Nokea
A nurse is assessing a patient and uses the Recent Life Changes Questionnaire as part of the assessment. The nurse determines that the patient has experienced major life crisis with which score on the questionnaire?
- A. 150
- B. 250
- C. 350
- D. 450
Correct Answer: D
Rationale: The Recent Life Changes Questionnaire (based on the Holmes-Rahe Stress Scale) indicates a major life crisis with a score of 300 or higher, with 450 reflecting significant stress. Lower scores (150, 250) suggest moderate stress, and 350 is borderline but not definitive.
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During an interview, a patient states, 'I feel so guilty, and I?m so ashamed of what I did.' The nurse interprets this as which of the following?
- A. Negative emotion
- B. Positive emotion
- C. Borderline emotion
- D. Nonemotion
Correct Answer: A
Rationale: Guilt and shame are negative emotions, reflecting distress or self-criticism. Positive emotions involve joy or pride, borderline emotion is not a standard term, and nonemotion implies no emotional response, which does not apply.
While leading a student class presentation about general adaptation syndrome and its stages, which of the following would the student describe as the final stage?
- A. Perception of a threat
- B. Use of coping mechanisms
- C. Physiologic response
- D. Exhaustion
Correct Answer: D
Rationale: In Selye?s general adaptation syndrome, the final stage is exhaustion, where resources are depleted if stress persists. Perception of a threat, coping mechanisms, and physiologic response occur earlier in the alarm and resistance stages.
A group of students are reviewing the events associated with the fight-or-flight response. They demonstrate understanding of the information when they identify which of the following results from sympathetic nervous stimulation?
- A. Hypoglycemia
- B. Tachycardia
- C. Hypotension
- D. Hypercoagulability
Correct Answer: B
Rationale: The fight-or-flight response, driven by sympathetic nervous stimulation, causes tachycardia (increased heart rate) to prepare for action. Hypoglycemia, hypotension, and hypercoagulability are not primary outcomes of this response.
A nurse is performing an assessment interview with a patient. The patient tells the nurse that he has a type A personality. Based on the nurse?s interpretation, the nurse would expect which behavior by the patient?
- A. Appearing relaxed and easygoing throughout the interview
- B. Wanting the interview to be over as quickly as possible
- C. Being pleased with the overall pace of the interview
- D. Speaking slowly, requiring time to consider his answers
Correct Answer: B
Rationale: Type A personality is characterized by impatience, competitiveness, and urgency, so the patient would likely want the interview to end quickly. Relaxed behavior, satisfaction with pace, or slow responses are more typical of Type B personalities.
A patient is talking to the nurse about her friendship with another person. She comments, 'That person is always there for me, and I am always there for her. We help each other out; sometimes she?s helping me, and sometimes I am helping her.' The nurse interprets the patient?s statements about her social network as reflecting which of the following?
- A. Denseness
- B. Reciprocity
- C. Social support
- D. Constraints
Correct Answer: B
Rationale: The patient?s description of mutual help reflects reciprocity, a core feature of social networks where support is exchanged. Denseness refers to interconnectedness, social support is broader, and constraints involve limitations, not mutual aid.