A client tells the nurse that "My sister just never picks up colds or other illnesses that go around
each year. The only difference between the two of us is that she is highly involved in her church,
while I'm not very spiritual.".
The reply that shows the best understanding of psychoimmunology is
a. "It is probably just a coincidence.".
b. "No correlation between spirituality and wellness exists.".
c. "Studies have shown that spiritual practices can enhance immune system
function.".
d. "The mind and body are closely interrelated, so what you say may be true.".
ANS: C
Studies have shown a positive correlation between spiritual practices and enhanced immune system
function and sense of well-being. The other options downplay current research showing that spiritual
practices can enhance the immune system.
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During a mental status examination, the nurse wants to assess a patient's affect. The nurse should ask the patient which question?
a. "How do you feel today?" b. "Would you please repeat the following words?" c. "Have these medications had any effect on your pain?" d. "Has this pain affected your ability to get dressed by yourself?"
The nurse is observing the behavior of a preschool-age child and becomes concerned. Which observation suggests that the child's thinking is inconsistent with normal preschooler growth and development?
A) Refusing to play with "real" children B) Refusing to go to bed without the friend C) Insisting that an imaginary friend have dinner with the family D) Insisting that an imaginary friend watch television with the child
During the administration of finasteride (Proscar), the nurse must remember which important precaution?
a. It must be taken on an empty stomach. b. It must not be handled by pregnant women. c. It is given by deep intramuscular injection to avoid tissue irritation. d. The patient needs to be warned that alopecia is a common adverse effect.
Associated with milk and cream treatments for gastric ulcers in the past, milk-alkali syndrome now has been reported in which of the following situations?
1. Consuming large amounts of protein foods 2. Overindulging in caffeine-containing soft drinks 3. Ingesting calcium carbonate tablets to prevent osteoporosis 4. Restricting fluid intake to 1000 mL/day