NURS 115 Exam 3 Questions and All
Correct Answers.
T or F. The inflammatory response is a response of the central nervous system to pain. - Answer
False
T or F. Mild anxiety narrows a person's perceptual fields so that the focus is on immediate
concerns, with inattention to other communications and details. - Answer False
Which defense mechanism is portrayed in the following scenario? After throwing his lunch tray
on the floor, a patient complains to the nurse manager about the quality of the food he is being
fed during his hospital stay.
a. denial
b. displacement
c. rationalization
d. reaction formation - Answer c. rationalization
A nurse is assessing a patient who complains of migraines the have become "unbearable". The
patient tells the nurse, "I just got laid off from my job last week and I have two kids in college. I
don't know how I'm going to pay for it all." Which physiologic effects of stress would be
expected findings in this patient? (Select all that apply.)
a. changes in appetite
b. changes in elimination pattern
c. decreased pulse and respirations
d. use of ineffective coping mechanisms
e. withdrawal
f. attention-seeking behaviors - Answer a. changes in appetite
b. changes in elimination pattern
A nurse caring for patients in a hospital setting uses anticipatory guidance to prepare them for
painful procedures. Which nursing intervention is an example of this type of stress
management?
a. the nurse teaches a patient rhythmic breathing to perform prior to the procedure
b. the nurse tells a patient to focus on a pleasant place, mentally place himself in it, and breathe
slowly in and out
, c. the nurse teaches a patient about the pain involved in the procedure and describes methods
to cope with it
d. the nurse teaches a patient to create and focus on a mental image during the procedure in
order to be less responsive to the pain - Answer c. the nurse teaches a patient about the
pain involved in the procedure and describes methods to cope with it
A nurse witnesses a street robbery and is assessing a patient who is the victim. The patient has
minor scrapes and bruises, and tells the nurse, "I've never been so scared in my life!" What
other symptoms would the nurse expected to find related to the fight-or-flight response to
stress? (Select all that apply.)
a. increased heart rate
b. decreased muscle strength
c. increased muscle alertness
d. increased blood glucose levels
e. decreased cardiac output
f. decreased peristalsis - Answer a. increased heart rate
c. increased muscle alertness
d. increased blood glucose levels
A nurse is assessing the developmental levels of patients in a pediatric office. Which person
would a nurse document as experiencing developmental stress
a. an infant who learns to turn over
b. a school-aged child who learns how to add and subtract
c. an adolescent who is a "loner"
d. a young adult who has a variety of friends - Answer c. an adolescent who is a "loner"
A nurse is caring for an older adult in a long-term care facility who has a spinal cord injury
affecting his neurological reflex arc. Based on the patient's condition, what would be a priority
intervention for this patient?
a. monitoring food and drink temperatures to prevent burns
b. providing adequate pain relief measures to reduce stress
c. monitoring for depression related to social isolation
d. providing meals high in carbohydrates to promote healing - Answer a. monitoring food
and drink temperatures to prevent burns
Correct Answers.
T or F. The inflammatory response is a response of the central nervous system to pain. - Answer
False
T or F. Mild anxiety narrows a person's perceptual fields so that the focus is on immediate
concerns, with inattention to other communications and details. - Answer False
Which defense mechanism is portrayed in the following scenario? After throwing his lunch tray
on the floor, a patient complains to the nurse manager about the quality of the food he is being
fed during his hospital stay.
a. denial
b. displacement
c. rationalization
d. reaction formation - Answer c. rationalization
A nurse is assessing a patient who complains of migraines the have become "unbearable". The
patient tells the nurse, "I just got laid off from my job last week and I have two kids in college. I
don't know how I'm going to pay for it all." Which physiologic effects of stress would be
expected findings in this patient? (Select all that apply.)
a. changes in appetite
b. changes in elimination pattern
c. decreased pulse and respirations
d. use of ineffective coping mechanisms
e. withdrawal
f. attention-seeking behaviors - Answer a. changes in appetite
b. changes in elimination pattern
A nurse caring for patients in a hospital setting uses anticipatory guidance to prepare them for
painful procedures. Which nursing intervention is an example of this type of stress
management?
a. the nurse teaches a patient rhythmic breathing to perform prior to the procedure
b. the nurse tells a patient to focus on a pleasant place, mentally place himself in it, and breathe
slowly in and out
, c. the nurse teaches a patient about the pain involved in the procedure and describes methods
to cope with it
d. the nurse teaches a patient to create and focus on a mental image during the procedure in
order to be less responsive to the pain - Answer c. the nurse teaches a patient about the
pain involved in the procedure and describes methods to cope with it
A nurse witnesses a street robbery and is assessing a patient who is the victim. The patient has
minor scrapes and bruises, and tells the nurse, "I've never been so scared in my life!" What
other symptoms would the nurse expected to find related to the fight-or-flight response to
stress? (Select all that apply.)
a. increased heart rate
b. decreased muscle strength
c. increased muscle alertness
d. increased blood glucose levels
e. decreased cardiac output
f. decreased peristalsis - Answer a. increased heart rate
c. increased muscle alertness
d. increased blood glucose levels
A nurse is assessing the developmental levels of patients in a pediatric office. Which person
would a nurse document as experiencing developmental stress
a. an infant who learns to turn over
b. a school-aged child who learns how to add and subtract
c. an adolescent who is a "loner"
d. a young adult who has a variety of friends - Answer c. an adolescent who is a "loner"
A nurse is caring for an older adult in a long-term care facility who has a spinal cord injury
affecting his neurological reflex arc. Based on the patient's condition, what would be a priority
intervention for this patient?
a. monitoring food and drink temperatures to prevent burns
b. providing adequate pain relief measures to reduce stress
c. monitoring for depression related to social isolation
d. providing meals high in carbohydrates to promote healing - Answer a. monitoring food
and drink temperatures to prevent burns
