STRESS AND COPING QUIZ UNIT 4 SEMESTER 2

A 7-year-old boy has been the victim of abuse. He appears stoic and disconnected while being interviewed by the nurse. Although he currently has a painful injury, he does not cry or flinch when the area is touched. The nurse understands that: A. the chi the abuse is likely short-lived. B. the child is mentally ill. C. the child is refusing to cooperate with the interview. D. The child has learned to cope by shutting off his feelings.

A

The nurse is assisting the client with imagery as a relaxation strategy. Which statement by the client describes imagery? A. I am lying on the beach in Florida B. I am confident the outcome will be positive C. I recite a poem by Emily Dickinson when i feel anxious D. I like to listen to classical music

A

You walk into your patients' room and find her sobbing uncontrollably. When you ask what the problem is your patient responds "I am so scared. I have never known anyone who goes into a hospital and comes out alive." On this patient's care plan you note a nursing diagnosis of "Ineffective coping related to stress". What is the best outcome you can expect for this patient? A. Patient will adapt relaxation techniques to reduce stress B. Patient will avoid stressful situations. C. Patient will be stress free D. Patient will start anti-anxiety agent

A

The client is a new graduate and has been working on a medical-surgical unit for approximately 4 months. The shifts are 12.5 hours in length and 3 to 4 times/week. The nurse recognizes there have been many stressful days on the job and makes a decision to participate in activities to reduce stress. What activities are recommended to reduce stress for the nurse? Select all that apply. A. Attend church services of the nurse's faith once a week to facilitate praying B. Participate in an enjoyable hobby, such as painting C. Drinking 2-3 ounces of alcohol each night after work D. Take a sleeping pill to ensure getting at least 7 hours of sleep E. Find a more experienced nurse who could mentor the new nurse F. Walk at a fast pace in neighborhood for 3-4 days/week on off days

A, b, e, f

A client has been admitted to the mental health unit and states to the nurse, "I just couldn't take it anymore. The stress of what is going on in my life has taken over." What questions asked by the nurse can assist with determining adaptation to stress? Select all that apply. A. Who do you talk to when you are feeling anxious or stressed about things. B. Do you understand that everyone feel stressed out at times in their life C. When life events have occurred that caused you distress, how did you cope with it? D. What type of past experiences have you had that have been traumatic to you? E. Why do you think you cant handle life right now?

A, c, d

A client experienced a fight-or-flight response immediately following a car accident. What clinical symptoms would the nurse expect to assess? Select all that apply. A. Decreased digestion B. Relaxed muscle tone C. Pallor D. Heightened awareness E. Increased heart rate F. Pupil constriction

A, c, d, e

A client expresses to the nurse that she constantly feels irritated and loses her temper. During the course of the interview, the nurse finds that the client takes care of her mother who was confined to bed following a stroke. The client struggles to balance caring for her family and her mother. Which nursing diagnosis would the nurse most likely identify for this client? A. Compromised Family Adjustment B. Caregiver Role Strain C. Ineffective Coping D. Anxiety

B

A client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA) immediately following confirmed diagnosis of acute myocardial infarction. The client is overtly anxious and crying. Which response by the nurse is most appropriate? A. Everything will be fine. Your family is here for you B. Tell me what concerns you the most C. Would you like something to calm your nerves? D. Don't cry, you have the best team of doctors

B

A client responds to an approaching diagnostic test with a rapidly beating heart and hands that are shaking. This is the result of what type of response? A. Withdrawal behavior B. Coping responses C. Health care proxy D. Stress adaptation

B

A nurse is caring for a pregnant client in labor. Which of the following techniques should the nurse instruct the client to do to manage stress? A. Biofeedback B. Deep breathing C. Low-intensity exercise D. Thought stopping

B

The nurse is reviewing the care of a client who is experiencing the exhaustion stage. Which sign or symptom does the nurse expect to find? A. Lower than normal sodium levels B. Higher than normal blood glucose levels C. Higher than normal iron levels D. Lower than normal magnesium levels

B

A new graduate is having difficulty coping with the role transition from student to registered nurse (RN). Which defense mechanism is being exhibited when the nurse states, "I hate going in to work on weekends. The aides are lazy, the clients are all complaining, and the families are all crazy!" A. Displacement B. Reaction formation C. Projection D. Denial

B. Reaction formation is developing attitudes that are opposite to what the. Nurse really would prefer to do in the situation

A middle-age adult discusses with the nurse the loss of his job due to frequent illness. The nurse recognizes the client's loss of his income as which of the following? A. Homeostasis B. Adaptation C. Stressor D. Coping Mechanism

C

The parents of an infant who requires cardiac surgery inform the nurse that they are not anxious about the surgery and "will leave the outcome in God's hands." The nurse notes that the parents are likely anxious when he/she observes: A. A calm, serene manner B. The parents speaking in a slow, deliberate manner C. The parents pacing around the child's hospital room D. Euphoric attitudes and facial expressions

C

Which statement made by the client indicates a need for further teaching regarding stress management? A. I manage my stress by exercising during the week B. I manage my stress by taking anti-anxiety medications C. I manage my stress with occasional alcohol and alprazolam D. I manage my stress by going out with friends for an occasional drink

C

During an interview, the client states, "When my stress is really high, I have diarrhea." The physiologic response affects: A. Nutritional Status B. Heart Rate C. Adequacy of Sleep D. Gastrointestinal Status

D