herself to a visually impaired client, addresses the client by name, speaks to the client respectfully, and explains all the nursing activities. The nurse is implementing health promotion with this client by which mechanism?

fostering a sense of self

If a nurse assessed the vital signs of a person who was in the initial alarm reaction stage (shock phase) of the general adaptation syndrome, what would be the expected findings?

hypertension

A sentinel event involving a client's suicide attempt on a hospital unit is being analyzed by the hospital's quality and safety committee. The committee should prioritize what consideration when performing this analysis?

identifying strategies for preventing a repeat of this event

A nursing instructor is preparing a group of nursing students to conduct their first research project. The instructor determines the initial training is successful when the students prioritize which goal to focus on when conducting their research?

improve the care of each client

The nurse is providing education about sexuality to a group of college freshman. One of the terms he discusses is gender identity. Which of the following describes gender identity?

inner sense of being male or female

which statement best reflects translational research?

it is the bridge from theory to practice

A client is experiencing a stress response each time the family visits the room. What nursing intervention is most appropriate?

limit the family visits to once daily

In which age group do interpersonal losses play a role in disturbances in self-concept?

older-adult

Who or what plays the most influential role in the internalization of self-concept in children?

parents

A nurse is caring for a client with a terminal illness. Which statement is true of a terminal illness? You Selected:

recovery is beyond reasonable explanation

A nurse teaches a client deep-breathing exercises to help control his anxiety. This is considered what type of stress management technique?

relaxation

A client with cancer has recovered from tumor removal surgery and is now stable while undergoing a chemotherapy treatment schedule. She is not having any symptoms at this time and is continuing to work and enjoy social events. What stage of the general adaptation syndrome (GAS) would the nurse place her in?

resistance

A client tells the nurse, "I am not sure what I am expected to do in my new job." The nurse interprets this as which type of role transition?

role ambiguity

As part of a class discussion, a nursing instructor is explaining how people feel about themselves based on one's self and that of others. The instructor is describing:

self-esteem

Which term best describes an individual's self-concept?

self-image

Which data is most appropriate for the nurse to include when assessing an older adult client's capacity to adapt to current stressors?

social losses, network of social factors, and advanced age

A client is on a stress management program. She states that she is open to trying a guided meditation class. When helping her get started, a nurse tells her that which of the following is not important?

soft music

A nurse is providing care to a terminally ill client and family. The family practices Buddhism. When preparing the client and family for death, which action would be most important for the nurse to integrate into the plan of care?

supporting the belief that death is temporary and needed for rebirth

A group of nursing students is learning about the body's response to stress. Which system is responsible for initiating the fight-or-flight response to stress?

sympathetic nervous system

A client with a diagnosis of colon cancer has required the creation of an ostomy following bowel surgery. Which factor is most likely to influence the client's adjustment to this change?

the coping mechanisms that the client possesses

Which of the following factors is most likely to present a challenge to the self-concept of a man 79 years of age?

the man's increasing level of dependence on his children

Which of these is a situational transition?

the transition from being married to being divorced

Palliative care is a structured system for care delivery. What is its aim?

to prevent and relieve suffering

Which group of terms best describes anxiety?

unknown cause, emotional, apprehensive

A client in a family planning clinic asks for oral contraceptives. The nurse is aware that oral contraceptives are contraindicated for which client?

women who smoke