A group of students is reviewing information about the etiology of generalized anxiety disorder (GAD). The students demonstrate understanding of this information when they identify which of the following as representing the bases for this disorder?
A) Inaccurate environmental danger assessment
B) Exposure to multiple stressful life events
C) Kindling caused by overstimulation
D) Intense worry and stress about work or simple family life
Ans: D
Adults with GAD often worry about matters such as their job, household finances, health of family members, or simple matters (e.g., household chores or being late for appointments). The intensity of the worry fluctuates, and stress tends to intensify the worry and anxiety symptoms. Cognitive behavioral theory regarding the etiology of GAD proposes that the disorder results from inaccurate assessment of perceived environmental dangers. Although there are no specific sociocultural theories related to the development of GAD, a high-stress lifestyle and multiple stressful life events may be contributors. Kindling results from overstimulation or repeated stimulation of nerve cells by environmental stressors.
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The emergency room nurse caring for the patient reviews the initial orders written by the health care provider and notes that an order has been written to collect all voided urine and send it to the laboratory for analysis. The nurse understands that this nursing intervention is important because: A) Hematuria is the most common manifestation of renal trauma, and blood losses may be microscopic, so laboratory analysis is essential. B) Intake and output calculations are essential, and the laboratory will calculate the precise urine output produced by this patient. C) A creatinine clearance study may be ordered at a later time, and the laboratory will hold all urine until it is determined if the test will be necessary. D) There is great concern about electrolyte imbalances, and the laboratory will monitor the urine for sodium concentrations.
The nurse takes immediate action based on which interpretation of a patient's data?
1. Testicular torsion 2. Varicocele 3. Orchitis 4. Indirect inguinal hernia
Which factor has occurred as a result of the current health care delivery system?
a. Restriction in numbers of emergency department visits b. Spiraling health care costs c. Restrictions on over-the-counter medications d. Restrictions to access for immunizations
Which questions are appropriate for the nurse to ask during a cultural assessment of a client who is new to the clinic? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. What genetic and other biological differences affect caregiving? 2. Which family member must be consulted for decisions about care? 3. What type of health provider is the most appropriate? 4. Does the client have beliefs or traditions that might impact the care plan? 5. Are communications patterns established?