A pregnant woman states, 'I just know labor will b

Question 1 of 5

A pregnant woman states, 'I just know labor will be so painful that I won't be able to stand it. I know it sounds awful, but I really dread going into labor.' The nurse responds by stating, 'Oh, don't worry about labor so much. I have been through it, and although it is painful, many good medications are available to decrease the pain.' Which statement is true regarding this response? The nurse's reply was a:

A. Therapeutic response. By sharing something personal, the nurse gives hope to this woman. B. Nontherapeutic response. By providing false reassurance, the nurse actually cut off further discussion of the woman's fears. C. Therapeutic response. By providing information about the medications available, the nurse is giving information to the woman. D. Nontherapeutic response. The nurse is essentially giving the message to the woman that labor cannot be tolerated without medication.

Correct Answer: B

Rationale: By providing false assurance or reassurance, this courage builder relieves the woman's anxiety and gives the nurse the false sense of having provided comfort. However, for the woman, providing false assurance or reassurance actually closes off communication, trivializes her anxiety, and effectively denies any further talk of it.

Question 2 of 5

A patient's weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure falls within which blood pressure category?

A. Normal blood pressure B. Prehypertension C. Stage 1 hypertension D. Stage 2 hypertension

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern. How should the nurse assess this child's respirations?

A. Respirations should be counted for 1 full minute, noticing rate and rhythm. B. Child's pulse and respirations should be simultaneously checked for 30 seconds. C. Child's respirations should be checked for a minimum of 5 minutes to identify any variations in his or her respiratory pattern. D. Patient's respirations should be counted for 15 seconds and then multiplied by 4 to obtain the number of respirations per minute.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A 75-year-old man with a history of hypertension was recently changed to a new antihypertensive drug. He reports feeling dizzy at times. How should the nurse evaluate his blood pressure?

A. Blood pressure and pulse should be recorded in the supine, sitting, and standing positions. B. The patient should be directed to walk around the room and his blood pressure assessed after this activity. C. Blood pressure and pulse are assessed at the beginning and at the end of the examination. D. Blood pressure is taken on the right arm and then 5 minutes later on the left arm.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse pays special attention to the danger signs for pigmented lesions and is concerned with which additional finding?

A. Color variation B. Border regularity C. Symmetry of lesions D. Diameter of less than 6 mm

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Nurselytic

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Vital Signs Assessment Chapter 7 Questions

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