A client tells the nurse "I'm told that I should reduce the stress in my life, but I have no idea where
to start.". The best suggestion for the nurse to make would be
a. "Why not start by learning to meditate? That technique will cover everything.".
b. "In cases like yours, physical exercise works to elevate mood and reduce
anxiety.".
c. "Most stress is related to conflicts in interpersonal relationships. You can work on
becoming more assertive.".
d. "Keeping a journal can help you identify sources of stress by looking at activities
that put a strain on energy or time or trigger anger or anxiety.".
ANS: D
Journaling is the only option that will provide an opportunity for the client to identify stressful
events or activities retrospectively. In the other options, the nurse is offering solutions without first
assessing needs.
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Vascular volume increases by 45% to 50% during pregnancy to:
a. compensate for decreased renal plasma flow. b. provide adequate perfusion of the placenta. c. eliminate metabolic wastes of the mother. d. prevent maternal and fetal dehydration.
A multivariate outlier would be indicated if:
a. A standardized residual value of 3.0 or higher was observed b. Tolerance for the variable was .90 or higher c. Tolerance for the variable was .01 or lower d. A beta weight was negative, when the r between the predictor and the dependent variable was positive
A prescriber orders treatment with streptokinase for a patient admitted to the emergency department with an evolving myocardial infarction. Which of the following represents an appropriate action by the nurse?
a. If hypotension develops during streptokinase infusion, the rate of infusion should be increased. b. Because one third of patients receiving streptokinase develop fever, aspirin should be administered prophylactically. c. If the patient develops urticaria and flushing, the nurse should prepare for administration of an antihistamine. d. Intramuscular injections should not be given while the streptokinase is infusing; however, subcutaneous injections may be given.
A student asks the professor to differentiate Type 2 diabetes mellitus from Type 1. The professors’ response would be that Type 2 is best described as what?
a. Resistance to insulin by insulin-sensitive tissues b. Need for lifelong insulin injections c. Increase of glucagon secretion from beta cells of the pancreas d. Presence of insulin autoantibodies that destroy beta cells in the pancreas