Fundamentals-Edapt-Coping

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

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

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

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

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

"Are you having difficulty sleeping?"

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

"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. Which is the most appropriate first response provided by the nurse?​

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

The nurse is providing support for a caregiver who is feeling burnt out. Which are appropriate suggestions for coping? (SATA)

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

When a nurse conducts an assessment about how a client is coping, from which sources does the data often come? (SATA)

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

A client is going through a divorce and trying to juggle work and moving. They are extremely sad and worried about their family. Which behaviors demonstrate that they are experiencing a conversion response? (SATA)

-Roaming the house in the middle of the night because they can't sleep -Lack of appetite

Which are developmental stressors for clients? (SATA)

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

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 own family and their mother. Which nursing diagnosis would the nurse most likely identify for this client?

Caregiver role strain

During a community health fair, nurses teach stress management to the participants. Which belief as a method of coping with stressful life events will the nurses most likely advocate?

Control over one's response to stress is possible.

It's 15:00 and the nurse is discharging a client who has just received a diagnosis of pancreatic cancer. The nurse notices the client starting to cry and then the elder, accompanying the client, motions for them to stop crying. The client and their family members have minimal response, hiding their emotions and appearing stoic. Which factor is most likely contributing to the client's response to their diagnosis?

Cultural or ethnic background

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

Encourage the client to verbalize thoughts and feelings.

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

Exercising three times weekly

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. Which signs and symptoms recognized by the nurse best support this suspicion?

Recurrent nightmares and flashbacks