The nurse caring for a patient recently diagnosed with an anxiety disorder knows that which physiological disturbance is thought to result in pathologic anxiety?
1. Increased pituitary response
2. Increased cortisol production
3. Decreased epinephrine response
4. Increased limbic system response
Answer: 4
Explanation: A heightened response to catecholamine levels is a normal physiological response of the body to stress. Tefera, Shah, & Hsu (2012) posit that pathologic anxiety results in cerebral cortex disturbances, especially in the limbic system. Increased pituitary response, increased cortisol production and decreased epinephrine response are not associated with pathologic anxiety.
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The client is visiting the healthcare provider's office for a head-to-toe assessment. During the nurse's assessment of the client's skin, the nurse notes that the client is pale. Which assessment data may be related to the client's color?
Select all that apply. 1. Client's blood pressure is 96/62. 2. The client states, "I just smoked a cigarette before I came in the office." 3. The client's oxygen saturation level is 86% on room air. 4. The client states, "I have been diagnosed with osteoporosis." 5. The client states, "It is snowing again outside with a wind chill factor of -11 degrees Fahrenheit."
The laboring client presses the call light and reports that her water has just broken. What would the nurse's first action be?
1. Check fetal heart tones. 2. Encourage the mother to go for a walk. 3. Change bed linens. 4. Call the physician.
During an Intensive Care Unit hospitalization, a client undergoes an emergency surgery to repair an aneurysm
The nurses caring for the client postoperatively repeatedly report changes in vital signs, indicating deterioration, but the care provider does not evaluate the client for 3 hours. The client's brain herniates, and the client dies. The family files a lawsuit against the nurses, the care provider, and the hospital. Given that the physician and the nurses are employees of the hospital, who is at risk of being found guilty of negligence? Select all that apply. 1. The care provider on call at the time the nurses reported vital sign changes 2. The hospital, because of the employee/employer relationship 3. The nurses assigned to the client during the hospitalization 4. The administrators employed by the hospital 5. Only the nurse on duty at the time the client herniated
A nurse is observing a nursing assistant talking to a "PT" who is hearing impaired. The nurse would intervene if which of the following is preformed by the nursing assistant during communication with the "PT"?
A)The nursing assistant is speaking in a normal tone B)The nursing assistant is speaking clearly to the "PT" C)The nursing assistant is facing the "PT" when speaking D)The nursing assistant is speaking directly into the impaired ear.