Nokea
The nurse is caring for a client who is taking a medication that affects the function of the neurotransmitter norepinephrine. The client asks 'What does norepinephrine normally do in the body?' What should the nurse include in the response? Select all that apply.
- A. Affects attention and concentration
- B. Raises energy level
- C. Heightens arousal
- D. Assists memory storage
- E. Decreases seizure potential
Correct Answer: A,B,C
Rationale: The nurse should inform the client that norepinephrine affects attention and concentration, raises energy level, and heightens arousal. It does not assist memory storage or decrease seizure potential.
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What intervention should a nurse recommend for fostering effective coping skills and a sense of hardiness?
- A. Balanced diet
- B. Periodic checkup
- C. Nonprescribed sedative drug
- D. Daily exercise
Correct Answer: D
Rationale: A nurse should recommend a daily exercise program to reduce stimulating neurotransmitters and release endorphins and enkephalins. Diet and periodic checkups are not essential to foster effective coping skills and a sense of hardiness. It is essential for the client to avoid a nonprescribed sedative drug for self-treatment because it does not foster effective coping skills and a sense of hardiness.
What is the result of the appropriate use of coping mechanisms?
- A. Maintenance of psychobologic equilibrium
- B. Psychological growth
- C. Altered body functions or symptoms
- D. Restored biologic functions
Correct Answer: B
Rationale: When used appropriately and in moderation, coping mechanisms allow maintenance of psychological equilibrium and lead to psychological growth. Appropriate use of coping mechanisms does not alter body functions or symptoms or restore biologic functions.
The nurse is using a theory which includes positive reinforcement with rewarding client behavior in group participation activities. From which theorist is the nurse deriving these strategies?
- A. Sigmund Freud
- B. Erik Erikson
- C. Harry Sullivan
- D. B.F. Skinner
Correct Answer: D
Rationale: B.F. Skinner proposed the theory that adaptive and maladaptive behavior are learned and repeated because of rewarding reinforcement. The other theorists listed did not propose such a theory.
The nurse researcher and committee monitoring are working with in a research study administering study medications to study participants. If the nurse researcher is administering study medications in a double-blind study, who is knowledgeable of the specifics of the medication?
- A. The nurse researcher
- B. The study committee and research nurse
- C. The study committee, research nurse, and client
- D. The study committee
Correct Answer: D
Rationale: The study committee is knowledgeable about the study medications. The nurse researcher and clients are not aware of the components of the medication, being a therapeutic medication or placebo. Thirty percent of the individuals receiving a placebo experience a positive outcome.
The nurse is caring for a client who has recently lost a spouse. Which question asked by the nurse is essential in guarding the client's immune system?
- A. Do you have friends and family to support you?
- B. Do you live alone in a one-story house?
- C. Are you able to prepare nutritious meals?
- D. Are your neighbors able to check on you?
Correct Answer: A
Rationale: When a client has very intense stress, such as the loss of a spouse, stress can lower the number of white blood cells impacting the immune system. There is also a connection between poorer immune function and loneliness. Asking the client about friends and family who are available to provide support is most helpful. Friends and family allow the client to share emotions and immune function improves. The other questions provide helpful data but not as pertinent to the immune system.