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Medical Surgical Nursing in Canada 3rd Edition Lewis Solutions Manual instant download all chapter
Medical Surgical Nursing in Canada 3rd Edition Lewis Solutions Manual instant download all chapter
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Lewis: Medical-Surgical Nursing in Canada, 3rd Edition
MULTIPLE CHOICE
1. B
Rationale: Stress results in increased sympathetic nervous system (SNS) activity. Increased
SNS stimulation affects cardiac function with an increased heart rate, stroke volume, and
cardiac output. The blood vessels are also affected by peripheral vasoconstriction. Increased
cardiac output and peripheral vasoconstriction lead to increased systolic blood pressure and
redistribution of blood to vital organs.
2. C
Rationale: Complementary and alternative therapies are commonly used as stress
management strategies. However, conventional medical therapy may still be necessary for
disease management. Patients should be instructed to only discontinue medications under the
advice of their health care provider.
3. B
Rationale: Relaxation strategies have been proven to be effective for stress-related disorders
such as chronic pain. The patient must be able to understand directions to learn how to use
the relaxation breathing technique.
4. D
Rationale: Imagery uses the mind to focus, integrate the senses, and induce physiological and
emotional changes as a means to reduce stress. Meditation is a practice of concentrated focus
and reflection to increase awareness, promote relaxation, and reduce stress. Listening to
calming music has been demonstrated to promote relaxation and stress reduction. Promoting
slow, deep breathing can be helpful in calming anxiety and reducing stress.
5. D
Rationale: Cognitive changes related to stress include self-reports of inability to make
decisions and forgetfulness. Physical responses to stress include increased heart rate and
blood pressure or insomnia and fatigue. Practising nurses and nursing students may
encounter high levels of stress. It is beneficial for nurses and nursing students to consider
appropriate healthy techniques to facilitate their ability to cope with stress.
Souvent femme varie, and the mind of Tzŭ Hsi never ran
consistently for long in the same groove. Anxious always as to her
popularity with all parties in the State, and with a view to adjusting
that nice equilibrium of conflicting forces which constituted the pride
of her statecraft and the strength of her rule, we find her next issuing
a Decree which set forth the principles by which she professed to be
guided. This Decree reflects a certain amount of anxiety and a doubt
as to whether the punishment inflicted on the leading reformers
might not be severely criticised by the outside world. Her Majesty
therefore decrees:—
Thus was Tzŭ Hsi established in her pride of place and thus were
sown the seeds of that great upheaval which was soon to shake the
Empire to its foundations.
XVI
THE GENESIS OF THE BOXER MOVEMENT
The history of the Boxers has been so fully written, and so many
excellent accounts given of the origins and contributing factors of the
movement, that any further reference to the matter may seem
superfluous. Nevertheless, the following extracts from a letter
addressed by Jung Lu to his friend Hsü Ying-kuei, the Viceroy of
Fukien, may throw some new light, not only on the causes of the
growth of the movement in Chihli but also on the character, private
opinions and political methods of the Empress Dowager’s favourite
and trusted adviser. It was written in the early part of July 1900.