Author Question: A patient with liver failure has been on the transplant waiting list for 8 months. The patient says ... (Read 113 times)

captainjonesify · **on:** Jul 19, 2018

A patient with liver failure has been on the transplant waiting list for 8 months. The patient says to the nurse, Why is it taking so long to have the surgery? Maybe I'm meant to die for all the bad things I've done.

The nurse should document the patient's comment in which section of the assessment?

a. Physical
b. Spiritual
c. Financial
d. Psychological

Question 2

A person with a fear of heights drives across a high bridge. Which division of the autonomic nervous system is stimulated in response to this experience?

a. Limbic system
b. Peripheral nervous system
c. Sympathetic nervous system
d. Parasympathetic nervous system

vish98 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
Stress can be evident in a person's spirituality. This patient's comment indicates questioning of one's place in the universe and consequences for wrongdoing, both of which are elements of spirituality. Stress can be related to psychologic, physical, or psychosocial well-being, but spirituality is the best answer.

Answer to Question 2

ANS: C
The autonomic nervous system is made up of the sympathetic (fight or flight response) and parasympathetic (relaxation response) nervous systems. In times of stress the sympathetic nervous system is stimulated. A person fearful of heights would experience stress associated with the experience of driving across a high bridge. The peripheral nervous system responds to messages from the sympathetic nervous system. The limbic system processes emotional responses but is not specifically part of the autonomic nervous system.