The patient is overwhelmed by the stresses of being a spouse, new parent, and full-time employee. The nurse encourages the patient to use a housekeeper, babysitter, friends, or relatives to help reduce personal responsibilities and obligations. Which stress-relieving technique was recommended for the patient?

Assertiveness training

Mindfulness stress reduction

Progressive muscle relaxation

Engaging support systems

Answer and Explanation

The Correct Answer is D

A. Assertiveness training:
Assertiveness training helps individuals express themselves directly and respectfully but does not directly address reducing responsibilities.

B. Mindfulness stress reduction:
Mindfulness involves present-moment awareness but does not involve asking others for help or using support systems.

C. Progressive muscle relaxation:
This is a relaxation technique involving tensing and releasing muscles, unrelated to delegating tasks.

D. Engaging support systems:
Using external help (housekeeper, babysitter, etc.) Is an example of engaging support systems to manage stress more effectively.

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Correct Answer is B

Explanation

A. An 11-year-old student
This age falls under industry vs. inferiority (Erikson’s developmental stages).

B. A 5-year-old kindergarten student
Initiative vs. guilt (ages 3–6 years) is when children begin asserting control through play and social interactions.

C. A 3-week-old neonate
Trust vs. mistrust stage (birth to 1 year).

D. A 15-year-old high school student
Identity vs. role confusion stage (12–18 years).

A. A client who has a new diagnosis of COPD and requires supplemental oxygen. B. A client who has type 1 diabetes mellitus and is on an insulin pump. C. A client who has end-stage kidney disease and has stopped dialysis. D. A client who has stage IV breast cancer and is expected to live 3 months. E. A client who has terminal lung cancer and has discontinued all treatment.

Correct Answer is ["C","D","E"]

Explanation

A. A client who has a new diagnosis of COPD and requires supplemental oxygen: COPD is chronic but not necessarily terminal at the early stage.

B. A client who has type 1 diabetes mellitus and is on an insulin pump: Diabetes is a chronic condition but not a terminal illness by itself.

C. A client who has end-stage kidney disease and has stopped dialysis: Stopping dialysis in ESRD indicates a terminal condition suitable for hospice.

D. A client who has stage IV breast cancer and is expected to live 3 months: Hospice care is appropriate for clients with a life expectancy of 6 months or less.

E. A client who has terminal lung cancer and has discontinued all treatment: Discontinuing treatment in the setting of terminal illness supports hospice eligibility.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who is dealing with the developmental task known as initiative versus guilt. The nurse is providing care to which patient?

Correct Answer is B

Explanation

A nurse is caring for a group of clients. Which of the following clients is eligible for hospice care? (Select All that Apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse in a long-term care facility is caring for an older adult client who is anxious and has trouble sleeping at night. Which of the following nursing measures should the nurse implement?

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The physician orders amikacin 650mg IM. Use LABEL #3 to determine how many milliliters (mL) the nurse should administer.

A young child begins wetting the bed again after the parents bring home a new baby sister. Which ego-defense mechanism is used by the child?

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A nurse is assisting with teaching a class about physical manifestations associated with the fight-or-flight response to stress. Which of the following manifestations should the nurse includer

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The physician orders magnesium sulfate 1g. The magnesium is dissolved in 150 ml. bag, to be infused over 60 minutes. What is the ml/hr that the drug should be infused? (LABEL CORRECTLY USE UPPER CASE LETTERS, ROUND TO WHOLE NUMBER TO RECEIVE CREDIT).