Week 2: Stress and Coping

Which response would the nurse make to a client with an obsessive-compulsive disorder who on the day of the job interview begins to display compulsive behavior?

"Going for your interview must be upsetting you. Describe what you're feeling now."

Which response would the nurse make to a client with obsessive-compulsive disorder who says, "I know that my hands aren't dirty, but I just cant stop washing them?"

"I understand that- maybe we can work together to limit the number of times you wash them."

A 5-year old girl is undergoing a course of chemotherapy. One day the nurse sees the child crying. The child tells the nurse, "All my hair is gone, and everyone stares at me. "Which is the best response by the nurse?

"Let's ask your mother to bring in a hat for you to wear until your hair grows back."

An 8-year-old child has experienced the death of a sister. The child begins to ask many questions about what happens to the body after death. The parents wonder whether this is abnormal or morbid behavior picked up from playing video games. Which is the best response by the nurse?

"School-aged children are inquisitive and ask a lot of questions about death."

A girl arrives at the school health office in tears, telling the nurse that several of her classmates have been teasing her. Which is the most therapeutic response by the nurse?

"Tell me more about it."

Which resources enable the family of a preschool-aged child to develop and adapt to stressors?

- Education - Prior experiences - Adequate finances

How do adolescents establish health identity during psychological development?

-By evaluating their own health with a feeling of well-being -By having the ability to function normally in the absence of any disease or infirmly

Which would be treatment goals in anorexia nervosa? Select all that apply. One, some, or all response may be correct.

-The repairing of family interactions -The reinstitution of normal nutrition to counteract a state of malnutrition -The correction of deficits and distortions in psychological functions via psychotherapy

Which education would the nurse provide the parent of a preschool-age child about how preschoolers view death?

A form of sleep

Which statement best defines a crisis?

A threat to equilibrium

Which role is most important for the nurse to assume when providing therapeutic crisis intervention?

Active participant

Which type of crisis has occurred when a sudden terrorist act causes the deaths of thousands of adults and children and negatively affects their families, friends, communities, and the nation?

Adventitious

Which term would the nurse use to describe a client with schizophrenia who is vacillating between being happy and sad about going home?

Ambivalence

A recently widowed client says, "His death has complicated my life even more then the hassles he caused when he was alive!" Which term would be describe the marital relationship?

Ambivalent

Which is considered the female athlete triad?

Amenorrhea, an eating disorder, and osteoporosis

Which behavior is characteristic of panic during crisis?

Being physically immobile

An adolescent who has had a leg amputated because of bone cancer begins to experience phantom limb sensations. How would the nurse respond to complaints of pain?

By acknowledging that the pain is real and administering medication to relieve it

A client is active labor becomes very uncomfortable and asks the nurse the pain medication. Nalbuphine is prescribed. The nurse understands that this medication relieves pain by which mechanism?

By acting on opioid receptors to reduce pain

Which definition describes the defense mechanism of sublimation?

Channeling unacceptable impulses into socially appropriate behavior

A child who has newly arrived from Latin America attends a nursery school where everyone speaks English. The mother is concerned the child is no longer outgoing and has become passive in the class. Which is the probable reason of the child's behavior?

Culture shock

An adolescents girl is concerned about her body image after amputation of a leg for bone cancer. After the nurse has obtained the girls consent, which action is most therapeutic?

Encouraging her peers to visit

The nurse is discussing discharge plans with a client. The client states, "I'm worried about going home." The nurse responds, "Tell me more about this." Which interviewing technique did the nurse use?

Exploring

Which approach would the nurse take for a client who was involved in a near-fatal automobile collision and arrives at the crisis center with reports of anxiety and flashbacks?

Focusing on the present

The nurse advises a client with anxiety to focus on positive scene. Which relaxation technique is the nurse using?

Guided imagery

A 13-year-old client is found to have idiopathic scoliosis. The client is upset about the treatment regimen and is worried about being different from peers. Which would the nurse provide to maintain a positive self-image during treatment?

Help her investigate appropriate clothing to enhance her appearance.

A teenager with a diagnosis of osteosarcoma is to have the affected leg Which should promote psychological adjustment and early function immediately after surgery?

Help him adjust to the temporary prosthesis.

An adolescent diagnosed with new-onset type 1 diabetes mellitus has stress and reports not having a menstrual cycle for a long time. Which condition is the adolescent experiencing?

Hypogonadotropic amenorrhea

Which behavior is the client displaying when pretending to be ill?

Malingering

Which parameter would the nurse consider while assessing the psychologic status of a client with acquired immune deficiency syndrome (AIDS)?

Presence of anxiety

Which is the purpose of critical incident stress debriefing (CISD) after a disaster?

Prevent post traumatic stress disorder

Which initial action would the nurse take for a newly admitted client who reports memory loss, nervousness, insomnia, and fear of leaving the house?

Providing the client with a sense of security and safety

A pregnant client tells the nurse that she has two toddlers at home and that their father abandoned the family last month and she doesn't know what to do. Which conclusion would the nurse make about the clients emotional state?

Overwhelmed by the situation

Which behavioral response to a disaster would the nurse treat first, in an attempt to avoid mass hysteria?

Panic

Which intervention relieves pruritus associated with varicella (chickenpox)?

Pat the lesions while applying the prescribed calamine lotion?

A parent asks the nurse what to do when the toddler has temper tantrums. Which play materials would the nurse suggest that the child be offered as another means of expressing anger?

Pegs and pounding board

A client verbalizes anger toward the staff after being denied an unaccompanied day pass to leave the psychiatric facility. Which feeling is most likely to be the source of the clients anger?

Powerlessness

The nurse hears a child who was not invited to a sleepover say, "I have better things to do than go to that sleepover." Which defense mechanism would the nurse conclude the child is using?

Rationalization

A client on hospice care is receiving palliative treatment. Which is the goal of palliative care for this client?

Relieve the clients discomfort

Which is a sensory simulation strategy a laboring client can use as a nonpharmacological strategy for pain management?

Selecting a focal point and beginning breathing techniques

Which type of group is Alcoholics Anonymous (AA)?

Self-help group

Which benefit would a client expect from joining a self-help group after being discharged from a mental health facility?

Self-help group members share similar experiences and an provide valuable understanding and support to each other.

Which therapeutic communication technique is coping strategy to help the nurse and client adjust to stress?

Sharing humor

Which is true about the effect of grief and loss in toddlers?

They express a sense of change in sleeping.

Which rational explains the purpose of administering diphenoxylate hydrochloride to clients with AIDS?

To manage diarrhea

According to Erikson's psychological stages of development, mastery of which task increases a child's ability to cope with separation or pending separation from significant others?

Trust

For a client with an obsessive-compulsive disorder which rationale explains the function of obsessions and compulsions?

Unconscious control of unacceptable feelings

Which action would the nurse identify as a potential contributor to staff post-traumatic stress disorder (PTSD) during a mas casualty assessment?

Working continuously without any breaks