ATI: Nurses touch: Wellness and self care practice assessment
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A nurse is caring for a school-age female whose mother asks for additional information about the human papillomavirus (HPV) immunization. Which of the following is an appropriate statement by the nurse?
"It is recommended to wait to begin this immunization series until after menarche."
"Completion of this series of three immunizations will prevent most ovarian cancers."
"The immunization series is recommended at 11-12 years of age before becoming sexually active."
The immunization series is recommended at 11-12 years of age before sexually active.
A nurse is preparing a health promotion program for a group of adolescents. Which of the following topics is appropriate to include?
The purpose of required immunizations
The need for daily physical activity
Treatments for sexually transmitted infections
The need for daily physical activity
A nurse is instructing a group of clients to relieve anxiety by controlling the body with the mind using specific phrases. Which of the following techniques is the nurse practicing?
Image visualization
Autogenic training
Guided imagery
Autogenic training
A nurse in a provider's office is talking with an older adult client who is beginning to lose bone density about exercise she can do to help prevent further bone-density loss. Which of the following activities should the nurse recommend?
Stair climbing
Bicycle riding
Swimming
Stair climbing
A nurse is caring for a client who abuses alcohol. which of the following systems should the nurse assess first?
Neurological
Gastrointestinal
Psychological
Neurological
Several staff nurses are having a conflict about the unit's "taking turns" float policy. The nurse manager convenes a meeting and tells the nurses to respect each other's opinions during the meeting. Which of the following strategies is the nurse manager using during the conflict negotiation process?
Presenting the ground rules
Beginning with a presentation of facts
Focusing on solutions
Presenting the ground rules
A nurse is discussing health screenings with a group of adults between the ages of 65 and 70. Which of the following recommendations should the nurse include?
Blood lead screening every year
Total cholesterol measurement every 3-5 years
Digital rectal examination every 5 years
Total cholesterol measurement every 3-5 years
A nurse is counseling a client who is female, 5 feet 5 inches tall, and has an active lifestyle. How many calories should this client consume in a day? (round to the nearest whole number)
1875
start with 100 for 5 feet and then add 5 for each inch totaling 25. So 100+25= 125
then multiply that number by the activity factor 15 (for active) 125 x 15 = 1875
A nurse is cautioning an adult client who plays competitive sports about the risks of using epoetin alfa (Epogen) to increase the body's oxygenation ability, particularly at high altitudes. Which of the following is an adverse outcome of using this type of endurance enhancer?
Cerebrovascular accident
Hypotension
Psychotic episodes
Cerebrovascular accident
A nurse is developing a program on healthy nutrition. Which of the following should the nurse include as factors that contribute to dietary habits?
Advertising
Personality
Socioeconomic status
Anthropometry
Health status
Advertising
Personality
Socioeconomic status
Health status
A nurse is talking with a client who has a strong family history of cardiovascular disease. Which of the following lifestyle measures should the nurse recommend to help reduce the risk of cardiovascular disease?
Decrease intake of insoluble fiber.
Increase intake of omega-3 fatty acids.
Maintain a consistent intake of vitamin K.
Increase intake of omega 3 fatty acids
A nurse in a provider's office is talking with a client who reports daytime sleepiness. Which of the following factors should alert the nurse to possible interference with the client's biological rhythms?
Rotating between day and night shifts at work
Having "a couple of beers" before bedtime
Difficulty learning new tasks at his job
Rotating between day and night shifts at work
A nurse is caring for hospice clients and is experiencing compassion fatigue. Which of the following is a manifestation of compassion fatigue?
Increased intimacy
Mistrust
Sadness
Sadness
Nurse suspects that the child is not getting enough sleep. The nurse should explain that school-age children require how many hours of sleep per night?
8
10
12
10
A nurse is teaching a client about health promotion. Which of the following statements by the client indicates the teaching was effective?
"The goal of health promotion efforts is to improve well-being."
"Alternative medicine is a required component of health promotion efforts."
"Health promotion efforts emphasize the prevention of specific diseases."
The goal of health promotion efforts is to improve well-being
A nurse is caring for clients who are in a hospital recovering from a systemic infection. The nurse should encourage them to do which of the following?
Take a short walk before bedtime
Lie supine when trying to sleep
Nap during the day
Nap during the day
A nurse is a provider's office is caring for a group of clients. For which of the following clients is the zoster immunization recommended?
A 10-year-old client
A 30-year-old client
A 60-year-old client
A 60 year old client
An occupational health nurse is teaching a group of newly licensed nurses about body mechanics. Which of the following statements by a newly licensed nurse indicates a need for further teaching?
"Pivot the body to turn in the desired direction."
"When sitting, keep the knees slightly lower than the level of the hips."
"When carrying an object, move in a direction away from the weight of the object."
When sitting, keep the knees slightly lower than the level of the hips
A nurse is discussing healthy sleep habits with a client who has a new diagnosis of sleep apnea. Which of the following statements by the client demonstrates a need for further teaching?
"My sleep apnea causes me to have a morning headache."
"I am at a higher risk for a stroke."
"I should use oxygen while I sleep."
I should use oxygen while I sleep
A nurse is caring for a client who has sleep deprivation. Which of the following findings should the nurse expect to observe?
Decreased reasoning
Hyperreflexia
Reduced sensitivity to pain
Decreased reasoning
Also, decrease in reflexes and increase in pain sensitivity.
A nurse manager on a medical-surgical unit is involving the staff in providing input for decisions about how the unit functions. This manager exemplifies which of the following leadership styles?
Autocratic
Democratic
Laissez-faire
Democratic
An occupational health nurse is conducting annual screenings on a group of employees. Which of the following findings is a physiological manifestation of stress?
Decreased urinary output
Bradypnea
Constricted pupils
Decreased urinary output
A nurse is presenting a program on breast cancer to a group of female clients. Which of the following is a method of secondary prevention the nurse should include?
Identifying local support groups for breast cancer survivors
Teaching strategies to reduce risk factors for breast cancer
Reviewing the technique for breast self-exams
Reviewing the technique for breast self-exams
A nurse is discussing disease prevention with a newly licensed nurse. Which of the following statements by the newly licensed nurse demonstrates a need for further teaching?
"Tertiary prevention aims to identify an illness early and begin treatment."
"The goal of primary prevention is to prevent the occurrence of an illness."
"There are three levels of disease prevention."
Tertiary prevention aims to identify an illness early and begin treatment.
A nurse is giving a presentation to a group of nurses to raise awareness about career burnout. Which of the following should the nurse include as a classic indication of this phenomenon?
Witness guilt
Creation of boundaries between home and work life
Difficulties coping with work-related stress
Difficulties coping with work-related stress
A school nurse is giving a presentation to a group of high school athletes about the dangers of using androgenic anabolic steroids to build muscle strength. Which of the following is an adverse outcome of using these products?
Seizures
Myocardial infarction
Cancer
Cancer
A nurse is reinforcing teaching about risk factors for cardiovascular disease with a client. Which of the following should the nurse include in the teaching?
To reduce risk, red meat should be eliminated from the diet.
High-intensity workouts are necessary five times per week to maintain current cardiovascular health.
Location of excess body fat is a reliable indicator of risk.
Location of excess body fat is a reliable indicator of risk
A nurse is giving a presentation to a group of nursing students about the autonomic nervous system's response to stress. The nurse should explain that the parasympathetic branch causes which of the following physiologic reactions?
Decreased pupil size
Increased blood glucose
Decreased salivation
Decreased pupil size
A nurse is giving a presentation at a community center about encouraging exercise kn children of all ages. Which of the following activities should the nurse recommend for preschoolers?
Playing baseball
Jumping rope
Roller skating
Jumping rope
A nurse on a medical-surgical unit is having difficulty managing his client workload because he has to transport one of his clients to the surgical suite and another to the radiology department. This is an example of which of the following workplace stressors?
Client acuity
Power imbalances
Scarce resources
Scarce resources
A nurse is experiencing psychological stress. Which of the following is a clinical finding associated with psychological stress?
Constipation
Fear
Insomnia
Fear
A newly licensed nurse is uncomfortable at work because of continually having to decline requests for a date from a coworker. Which of the following actions should the nurse take first?
Report the behavior to the nurse manager.
Seek support from professional colleagues.
Request that the unit participate in an in-service on safe working environments.
Report to behavior to the nurse manager
A nurse at a pediatrician's office is reinforcing teaching with the mother of a 5-year old who is scheduled to receive immunizations at a well-child visit the next day. Which of the following statements by the mother indicates a need for further teaching?
"The meningococcal conjugate immunization is now recommended prior to starting kindergarten."
"I will need to schedule my child for a diphtheria, tetanus, and acellular pertussis booster when he turns 11 years old."
"I should give my child a dose of Tylenol just before the immunizations are administered."
The meningococcal conugate immunization is now recommended prior to starting kindergarten.
A nurse is discussing a healthy diet plan with a client who is obese. Which of the following statements by the client indicates a need for further teaching?
"I will engage in aerobic exercises for 20 minutes, three to four times a week."
"I will try to consume three nonfat dairy products each day."
"I will skip scheduled meals if I do not feel hungry."
I will skip scheduled meals if i do not feel hungry
A nurse in a clinic is caring for an older adult client who has pneumonia and refuses admission to the hospital. Using Maslow's hierarchy of needs, which of the following is the priority action by the nurse?
Determine respiratory status
Encourage verbalization of fears
Provide teaching about new medications
Determine respiratory status
A nurse is stressed and considering a career change since receiving an annual performance evaluation that he feels focused only on his weaknesses. By recognizing the impact of her negative emotions and deciding to have a more positive outlook, the nurse is demonstrating which of the following?
Cognitive restructuring
Vicarious experience
Conflict negotiation
Cognitive restructuring
A nurse has been experiencing prolonged stress and is now exhibiting clinical manifestations of depression. Which of the following components of stress does the nurse's response represent?
Emotional
Physical
Mental
Emotional
A nurse is teaching a client who is classified as overweight about healthy eating habits. Which of the following statements by the client indicates a need for further teaching?
"I need to consume additional simple carbohydrates."
"Meat portions should be no larger than the palm of my hand."
"Consuming six small meals a day is okay as long as they are healthy food choices."
I need to consume additional simple carbohydrates
A nurse is planning to conduct a class on weight loss and will include information on appetite suppressants containing stimulants such as ephedra. Which of the following should the nurse include as a potential health risk of such appetite suppressants?
Diabetes
Heart attack
Osteoporosis
Heart attack
A nurse is giving a presentation to a group of nursing students about the autonomic nervous system's response to stress. The nurse should explain that sympathetic arousal from a stressor causes which of the following physiologic reactions?
Vasodilation of the blood vessels to the skin
Bronchodilation of the airways
Reduction in blood pressure
Bronchodilation of the airways
A nurse is conduction a health education class for clients who have osteoporosis. Which of the following statements by a participant indicates an understanding of the teaching?
"I should run five times per week."
"I should ride a horse for 20 minutes several times weekly."
"I should walk for 30 minutes three times per week."
I should walk for 30 minutes three times per week
A nurse is caring for a group of clients. For which of the following infections is an alcohol-based hand rub contraindicated?
Giardia
Clostridium difficile
Rotavirus
Clostridium difficile (C-diff)
A 35 year-old female client asks a nurse how many calories she needs to maintain a healthy weight. Which of the following client attributes should the nurse consider when calculating the clients caloric needs?
Vegetarian
Age
Sedentary lifestyle
Sedentary lifestyle
A nurse is caring for a client who recently lost his home to a fire. Which of the following should the nurse identify as a potential stress-related illness?
Pneumonia
Renal calculi
Rheumatoid arthritis
Rheumatoid arthritis
A nurse is teaching a client whol is trying to lose weight about reading food labels to help with portion control strategies. The nurse should explain that "servings per container" means which of the following?
The amount to put in a serving container
The amount in the portion size for one person
The number of servings in the entire package
The number of servings in the entire package
A nurse is experiencing stress in the workplace. Which of the following is an appropriate stress management technique?
Maintaining a daily journal
Participating in physical activities
Keeping a sense of humor
Minimizing discussions of stressors with peers
Creating organizational worksheets
Maintaining a daily journal
Participating in physical activities
Keeping a sense of humor
Creating organizational worksheets
A nurse is caring for a client who has acute mania. Using Maslow's hierarachy of needs, the nurse should first address which of the following client findings?
Low self-esteem
Engages in constant physical activity
Poor family relationships
Engages in constant physical activity
A manager is discussing general adaptation syndrome. Identify the order of the stages in which biological response to stress occurs.
Resistance
Illness
Exhaustion
Alarm
Alarm
Resistance
Exhaustion
Illness
A nurse is caring for a client who has been experiencing insomnia. Which of the following health conditions should the nurse recognize as a potential cause of the insomnia?
Endocrine imbalances
Seborrheic keratoses
Vertigo
Endocrine imbalances
A nurse is discussing disease prevention activities with an adult female client. Which of the following statements by the client indicates a need for further teaching?
"I will continue breast self-exams monthly until I reach menopause."
"I will maintain my BMI at 24."
"I will take 1,000 mg of calcium daily."
I will continue breast self-exams monthly until I reach menopause
A nurse is evaluating a client's need to lose weight. His body mass index is 32.2. Which of the following BMI classifications should the nurse apply during her recommendations for this client?
Obesity class I
Obesity class II
Obesity class III
Obesity class 1
A client asks nurse in a provider's office about various well-known weight-loss programs. In discussing low-calorie diet programs, the nurse should point out that clients report which of the following when using this type of plan?
Heart healthy advantages
Prohibitive cost
Frequent hunger
Frequent hunger
A nurse is teaching a wellness support group about healthy eating. Which of the following statements by a member of the group indicates a need for further teaching?
"I must consume enough calories to meet my basal metabolic rate."
"I should eat a diet that will decrease my high-density lipoprotein level."
"High-fiber foods will help me maintain my weight."
I should eat a diet that will decrease my high-density lipoprotein level
A nurse is discussing tai chi with a group of clients. Which of the following statements made by one of the clients indicates a need for further teaching?
"I will use both meditation and physical activity in tai chi classes."
"I will improve my balance doing tai chi."
"I should use quick circular motions while participating in tai chi."
I should use quick circular motions while participating in tai chi
A nurse is discussing activities that facilitate self-expression with the parent of a child who has experienced a traumatic event. Which of the following activities should the nurse recommend?
Meditation
Massage therapy
Art therapy
Art therapy
Which of the following guidelines does the national weight control registry endorse as a strategy that worked for people it studied who successfully lost weight and maintained it over time?
A. Eat plenty of fruits and vegetables.
B. Participate in 45 min of moderate physical activity daily.
C. Eat four small, low-fat, high-carb meals or snacks per day.
A. Eat plenty of fruits and vegetables.
A nurse is giving a presentation at a community center about the health risks of obesity. Which of the following disorders should the nurse include? (Select all that apply).
A. Gout
B. Cancer
C. Heart Failure
D. Hypothyroidism
E. Cardiac dysrhythmias
A. Gout
B. Cancer
C. Heart Failure
E. Cardiac dysrhythmias
A nurse is teaching a client who is trying to lose weight about reading food labels. Which of the following instructions should the nurse include?
A. The % Daily Value refers to a 1500 calorie diet.
B. Serving quantities represent their weight in ounces.
C. Amount per serving is the amount in the size portion the label specifies.
C. Amount per serving is the amount in the size portion the label specifies.
A nurse is talking with a client who is undergoing treatment for HTN. In explaining the DASH diet, which of the following guidelines should the nurse include? (Select all that apply).
A. Two to three servings of fruits per day
B. One and a half to two and a half servings of lean meats, fish, or poultry QD
C. Four to six servings of vegetables QD
D. Five to six servings of low fat or nonfat dairy products QD
E. Three to six servings of nuts, seeds, and legumes per week.
B. One and a half to two and a half servings of lean meats, fish, or poultry QD
C. Four to six servings of vegetables QD
E. Three to six servings of nuts, seeds, and legumes per week.
A nurse is evaluating a client's need to lose weight. Her body mass index is 28.3. Which of the following BMI classifications applies to her?
A. Overweight
B. Obesity Class I
C. Obesity Class II
A. Overweight
A nurse is teaching a client who has a family history of Cardiovascular disease about health promotion and disease prevention. Which of the following dietary strategies specifically reduces the risk of Cardiovascular disease?
A. Increasing dietary intake of omega-3 fatty acids
B. Increasing dietary intake of trans fatty acids
C. Decreasing dietary intake of insoluble fiber
A. Increasing dietary intake of omega-3 fatty acids
A client is asking the nurse in his provider's office about using a body wrap while exercising to help accelerate her weight loss. The nurse should explain the client that this type of device effectively promotes the loss of which of the following?
A. Fat
B. Water
C. Amino Acids
B. Water
A client is asking the nurse in his provider's office about the various well-known weight loss programs. In discussing the low-carb diet programs, the nurse should point out that clients report which of the following when using this type of plan?
A. Heart healthy
B. Less hungry
C. Limited availability
B. Less hungry
A nurse is teaching a client who is starting an exercise program to calculate his target heart rate. The nurse should include which of the following instructions?
A. Challenge himself to exceed the target range for brief periods.
B. Find the target rate by subtracting his age from 200.
C. Sustain the target range for at least 20 mins.
C. Sustain the target range for at least 20 mins.
A nurse is presenting a program on safe and effective exercise for older adults who have RA. Which of the following instructions should she recommend for this client population? Select all that apply.
A. Exercise every day
B. Exercise with a companion or group.
C. Consider a regular program of walking.
D. Get up and stretch regularly throughout the day.
E. Use exaggerated movements during daily activities.
B. Exercise with a companion or group.
C. Consider a regular program of walking.
D. Get up and stretch regularly throughout the day.
E. Use exaggerated movements during daily activities.
A nurse is encouraging an older adult client to invest in a pedometer to track the amount of walking she does each day and to challenge herself to increase her activity level gradually each day. When explaining the benefits of walking, the nurse should include which of the following information?
A. Walking at 4 mph burns about 12 cals/min
B. A single calorie fuels about 25 steps of walking
C. A single calorie fuels climbing one flight of stairs
B. A single calorie fuels about 25 steps of walking
A nurse is counseling a client who has multiple risk factors for osteoporosis. Which of the following exercise strategies should the nurse recommend to help the client maintain bone density?
A. Using a seated rowing machine
B. Working out on an elliptical trainer
C. Taking a water aerobics class
B. Working out on an elliptical trainer
A tai chi master is teaching an introductory session on the basics of this health-promoting activity. HE explains that, to boost energy without causing stress, the tai chi movements are
A. Soft
B. Slow
C. Continuous
A. Soft
A nurse is giving a presentation at a senior community center about factors that affect the ability to engage in physical activity. The nurse should explain that which of the following disorders specifically affect exercise endurance? Select all that apply.
A. Osteoporosis
B. Diabetes Mellitus
C. Anemia
D. Arthritis
E. Heart Failure
B. Diabetes Mellitus
C. Anemia
E. Heart Failure
A nurse is giving a presentation at a family-oriented rec center about getting children involved in physical activities. The nurse should explain that children develop exercise-related abilities and preferences during which of the following stages?
A. toddler
B. preschooler
C. school age
C. school age
A fitness trainer who is giving a presentation on weight training is pointing out the dangers of using androgenic anabolic steroids to build muscle strength. Which of the following is an adverse outcome of using these products for this purpose? Select all that apply.
A. Infertility
B. Cancer
C. Liver disease
D. Seizures
E.Psychotic episodes
A. Infertility
B. Cancer
C. Liver disease
Using the FITTE factor, what should a nurse recommend as general fitness and health guidelines for clients who wish to improve their physical activity level?
A. Perform moderate exercise at least 20 min/day.
B. Engage in vigorous exercise at least 30 min/day.
C. Choose rhythmic exercise of large muscle groups.
C. Choose rhythmic exercise of large muscle groups.
A nurse is talking with a client who is about to begin using a continuous positive airway pressure device to treat obstructive sleep apnea. What 4 things should the nurse recommend for clients with sleep apnea?
A. limit fluids
B. sleep on their sides
C. avoid alcohol
D. do not smoke
E. do stretching exercises
B. sleep on their sides
C. avoid alcohol
D. do not smoke
RN is preparing a "lunch and learn" presentation for a group of coworkers about sleep deprivation. She should explain that people who are sleep deprived can develop what manifestations?
A. slowed reflexes
B. loss of fine motor control
C. decreased sensitivity to pain
D. blurred vision
E. cardiac dysrhythmias
A. slowed reflexes
B. loss of fine motor control
D. blurred vision
E. cardiac dysrhythmias
A nurse is talking with coworkers about changing a rotating shift policy. She explains the importance of circadian synchronization for optimal health, and well being. What is an example of this phenomenon?
A. being awake when melatonin levels peak
B. sleeping when HR peaks
C. being awake when body temperature peaks
C. being awake when body temperature peaks
A nurse should share with a group of attendees at a sleep disorders workshop that the primary cause of short-term sleep disturbances is?
A. pain
B. caffeine
C. emotional stress
C. emotional stress
Between the ages of 3 - 6 years, a child needs an average of how many hours of sleep per night?
A. 10
B. 12
C. 14
B. 12
A nurse is giving a presentation about treating sleep disorders as part of a continuing education program. She should explain that the purpose of using cognitive therapy to treat insomnia is to help clients
A. create an optimal sleep environment
B. develop a positive outlook on sleep
C. access the unconscious mind through relaxation
B. develop a positive outlook on sleep
A nurse is talking with a parent whose teenage boy is undergoing a sleep study. The parent asks the nurse about narcolepsy. The nurse should explain that the most common manifestation of narcolepsy is....
A. excessive daytime sleepiness
B. sudden sleep attacks
C. cataplexy
A. excessive daytime sleepiness
A nurse is talking with a parent who has two young children who sleepwalk. Which of the following information is the priority for the nurse to emphasize with this parent?
A. keep in mind that many children do outgrow this behavior
B. try to explore whether or not the children have any new stressors
C. install gates to block the childrens access to stairways
C. install gates to block the childrens access to stairways
A nurse is teaching a client who is undergoing a sleep study to confirm obstructive sleep apnea. What should the nurse include in the teaching?
A. OSA involves an abnormality in the respiratory center of the brain
B. common risk factors for OSA include HTN and heart failure
C. with OSA, oral structures relax during sleep and block the air flow
C. with OSA, oral structures relax during sleep and block the air flow
A nurse is reviewing the medication history of a client who reports having difficulty sleeping. Which of the following classifications includes some medications that should alert the nurse to the possible adverse effect of insomnia?
A. antidysrhythmics
B. anticholinergenics
C. antihistamines
A. antidysrhythmics
A nurse has just attended a staff meeting where the issue of too many scheduling requests has caused conflict. She proposed a self-scheduling solution. Staff and mgmt respond positively and set up a task force for planning and implementation. Which of the following primary characteristics of nurse empowerment does the nurse feel?
A.Meaning
B.Competence
C. Impact
C. Impact
A nurse manager on a med/surg unit takes pride in telling staff that they need to solve their own problems and conflicts without her input. When a client issue arises, she suggests they "look it up." This manager's leadership style typically results in which of the following staff outcomes?
A. Fosters indifference
B. Rewards aggression
C. Limits decision making
A. Fosters indifference
A nurse is perceiving and experiencing high stress levels at work on a consistent basis due to inadequate staffing and high client acuity levels. The ongoing physiological stress responses from her endocrine system places her at risk for which of the following disorders? Select all that apply
A.Eczema
B. Influenza
C. RA
D. Cancer
E. Bronchial asthma
A.Eczema
B. Influenza
C. RA
D. Cancer
A nurse is working with a client who has identified a need to find a relaxation technique that works well for her in managing her stress. The nurse suggests which of the following methods because it can help create a pattern inside her body that approximates natural homeostasis?
A. music therapy
B. art therapy
C. guided imagery
A. music therapy
A nurse returns home from work, alarmed to find emergency vehicles in front of her building. An electrical fire affected her apartment. She feels hopeless about losing all her possessions, and she feels angry that her insurance won't cover all the costs. She is terrified about what will happen in the days ahead and going to a shelter. Which aspect of this scenario is exemplifies the mental component of stress?
A. Anger about the compensation
B. Hopelessness about the loss
C. Terror over the days ahead
B. Hopelessness about the loss
At a stress mgmt seminar, the group learned about an exercise where the participants relax their body and think of a body characteristic or feature they dislike or want to change. They then replace how they view that aspect of their body with what they want that aspect to be. Which of the following techniques are they practicing?
A. Meditation
B. Image visualization
C. Autogenic training
B. Image visualization
A nurse is giving a presentation on relaxation techniques at a community center where she does volunteer work. One of the attendees would like to find something that could help with two of her problems- wanting to increase her lung capacity since she gave up smoking and also helping with her joint pain. Which of the following should the nurse recommend?
A. Guided imagery
B. Progressive muscle relaxation
C. Hatha yoga
C. Hatha yoga
A nurse manager announces that the facility is eliminating nursing assistants and adopting a model of total client care. The staff nurses are upset, angry, and feel threatened by the increased workload. One nurse realizes that they will have more nurses and they wont have to delegate. He encourages the staff to give it a chance. Which of the following strategies did the nurse demonstrate?
A. Reframing the situation
B. Identifying barriers
C. Presenting the ground rules
A. Reframing the situation
A nurse is stuck in traffic and has to pick up her child from day care by the facility's closing time. Lately, this seems to be happening almost every day. She knows it is not critical because someone will stay with her child until she gets there. However, her body keeps pumping adrenalin because of which of the following factors? Select all that apply
A. The initiating release of ACTH from her pituitary gland
B. The role of her parasympathetic nervous system
C. Her body's failure to return to homeostasis
D. Her repeated activation of the stress response
E. Her own unique perception of the stressor
C. Her body's failure to return to homeostasis
D. Her repeated activation of the stress response
E. Her own unique perception of the stressor
A nurse is caring for a client who says that whenever she feels her stress levels getting out of control, she reminds herself that as long as she is breathing, she can and will feel better. She says she tells herself that she has the power to breath the stress right out of her body. What she describes is a form of which of the following stress reduction techniques?
A. Hypnosis
B. Biofeedback
C. Autogenic training
C. Autogenic training
A nurse is giving a presentation to a group of students about distinguishing health promotion and disease prevention activities. Which of the following actions should the nurse include as a specific disease prevention activity?
A.) Practicing daily meditation
B.) Adding more protein to the diet
C.) Wearing sunscreen outdoors
D.) Receiving an influenza immunization
E.) Protecting ears from loud noises
C.) Wearing sunscreen outdoors
D.) Receiving an influenza immunization
E.) Protecting ears from loud noises
A nurse is giving a series of workshops about health and wellness to a group of older adults at a community center. Which of the following statements from the attendees demonstrates that they understood what the nurse explained about the concept of health?
A.) "I have my health when I am physically, mentally, and socially well."
B.) "Health means wholeness, so every aspect of me combines to make a healthy whole self."
C.) "I am healthy because I see my doctor on a regular basis and he knows what I need."
D.) "Health means I do the things that keep me at my best, like exercising and eating right."
E.) "I don't have any medical problems right now, so I guess I'm pretty healthy
A.) "I have my health when I am physically, mentally, and socially well."
B.) "Health means wholeness, so every aspect of me combines to make a healthy whole self."
D.) "Health means I do the things that keep me at my best, like exercising and eating right."
The World Health Organization's (WHO's) definition of health promotion focuses on the concept of
A.) Improving control over health
B.) Eliminating risk factors for health problems
C.) Reducing the consequences of illness
A.) Improving control over health
A nurse is caring for a client t who is immobile. Which of the following actions should she perform when repositioning the client to avoid injuring her musculoskeletal system?
A.) Adjust the bed to its lower portion.
B.) Align her feet vertically with her shoulders
C.) Stand slightly away from the bed when turning the client
B.) Align her feet vertically with her shoulders
A nurse is giving a presentation about health promotion and disease prevention to a group of young adults at community college. Which of the following instructions should the nurse include?
A.) Get a influenza immunization
B.) Have a vision screening and eye examination every 2 years
C.) Get a tetanus and diphtheria immunization every 10 years
C.) Get a tetanus and diphtheria immunization every 10 years
A nurse is counseling a client who says that she attends a book club in her neighborhood regularly. She says it troubles her that no one engages in the discussion with her. Applying Maslow's hierarchy of needs to this client, this client's need fails into which of the following levels?
A.) Love and belonging
B.) Self-esteem
C.)Self-actualization
C.)Self-actualization
A nursing is caring for a client in an ambulatory clinic who attended a blood pressure screening event and a stress management lecture at a community fair. His blood pressure was 150/94 mm Hg at the event, so he saw a provider at the clinic and began therapy with a beta blocker. Soon after, the client had a mild myocardial infarction and, after discharge from the hospital, enrolled in a program of cardiac rehabilitation. Which of the following activities of this client is an example of primary prevention?
A.) Blood pressure screening
B.) Cardiac rehabilitation
C.) Stress management lecture
C.) Stress management lecture
A nurse is caring for a client who has a long history of abuse of alcohol and opioid analgesics. When counseling the client about the adverse effects of substance abuse, the nurse should explain that these patterns reduce the oxygenation of his tissues and organs because they cause?
A.) airway inflammation
B.) direct lung injury
C.) respiratory depression
C.) respiratory depression