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Unit 5 Part One
Unit 5 Part One
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PRCC ADN program Level One Unit Five Test Study Guide
Flashcards
88 cards
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Practice quiz
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Questions
88
Answers
1
A nurse that attends the client during the surgical procedure.
postoperative
intraoperative
preoperative
interoperative
2
Repression is burying or forgetting painful thoughts, feelings, and memories.
False
True
3
The three coping strategies are adaptive coping, maladaptive coping, and coping strategies.
True
False
4
Occurs when there is a decreased amount of oxygen in the blood and can lead to hypoxia.
hyperventilation
diffusion
hypoxemia
hypoventilation
5
Rationalization is a logical sounding excuse to cover up or justify true ideas, actions, or feelings.
True
False
6
What type of stressor affects body structure or function?
situational
physiological
external
internal
7
In gas exchange, oxygen diffuses across the what into the blood of pulmonary capillaries?
pulmonary arteriole
alveolar-capillary membrane
capillary network on the surface of the alveoli
8
What is conversion in defense mechanism?
emotional conflict is changed into physical systems
internal conflict is changed into political systems
external conflict is changed into physcial systems
9
Can cause the arterial pH to increase and alkalosis to develop.
hyperventilation
hypoxia
ventilation
oxygenation
10
What factors affect ventilation?
respiratory rate and depth
oxygeation
vital signs
11
Preoperative teaching should include actions before, during, and after.
False
True
12
Who should we start with when following the chain of command?
the director
the charge nurse
CEO
the person you have the conflict with
13
Removing a cyst from the ovaries would be what kind of surgery?
cosmetic
paliative
ablative
reconstructive
14
Fight or flight is what stage?
resistance stage
exhaustion stage
alarm stage
15
Blaming others and pointing fingers is an example of what defense mechanism?
regression
repression
reaction formation
projection
16
What are external stressors that arise from work and family?
psychosocial
external
situational
internal
17
Self concept is one's overall view of oneself.
True
False
18
What is body image?
Mental image of your physical self
physical image of your mental self
19
What is distress?
anxiety
threatens health
a headache
20
What are the levels of anxiety?
maximum anxiety
panic anxiety
severe anxiety
moderate anxiety
intermediate anxiety
mild anxiety
21
What type of stressor is about your future, like an upcoming test?
situational
external
internal
anticipatory
22
Wears clothing and arranges hair and physical appearance to match those of another person. (defense mechanism)
association
identification
minimization
projection
23
What refers to how well the cells, tissues, and organs of the body are supplied with oxygen?
O2
Ventilation
Oxygenation
Respiration
24
Manifestations include confusion, irritability, restlessness, and intercostal retractions. Can lead to hypoxia.
hypoventilation
hyperventilation
hypoxemia
hypoxia
25
What stimulates breathing to get more oxygen into the lungs?
low CO2 levels
high CO2 levels
coughing
smoking
26
Maladaptive coping is unhealthy coping choices.
False
True
27
A diagnostic surgery is done to help make a diagnosis.
True
False
28
"Gas" is the General Adaptive Syndrome response by the whole body.
False
True
29
The dr talks to the patient about removal of polyps. What is the classification of urgency?
major
minor
elective
emergency
30
For resolution to a problem in a conflict, we should?
be assertive towards other person
treat others how we would want to be treated
be overly positive
31
Altering a stressor is what?
taking action to remove or change the stressor
taking action to encourage the stressor
32
What are the disadvantage of general anesthesia?
numbness
confusion
sore throat
nausea and vomiting
headache
shivering
33
What are four types of psychological responses to stress?
moderate
mild
high
panic
intermediate
severe
34
Manifestations of this is weakness, dizziness, headache, anxiety, increased heart rate, and difficulty breathing.
diffusion
hyperventilation
ventilation
diabetic ketoacidosis
35
What is "LAS"?
local adaptation stressor
local adaptation syndrome
light adaptation syndrome
36
The nurse has her arms crossed and not looking at the patient when they tell her what is wrong. This is being _______.
communication
closed off
open
37
The exchange of the gases oxygen and carbon dioxide in the lungs
respiration
ventilation
diffusion
perfusion
38
Staying away from events or situations are what type of defense mechanism?
avoidance
stressor
resistance
39
The alveoli are tiny air sacs that lets gasses pass back and forth between what for gas exchange?
bronchioles and bronchial tubes
trachea and the lungs
alveoli and capillaries
trachea and bronchioles
40
The body trying to cope and protect itself against stressors is what stage?
exhaustion stage
resistance stage
alarm stage
41
What type of stressor is worrying over not being able to get something done by a due date?
time
situational
external
internal
42
Which of these are complications from anesthesia?
UTI
diarrhea
vasomotor instability
respiratory depression
aspiration
cardiovascular problems
43
What would be an example of maladaptive coping?
resting
working too much
taking time off of work
self care
44
The person is aware of their feelings but acts in ways opposite to what they are really feeling (defense mechanism)
reaction formation
projection
regresion
repression
45
Patient having an artery bypass surgery is a minor surgery.
False
True
46
What is one of the most critical pt education to give a pt being discharged with home O2?
that it is ok to take oxygen off for a few hours at a time
to increase L/min if pt is struggling to breathe
to switch out the nasal cannula every 24 hours
that oxygen is highly flammable and should be nowhere near an open flame
47
Developmental stressors are stressors that can be predicted throughout stages.
True
False
48
Overcomes feelings of insecurity in a present situation is what type of defense mechanism? (Ex. eats a comfort food)
minimization
repression
regression
projection
49
__________ is changing one's thoughts or behaviors related to the stressor.
avoiding the stressor
altering the stressor
adapting to the stressor
50
The patient has been in MVA, and comes in with signs of hemorrhaging, what is the classification of urgency?
elective
minor
emergency
major
51
When is self concept formed?
when you were born
when you became a teenager
when you are little
as an adult
52
We should always support the other person through the resolution.
True
False
53
This surgery improves the appearance.
diagnostic
reconstructive
cosmetic
palliative
54
How you deal with stress is called an external stressor.
True
False
55
If a patient has hypothermia and is hemorrhaging post operation, this would be an example of what?
complications due to surgery
anemia
respiratory distress
aspiration
56
A wound debridement is considered?
diagnostic
resconstructive
palliative
cosmetic
57
Not acknowledging or accepting the significance of one's own behavior is what kind of defense mechanism?
regression
minimization
repression
projection
58
Which patients are at risk during surgery?
teenagers
older adults
young adults
toddlers
infants
59
"Anger is expressed by aggression when playing sports." Unacceptable drives, traits, or behaviors.
compensation
sublimation
avoidance
self concept
60
What is an example of displacement in defense mechanisms?
husband loses job, goes home to look for a new job
husband loses job, goes home and drinks alcohol
husband loses job, goes home and yells at wife
61
What tests does preoperative diagnostic testing include?
Glucose
CBC
UA
ECG
BUN
Hearing test
62
What are the preoperative nursing responsibilities?
setting patient up to sleep before surgery
labwork/tests
preassessment
feeding patient
oxygen set up
health history
63
The flow of air inside or outside of the alveoli. Oxygen is transported into the alveoli and CO2 is taken out.
diffusion
perfusion
respiration
ventilation
64
Blocking or avoiding feelings about a painful incident is what type of defense mechanism?
intellectualization
minimization
regression
repression
65
Refusing to acknowledge thoughts, feelings, desires, or impulses is what in defense mechanism?
anxiety
denial
resistance
66
A cosmetic surgery restores function.
False
True
67
What type of stress would the death of a family member be classified under?
mental
anxiety
external
internal
68
Local adaptation syndrome has two responses. What are they?
severe panic response
reflex brain response
fight or flight response
inflammatory response
69
The flow of blood by the cardiopulmonary system into the alveolar capillaries where deoxygenated blood is exchanged.
ventilation
perfusion
respiration
atelactasis
70
What type of stress is good and protective?
anxiety
distress
eustress
stressor
71
Making amends for a behavior one thinks is unacceptable to reduce guilt.
restituion
conversion
sublimation
regression
72
Sexually abused as a child, the patient describes the events as though the events happened to a sibling. (defense mech.)
dissociation
intellectualization
regression
rationilization
73
What is inhalation?
when the diaphragm and intercostal muscles relax
expansion of the chest cavity and lungs
the flow of air inside or outside of the alveoli
the exchange of the gases oxygen and carbon dioxide in the lungs
74
What type of stressor is unpredictable, like a natural disaster?
internal
situational
external
75
Nursing school is a type of stressor.
True
False
76
What are two stress-induced psychological responses?
headache
burnout
crisis
sleep
77
The body being unable to defend itself from diseases is what stage?
exhaustion stage
alarm stage
resistance stage
78
When the diaphragm and intercostal muscles relax, allowing the chest and lungs to return to their normal resting size.
inhalation
exhalation
diffusion
perfusion
79
What is CUS?
comfort
safety
system
uncomfortable
concerned
unity
80
Any disturbance in a person's normal balanced state.
stress
grief
anxiety
depression
81
Patient having an appendectomy outpatient is a minor surgery.
False
True
82
What are personal factors that influence adaptation?
height and weight
number of hours of sleep at night
age and life experiences
support system
83
Adaptive coping is what?
making healthy choices
making unhealthy choices
84
We promote a positive body image by talking down to others.
True
False
85
Below the expected level of oxygen in body tissue.
hypoxia
hypoventilation
hypoxemia
hyperventilation
86
Who can be a scrub nurse?
CNA
RN
secretary
circulating nurse
87
Rare/fatal metabolic reaction due to the use of muscle relaxants and inhalation of anesthetics.
hypovolemia
hypoxia
malignant hypothermia
malignant hyperthermia
88
Manifestations of this may include anxiety, dyspnea with exertion, confusion, disturbed sleep, weakness, and cough.
diffusion
perfusion
hypoxia
hypoventilation