You teach Mr. R’s sister about important precautions associated with a new prescription. Afterward, she accurately summarizes major self-management strategies associated with this drug. Which step of the nursing process applies to her summarization?

Correct Answer: D

Rationale: The correct answer is D: Evaluation. Evaluation is the step in the nursing process where the nurse assesses the client's response to interventions and determines if the goals and outcomes have been met. In this scenario, the sister's accurate summarization of major self-management strategies shows that she understood the information provided by the nurse, which indicates successful teaching. This aligns with the evaluation step as it involves determining the effectiveness of the teaching intervention. Choice A: Assessment is incorrect because assessment involves collecting data about the client's health status, which is not demonstrated by the sister's summarization. Choice B: Analysis is incorrect as it involves interpreting and synthesizing data, which is not the focus of the sister's summarization. Choice C: Planning/outcomes identification is incorrect as it involves setting goals and outcomes, which have already been done prior to the sister's summarization.

Correct Answer: A

Rationale: The correct answer is A (Blood pressure) because monitoring blood pressure is essential in assessing the fight-or-flight response. During this response, the body releases stress hormones that can increase blood pressure. Heart rate (B) and respiratory rate (C) are also affected by the fight-or-flight response but are not as specific indicators as blood pressure. Abdominal pain (D) is not directly related to monitoring the fight-or-flight response.

Correct Answer: C

Rationale: The correct answer is C because mindfulness involves focusing on the present moment without judgment. This helps individuals become aware of their thoughts, emotions, and surroundings. It encourages them to be fully engaged in each moment, leading to reduced stress and anxiety. Choice A involves meditation techniques, not mindfulness. Choice B describes progressive muscle relaxation, a different stress-relief technique. Choice D is unrelated to mindfulness, focusing on memory rather than present awareness. Overall, Choice C best aligns with the concept and practice of mindfulness.

Correct Answer: A

Rationale: The correct answer is A: Maternal stress. Maternal stress during pregnancy can affect the unborn child's development, potentially leading to high-risk behavior in the future. Research shows that exposure to abuse and stress during pregnancy can impact the child's neurological and hormonal development, increasing the likelihood of engaging in risky behaviors as a teenager. This is because stress hormones can cross the placenta, affecting the baby's brain development. Summary: - Choice B (Parental nurturing) is incorrect because the question specifically mentions abuse, which is not nurturing behavior. - Choice C (Appropriate stress responses in the brain) is incorrect as it does not address the negative impact of maternal stress during pregnancy on the child's behavior. - Choice D (Memories of the abuse) is incorrect as the unborn child does not have memories of the abuse, but rather experiences the effects of maternal stress during pregnancy.

Correct Answer: C

Rationale: The correct answer is C because the patient's history with their parents often influences their relationships and interactions with authority figures, such as nurses. Patients may transfer feelings, behaviors, and expectations from past experiences with parents onto nurses. This can result in nurse-focused transference. Choices A, B, and D are incorrect because transference is primarily based on unconscious feelings and past experiences, not necessarily on similarities to disliked individuals, diagnosed mental illness, or authority levels.