HESI stress & coping

A client is admitted to the hospital with a possible diagnosis of Addison disease. What is an important nursing responsibility during a 24-hour urine collection for this client? 1 Keeping the client quiet and reducing stress 2 Assessing the client for signs and symptoms of edema 3 Monitoring the client for an elevation in blood pressure 4 Restricting the client's fluid intake during the day of the test

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A client who was admitted to the hospital with metastatic cancer has a temperature of 100.4° F (38° C), a distended abdomen, and abdominal pain. The client asks the nurse, "Do you think that I'm going to have surgery?" How should the nurse respond? 1 "You seem concerned about having surgery." 2 "Some people with your problem do have surgery." 3 "I'll find out for you. Your record will show if surgery is scheduled." 4 "I don't know about any surgery. You'll have to ask your healthcare provider."

1

A client with migraine headaches is admitted for electroencephalogram (EEG). The nurse knows teaching is effective when the client makes which statement? 1 "I will need to avoid caffeine." 2 "I will have a headache after the test." 3 "I will need to avoid milk until the test is completed." 4 "I will be able to take my sleeping pill before the test."

1

A hospice nurse is caring for a dying client while several family members are in the room. When the client dies, the initial nursing intervention during the shock phase of a grief reaction is focused on what? 1 Staying with the individuals involved 2 Directing the individuals' activities at this time 3 Mobilizing the support systems of the individuals 4 Presenting the full reality of the loss to the individuals

1

The mother of a preschooler reports to a nurse that her child has reverted back to bed wetting. Which questions asked by the nurse are appropriate? Select all that apply. 1 "Does your child have an illness?" 2 "Is there a new sibling in the family?" 3 "Did you recently move in to a new home?" 4 "Does your child regularly visit a house that was built before 1950?" 5 "Does your child live in a house built before 1978 with ongoing renovations?"

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A 6-year-old child has been wetting the bed at night since the birth of a baby brother. What defense mechanism is the child using to cope with the stress of accepting a new family member? 1 Regression 2 Repression 3 Dissociation 4 Displacement

1. Regression

A nurse working on a substance abuse unit knows that the individual uses opioids most commonly for what reason? 1 Desires independence 2 Is trying to reduce stress 3 Wants to fit in with the peer group 4 Enjoys the social interrelationships that occur

2

The client repeatedly performs ritualistic behaviors throughout the day to limit anxious feelings. How does the nurse characterize these behaviors? 1 Obsessions 2 Compulsions 3 Under personal control 4 Related to rebelliousness

2. Compulsions

A client who was admitted to the psychiatric unit because of a major depressive disorder is exhibiting increasingly withdrawn behavior. The nurse understands that eventually the client will experience what feelings? 1 Hedonia 2 Isolation 3 Paranoia 4 Ambivalence

2. Isolation

A recovering alcoholic joins Alcoholics Anonymous (AA) to help maintain sobriety. What type of group is AA? 1 Social group 2 Self-help group 3 Resocialization group 4 Psychotherapeutic group

2. Self-help group

An executive assistant experiences an overwhelming impulse to count and arrange the rubber bands and paper clips in his desk. The client feels that something dreadful will occur if the ritual is not carried out. Considering the client's symptoms, what does the nurse conclude about the rituals? 1 They are useful in our society as long as they can be controlled 2 They serve to control anxiety resulting from unconscious impulses 3 They are a displacement of general anxiety onto an unrelated specific fear 4 They serve to consciously limit the associated anxiety that otherwise is overwhelming

2. They serve to control anxiety resulting from unconscious impulses

A laboring client reports low back pain. Which intervention should the nurse recommend to the client's coach to promote the most comfort for this client? 1 Instruct her to flex her knees. 2 Place her in the supine position. 3 Apply pressure to her back during contractions. 4 Perform neuromuscular control exercises with her.

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An 18-month-old toddler requires an intramuscular injection. As the nurse enters the room with the medication, the child begins to scream and flail about on the bed. The father is sitting at the child's bedside and gets up to leave. What action should the nurse take to best handle this situation? 1 Allow the child to say good-bye to the father and then give the injection. 2 Tell the father to return and comfort the child after the injection is given. 3 Ask the father to stay to comfort the child while the injection is being given. 4 Leave the room and ask another nurse to come in to hold the child during the injection.

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A client with generalized anxiety disorder says to the nurse, "What can I do to keep myself from overreacting to stress?" What is the best response by the nurse? 1 "Work on problem-solving skills." 2 "Improve your time-management skills." 3 "Ignore situations that you cannot change." 4 "Work on identifying and developing coping strategies."

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A nurse is assessing the grief response of a family member whose relative has died. What must the nurse consider first about the family to conduct an effective assessment? 1 Personality traits 2 Educational level 3 Socioeconomic class 4 Cultural background

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A nurse is teaching a childbirth preparation class. Which information regarding discomfort during labor should the nurse be certain to include in her teaching? 1 Labor should be mostly pain free and uneventful. 2 Breathing techniques will be taught to prevent the need for medication. 3 Medication is given to women who experience painful labor contractions. 4 Comfort measures are available when the discomfort of contractions becomes excessive.

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Which finding about an adolescent may require further evaluation with a SLAP assessment? 1 Obesity 2 Drug abuse 3 Alcoholism 4 Suicidal tendency

4. Suicidal tendency