Human Experience Exam 3
Request that if testing is further delayed, the patient will eat lunch first.
A hospitalized patient who is diabetic received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient has been away from the nursing unit for 2 hours, missing the lunch delivery while awaiting a chest x-ray. What is the best action by the nurse to prevent hypoglycemia? A.Plan to discontinue the evening dose of insulin. B.Save the lunch tray for the patient's later return. C.Request that if testing is further delayed, the patient will eat lunch first. D.Send a glass of orange juice to the patient in the diagnostic testing area.
agnostic
An atheist is a person who denies the existence of a higher power; an _________ is one who holds that nothing can be known about the existence of a higher power.
image
Body ________ is the person's subjective view of one's physical appearance.
acculturation
The process of cultural assimilation or ___________________ occurs when a minority group, living within a dominant group, takes on the values of the dominant culture.
Noon blood glucose of 52 mg/dL
Which laboratory value reported by the unlicensed assistive personnel (UAP) indicates an urgent need for the nurse to assess the patient? A.Bedtime glucose of 140 mg/dL B.Noon blood glucose of 52 mg/dL C.Fasting blood glucose of 130 mg/dL D.2-hr postprandial glucose of 220 mg/dL
Determine what types of activities the patient enjoys.
Which nursing action is most important in assisting an older patient who has diabetes to engage in moderate daily exercise? A.Determine what types of activities the patient enjoys. B.Remind the patient that exercise improves self-esteem. C.Teach the patient about the effects of exercise on glucose level. D.Give the patient a list of activities that are moderate in intensity.
reframing
A nurse uses a process known as "__________" when she helps patients alter their perspective of a situation from a more negative view to a more positive view.
jewish
An example of a disease often diagnosed in a specific population is Tay--Sachs disease, which is associated with individuals of Eastern European _____________ descent.
false
T or F: Faith is a confident belief in something for which there is no material evidence or proof.
personal
The area around a person regarded as _________ space is the area into which others should not intrude during personal interactions.
Buddhi
The religion known as _____________ teaches that there are "Four Noble Truths" that indicate the range of "suffering," its "origin," its "cessation," and the "way" that leads to its cessation.
The patient cleans the skin with soap and water before insulin administration.
Which patient action indicates accurate understanding of the nurse's teaching about administration of aspart (NovoLog) insulin? A.The patient avoids injecting the insulin into the upper abdominal area. B.The patient cleans the skin with soap and water before insulin administration. C.The patient stores the insulin in the freezer after administering the prescribed dose. D.The patient pushes the plunger down while removing the syringe from the injection site.
The patient increases daily exercise when ketones are present in the urine.
A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise and glucose control. Which behavior indicates that the nurse should implement additional teaching? A.The patient always carries hard candies when engaging in exercise. B.The patient goes for a vigorous walk when his glucose is 200 mg/dL. C.The patient has a peanut butter sandwich before going for a bicycle ride. D.The patient increases daily exercise when ketones are present in the urine.
As soon as available
A 30-yr-old patient has a new diagnosis of type 2 diabetes. When should the nurse recommend the patient schedule a dilated eye examination? A.Every 2 years B.Every 6 months C.As soon as available D.At the age of 39 years
One slice whole grain toast with peanut butter, skim milk, orange juice
A nurse is teaching a group of people who have diabetes mellitus about using the exchange list for diet planning. Which breakfast menu should the nurse use that represents the most balanced and the greatest variety of food groups using the exchange list? A. One half grapefruit, bagel with sugar-free jelly, apple juice B. Two eggs, two strips of bacon, orange juice, coffee C. One slice whole grain toast with peanut butter, skim milk, orange juice D. Nonfat yogurt, bran muffin, ½ cup shredded wheat, skim milk
hopelessness
A nursing diagnosis related specifically to spirituality would be __________, a subjective state in which a person sees limited or no alternatives or personal choices available and is unable to mobilize energy on one's behalf.
Lifestyle changes to lower blood glucose
A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). What should the nurse plan to teach the patient? A.Self-monitoring of blood glucose B.Using low doses of regular insulin C.Lifestyle changes to lower blood glucose D.Effects of oral hypoglycemic medications
Check glucose level before, during, and after swimming.
A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM. What advice should the clinic nurse plan to give the patient? A.Increase the morning dose of NPH insulin (Novolin N). B.Check glucose level before, during, and after swimming. C.Time the morning insulin injection to peak while swimming. D.Delay eating the noon meal until after finishing the swimming.
Abdomen
A patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to use to administer the morning insulin? A.Thigh B.Buttock C.Abdomen D.Upper arm
culturally
Accepting cultural differences in the assessment of health care needs is an example of __________ competent nursing care.
hope
Closely related to spirituality, faith, and religion, ______ is the ingredient in life responsible for a positive outlook even in life's bleakest moments.
competence
Coopersmith identified the four bases of self-esteem as: significance, ____________, virtue, and power.
blindness
Culture conflict occurs when people become aware of cultural differences; cultural ____________ occurs when one ignores differences and proceeds as though they do not exist.
hyperglycemia
Diabetes Mellitus is a group of metabolic diseases in which defects in insulin secretion or action. What is the result of this? A. hypoglycemia B. hyperglycemia C. hypertension D. obesity
diffusion
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.
true
T or F: 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
T or F: An emergency department nurse is aware that those who practice the religion of Jehovah's Witnesses will not accept blood transfusions.
true
T or F: Children's feelings of self-esteem and self-worth develop out of their perceptions of their parenting figure's feelings, or affects, expressed in caring for the children.
true
T or F: Ethnicity is a sense of identification with a collective cultural group based on the group's common heritage.
true
T or F: Ethnocentrism is the belief that the ideas, beliefs, and practices of one's own culture are superior to those of another's culture.
false
T or F: Illness or alteration in function affects self-esteem but has little or no effect on self-concept.
true
T or F: Members of the religion Jesus Christ of Latter Day Saints (Mormons) believe in divine healing through the "laying on of hands."
true
T or F: Nurses always have the moral right to withdraw from administering care that violates their personal moral code.
true
T or F: One of the most culturally variable forms of nonverbal communication is eye contact.
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.
false
T or F: Self-concept is a social creation that develops as a result of interaction with others and is independent of inborn tendencies, such as temperament.
true
T or F: Spirituality is anything that pertains to a person's relationship with a nonmaterial life force or higher power.
false
T or F: Stereotyping describes the feelings a person experiences when placed in a different culture.
false
T or F: When providing care to people from different cultures, it is important to allow past experiences to guide solutions to all cultural situations.
Give the patient 4 to 6 oz more orange juice.
The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later, the blood glucose is 67 mg/dL. Which action should the nurse take next? A.Give the patient 4 to 6 oz more orange juice. B.Administer the PRN glucagon (Glucagon) 1 mg IM. C.Have the patient eat some peanut butter with crackers. D.Notify the health care provider about the hypoglycemia.
Hypoglycemia
The nurse is admitting a patient diagnosed with type 2 diabetes mellitus. The nurse should expect the following symptoms during an assessment, except: A.Hypoglycemia B.Frequent bruising C.Ketonuria D.Dry mouth
"Have you lost weight lately?"
The nurse is assessing a 22-yr-old patient experiencing the onset of symptoms of type 1 diabetes. To which question would the nurse anticipate a positive response? A."Are you anorexic?" B."Is your urine dark colored?" C."Have you lost weight lately?" D."Do you crave sugary drinks?"
The patient will reach a glycosylated hemoglobin level of less than 7%.
The nurse is assessing a 55-yr-old female patient with type 2 diabetes who has a body mass index (BMI) of 31 kg/m2.Which goal in the plan of care is most important for this patient? A.The patient will reach a glycosylated hemoglobin level of less than 7%. B.The patient will follow a diet and exercise plan that results in weight loss. C.The patient will choose a diet that distributes calories throughout the day. D.The patient will state the reasons for eliminating simple sugars in the diet.
Assess the patient's perception of what it means to have diabetes.
The nurse is preparing to teach a 43-yr-old man who is newly diagnosed with type 2 diabetes about home management of the disease. Which action should the nurse take first? A.Assess the patient's perception of what it means to have diabetes. B.Ask the patient's family to participate in the diabetes education program. C.Demonstrate how to check glucose using capillary blood glucose monitoring. D.Discuss the need for the patient to actively participate in diabetes management.
role
The nurse who assesses a patient's self-concept should focus on personal identity, body image, self-esteem, and ________ performance.
distress
The nursing diagnosis of spiritual _________ can be used to describe the impaired ability to experience and integrate meaning and purpose in life through one's connectedness with such things such as self, others, art, and music.
50 mg/dL
What blood glucose level would require a nursing intervention first, assuming that all patients are awake and alert? A. 50 mg/dL B. 170 mg/dL C. 280 mg/dL D. 500 mg/dL
Chooses a puncture site in the center of the finger pad.
Which action by the patient who is self-monitoring blood glucose indicates a need for additional teaching? A.Washes the puncture site using warm water and soap. B.Chooses a puncture site in the center of the finger pad. C.Hangs the arm down for a minute before puncturing the site. D.Says the result of 120 mg indicates good blood sugar control.
Use a pumice stone to file down corns or calluses.
Which information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and neuropathy of the feet and legs? A.Choose flat-soled leather sandles. B.Set heating pads on a low temperature. C.Use a pumice stone to file down corns or calluses. D.Soak feet in warm water for an hour each day.
The patient programs the pump for an insulin bolus after eating.
Which patient action indicates an accurate understanding of the nurse's teaching about the use of an insulin pump? A.The patient programs the pump for an insulin bolus after eating. B.The patient changes the location of the insertion site every week. C.The patient takes the pump off at bedtime and starts it again each morning. D.The patient plans a diet with more calories than usual when using the pump.
"I need to rotate injection sites among my arms, legs, and abdomen each day."
Which patient statement to the nurse indicates a need for additional instruction in administering insulin? A."I can buy the 0.5-mL syringes because the line markings are easier to see." B."I need to rotate injection sites among my arms, legs, and abdomen each day." C."I do not need to aspirate the plunger to check for blood before injecting insulin." D."I should draw up the regular insulin first, after injecting air into the NPH bottle."
"Do you have decreased sensation and tingling in your extremities?"
Which question during the assessment of a patient who has diabetes will help the nurse identify neuropathy? A."Do you have decreased sensation and tingling in your extremities?" B."Have you noticed any changes in your eye sight?" C."Do you need to increase your insulin dosage when you are stressed?" D."Have you noticed any painful new ulcerations or sores on your peritoneal area?"
Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is accurate? A.Insulin is not used to control blood glucose in patients with type 2 diabetes. B.Complications of type 2 diabetes are less serious than those of type 1 diabetes. C.Changes in diet and exercise may control blood glucose levels in type 2 diabetes. D.Type 2 diabetes is usually diagnosed when a patient is admitted in hyperglycemic coma.
"I will eat something at meal times to prevent hypoglycemia, even if I am not hungry."
Which statement by the patient who has newly diagnosed type 1 diabetes indicates a need for additional instruction from the nurse? A."I will need a bedtime snack because I take an evening dose of NPH insulin." B."I can choose any foods, as long as I use enough insulin to cover the calories." C."I can have an occasional beverage with alcohol if I include it in my meal plan." D."I will eat something at meal times to prevent hypoglycemia, even if I am not hungry."
