Coping

A nurse is assessing a client's coping after a recent stressful life event. Which of the following questions best assists the nurse in assessing the client's level of coping?

"Are you having difficulty sleeping?

The mother of a 38-year-old female recently died due to complications from surgery which required an unexpected colostomy. After her mother's death, the daughter exhibits an intellectualized defense mechanism. Which statement represents this?

"My mother would have never wanted to live with a colostomy."

The nurse is conducting an initial assessment of a client in crisis. When assessing the client perception of the precipitating event that led to the crisis, which is the most appropriate question?​

"What leads you to seek help now?"

After a healthcare provider has informed a client that they have colon cancer, the nurse enters the room to find the client gazing out the window in thought. The nurse's first response is which of the following?​

"Would you like for me to sit down with you for a few minutes so you can talk about this?"

When a nurse conducts an assessment about how a client is coping, data often comes from which of the following sources? Select all that apply.

*Input from a neighbor who visits the client daily *An observation of how a client reacts non-verbally to instructions *Information that the client shares verbally

Peter is going through a divorce and trying to juggle work and moving. He is extremely sad and worried about his family. Which of the following behaviors demonstrate that he is experiencing a conversion response? Select all that apply.

*Roaming the house in the middle of the night because he can't sleep *Lack of appetite

Which of the following are developmental stressors for clients? Select all that apply.

*Starting a family *Starting retirement *Turning 50 years old

The nurse is providing support for a caregiver who is feeling burnt out. Which of the following are appropriate suggestions for coping? Select all that apply.

*Tell the caregiver to set aside time for self *Encourage the caregiver to participate in a support group *Listen to the caregiver's concerns and feelings *Introduce stress-reducing methods to the caregiver

A client who was sexually assaulted a month ago presents to the emergency room. The provider suspects that the client is experiencing post-traumatic stress response. The nurse recognizes which signs and symptoms that best support this?

Recurrent nightmares and flashbacks

A college student is having difficulty dealing with being dismissed from college due to poor grades. Which statement by the student indicates the defense mechanism of denial?

"I don't think the grades are right. I can stay in school."

The hospice nurse visits a client who is dying of ovarian cancer. During the visit, the client says, "If I can just live long enough to celebrate my daughter's 'sweet 16' birthday party, I'll be ready to die." Which phase of coping is this client experiencing?​

Bargaining

A client expresses to the nurse that they constantly feel irritated and lose their temper. During the course of the interview, the nurse finds that the client is taking care of their mother who is bedridden following a stroke. The client struggles to balance caring for their family and their mother. Which nursing diagnosis would the nurse most likely identify for this client?

Caregiver role strain

During a community visit, volunteer nurses teach stress management to the participants. The nurses will most likely advocate which belief as a method of coping with stressful life events?

Control over one's response to stress is possible.

It's 15:00 and the nurse is discharging a client who just received a diagnosis of pancreatic cancer. The nurse notices the client appears to have no emotional response and does not ask any questions. Which factor is most likely contributing to the client's response to this stressor?

Cultural or ethnic background

A nurse is developing a care plan for a client who is lacking confidence and experiencing stress at home. Which of the following should the nurse do initially?

Encourage the client to put the past in perspective

A 40-year-old client is alarmed at their recent diagnosis of type 2 diabetes. Which of the following actions by the client best indicates a problem-focused coping strategy?

Exercising three times weekly