NURS 334 EXAM QUESTIONS AND ANSWERS A
+ GRADED
A patient reports, " I am overwhelmed by stress." Which question by the nurse
would be most important to use in the initial assessment of this patient?
a) Tell me about your exercise, how much activity do you get in a day?
b) Stress can interfere with sleep, how much sleep did you get last night?
c) Tell me about the kinds of things you do to reduce or cope with your stress
d) Tell me about your family history, do you have any relatives who have
problems with stress?
c
The adult child of a patient diagnosed with MDD asks, "Do you think depression
and physical illness are connected? Since my father's death, my mother has had
shingles and the flu, but shes not the one who usually gets sick." Which answer
by the nurse best reflects current knowledge?
a) Negative emotions and prolonged stress interfere with the body's ability to
protect itself and can increase the likelihood of illness.
b)You may be paying more attention to your mother since your father died and
noticing things more such as minor illnesses.
c) So far, research on emotions or stress and becoming ill more easily is unclear.
We do not know for sure if there is a link.
d) It is probably a coincidence. Emotions and physical responses travel on
different tracts of the nervous system.
a
Which changes reflect short -term physiological responses to stress? (SATA)
a) Muscular tension, BP, and triglycerides increase
b) Epinephrine is released, increasing HR and resp. rates.
c) Risk of depression, autoimmune disorders and heart disease increases
d) Cortisol is released, increasing gluconeogenesis and reducing fluid loss.
e) immune system functioning decreases and risk of cancer increases
f) Corticosteroid release increases stamina and impedes digestion.
a, b, d, f
Relaxation techniques help patients who have experienced major traumas
because they
a) Increase sympathetic stimulation
b) engage the parasympathetic nervous system
c) increase the metabolic rate
d) release hormones
b
A nurse who works with a patient diagnosed with PTSD who has frequent
flashbacks as well as persistent symptoms of arousal. Which intervention should
be included in the plan of care?
a) Explain that the physical symptoms are related to the psychological state
b) encourage repression of memories associated with the event
, c) Trigger flashbacks intentionally in order to help the patient learn to cope with
them
d) support numbing as a temporary way to manage intolerable feelings.
a
For a patient experiencing panic, which nursing intervention should be
implemented first?
a) prepare to implement physical controls
b) administer and anxiolytic medication
c) Teach relaxation techniques
d) Provide calm, brief, directive communication.
d
A nurse assesses a patient with a tentative diagnosis of GAD. Which question is
most appropriate for the nurse to ask?
a) Have you been a victim of a crime or seen someone badly injured or killed?
b) Do you repeatedly do certain things over and over again?
c) Do you feel especially uncomfortable in social situations involving people?
d) Do you find it difficult to control your worrying?
d
A patient experiences a sudden episode of severe anxiety. Of these meds in the
MAR, which is most appropriate to give PRN as an anxiolytic?
a) amitriptyline
b) buspirone
c) lorazepam
d) desipramine
c
The nurse interviewing a patient with suspected PTSD should be alert to findings
indicating the patient... (SATA)
a) experiences flashbacks or re-experiences trauma
b) demonstrates hypervigilance or distrusts others
c) avoids people and places that arouse painful memories
d) feels detached, estranged, or empty inside
e) feels compelled to repeat selected ritualistic behaviors
f) experiences symptoms suggestive of a heart attack
a, b, c, d, f
A person runs from a crowded nightclub after a pyrotechnics show causes the
building to catch fire. Which division of the ANS will be stimulated in response to
this experience?
a) limbic system
b) Parasympathetic nervous system
c) Sympathetic nervous system
d) Peripheral nervous system
c
A newly admitted patient diagnosed with schizophrenia says, "the voices are
bothering me. They yell and tell me I am bad. I have got to get away from them."
What is the most helpful reply?
a) I'll stay with you. Focus on what we are talking about, not the voices.
+ GRADED
A patient reports, " I am overwhelmed by stress." Which question by the nurse
would be most important to use in the initial assessment of this patient?
a) Tell me about your exercise, how much activity do you get in a day?
b) Stress can interfere with sleep, how much sleep did you get last night?
c) Tell me about the kinds of things you do to reduce or cope with your stress
d) Tell me about your family history, do you have any relatives who have
problems with stress?
c
The adult child of a patient diagnosed with MDD asks, "Do you think depression
and physical illness are connected? Since my father's death, my mother has had
shingles and the flu, but shes not the one who usually gets sick." Which answer
by the nurse best reflects current knowledge?
a) Negative emotions and prolonged stress interfere with the body's ability to
protect itself and can increase the likelihood of illness.
b)You may be paying more attention to your mother since your father died and
noticing things more such as minor illnesses.
c) So far, research on emotions or stress and becoming ill more easily is unclear.
We do not know for sure if there is a link.
d) It is probably a coincidence. Emotions and physical responses travel on
different tracts of the nervous system.
a
Which changes reflect short -term physiological responses to stress? (SATA)
a) Muscular tension, BP, and triglycerides increase
b) Epinephrine is released, increasing HR and resp. rates.
c) Risk of depression, autoimmune disorders and heart disease increases
d) Cortisol is released, increasing gluconeogenesis and reducing fluid loss.
e) immune system functioning decreases and risk of cancer increases
f) Corticosteroid release increases stamina and impedes digestion.
a, b, d, f
Relaxation techniques help patients who have experienced major traumas
because they
a) Increase sympathetic stimulation
b) engage the parasympathetic nervous system
c) increase the metabolic rate
d) release hormones
b
A nurse who works with a patient diagnosed with PTSD who has frequent
flashbacks as well as persistent symptoms of arousal. Which intervention should
be included in the plan of care?
a) Explain that the physical symptoms are related to the psychological state
b) encourage repression of memories associated with the event
, c) Trigger flashbacks intentionally in order to help the patient learn to cope with
them
d) support numbing as a temporary way to manage intolerable feelings.
a
For a patient experiencing panic, which nursing intervention should be
implemented first?
a) prepare to implement physical controls
b) administer and anxiolytic medication
c) Teach relaxation techniques
d) Provide calm, brief, directive communication.
d
A nurse assesses a patient with a tentative diagnosis of GAD. Which question is
most appropriate for the nurse to ask?
a) Have you been a victim of a crime or seen someone badly injured or killed?
b) Do you repeatedly do certain things over and over again?
c) Do you feel especially uncomfortable in social situations involving people?
d) Do you find it difficult to control your worrying?
d
A patient experiences a sudden episode of severe anxiety. Of these meds in the
MAR, which is most appropriate to give PRN as an anxiolytic?
a) amitriptyline
b) buspirone
c) lorazepam
d) desipramine
c
The nurse interviewing a patient with suspected PTSD should be alert to findings
indicating the patient... (SATA)
a) experiences flashbacks or re-experiences trauma
b) demonstrates hypervigilance or distrusts others
c) avoids people and places that arouse painful memories
d) feels detached, estranged, or empty inside
e) feels compelled to repeat selected ritualistic behaviors
f) experiences symptoms suggestive of a heart attack
a, b, c, d, f
A person runs from a crowded nightclub after a pyrotechnics show causes the
building to catch fire. Which division of the ANS will be stimulated in response to
this experience?
a) limbic system
b) Parasympathetic nervous system
c) Sympathetic nervous system
d) Peripheral nervous system
c
A newly admitted patient diagnosed with schizophrenia says, "the voices are
bothering me. They yell and tell me I am bad. I have got to get away from them."
What is the most helpful reply?
a) I'll stay with you. Focus on what we are talking about, not the voices.
