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Fundamentals Of Nursing Exam 5: Practice Questions & Answers: Updated Solution, Exams of Nursing

Keiser UniversityNursing

5) Immediately after the parents of a hospitalized child are informed that the child has leukemia, the father responds by continuing his usual work schedule, rarely visiting, and asking when the child can return to school. Of the following, which is the least likely to be an appropriate nursing diagnosis at this time? A. Ineffective denial B. Caregiver role strain C. Fear D. Compromised family coping (Ans- B. Caregiver role strain 6) Then nurse has recently changed jobs to work with young adults and recognizes that sources of stress common to that population include which of the following? (Select all that apply) A. Marriage B. Aging parents C. Starting a new job D. Leaving the parental home E. Decreased physical abilities F. Changing body structure (Ans- A. Marriage, C. Starting a new job, D. Leaving the parental home

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Fundamentals Exam 5 practice Questions &
Answers
1) After the death of several long-term clients, which action indicates the
nurse is demonstrating ineffective coping?
A. The nurse talks at length to her partner about deaths
B. The nurse keeps busy with other actions and doesn't think about the
deaths for several days
C. The nurse offers to work extra shifts for several weeks
D. Several nurses schedule a group session with the agency clergy to
discuss deaths
(Ans- C. The nurse offers to work extra shifts for several weeks
2) The nurse helps a 50 y/o client with diabetes who is to begin giving
insulin injections identify previously successful coping strategies that may
be useful in the current situation. Which stressor is closely related to the
new stressor?
A. Interviewing for a new job
B. Death of a pet while the person was a teenager
C. The person's partner filing for a divorce
D. Starting to wear eyeglasses at age 30
(Ans- D. Starting to wear eyeglasses at age 30
3) Two people have been in a motor vehicle crash and have similar injuries.
According to the transaction-based model, their degree of stress from the
crash would be
A. Based on previous experience and personal characteristics
B. Extremely similar since they had the same stimulus
C. The identical physiological alarm reaction
D. Different depending on their external resources and support levels
(Ans- A. Based on previous experience and personal characteristics
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Fundamentals Exam 5 practice Questions &

Answers

  1. After the death of several long-term clients, which action indicates the nurse is demonstrating ineffective coping? A. The nurse talks at length to her partner about deaths B. The nurse keeps busy with other actions and doesn't think about the deaths for several days C. The nurse offers to work extra shifts for several weeks D. Several nurses schedule a group session with the agency clergy to discuss deaths (Ans- C. The nurse offers to work extra shifts for several weeks
  2. The nurse helps a 50 y/o client with diabetes who is to begin giving insulin injections identify previously successful coping strategies that may be useful in the current situation. Which stressor is closely related to the new stressor? A. Interviewing for a new job B. Death of a pet while the person was a teenager C. The person's partner filing for a divorce D. Starting to wear eyeglasses at age 30 (Ans- D. Starting to wear eyeglasses at age 30
  3. Two people have been in a motor vehicle crash and have similar injuries. According to the transaction-based model, their degree of stress from the crash would be A. Based on previous experience and personal characteristics B. Extremely similar since they had the same stimulus C. The identical physiological alarm reaction D. Different depending on their external resources and support levels (Ans- A. Based on previous experience and personal characteristics
  1. A client informed of a cancer diagnosis assures the nurse he is fine. Which of the following is the most indicative physical evidence to the nurse of the client's stress? A. Constricted pupils B. Dilated peripheral blood vessels (flush) C. Hyperventilation D. Decreased heart rate (Ans- C. Hyperventilation
  2. Immediately after the parents of a hospitalized child are informed that the child has leukemia, the father responds by continuing his usual work schedule, rarely visiting, and asking when the child can return to school. Of the following, which is the least likely to be an appropriate nursing diagnosis at this time? A. Ineffective denial B. Caregiver role strain C. Fear D. Compromised family coping (Ans- B. Caregiver role strain
  3. Then nurse has recently changed jobs to work with young adults and recognizes that sources of stress common to that population include which of the following? (Select all that apply) A. Marriage B. Aging parents C. Starting a new job D. Leaving the parental home E. Decreased physical abilities F. Changing body structure (Ans- A. Marriage, C. Starting a new job, D. Leaving the parental home
  1. Which of the following defense mechanisms for coping with stress could be effective and constructive? (Select all that apply) A. Compensation B. Displacement C. Minimization D. Repression E. Regression (Ans- A. Compensation, B. Displacement, D. Repression
  2. When planning care for an older client residing in your skilled nursing facility who is searching to make life meaningful, which nursing action would be most beneficial? A. Assess for depression B. Diagnose and document that the client has "spiritual distress" C. Keep the client busy with social activities D. Explore with the client desired legacy (Ans- D. Explore with the client desired legacy
  3. A client's wife asks the nurse to pray for her. What would be the best initial response for a nurse who believes in prayer? A. "May i call the chaplain to come and pray with you?" B. "I know your faith is important to you. It is to me too. Lets pray." C. "Im happy to do that. For what would you like me to pray?" D. "Isn't it wonderful that we have a God with whom we can share our concerns?" (Ans- C. "Im happy to do that. For what would you like me to pray?"
  4. A client is experiencing serve pain that cannot be controlled by analgesics. An appropriate intervention is full presenting, which involves which of the following? A. Physical presence B. Physical presence with mental awareness of the client C. Physical, mental, and emotional presence D. Physical, mental, emotional, and spiritual presence (Ans- C. Physical, mental, and emotional presence
  1. A client reports, "Cancer was the best thing that happened to me! It is making me appreciate life so much more." This statement fits best with which NANDA diagnosis? A. Spiritual distress B. Risk for spiritual distress C. Readiness for enhanced spiritual well-being D. Cognitive denial (Ans- C. Readiness for enhanced spiritual well-being
  2. A dying client states, "Part of what makes dying hard is that I dont know for sure where I'm going. Nurse, what do you believe happens in the hereafter?" Which ethical guideline should guide your response? A. Never share personal spiritual beliefs B. Share all spiritual beliefs, favoring none C. Share only your beliefs D. First assess for what prompts the client's question (Ans- D. First assess for what prompts the client's question
  3. Research evidence that supports providing spiritual care to older adults suggests that: A. Older adults are not very religious, but are very spiritual B. Older adults who are more religious have more illness C. Spiritual health and mental health are correlated D. Increased spiritual well-being is found among older adults with depression (Ans- C. Spiritual health and mental health are correlated
  4. A client in the emergency department needs a transfusion of red blood cells. The client tells the nurse that, as a JW, blood transfusions are not permitted. Which statement would most likely lead to a resolution for this conflict? A. You must accept the transfusion or else leave B. Don't worry, you can ask for pardon after taking the blood
  1. Which of the following may be considered normal or "healthy" types of grief? (Select all that apply) A. Abbreviated grief B. Anticipatory grief C. Disenfranchised grief D. Complicated grief E. Unresolved grief F. Inhibited grief (Ans- A. Abbreviated grief, B. Anticipatory grief, C. Disenfranchised grief
  2. A client's family tells the nurse that their culture does not permit a dead person to be left alone before burial. Hospital policy states that after 6pm when mortuaries are closed, bodies are to be stored in the hospital morgue refrigerator until the next day. How would the nurse best manage this situation? A. Gently explain the policy to the family and then implement it B. Inquire of the nursing supervisor how an exception to the policy could be made C. Call the client's primary care provider for advice D. Move the deceased body to an empty room and assign an aide to stay with the body (Ans- B. Inquire of the nursing supervisor how an exception to the policy could be made
  3. The shift changed while the nursing staff was waiting for the adult children of a deceased client to arrive. The oncoming nurse has never met the family. Which of the following initial greetings is most appropriate? A. "I'm very sorry for your loss" B. "I'll take you in to view the body" C. "I didn't know your father, but I am sure he was a wonderful person" D. "How long will you want to stay with your father?" (Ans- A. "I'm very sorry for your loss"
  1. At which age does a child begin to accept that he or she will someday die? A. Less than five years old B. 5-9 years old C. 9-12 years old D. 12-18 years old (Ans- C. 9-12 years old
  2. An 82 y/o man has been told by his primary care provider that it is no longer safe for him to drive a car. Which statement by the client would indicate beginning positive adaptation to this loss? A. "I told the doctor I would stop driving, but I am not going to yet" B. "I always knew this day would come, but I hoped it wouldn't be now" C. "What does he know? I'm a better driver than he will ever be" D. "Well, at least I have friends and family who can take be places" (Ans- D. "Well, at least I have friends and family who can take be places"
  3. When asked to sign the permission form for surgical removal of a large but non cancerous lesion on her face, the client begins to cry. Which of the following is the most appropriate response? A. "Tell me what it means to you to have this surgery" B. "You must be very glad to be having this lesion removed" C. "I cry when I'm happy or relieved sometimes too!" D. "Isn't it wonderful that the lesion is not cancer?" (Ans- A. "Tell me what it means to you to have this surgery"
  4. A nursing care plan includes the desired outcome of QOL for a client with a chronic degenerative illness who is likely to live for many more years. Which of the following is one example that would indicate the outcome has been met? A. The client demonstrates having adequate financial resources B. The client spends a majority of his or her time in spiritual reflection C. The client has no signs or symptoms of preventive complications of the illness
  1. The major factor contributing to the increased emphasis on the need for proficiency in cultural nursing practice in the United States is which of the following? A. An increasing birth rate B. Increased access to health care services C. Demographic changes D. A decreasing rate of immigration (Ans- C. Demographic changes
  2. Which behavior is an initial step in culturally responsive nursing practice? A. Help the client recognize the need to adapt health practices to fit commonly accepted practices B. Discuss the meaning of the medical regimen may be detrimental C. Inform the client that lack of adherence to the medical regimen may be detrimental D. Ask a cultural broker to explain the relevance of the intervention (Ans- B. Discuss the meaning of the medical regimen may be detrimental
  3. In initiating care for a client from a different culture than the nurse, which of the following would be an appropriate statement? A. "Since, in your culture, people don’t drink ice water, I will bring you hot tea" B. "Do you have any books I could read about people of your culture?" C. "Please let me know if I do anything that is not acceptable in your culture" D. "You will need to set aside your usual customs and practices while in the hospital" (Ans- C. "Please let me know if I do anything that is not acceptable in your culture"
  1. Which behavior is most representative of a culturally competent nurse? A. Helps clients of Native American heritage identify ways to relate more to their culture B. Helps parents of Latino heritage recognize that their children need to speak English C. Interprets and validates beliefs of a client with African American heritage D. Asks a nurse of Japanese heritage to teach others dosage calculations since Asians are good at math (Ans- C. Interprets and validates beliefs of a client with African American heritage
  2. An outcome of achieving national cultural health goals would be which of the following? A. All cultures receive the same health care B. All people have the same life expectancy C. All U.S. residents have access to the same quality of health care D. All cultures are fully assimilated into the dominant society (Ans- C. All U.S. residents have access to the same quality of health care
  3. Which nursing action primarily supports restoring health using traditional methods? A. Herbal teas B. Prayer C. Wearing symbolic objects D. Exercise (Ans- A. Herbal teas
  4. A client with strong preferences for folk healing methods would prefer which of the following to treat a sinus infection? A. Hospitalization B. Steam humidifier C. Antibiotic therapy D. "Watch and wait" (Ans- B. Steam humidifier

D. Alternative therapies utilize products from nature but traditional therapies do not (Ans- C. Alternative therapies can be as effective as traditional therapies for some conditions

  1. Before meeting with a client with a terminal illness, a new graduate nurse reviews information on spirituality. Which is the best explanation of spirituality? A. That which gives people purpose and meaning in their lives B. A formalized religious dogma C. A nondenominational community service D. People being responsible for their life patterns (Ans- A. That which gives people purpose and meaning in their lives
  2. Which nursing action is most likely to create a healing environment? A. Use technology to prevent health care associated factors B. Empower clients to make healthy decisions for themselves C. Assist clients to obtain safe and comfortable place to live D. Ensure that primary care providers orders are carried out (Ans- B. Empower clients to make healthy decisions for themselves
  3. A client asks the nurse to state one of the primary principles associated with naturopathy. Which of the following is the best response? A. A higher being guides the learning needed to treat disease B. It focuses on environmental causes when treating illness C. It focuses on early detection and treatment of disease D. It is a way of life to maintain health and prevent disease (Ans- D. It is a way of life to maintain health and prevent disease
  4. From the perspective of traditional Chinese medicine, which is the best definition of disease? A. Imbalance or disruption in food digestion B. Imbalance or interruption in the flow of Qi (chi) C. Imbalance or disruption in key social relationships D. Imbalance or disruption in thoughts or emotions (Ans- B. Imbalance or interruption in the flow of Qi (chi)