Nokea
The nurse is instructing a community education class on stress. The nurse asks the participants, 'Is all stress bad for you?' Which answer by the participants indicates that teaching has been effective?
- A. No, all stress has negative effects on the body systems.
- B. Yes, all stress is bad but in varying degrees depending on the nature.
- C. No, not all stress is bad, but all stress can make a person sick.
- D. No, the right amount of stress can be motivating to accomplish goals.
Correct Answer: D
Rationale: Teaching has been effective if participants state that not all stress is bad because the right amount of stress can be motivating. Just the right amount of stress, called eustress, is what maintains a healthy balance in life. The other statements are not accurate.
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The nurse is caring for a client who consistently presents to the emergency department with symptoms of varied illnesses. Family members correlate the symptoms to illnesses seen on television or in other family members. When viewing past documentation of client history, which would the nurse anticipate?
- A. An autoimmune disorder
- B. Hypochondriasis
- C. Paranoid schizophrenia
- D. Physical abuse
Correct Answer: B
Rationale: Hypochondriasis is an abnormal fixation about the status of one's health. Some would propose that the disorder occurs when a person receives excessive attention and concern from others during childhood illnesses, which were unconsciously perceived as rewarding. The other disorders are not related.
The nurse is admitting a client into a mental health facility and completing a mental status examination. Which assessment criteria would the nurse document to complete a total score? Select all that apply.
- A. Thought content
- B. Family report
- C. Physical appearance
- D. Attention
- E. History of abuse
- F. Memory
Correct Answer: A,C,D,F
Rationale: A mental status examination is one component of a thorough neurologic examination. It is an array of observations and questions that elicit information about a person's cognitive and mental state. The examination does not document a family report or a past history of physical abuse.
The nurse is caring for a client and family member who are distressed about not having a concrete medical diagnosis. The client states, 'I have been through a lot of tests, and I still know nothing.' When confirming a psychobiologic diagnosis, the nurse is most accurate to state which of the following?
- A. We should have the conclusion of the tests soon. Hang in there.
- B. Diagnosis takes time to consult the specialist and to get those reports.
- C. Confirmation is achieved by ruling out other diseases that manifest similar symptoms.
- D. Psychotherapy will provide the best data to make a diagnosis.
Correct Answer: C
Rationale: Unfortunately, it has time to obtain a definitive diagnosis for a psychobiologic disorder. Diagnosis is frequently achieved by ruling out other diseases which manifest similar signs and symptoms. Stating the circumstances in the delay in diagnosis is the best and most accurate explanation. Simply saying that the tests will conclude soon and that it takes time to receive reports from specialists is general and does not assist the client in understanding why waiting for the reports is necessary. Psychotherapy provides a component of assessment data but not the best data.
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.
The nurse is caring for a client who reports suspecting a poor immune system due to feeling sick most of the time. Upon assessment the nurse finds the client is experiencing elevated stress levels. In addition to neurotransmitters, which chemical messenger between the client's brain and immune system is activated?
- A. Adrenalin
- B. Thyroxin
- C. Cytokines
- D. Steroids
Correct Answer: C
Rationale: Cytokines, also called immunopeptides, function in the same ways as a neurotransmitter, by relaying messages throughout the immune system and the brain. Neither adrenalin, nor thyroxin, nor steroids function as chemical messengers for the immune system.