Chapter 42 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 42 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The nurse elects to use a scale of stressful life events to assess the level of a newly admitted client’s stress. How should the nurse explain the use of this scale to the client?

1. “We will consider only the negative life events that have happened to you recently.”
2. “You should try to remember any stressful event that has occurred to you in the last 10 years to include in the scale.”
3. “This scale will give us a definite stress level number that can be used to compare your stress to that of others your age.”
4. “This scale will give us some idea about your stress related to both positive and negative recent events in your life.”

Correct Answer: 4

Rationale 1: The scales take into consideration both positive and negative events.

Rationale 2: Stress scales focus on recently occurring events.

Rationale 3: The scales are only an idea of stress level because each individual reacts to stressful events differently.

Rationale 4: Stress scales are useful to give the client and others an idea of the amount of stress that both positive and negative recent life events have placed on the client.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 7. Identify essential aspects of assessing a client’s stress and coping patterns.

MNL Learning Outcome: 2.2.4. Examine the components of stress and coping strategies and the associated nursing care.

Page Number: 973

Question 2

Type: MCSA

The client has just received news of the death of a relative. Over the next few hours, what physiologic response should the nurse attribute to the shock phase of the alarm reaction caused by the stress of this event?

1. Drop in blood pressure from 130/80 to 120/75
2. A more bounding pulse
3. Slight increase in urine output
4. Some decrease in oxygen saturation

Correct Answer: 2

Rationale 1: Blood pressure rises in response to angiotensin production.

Rationale 2: During this shock phase, the sympathetic nervous system is stimulated, resulting in increased myocardial contractility, which would be reflected in the client as a bounding pulse.

Rationale 3: Norepinephrine release decreases blood flow to the kidney, which could make urine output decrease.

Rationale 4: The bronchial tree dilates, allowing more oxygen intake that would result in increased oxygen saturation.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3. Identify physiological, psychological, and cognitive indicators of stress.

MNL Learning Outcome: 2.2.4. Examine the components of stress and coping strategies and the associated nursing care.

Page Number: 973

Question 3

Type: MCSA

The nursing student admits to being mildly anxious about an upcoming examination. What is the likely result of this level of anxiety?

1. The student’s perception and learning is enhanced.
2. The student’s attention is focused solely on studying for the examination.
3. The student’s only topic of conversation is the examination.
4. The student cannot talk about the examination without crying.

Correct Answer: 1

Rationale 1: With mild anxiety, the student’s perception and learning will be enhanced.

Rationale 2: Focusing only on studying for the examination would indicate a moderate anxiety level.

Rationale 3: Severe anxiety is the level at which the examination would consume all of the student’s energy.

Rationale 4: Panic is the state in which the student might lose control of emotions regarding the examination.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3. Identify physiological, psychological, and cognitive indicators of stress.

MNL Learning Outcome: 2.2.4. Examine the components of stress and coping strategies and the associated nursing care.

Page Number: 975