Two clients have been in a similar motor vehicle accident, and have similar injuries. The nurse observes each client's different responses to this stressor. The nurse understands that the degree of stress each client experiences from the crash may be influenced by their: (SELECT ALL THAT APPLY)

health status prior to the accident.

different ages.

external resources.

individual problem-solving skills.

personalities.

Answer and Explanation

Correct Answer : A,B,C,D,E

A. The health status prior to the accident can influence how individuals respond to stress. Clients with pre-existing medical conditions, chronic pain, or disabilities may experience increased stress due to concerns about exacerbation of their conditions, recovery, or long-term consequences. Therefore, health status prior to the accident can impact the degree of stress experienced.
B. Age can influence individuals' coping mechanisms and resilience in response to stress. Younger individuals may have less life experience and coping skills, while older individuals may have accumulated more experience and developed better coping strategies over time. Additionally, age-related factors such as physical resilience and social support networks can affect how individuals respond to stressors. Therefore, different ages can influence the degree of stress experienced.
C. External resources such as social support networks, access to healthcare, financial stability, and community resources can significantly impact individuals' ability to cope with stress. Clients with strong support systems, adequate access to medical care, and financial security may experience lower levels of stress compared to those lacking these resources. Therefore, external resources can influence the degree of stress experienced.
D. Individual problem-solving skills play a crucial role in how individuals perceive and manage stressful situations. Clients with strong problem-solving skills may feel more confident in their ability to address challenges and may experience lower levels of stress. Conversely, clients with limited problem-solving skills may feel overwhelmed and experience higher levels of stress. Therefore, individual problem- solving skills can influence the degree of stress experienced.
E. Personality traits such as resilience, optimism, neuroticism, and coping styles can impact how individuals respond to stressors. For example, individuals with resilient personalities and positive coping styles may adapt more effectively to stressors and experience lower levels of stress. Conversely, individuals with neurotic personalities or maladaptive coping styles may be more prone to experiencing heightened stress levels. Therefore, personalities can influence the degree of stress experienced.

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Correct Answer is A

Explanation

A. Gradual tapering of benzodiazepines under medical supervision is recommended to minimize withdrawal symptoms and rebound insomnia. The client should continue taking the medication as prescribed while discussing a tapering plan with their physician.
B. Abruptly stopping benzodiazepines can lead to withdrawal symptoms, including rebound insomnia, anxiety, agitation, and even seizures. Planning to stop medication on a specific day without medical guidance can increase the risk of withdrawal symptoms occurring during the workweek.

C. While it may be challenging to sleep without benzodiazepines initially, continued use can lead to dependence and tolerance, making it even more challenging to discontinue them in the future. Gradual tapering under medical supervision is the preferred approach.
D. Antihistamines are not typically used as substitutes for benzodiazepines in managing insomnia. Additionally, abruptly stopping benzodiazepines and switching to another medication without medical guidance can lead to withdrawal symptoms and inadequate management of insomnia.

A. central lines have a lower risk of sepsis than peripheral sites. B. patency can be confirmed with a normal saline flush unlike peripheral IV catheters. C. placement can be performed with medical aseptic technique. D. fluids & medications that may be irritating to peripheral veins can be given.

Correct Answer is D

Explanation

D. fluids and medications that may be irritating to peripheral veins can be given through a central venous access device (CVAD). CVADs are beneficial because they allow for the administration of vesicants, irritant solutions, or large volumes of fluid that could damage smaller, peripheral veins. They also provide reliable venous access for patients who are critically ill, have poor venous access, or require long-term medication treatment, such as for pain, infection, cancer, or to supply nutrition.
A. While central lines do have a risk of sepsis, it is not necessarily lower than peripheral sites
B. Patency confirmation methods are not exclusive to CVADs and are also applicable to peripheral IV catheters.
C. Both placement and maintenance require strict aseptic techniques to minimize the risk of infection.

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Two clients have been in a similar motor vehicle accident, and have similar injuries. The nurse observes each client's different responses to this stressor. The nurse understands that the degree of stress each client experiences from the crash may be influenced by their: (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has been taking benzodiazepine sedative every night for two weeks wishes to stop taking them now. The nurse advises the client to:

Correct Answer is A

Explanation

The nurse knows that an advantage of using a central venous access device is that:

Correct Answer is D

Explanation

The nurse identifies which client to be at risk for developing metabolic alkalosis? The client who:

The home care nurse is assessing a client's abdomen 4 weeks after a colostomy in the descending colon was created. What are the expected findings of the a healthy client's abdominal assessment? (SELECT ALL THAT APPLY)

A client requires an IV antibiotic piggyback. The nurse understands that the primary IV solution with gravity flow tubing needs to be hung:

A client requires a type of therapy for the preservation, enhancement, or restoration of movement. Which abbreviation would describe this type of discipline?

The nurse assessing a client's intravenous catheter site suspects a phlebitis based on which clinical findings?

A client will require IV antibiotics for several weeks. Which venous access device would be most appropriate to be used for this client?

A nurse is administering medications to a client receiving tube feedings through a gastrostomy tube. The correct procedure for administration is to: (SELECT ALL THAT APPLY)

The nurse is performing post-mortem care on a client who has just died. What nursing care should be given priority?