The perinatal nurse explains to the new graduate nurse that fear and anxiety have physiological consequences in labor. The nurse is referring to what physiological process?
A.
Diminished effectiveness of contractions
B.
Faster, more intense labor and delivery
C.
Increased release of maternal endorphins
D.
More tissue trauma due to hurrying the delivery
ANS: A
As muscle tension increases due to fear or anxiety, the effectiveness of uterine contractions decreases. Maternal pain is intensified. This leads to decreased labor progress.
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The nurse is caring for a Vietnamese client. When providing care, the nurse should include which action?
1. Maintaining direct eye contact. 2. Providing greater than the usual amount of personal space. 3. Using periods of silence to indicate positive emotion. 4. Engaging in a casual discussion about feelings.
The nurse is working with a culturally diverse group of older adults in an impoverished geographic area. Which of the following would be most important to first consider when choosing what educational topics to teach them related to health?
a. what they wish to learn about b. the number of people who will attend c. the time of day of the presentation d. what the nurse thinks they should know
The "art of nursing" refers mainly to the use of
a. imaginative caring strategies. b. creative approaches to patient problems. c. professional intuition based on experience. d. multiple levels of patient assessment.
A client with cognitive deficits is extremely suicidal. The client has not responded to antidepressants and the treatment team is considering electroconvulsive therapy (ECT). What client information would impact the feasibility of this treatment option?
A. Because the client is extremely suicidal, ECT is an appropriate option. B. Because antidepressant medications have been ineffective, ECT is a good alternative. C. Because informed consent is required for ECT, cognitive deficits could preclude this option. D. Because of the client's cognitive deficits, a signed consent is waived.