PATIENT CARE STUDY
- a.On a scale of 1 to 10, with 10 being most able to
control this situation, how would you rate your-
self at this time? What does that number mean
to you?
b.Who do you talk to when you feel sad or
nervous?
c. What has helped you handle stressful situations
in the past? (Also, see samples of questions in
text.)
2.Heart palpitations, dry mouth, difficulty breathing,
increased perspiration, nausea, tremors, increased
pulse rate, increased blood pressure, crying, sleep
disturbances, eating disturbances. - a.Anxiety related to multiple stressors occurring in
relatively short period of time
b.Altered Thought Processes related to severe anxi-
ety
c. Risk for Altered Nutrition: Less Than Body
Requirements related to decreased food intake
d.Risk for Social Isolation related to perceived need
to be family caregiver - a.Verbalize a decrease in anxiety with increased
feelings of comfort.
b.Develop effective coping skills through problem-
solving and anxiety-reducing techniques.
c. Maintain or slightly increase body weight.
d.Actively participate in at least one social activity
outside the home each week.
5.A crisis occurs when previous coping and defense
mechanisms are no longer effective. This failure
causes high levels of anxiety, disorganized behavior,
and an inability to function adequately.
6.Identify the problem, list alternatives, choose from
among alternatives, implement a plan, and evaluate
the outcome.
7.Exercise: Exercise helps maintain physical and emo-
tional health; it also improves ability to cope with
stressors. Recommend an exercise program of 30 to
45 minutes of enjoyable exercise three or four times
a week.
Rest and sleep: Rest and sleep restore energy levels
and provide insulation against stress. Relaxation
techniques are often helpful in inducing sleep.
Nutrition: Nutrition plays an active role in increas-
ing resistance to stress. Follow recommended
guidelines for amounts and types of foods to
eat. (See Chapter 36 for more information about
nutrition.)
8.Mrs. Brent will meet expected outcomes if she
verbalizes the causes of stress and anxiety, identifies
and uses sources of support, uses problem-solving
techniques to reduce the number of stressors,
practices healthy lifestyle habits, and verbalizes
a decrease in anxiety and an increase in comfort.
CHAPTER 43
PRACTICING FOR NCLEX
MULTIPLE CHOICE QUESTIONS
1.c 2.d 3.b 4.c 5.a
6.d 7.b 8.a
ALTERNATE-FORMAT QUESTIONS
Multiple Response Questions
1.a, b, d
2.a, c, f
3.c, e, f
4.a, c, d
5.a, d, e, f
6.b, d, e, fDEVELOPING YOUR KNOWLEDGE BASE
FILL-IN-THE-BLANKS
1.Perceived
2.Bereavement
3.Outcome
4.Dysfunctional
5.Irreversible cessation of all functions of the entire
brain, including the brainstem
6.Palliative
MATCHING EXERCISES
1.h 2.e 3.a 4.g 5.b
6.d 7.c 8.d 9.a 10.e
11.b 12.c 13.f
CORRECT THE FALSE STATEMENTS
1.False—unresolved grief
2.False—anger
3.True
4.False—durable power of attorney for healthcare
5.True
6.False—no-code or do-not-resuscitate
7.True
8.False—mortician
9.False—nurse
SHORT ANSWER- a.Care of the body: Place body in normal
anatomic position; remove soiled dressings and
tubes (unless an autopsy is being performed);
place ID tags on shroud, ankle, and prostheses.
b.Care of the family: Be an attentive listener;
attend funeral (if family permits); make follow-
up call to assess family’s well-being.
c. Discharging legal responsibilities: Ensure death
certificate has been signed by physician; review
organ donation arrangements. - a.Denial and isolation: The patient denies that he
or she will die, may repress what is discussed,
and may isolate self from reality.
b.Anger: The patient expresses rage and hostility
and adopts a “why me?” attitude.
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:414 ANSWER KEY
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