Tuesday, July 10, 2012

Online Practice Test 19


Your Results for: "NCLEX® Review"

Site Title:
Kozier & Erb's Fundamentals of Nursing
Book Title:
Kozier & Erb's Fundamentals of Nursing
Location on Site:
Chapter 19 > NCLEX® Review
Date/Time Submitted:
July 10, 2012 at 2:35 PM (UTC/GMT)

Summary of Results

80% Correct of 10 Scored items:
8 Correct: 80%
2 Incorrect: 20%


1.

CorrectThrough the use of the nursing process, holistic health care rendered by nurses includes all but one of the stated activities: 

Your Answer:
Illness accentuation
 Objective: Describe concepts basic to alternative practices

Rationale: Holistic health care includes illness prevention, not accentuation, along with health education, health promotion, health maintenance, and restorative rehabilitative care.

Nursing Process: Implementation

Client Need: Safe, Effective Care Environment

Cognitive Level: Application

Strategy: Use nursing knowledge and the process of elimination to make a selection.

2.

CorrectHealing environments can be created by nurses with the use of:

Your Answer:
Holistic nursing practices
 Objective: Give examples of healing environments

Rationale: Healing environments can be created by the nurse when nursing care uses hands, heart, and mind to provide holistic care. Healing requires the individual to take an active part in the treatment process for disease. Curing implies that the person who offers the cure is active and the receiver is passive. Transpersonalizing therapy involves a sender and receiver who work together in the process. Prescription drugs may assist in the healing of a client not a healing environment.

Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive Level: Application

Strategy: Read question and prioritize nursing actions.

3.

CorrectThe relative health and well-being of the nurse in relation to helping patients constitutes a vital force in the healing process. A method that would be helpful to nurses in fostering their own health is:

Your Answer:
Clarify values and beliefs
 Objective: Develop a self-care plan using alternative practices.

Rationale: Clarifying and understanding personal beliefs aids in verifying action and consistency in life. Stress evokes negative physiological responses in the body, which could lead to illness. Working in isolation does not allow one to gain the perspectives and insights of others in a commonly shared experience.

Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive Level: Application

Strategy: Use nursing knowledge and the process of elimination to make a selection.

4.

CorrectMassage, acupressure, reflexology, and Reiki all share a common characteristic in how their therapeutic intervention is managed. This characteristic involves: 

Your Answer:
Touch therapy
 Objective: Identify the role of manual healing methods in health and illness.

Rationale: Touch may stimulate the production of healing-promoting chemicals by the immune system. Mind--body therapy mostly includes relaxation techniques that involve biofeedback, hypnosis, and counseling. Music therapy acts primarily through the sense of hearing. Meditation does not involve the use of touch.

Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive Level: Analysis

Strategy: Use nursing knowledge and the process of elimination to make a selection.

5.

CorrectThe nurse has been invited to talk to the Women's Guild in your community about the cautions of aromatherapy. Which of the following would be correctly presented to the audience? 

Your Answer:
The skin should always be tested for allergies by applying a small amount of oil to the area before treatment.
 Objective: Discuss how naturopathic medicine may be the model health care system of the future.

Rationale: Oils may be toxic or have elements that cause allergic response in some individuals. The essential oils used for aromatherapy are distilled from flowers, roots, bark, leaves, wood resins, and lemon/orange rinds. 300 messtial oils are currently used in this therapy and vary in quality. Many of the oils are kept away from sunlight and heat. Lastly, the issue of use of these products in pregnancy has no set answer and should be discussed with a physician.

Nursing Process: Implementation

Client Need: Safe, Effective Care Environment

Cognitive Level: Application

Strategy: Use nursing knowledge and the process of elimination to make a selection.

6.

CorrectHerbal products are very popular worldwide and in the United States for prevention and treatment of illness. It is believed that the health practitioner should:

Your Answer:
Study and include them in questions when taking a patient's history
 Objective: Explain how herbs are similar to many prescription drugs.

Rationale: The health practitioner should study and include them in questions when taking a patient's history.

Nursing Process: Implementation

Client Need: Safe, Effective Care Environment

Cognitive Level: Application

Strategy: Use nursing knowledge and the process of elimination to make a selection

7.

CorrectThe nurse has been asked to share information about music therapy with a group of high school students who are studying the effects of alternative treatment methods in health care. Which statement below most accurately reflects strength of this therapy?

Your Answer:
Music can serve as a vehicle for altering ordinary levels of consciousness to achieve the mind's fullest potential.
 Objective: Describe concepts basic to alternative practices

Rationale: Individuals can move through various stages of consciousness. Music therapy can be used in a variety of practice settings. Carefully selected music helps to restore regulatory functions that are out of tune during times of stress and illness. The right side of the brain regulates pitch, rhythm, style, and melody. Music does not need logic from the left side. However, this side may act dominantly in musicians. To benefit from music therapy, a person needs to integrate the functioning of both hemispheres of the brain.

Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive Level: Application

Strategy: Use nursing knowledge and the process of elimination to make a selection.

8.

CorrectA class project's objective is to prepare a speech on the functions of humor in nursing situations for students. Following the presentation, the nurse knows the message was understood by the participants when they respond that humor:

Your Answer:
Facilitates learning
 Objective: Discuss uses of animals, prayer, and humor as treatment modalities.

Rationale: Humor reduces the presenter's anxiety and gains the audience's attention, which facilitates learning. Humor decreases the social distance between persons, putting them at ease. Humor helps individuals act out impulses in a safe, non-threatening environment, thus releasing anger and aggression. Humor diminishes anxiety and fear, reducing tension and enabling the client to confront and deal with the situation.

Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive Level: Application

Strategy: Use nursing knowledge and the process of elimination to make a selection.

9.

IncorrectA nervous client scheduled for heart surgery the next day calls his pastor. During this conversation, he asks the pastor to pray for him. After completing the encounter, the client calmly says, "Now I know I'll be in good hands." This sense of calmness by the client can be explained through which of the following? 

Your Answer:
The action has increased his well-being.
Correct Answer:
The action has a questionable action on his well-being.
 Objective: Discuss uses of animals, prayer, and humor as treatment modalities.

Rationale: Research demonstrates inconclusive evidence on the impact of intercessory prayer on the well-being of others. There is no proof that the action has increased his well being, nor is there proof that the action has decreased his well being. The action has not assured him people will know he is sick. Therefore, the action has a questionable result on his well-being.

Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive Level: Analysis

Strategy: Use nursing knowledge and the process of elimination to make a selection.

10.

IncorrectChoose the appropriate mind-body therapies. (Select all that apply.)

Your Answer:
Yoga

Therapeutic touch and meditation

Music therapy
Correct Answers:
Yoga

Hypnosis

Music therapy
 Objective: Describe the goals that yoga, meditation, hypnotherapy, guided imagery, qigong, and T'ai chi have in common.

Rationale: Mind body therapies include: progressive relaxation, biofeedback, meditation, prayer, music therapy, humor and laughter, and hypnosis.

Nursing Process: Assessment

Client Need: Physiological Integrity

Cognitive Level: Analysis

Strategy: Use nursing knowledge and the process of elimination to make a selection.


Objective: Describe the goals that yoga, meditation, hypnotherapy, guided imagery, qigong, and T'ai chi have in common.

Rationale: Mind body therapies include: progressive relaxation, biofeedback, meditation, prayer, music therapy, humor and laughter, and hypnosis.

Nursing Process: Assessment

Client Need: Physiological Integrity

Cognitive Level: Analysis

Strategy: Use nursing knowledge and the process of elimination to make a selection.

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