George is a junior college student. Recently he has felt anxious and jittery. He decides that he will swim during his lunch hour. After several days he notices a decrease in feeling anxious. What type of stress management did George use?

Correct Answer: A

Rationale: The correct answer is A: Exercise. George used exercise as a stress management technique. Swimming during his lunch hour helped him reduce his anxiety and jitteriness. Exercise is known to release endorphins, which are chemicals in the brain that act as natural painkillers and mood elevators. It also helps in reducing stress hormones like cortisol. By engaging in physical activity, George was able to alleviate his feelings of anxiety. Summary: - Choice B: Deep breathing focuses on controlling breathing patterns to reduce stress, but it was not mentioned in the scenario that George used this technique. - Choice C: Guided imagery involves visualizing calming and peaceful images to reduce stress, which was not mentioned in George's case. - Choice D: Progressive muscle relaxation involves tensing and relaxing different muscle groups to reduce stress, but George did not use this technique as mentioned in the scenario.

Correct Answer: D

Rationale: The correct answer is D. Holding her hand, sitting with her, and listening best depicts the "Caring" aspect of SENC (Systematic Empathetic Nursing Communication). This action shows empathy, presence, and active listening, which are crucial in supporting the patient emotionally. It allows the patient to express her feelings and concerns freely. A: Calling the parents back may provide support, but it doesn't directly address the patient's emotional needs. B: Suggesting the Chaplain can help is important, but in this scenario, direct emotional support from the nurse is essential. C: Crying with the client may not be appropriate as it can escalate the patient's emotions and blur professional boundaries.

Correct Answer: D

Rationale: The correct answer is D: Quantitative research. This method emphasizes collecting numerical data and analysis to draw conclusions. It involves using statistical tools to quantify data and generalize results. Basic research (A) focuses on expanding knowledge, while applied research (B) aims to solve practical problems. Qualitative research (C) gathers non-numerical data for in-depth understanding. By choosing quantitative research, the nurse researcher can objectively measure and analyze data to address research questions effectively.

Correct Answer: A

Rationale: The correct answer is A: Pale, cool skin. In terminally ill clients, the body's circulation decreases, leading to reduced blood flow to the skin, resulting in pale, cool skin. This is a common sign that the client is in the dying process. Irregular heart rate (B) and decreased urine output (D) can be present in the dying process but are not specific enough to definitively indicate imminent death. Strong, bounding pulse (C) is actually more indicative of good circulation and would not typically be seen in a client who is actively dying.

Correct Answer: B

Rationale: The correct answer is B: Presbyopia. As people age, the lens of the eye loses its flexibility, making it harder to focus on close objects. This condition is known as presbyopia, which is a common age-related change. Myopia (choice A) is nearsightedness and can affect individuals of any age. Strabismus (choice C) is a misalignment of the eyes, not directly related to aging. Astigmatism (choice D) is a refractive error caused by an irregularly shaped cornea, which can occur at any age. Therefore, the visual finding associated with aging is presbyopia due to the natural aging process affecting the lens flexibility.