The nurse is consulting with a client who verbalizes extreme stress. When the nurse asks the client how life is, which response represents hardiness in character?

"Life is challenging. I take it as it comes."

"I am making it through and just barely holding on."

"I am not able to juggle all of the balls of life."

"What can you do, it is what it is."

Answer and Explanation

The Correct Answer is A

A. "Life is challenging. I take it as it comes.": This statement reflects psychological hardiness — a resilience trait marked by commitment, control, and seeing stress as a challenge rather than a threat. It shows adaptive coping and a proactive mindset in facing life’s difficulties.
B. "I am making it through and just barely holding on.": This response indicates high stress and limited coping capacity. It suggests the person is overwhelmed, which is inconsistent with hardiness, which involves confidence in managing stress.
C. "I am not able to juggle all of the balls of life.": This reflects perceived helplessness and difficulty managing life's demands. It lacks the sense of control and adaptability associated with a hardy personality.
D. "What can you do, it is what it is.": While this may seem like acceptance, it reflects resignation more than resilience. A hardy individual typically views stressors as manageable and worth engaging with, not passively accepted.

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Correct Answer is B

Explanation

A. Respiratory rate of 16 breaths/minute: A normal respiratory rate does not reflect the body's compensatory response to anemia. In moderate to severe anemia, the body typically increases respiratory effort to improve oxygen delivery.
B. Heart rate of 120 beats/minute: Tachycardia is a common compensatory mechanism in anemia. With reduced hemoglobin and oxygen-carrying capacity, the heart pumps faster to maintain adequate oxygen delivery to tissues.
C. Oxygen saturation of 95%: Oxygen saturation measures the percentage of hemoglobin saturated with oxygen, not the actual amount of hemoglobin. A normal reading can still occur despite overall reduced oxygen-carrying capacity.
D. Blood pressure of 140/90 mm Hg: This elevated blood pressure may be unrelated to anemia. Anemia often causes a drop in blood pressure or no significant change, depending on severity and fluid status.

A. "What brought you to the emergency department today?" B. "When was the last time you had any nausea or heartburn?" C. "Did you have any common childhood diseases?" D. "Have you ever had a close family member die unexpectedly?"

Correct Answer is D

Explanation

A. "What brought you to the emergency department today?": This is a general intake question that helps determine the current complaint but does not specifically screen for risk factors or history of cardiomyopathy.
B. "When was the last time you had any nausea or heartburn?": These symptoms may relate to gastrointestinal or cardiac concerns but are nonspecific and not directly used to screen for cardiomyopathy.
C. "Did you have any common childhood diseases?": While relevant in some cases, childhood illnesses are not typically a key factor in identifying familial or inherited forms of cardiomyopathy.
D. "Have you ever had a close family member die unexpectedly?": Sudden cardiac death in a family member can be a red flag for inherited forms of cardiomyopathy, such as hypertrophic cardiomyopathy. This is a critical screening question to assess genetic risk.

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The nurse is consulting with a client who verbalizes extreme stress. When the nurse asks the client how life is, which response represents hardiness in character?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When obtaining vital signs from a client who has reduced erythrocyte production and a hemoglobin level of 8.2 g/dL what results would be indicative of these lab studies?

Correct Answer is B

Explanation

Which common assessment question does the nurse use when admitting all clients that helps to screen for cardiomyopathy?

Correct Answer is D

Explanation

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