ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 67 : Interaction of Body and Mind Questions
Question 1 of 5
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.
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.
Question 2 of 5
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.
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.
Question 3 of 5
The nurse is reviewing ways to foster effective coping skills with a client who has an anxiety disorder. What should the nurse include in the teaching? Select all that apply.
Correct Answer: A,B,C
Rationale: The nurse should suggest re-establishing priorities and striking a healthy balance between work and play, engaging in a daily exercise program, pursuing stress management education, and joining a support group as ways to foster effective coping skills. The client should be encouraged to clearly state feelings or write about them in a diary if verbalizing dramatic or angry thoughts is difficult. The nurse should also discuss time management techniques such as avoiding procrastination; therefore, delaying stressful tasks as desired would not be included in the teaching.
Question 4 of 5
What intervention should a nurse recommend for fostering effective coping skills and a sense of hardiness?
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.
Question 5 of 5
What condition triggers the general adaptation syndrome?
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.