Week 11 Flashcards
The nurse recognises that older adults may have a different response to stress than do younger adults. For the older adult, the nurse is aware that:
Select one:
a. psychosocial factors pose the greatest threats
b. None of the above are correct
c. losses are more stress-provoking
d. anxiety disorders are most prevalent
e. timing of stress-inducing events is not significant
The nurse recognises that older adults may have a different response to stress than do younger adults. For the older adult, the nurse is aware that:
Select one:
a. psychosocial factors pose the greatest threats
b. None of the above are correct
c. losses are more stress-provoking
d. anxiety disorders are most prevalent*
e. timing of stress-inducing events is not significant
Which scenario best illustrates family-focused care?
Select one:
a. Withholding information on the prognosis of a 32-year-old patient with AIDS and pneumonia against his wishes to avoid distressing the family.
b. Restricting visiting hours for a critically ill father of five.
c. Involving children in the care of their terminally ill mother.
d. Speaking to only one family member of a large Greek family so he can convey information to the rest of the family.
e. The family ahs the right to over-rule any decisions of their love-one that they don’t agree with
Which scenario best illustrates family-focused care?
Select one:
a. Withholding information on the prognosis of a 32-year-old patient with AIDS and pneumonia against his wishes to avoid distressing the family.
b. Restricting visiting hours for a critically ill father of five.
c. Involving children in the care of their terminally ill mother.*
d. Speaking to only one family member of a large Greek family so he can convey information to the rest of the family.
e. The family ahs the right to over-rule any decisions of their love-one that they don’t agree with
Why should the patient’s blood glucose level generally be assessed before meals?
Select one:
a. The patient is more sleepy and the test will cause less pain
b. Because night staff have more time
c. Ingestion of carbs increases the glucose level of the blood (affects the accuracy of the reading)
d. Because then the patient can eat straight away
e. The pancreas releases more insulin over night and therefore this reading is the most accurate
Why should the patient’s blood glucose level generally be assessed before meals?
Select one:
a. The patient is more sleepy and the test will cause less pain
b. Because night staff have more time
c. Ingestion of carbs increases the glucose level of the blood (affects the accuracy of the reading)*
d. Because then the patient can eat straight away
e. The pancreas releases more insulin over night and therefore this reading is the most accurate
Which of the following statements reflects the correct interpretation of the effect of age on coping strategies?
Select one:
a. ‘The young adult generally handles stress more effectively than does the older adult.’
b. ‘Life provides older adults with more opportunities to effectively manage their stressful events.’
c. ‘Children appear to be less aware of stressors in their lives and so are less negatively affected by them.’
d. None of the above
e. ‘Stress is evident in everyone’s life and we all learn to cope with it regardless of our age or life experiences.’
Which of the following statements reflects the correct interpretation of the effect of age on coping strategies?
Select one:
a. ‘The young adult generally handles stress more effectively than does the older adult.’
b. ‘Life provides older adults with more opportunities to effectively manage their stressful events.’
c. ‘Children appear to be less aware of stressors in their lives and so are less negatively affected by them.’
d. None of the above
e. ‘Stress is evident in everyone’s life and we all learn to cope with it regardless of our age or life experiences.’*
A school-aged child has just been diagnosed with juvenile diabetes. The child is very angry about the new disease. Which of the following statements is most appropriate for the nurse counsellor working with this client?
Select one:
a. ‘You learn quickly and will probably handle the difficult treatments very well.’
b. ‘It is all right to be angry with your friends, but try not to be angry with your parents.’
c. ‘Try not to be angry because you are receiving the best care possible.’
d. Come on, let me show you how to measure you blood sugar levels
e. ‘You appear upset about the diagnosis. Let’s talk about your feelings.’
A school-aged child has just been diagnosed with juvenile diabetes. The child is very angry about the new disease. Which of the following statements is most appropriate for the nurse counsellor working with this client?
Select one:
a. ‘You learn quickly and will probably handle the difficult treatments very well.’
b. ‘It is all right to be angry with your friends, but try not to be angry with your parents.’
c. ‘Try not to be angry because you are receiving the best care possible.’
d. Come on, let me show you how to measure you blood sugar levels
e. ‘You appear upset about the diagnosis. Let’s talk about your feelings.’*
According to Diabetes Australia the targetted average fasting BGL is: Select one: a. 4-8mmol/L b. 3 - 5mmol/L c. 4-6mmol/L d. There is no such target
According to Diabetes Australia the targetted average fasting BGL is: Select one: a. 4-8mmol/L b. 3 - 5mmol/L c. 4-6mmol/L* d. There is no such target
A nurse has recently been employed in a long-term care facility and must learn gerontological principles related to families. Which one of the following is one of those principles?
Select one:
a. The caregivers are often not members of the family.
b. Role reversal is usually expected and well accepted by the elderly patient.
c. Members of later-life families do not have to work on developmental tasks.
d. The social support systems of the elderly and the young are likely the same
e. Social support systems are likely to be different from those of patients in younger age groups.
A nurse has recently been employed in a long-term care facility and must learn gerontological principles related to families. Which one of the following is one of those principles?
Select one:
a. The caregivers are often not members of the family.
b. Role reversal is usually expected and well accepted by the elderly patient.
c. Members of later-life families do not have to work on developmental tasks.
d. The social support systems of the elderly and the young are likely the same
e. Social support systems are likely to be different from those of patients in younger age groups.*
The nurse is working with a patient who is manifesting behaviours that are consistent with an altered self-concept. The nurse has observed that the patient maintains:
Select one:
a. a passive attitude
b. an interest in the surroundings
c. independence in self-care
d. frequent eye contact
e. A refusal to participate in conversation
The nurse is working with a patient who is manifesting behaviours that are consistent with an altered self-concept. The nurse has observed that the patient maintains:
Select one:
a. a passive attitude*
b. an interest in the surroundings
c. independence in self-care
d. frequent eye contact
e. A refusal to participate in conversation
You are the community nurse visiting a client with a new colostomy. He is very anxious, and will not leave the house. What would be the best response?
Select one:
a. ‘People will not notice anything different when they see you.’
b. ‘Would you like your wife to go out with you?’
c. ‘You will feel better if you go out.’
d. ‘How do you feel about the change to your body?’
e. What’s the problem, at least you are alive
You are the community nurse visiting a client with a new colostomy. He is very anxious, and will not leave the house. What would be the best response?
Select one:
a. ‘People will not notice anything different when they see you.’
b. ‘Would you like your wife to go out with you?’
c. ‘You will feel better if you go out.’
d. ‘How do you feel about the change to your body?’*
e. What’s the problem, at least you are alive
A recently divorced woman comes to the clinic. She has custody of her two teenagers and is an established lawyer. She states, ‘I can’t keep working so hard and raise my children the way I would like.’ This is an example of: Select one: a. role conflict b. role strain c. role ambiguity d. role-role issues e. gender role stereotype
A recently divorced woman comes to the clinic. She has custody of her two teenagers and is an established lawyer. She states, ‘I can’t keep working so hard and raise my children the way I would like.’ This is an example of: Select one: a. role conflict* b. role strain c. role ambiguity d. role-role issues e. gender role stereotype
While writing the end-of-shift report, a nurse notes that a patient had been very nervous and preoccupied during the evening and that no family had visited. To determine the amount of anxiety that the patient is experiencing, the nurse should ask:
Select one:
a. ‘You seem worried about something. Would it help to talk about it?’
b. ‘How serious do you think your illness is?’
c. Hey whatsup?
d. ‘Would you like me to call a family member to come and support you?’
e. ‘Would you like to go down the hall and talk to another patient who had the same surgery?’
While writing the end-of-shift report, a nurse notes that a patient had been very nervous and preoccupied during the evening and that no family had visited. To determine the amount of anxiety that the patient is experiencing, the nurse should ask:
Select one:
a. ‘You seem worried about something. Would it help to talk about it?’*
b. ‘How serious do you think your illness is?’
c. Hey whatsup?
d. ‘Would you like me to call a family member to come and support you?’
e. ‘Would you like to go down the hall and talk to another patient who had the same surgery?’
