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 who has recently lost a spouse. Which question asked by the nurse is essential in guarding the client's immune system?
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.
Question 2 of 5
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?
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.
Question 3 of 5
The nurse is instructing a client in a physician's office. Which instruction is most accurate when advising the client on the feelings of anger?
Correct Answer: A
Rationale: It is most accurate to understand that suppressing anger and excessively expressing anger can both lead to physical symptoms including death. The nurse must continue to follow the client's actions and emotions. Expressing anger in an appropriate manner helps to prevent neurochemical changes in the brain. Using exercise is an appropriate manner to relieve stress. Eliminating sources of stress is not appropriate.
Question 4 of 5
The client arrives at the emergency department reporting symptoms of heart palpitations, tightness in the chest, and epigastric pain after a stressful event. What system will the nurse correlate with the client symptoms?
Correct Answer: B
Rationale: The nurse is correct to correlate stress and the symptoms, which stem from organs affected by the autonomic nervous system. Clients may present with heart palpitations, pounding headache, breathlessness, tightness in the chest, chest pain, chronic pain, irritability, epigastric pain, abdominal discomfort and bloating, or constipation and diarrhea. The respiratory system is affected by stress, but the client's symptoms do not correlate to the respiratory system. The symptoms extend beyond cardiopulmonary system effects. The central nervous system is involved in only the brain and the spinal cord effects.
Question 5 of 5
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?
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.