Chapter 42: Stress and Adaptation - Prep U

When nurses become overwhelmed in their jobs and develop symptoms of anxiety and stress, they are experiencing what condition? Culture shock Adaptation syndrome Ineffective coping Burnout

Burnout

Which client statement, after a presentation about drug use, indicates to the nurse a correct understanding of the information presented? "Mixing alcohol and tranquilizers may cause physical impairment and helps wean people off drugs." "Mixing alcohol and tranquilizers may cause physical impairment and drug dependency." "Mixing alcohol and tranquilizers has legal implications and increases arousal." "Mixing alcohol and tranquilizers increase arousal and drug dependency."

"Mixing alcohol and tranquilizers may cause physical impairment and drug dependency."

The client asks the nurse to explain stress and its effect on the body. Which information will the nurse include? Select all that apply. Stress begins in children at about age 2. All stress has a negative effect on the human body in some form. Stress begins in utero. Stress is ever-present. Some forms of stress are positive events.

Stress begins in utero. Stress is ever-present. Some forms of stress are positive events.

A client informs the nurse that headaches started when marital problems began. The client reports that each time they have a fight, a headache develops and loss of appetite occurs for several days. What does the nurse identify as the physiologic symptoms? a somatic disorder anxiety fear a coping mechanism

a somatic disorder

A client who responds to bad news concerning laboratory results by crying uncontrollably is handling stress by using: adaptation technique. coping mechanism. withdrawal behavior. defense mechanism.

coping mechanism.

The emergency department nurse suspects that an older adult client who fell and broke her hip is using a defense mechanism when the client states: "They must have given me the wrong medication at the drug store. I don't have trouble with my eyesight." "I'm so clumsy. I'm surprised it hasn't happened before this." "Does this mean I have to stay here in the hospital?" "Can you call my next-door neighbor for me? I'm so worried that my cat, Clancy, won't have any food or water."

"They must have given me the wrong medication at the drug store. I don't have trouble with my eyesight."

A toilet trained toddler was admitted to the hospital for dehydration. Upon returning home, the toddler becomes incontinent of urine and stool. The parent is concerned regarding this return to previous behavior and calls the pediatric clinic. What is the nurse's best response to the parent? This behavior is sublimation. This behavior is called regression. This behavior is known as repression. This behavior is reaction formation.

This behavior is called regression.

A young woman, who has recently suffered acute stress, asks the nurse why she seems to be more sensitive to stress than her husband. The nurse explains that a contributor to this phenomenon is: thyroid production. adrenal function. estrogen levels. cortisol. glucose.

estrogen levels.

A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention? provide care transition at discharge for speech therapy assess blood pressure every 4 hours conduct mental status assessment every 2 hours discuss family history of hypertension

provide care transition at discharge for speech therapy

A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention? -provide care transition at discharge for speech therapy -assess blood pressure every 4 hours -conduct mental status assessment every 2 hours -discuss family history of hypertension

provide care transition at discharge for speech therapy

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea? Immediately administer an antiemetic. contact the primary care provider sit with the client and ask them about their feelings explain that the physical symptoms are all in their head

sit with the client and ask them about their feelings

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea? -Immediately administer an antiemetic. -contact the primary care provider -sit with the client and ask them about their feelings -explain that the physical symptoms are all in their head

sit with the client and ask them about their feelings

A high school student comes to the nurse's office to discuss her anxiety regarding an upcoming test. Her test-taking anxiety is a (an): concern. stressor. threat. adjustment.

stressor

Which emotional clinical manifestations of stress should the nurse anticipate when providing care to an adolescent client? constipation, dry mouth, and excessive sleep withdrawal, depression, and angry outbursts anxiety disorders, flare of acne, and headaches forgetfulness, impaired concentration, and preoccupation

withdrawal, depression, and angry outbursts