Exam Coverage:
Cognitive function, stress and coping mechanisms, mental health
concepts, therapeutic communication, defense mechanisms, and
nursing interventions.
The RNSG 1533 Cognition and Coping Exam 1 evaluates
understanding of how patients think, process information, and
respond to stress. It focuses on assessing cognitive status, identifying
coping patterns, applying therapeutic communication techniques, and
implementing nursing interventions to support mental and emotional
well-being.
,A patient diagnosed with emphysema has severe shortness of breath
and needs portable oxygen when leaving home. Recently the patient
has reduced activity because of fear that breathing difficulty will
occur. A nurse suggests using guided imagery. Which image should
the patient be encouraged to visualize?
a. Engaging in activity without using any supplemental oxygen
b. Sleeping comfortably and soundly, without respiratory distress
c. Feeling relaxed and taking regular deep breaths when leaving home
d. Having a younger, healthier body that knows no exercise limitations
C.
The patient has dysfunctional images of dyspnea. Guided imagery can
help replace the dysfunctional image with a positive coping image.
Athletes have found that picturing successful images can enhance
performance. Encouraging the patient to imagine a regular breathing
,depth and rate will help improve oxygen-carbon dioxide exchange
and help achieve further relaxation. Other options focus on unrealistic
goals (being younger, not needing supplemental oxygen) or restrict
her quality of life.
, A nurse leads a psychoeducational group for patients experiencing
depression. The nurse plans to implement an exercise regime for each
patient. The rationale to use when presenting this plan to the treatment
team is that exercise
a. has an antidepressant effect comparable to selective serotonin
reuptake inhibitors.
b. prevents damage from overstimulation of the sympathetic nervous
system.
c. detoxifies the body by removing metabolic wastes and other toxins.
d. improves mood stability for patients with bipolar disorders.
A.
β-Endorphins produced during exercise result in improvement in
mood and lowered anxiety. The other options are not accurate.