Nurse’s note: Client body position slumped forward in chair, with head on bedside table, and no eye contact.

Client slow to verbally respond to Questions.

Vital signs noted, no change in condition at this time.

Denies any pain or discomfort at this time.

Requesting to speak to a chaplain at this time.

Which are included in the 5 stages of grief? (Select all that apply)

Repentance

Bargaining

Depression

Acceptance

Anger

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale
Repentance is not typically included in the five stages of grief as outlined by psychiatrist Elisabeth Kübler-Ross.
Choice B rationale
Bargaining is one of the five stages of grief. It often involves the individual making deals or promises to a higher power in an attempt to reverse or lessen the loss.
Choice C rationale
Depression is a stage of grief where the individual may experience intense feelings of sadness, hopelessness, and despair.
Choice D rationale
Acceptance is the final stage of grief, where the individual begins to accept the reality of their loss.
Choice E rationale
Anger is a stage of grief where the individual may feel intense anger towards the situation, themselves, or others.

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Correct Answer is C

Explanation

Choice A rationale
While the thickness of the tympanic membranes can indeed change with age, it typically increases rather than decreases. Thickening of the tympanic membranes can contribute to hearing loss by reducing the ability of the ear to transmit sound vibrations.
Choice B rationale
Tinnitus, or ringing in the ears, is not typically decreased in older adults. In fact, tinnitus is often more common in older individuals and can be a sign of age-related hearing loss.
Choice C rationale
A decreased ability to hear high-frequency sounds is a common physiological change associated with aging. This is often one of the first signs of age-related hearing loss.
Choice D rationale
Decreased ear wax is not typically associated with aging. In fact, some older adults may produce more ear wax, which can contribute to hearing problems if it becomes impacted.

A. A perceived stressor stimulates the central nervous system. B. The body remains alert, while blood pressure and heart rate return to pre-stress levels. C. Prolonged exposure to stress can result in illness. D. An increase in hormones causes an increase in blood pressure and heart rate.

Correct Answer is A

Explanation

Choice A rationale
The first physiological response that occurs during the General Adaptation Syndrome (GAS) is
the alarm reaction stage. This stage is the body’s initial response to stress, where the sympathetic nervous system is activated by the sudden release of hormones.
Choice B rationale
The body remaining alert while blood pressure and heart rate return to pre-stress levels is part of the resistance stage of GAS, not the first physiological response.
Choice C rationale
Prolonged exposure to stress resulting in illness is associated with the exhaustion stage of GAS, which is the final stage, not the first physiological response.
Choice D rationale
An increase in hormones causing an increase in blood pressure and heart rate is part of the alarm reaction stage, but it is not the first physiological response. The first response is the perception of a stressor that stimulates the central nervous system.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about physiological changes to hearing in older adult patients. Which of the following should the nurse include?

Correct Answer is C

Explanation

A nurse is teaching a class about the stages of the general adaptive syndrome (GAS). The nurse should include that which of the following is the first physiological response that occurs during GAS?

Correct Answer is A

Explanation

While assessing the breath sounds of a client with Parkinson’s disease, a nurse hears adventitious sounds. How should the client’s nutritional needs be met?

During a home visit to a hospice patient, the patient states, “I used to love eating strawberry ice cream, but with the dietary restrictions of my condition, I have not been able to have ice cream in years.”. How should the nurse respond?

A nurse is preparing to move a patient with left-sided weakness from a seated position in bed to a chair. What actions should the nurse take?

a nurse is caring for a patient who states, “I did not take my medication because my partner forgot to remind me.”. The nurse should identify that the patient is demonstrating which of the following defense mechanisms?

A nurse is conducting a class on stress. Which of the following would the nurse include as an example of acute stress?

A nurse is teaching a class about sources of stress. The nurse should include that which of the following is an example of a physiological stressor?

A nurse is teaching a client about the benefits of exercise. Which of the following information should the nurse include? (Select all that apply.)

A nurse is educating a group of senior citizens about the physiological changes that occur with aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.)