NUR 163 HONDROS COLLEGE ACTUAL EXAM 2 TEST QUESTIONS WITH ACCURATE
SOLUTIONS- GRADED A+
The patient asks the nurse how exercise relieves stress. The nurse bases her response on
which understanding
Exercise reduces stress-related hormones
The nurse who cares for elderly individuals knows which is the most common stressor for
older adults
Loss
The patient is admitted to the hospital following a myocardial infacrtion. The patient reports
his pain is well-controlled, yet the nurse notes the patient is hypertensive, tachycardic, and
diaphoretic. what is the appropriate action by the nurse?
Ask the patient, "You seem to be upset. Would you like to talk about what is bothering you?"
The nurse is teaching the patient the stress-reduction technique of progressive relaxation.
The patient demonstrates an understanding of teaching by making which statement?
"I will alternate tightening and relaxing my muscles starting at my feet and working upward
-Progressive relaxation is performed by alternating between tightening and relaxing
muscles starting in the feet and moving up the body.
The nurse knows a person under long-term severe stress may exhibit which signs or
symptoms? (select all that apply)
,Insomnia
Weight gain
Decreased alertness
The nurse is teaching problem-solving coping strategies. Which methods should the nurse
include?
Hypertension
Unsteady gait
Urinary incontinence
Gastrointestinal upset
The nurse is teaching problem-solving coping strategies. Which methods should the nurse
include? (Select all that apply.)
Escape
Avoidance
Confrontation
Emotional distancing
Calcium Normal lab value: Adult
8.5-10 mg/dL
Magnesium Normal lab value: Adult
1.5-2.5 mg/dL
,Potassium Normal lab value: Adult
3.5-5.0 mEq/L
Sodium Normal lab value: Adult
135-145 mEq/L
Arterial blood gas (ABGs)
pH: 7.35-7.45PaCO2: 35-45 mmHg ,<- respiratory oppositePaO2: 80-100 mmHg SAO2: 95-
100%HCO3: 22.26 mEq/L <- metabolic (bicarbonate)
relocation syndrome
nursing diagnosis characterized by symptoms such as anxiety, confusion, hopelessness,
and loneliness. It usually occurs in older adults shortly after moving from a private
residence to a nursing home or assisted-living facility.
Relocation Syndrome interventions*
Encourage verbalization of feelings, discuss reasons for change or move, include patient in
care plan
ineffective coping
, the use of coping skills that do not reduce tension and/or that are hazardous to an
individual
-drinking/drug abuse
-shouting/outburst
complementary & alternative therapies
geriatric massage -modification of a standard massage changed to meet the needs of the
older adult.
concentration meditation - variety of activities focusing on breathing, body sensation, or
mantras that divert the mind from worries & concerns that increase stress
movement meditation - activities like yoga that use motion & attention to reduce mental
and physical stress
prayer and reflection - can be calming and reduces stress by focusing on prayers or
reflections on verses or poems.
massage - focused manipulation of muscles reduces tension, pain and stress
reiki - japanese technique that reduces stress and relaxes & promotes healing,
administered by laying on hands to increase the unseen.
immobility goal
no contractures
Reduced Peristalsis
Slowed passage associated with hardening of fecal matter
-decreased bowel sounds
SOLUTIONS- GRADED A+
The patient asks the nurse how exercise relieves stress. The nurse bases her response on
which understanding
Exercise reduces stress-related hormones
The nurse who cares for elderly individuals knows which is the most common stressor for
older adults
Loss
The patient is admitted to the hospital following a myocardial infacrtion. The patient reports
his pain is well-controlled, yet the nurse notes the patient is hypertensive, tachycardic, and
diaphoretic. what is the appropriate action by the nurse?
Ask the patient, "You seem to be upset. Would you like to talk about what is bothering you?"
The nurse is teaching the patient the stress-reduction technique of progressive relaxation.
The patient demonstrates an understanding of teaching by making which statement?
"I will alternate tightening and relaxing my muscles starting at my feet and working upward
-Progressive relaxation is performed by alternating between tightening and relaxing
muscles starting in the feet and moving up the body.
The nurse knows a person under long-term severe stress may exhibit which signs or
symptoms? (select all that apply)
,Insomnia
Weight gain
Decreased alertness
The nurse is teaching problem-solving coping strategies. Which methods should the nurse
include?
Hypertension
Unsteady gait
Urinary incontinence
Gastrointestinal upset
The nurse is teaching problem-solving coping strategies. Which methods should the nurse
include? (Select all that apply.)
Escape
Avoidance
Confrontation
Emotional distancing
Calcium Normal lab value: Adult
8.5-10 mg/dL
Magnesium Normal lab value: Adult
1.5-2.5 mg/dL
,Potassium Normal lab value: Adult
3.5-5.0 mEq/L
Sodium Normal lab value: Adult
135-145 mEq/L
Arterial blood gas (ABGs)
pH: 7.35-7.45PaCO2: 35-45 mmHg ,<- respiratory oppositePaO2: 80-100 mmHg SAO2: 95-
100%HCO3: 22.26 mEq/L <- metabolic (bicarbonate)
relocation syndrome
nursing diagnosis characterized by symptoms such as anxiety, confusion, hopelessness,
and loneliness. It usually occurs in older adults shortly after moving from a private
residence to a nursing home or assisted-living facility.
Relocation Syndrome interventions*
Encourage verbalization of feelings, discuss reasons for change or move, include patient in
care plan
ineffective coping
, the use of coping skills that do not reduce tension and/or that are hazardous to an
individual
-drinking/drug abuse
-shouting/outburst
complementary & alternative therapies
geriatric massage -modification of a standard massage changed to meet the needs of the
older adult.
concentration meditation - variety of activities focusing on breathing, body sensation, or
mantras that divert the mind from worries & concerns that increase stress
movement meditation - activities like yoga that use motion & attention to reduce mental
and physical stress
prayer and reflection - can be calming and reduces stress by focusing on prayers or
reflections on verses or poems.
massage - focused manipulation of muscles reduces tension, pain and stress
reiki - japanese technique that reduces stress and relaxes & promotes healing,
administered by laying on hands to increase the unseen.
immobility goal
no contractures
Reduced Peristalsis
Slowed passage associated with hardening of fecal matter
-decreased bowel sounds
