Final review

Identity _________ is the failure to integrate various childhood identifications into a harmonious adult psychosocial identity, which can lead to disruptions in relationships and problems of intimacy.

Diffusion

What term is used to describe the movement of gas or particles from an area of higher pressure or concentration to an area of lower pressure or concentration?

Diffusion

Which of the following groups are less religiously affiliated than others?

Millennials

Which of the following oxygen delivery systems delivers the highest concentration of oxygen to a spontaneously breathing patient?

Nonrebreather mask

A client says, "What is that awful smell?" What sense is being used?

Olfactory

Nurses who work to reintegrate the healing tradition into the life of faith communities are referred to as:

Parish nurses

A person's conscious sense of who they are is referred to as which of the following?

Personal identity

Which of the following refers to a medical order indicating a patient's wishes regarding treatments commonly used in a medical crisis?

Physical order for life sustaining treatment

Which of the following religious groups believe in divine healing through the laying on of hands?

Protestants

Which of the following actions would be contraindicated when preparing a body that will be sent for autopsy?

Removal of tubes or IVs

A student is developing a teaching plan for an assigned client who has just started receiving chemotherapy. The student plans to teach the client about symptoms to report after chemotherapy. What is the priority action by the student?

Review information available in writing and on the Internet.

LGBT youth are two to three times more likely to attempt suicide.

True

Lactated Ringer's intravenous solution contains multiple electrolytes in about the same concentrations as found in plasma.

True

Major electrolytes found inside cells include potassium, phosphorus, and magnesium.

True

Normal breath sounds include vesicular, bronchial, and bronchovesicular sounds.

True

Nurses always have the moral right to withdraw from administering care that violates their personal moral code.

True

Patients with fluid, blood, or air in the pleural space require a chest tube to drain these substances and allow the compressed lung to reexpand.

True

Spirituality is anything that pertains to a person's relationship with a nonmaterial life force or higher power.

True

Surgical hypoparathyroidism, vitamin D deficiency, and malabsorption are also causes of hypocalcemia.

True

T or F When verbal and nonverbal communications do not match, it is often the nonverbal communication that more accurately conveys the speaker's meaning.

True

T or F Communication is influenced by the way people value themselves, one another, and the purpose of any human interaction.

True

T or F Hearing is believed to be the last sense to leave the body before death.

True

T or F People with deficient self-concept might lack the motivation to learn self-care behaviors in response to illness, injury, or trauma.

True

T or F Terminal weaning is the gradual withdrawal of mechanical ventilation from a patient with a terminal illness or an irreversible condition with a poor prognosis.

True

The anteroposterior diameter of the chest should be less than the transverse diameter.

True

The most significant difficulty that a hypertensive person faces regarding sexuality is that medication used to control the disease frequently causes a change in sexual functioning.

True

True or false Incivility is rude, disruptive, intimidating, and undesirable behavior directed at another person.

True

Which of the following blood types is considered the universal donor?

Type O

What word or phrase best describes an effective counselor?

caring

A nurse instructs a client to tell her about the side effects of a medication. What learning domain is the nurse evaluating?

cognitive

Which hospital unit is more likely to cause severe sensory alterations?

intensive care

The process by which oxygenated capillary blood passes through body tissues is known as:

perfusion

When a person's employment or well-being is dependent on agreeing to unsolicited and unwelcome sexual demands, this is referred to as:

quid pro quo harassment

Mentorship

relationship in which an experienced individual (the mentor) advises and assists a less experienced individual (protégé). This is an effective way of easing a new nurse into leadership responsibilities. Mentors link with protégés by common interest and provide support, information, and network links.

The conduction system of the heart includes this node, which is located in the upper right atrium and initiates the transmission of electrical impulses.

sinoatrial node

A rare condition in which the vaginal opening closes tightly and prevents penile penetration is called:

vulvodynia

Soft, high-pitched discontinuous or intermittent popping sounds in the lungs are referred to as:

Crackles

A patient who assigns responsibility for one's care to others and becomes increasingly dependent, or stubbornly refuses necessary help, is evidencing a maladaptive response to illness.

True

An emergency department nurse is aware that those who practice the religion of Jehovah's Witnesses will not accept blood transfusions.

True

Arterial blood gases are laboratory tests commonly used to determine the adequacy of oxygenation and ventilation, as well as in the assessment and treatment of acid-base imbalance.

True

Planned change is a purposeful, systematic effort to alter or bring about change. What occurs next after alternative solutions to a problem are determined and analyzed?

A course of action is chosen from among the alternatives.

What type of leader shares decisions and activities with group participants?

Democratic

Which of the following describes a person who denies the existence of a higher power?

Agonistic

Which of the following best describes a stimulus?

An act or agent that initiates a response by the nervous system

When a person displays loss and grief behaviors for a loss that has yet to take place, this is referred to as:

Anticipatory loss

During which of the following stages, according to Kübler Ross, will a dying patient put their personal affairs in order?

Bargaining

At the end of the terminal bronchioles are alveoli, small air sacs where gas exchange occurs.

True

In which of the following states is it legal under certain circumstances to assist in committing suicide?

California

When communicating effectively with patients, the nurse may use auditory, visual, or kinesthetic ___________.

Channels

Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should:

Check the temperature of the room, and offer blankets to the patient if he or she feels cold.

Children exposed to higher levels of parental anxiety are at risk for developing lower self-esteem.

True

When the newly diagnosed client with insulin-dependent diabetes tells the nurse that he has never received instruction on the administration of injections, an appropriately stated nursing diagnosis for the client is:

Deficient Knowledge of Injection Administration as verbalized by the client, related to the lack of instruction and experience

The therapeutic communication technique known as ___________ is the skill of identifying with the way another person feels.

Empathy

The nurse is caring for a 7-year-old client. The nurse is providing education to the client about receiving vaccinations. Which is an appropriate action for the nurse to take when teaching the client?

Explain the vaccination process to the client's guardian rather than the client.

Which of the following accounts for about 30% of the total body water?

Extra cellular fluid

Illness or alteration in function affects self-esteem but has little or no effect on self-concept.

FLASE

Acidosis occurs when there is a lack of H ions or a gain of base (bicarbonate) and the pH exceeds 7.45.

False

Cough suppressants are drugs that facilitate the removal of respiratory tract secretions by reducing the viscosity of the secretions.

False

Faith is an organized system of beliefs about a higher power that often includes set forms of worship, spiritual practices, and codes of conduct.

False

Living wills provide specific instructions regarding the distribution of personal property and wealth after a person dies.

False

Masochism refers to the practice of gaining sexual pleasure while inflicting abuse on another person.

False

Praying with patients should not be initiated by the nurse unless there is no pastoral care available, regardless of their relationship with the patient.

False

Private social media account activities by nurses are protected from regulatory authority oversight

False

Self-concept is a social creation that develops as a result of interaction with others and is independent of inborn tendencies, such as temperament.

False

Simultaneous orgasm is commonly achieved by couples who are in a healthy sexual relationship.

False

T or F Legal options to prevent the improper use of cardiopulmonary resuscitation include the Do-Not-Resuscitate (DNR) order, the Allow Natural Death (AND) order, and the slow code.

False

True or False Perceived loss is felt by the person and can be recognized by others.

False

True or False. A primary source of information includes medical records and information from a patient's family.

False

True or false An example of an open-ended question is: "What medicines have you been taking at home?"

False

Which of the following describes the inner sense a person has of being male or female?

Gender identity

Which of the following describes the ingredient in life responsible for a positive outlook, even in life's bleakest moments?

Hope

Which of the following electrolyte imbalances occurs when the sodium in the extracellular fluid is below 135 mEq/L?

Hyponatremia

Cells that are surrounded by this type of fluid in the intravascular space will swell and possibly burst.

Hypotonic solution

A male client age 42 years recovering from a MI is having difficulty following the care plan to stop smoking and exercise. What is the nurse's best response to this client?

Ignore the behavior and recommend a behavior modification program.

Which of the following is a type of female genital mutilation (FGM) practiced in certain cultures, which involves narrowing of the vaginal opening through the creation of a covering or seal?

Infibulation

Coopersmith describes which of the following as the way people feel they are loved and approved of by the people important to them?

Significance

Factors influencing communication include developmental level; roles and responsibilities; space and territoriality; physical, mental, and emotional state; environment; and _____________ differences.

Sociocultural

The use of technology to delivery nursing care and conduct nursing practice remotely is called __________.

Telehealth

What muscles should not be contracted during keagle exercises?

The client should not contract the muscles of the abdomen, inner thigh, or buttocks while doing Kegel exercises.

Which of the following is an inclusive term used to describe those who feel that the sex that was assigned to them at birth incompletely describes or fails to describe them?

Transgender

Ejaculation and orgasm are most likely to remain intact in patients with spinal cord injuries of the lower spine.

True