Nokea
What condition triggers the general adaptation syndrome?
- A. Distress
- B. Eustress
- C. Placebo effect
- D. Helplessness
Correct Answer: A
Rationale: Excessive, ill-timed, or unrelieved stress is called distress. It triggers the general adaptation syndrome, a nonspecific physiologic response. Eustress means the right amount of stress and maintains a healthy balance in life. It cannot trigger general adaptation syndrome. The placebo effect refers to healing or improvement that takes place because the person believes a treatment method will be more effective. Helplessness is a psychological factor that makes a client with stress disease prone. It is not a condition that triggers the general adaptation syndrome.
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Impaired balance and uncontrolled tremors of Parkinson disease is correlated with which neurotransmitter?
- A. Glutamate
- B. Acetylcholine
- C. Dopamine
- D. Serotonin
Correct Answer: C
Rationale: The impaired balance and uncontrolled tremors of Parkinson disease have been linked with low levels of dopamine. The other neurotransmitters have not been implicated in Parkinson's disease in this manner.
The nurse is caring for a client in whom a psychological disorder is anticipated. Which assessment data would the nurse use to formulate report for the next shift? Select all that apply.
- A. Family history
- B. Mental status examination
- C. Laboratory/diagnostic testing
- D. Client statements
- E. Community report
Correct Answer: A,B,C,D
Rationale: The nurse would use verifiable data to report the client's condition to the next shift. Information from community sources may or may not be accurate.
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.
The nurse is consulting with a client who verbalizes extreme stress. When the nurse asks the client how life is, which response represents hardiness in character?
- A. I am making it through and just barely holding on.
- B. Life is challenging, I take it as it comes.
- C. I am not able to juggle all of the balls of life.
- D. What can you do, it is what it is.
Correct Answer: B
Rationale: The nurse would be correct to select the response that represents the effective coping style of hardiness as the client that identifies life as a challenge but coping with life situations as they arise. Clients who respond negatively with a sense of helplessness or indifference are not representing hardiness.