Questions and Answers
What should the nurse conclude about a patient who is agitated and no longer answers questions after a massive accident?
Which nursing diagnosis would be appropriate for a woman with a large scar across her face?
In Kübler-Ross’s stages of grief, which stage is characterized by the family refusing to accept the death of a young patient?
What is the recommended intervention to help a client maintain a sense of self-concept?
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What basic physiological human need should be addressed for a dying patient?
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What is the best strategy to help a patient overcome feelings of powerlessness?
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What aspect of self-esteem is assessed when the nurse asks about a client's moral ethical principles?
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What stage of grief is characterized by making bargains or promises in hopes of avoiding a loss?
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What term describes the process by which a child bonds with immediate family through interaction with caregivers?
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What type of crisis is a patient experiencing when he is anxious to the point of crisis?
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When a patient writes a document detailing their wishes for medical interventions when they are unable to decide, what is this document called?
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What type of stress management technique is described by teaching a patient controlled deep breathing exercises?
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What is the appropriate nursing response when assessing a client who lost their job due to downsizing?
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Which term describes the syndrome characterized by the emotional and physical strain experienced by caregivers?
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What assessing factor should a nurse evaluate in an adolescent undergoing physical changes to understand its impact on self-concept?
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When patients express feelings of worthlessness, which statement by the nurse may be comforting?
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What is the term for the mental preparation involved in getting ready for the death of a loved one?
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What would be the priority nursing action for a patient manifesting severe anxiety?
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Study Notes
Nursing Responses to Patient Situations
- Breast lumps in a cancer patient may lead to a nurse providing emotional support and encouraging dialogue while assessing mental health needs.
- Hospice care for a family after the death of their son focuses on emotional grief management, understanding of bereavement processes, and provision of comfort.
- Maintaining a client’s self-concept may involve active engagement in self-care activities and encouraging positive self-reflection.
- Agitated patients post-injury who no longer respond may indicate confusion or cognitive decline requiring further assessment.
Grief and Self-Concept Influences
- Loss of a spouse can significantly diminish a woman's self-concept, affecting her perceived identity and emotional stability.
- Exercise is recommended several times a week to manage stress effectively and enhance well-being.
- Symptoms of the sympathetic nervous system under stress may include increased heart rate, elevated blood pressure, or sweating.
Care for the Dying Patient
- Addressing basic physiological needs, such as pain management and comfort, is critical for a dying patient.
- Strategies for building a child's self-esteem include positive reinforcement and realistic goal-setting.
- Families struggling to accept the death of a young patient may be experiencing the denial stage of Kübler-Ross's five stages of grief.
Self-Esteem and Coping Mechanisms
- A nursing diagnosis appropriate for patients with facial disfigurement might include "disturbed body image."
- Bargaining stage statements often express hope for extending life or making deals with a higher power for more time.
- Effective care for dying patients includes open communication about their feelings and active support without imposing personal feelings.
Strategies for Empowerment and Defense Mechanisms
- Empowering a patient to make independent choices helps combat feelings of powerlessness.
- Simplifying and rationalizing a diagnosis may involve the use of denial as a defense mechanism.
- Exploring a patient’s moral and ethical values can reveal deep insights about self-esteem and identity.
Techniques for Active Listening and Self-Concept Assessment
- Subjective data regarding a client’s self-concept can be obtained through open-ended questions and active listening techniques.
- Brain death requires irreversible loss of brain function to be defined as death.
Child Development and Caregiver Dynamics
- A child bonding with family through interaction is a process referred to as attachment.
- A crisis characterized by anxiety indicates a potential acute stress reaction.
- The nurse’s responsibility regarding a DNR order includes ensuring that the patient's wishes are respected while implementing appropriate care measures.
Recognizing Stress and Anxiety Responses
- Statements about stress that indicate a lack of understanding may require further education and clarification.
- Advance directives outline a patient's wishes for medical treatment if unable to communicate.
- Reduced self-esteem following a significant life event may lead to withdrawal and social isolation.
Caregiver Burden and Cultural Dynamics
- Caregiver burden refers to the emotional, physical, and financial stress experienced by those caring for individuals with chronic illnesses.
- The psychological adjustment time following a stressor is crucial for coping and healing.
- Assessing an adolescent for the impact of physical changes on self-concept involves exploring their peer relationships and self-image.
Relaxation Techniques and Adaptive Responses
- Controlled deep breathing is classified as a relaxation technique used in stress management.
- Signs of adaptive stress responses can include physiological symptoms like headaches or gastrointestinal issues.
- Mental preparation for the loss of a loved one is termed anticipatory grief.
Cultural Changes and Ethical Considerations
- Abandonment of parental cultural beliefs is referred to as acculturation.
- A supportive response is beneficial for a patient feeling unworthy within their family dynamics.
- Initial alarm stage of General Adaptation Syndrome (GAS) reveals signs of stress, such as increased heart rate and heightened alertness.
Emotional Responses to Stress
- Crying uncontrollably after receiving bad news signifies an emotional response to stress and may indicate an acute distress reaction.
- The priority for nurses dealing with patients experiencing severe anxiety centers on establishing safety and providing a calming environment.
- The removal of a breast due to cancer represents a functional loss that heavily influences body image and self-identity.
- An infant learning to differentiate self from environment is in the sensorimotor stage of cognitive development.
- Psychological responses to stress with normal diagnostic tests may indicate psychosomatic disorders or stress-related conditions.
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Description
This quiz explores various aspects of nursing communication and patient ethics, focusing on active listening, self-concept, and pain management in difficult situations. It addresses how nurses can respond effectively to patients' concerns and emotions during critical care. Test your understanding of these essential nursing skills.
