chapters 5 and 38 practice questions

A nurse is caring for a client whose family members disagree on the best course of treatment for the client's cancer. How should the nurse best alleviate the stress on the client and family members? A) Advocate on behalf of the client to others. B) Discourage family from interacting with the client. C) Avoid referring the client directly. D) Avoid discussing the client's condition with client's family.

Advocate on behalf of the client to others.

A client who tends to volunteer to complete major assignments but forgets to complete his work is stressed because of this and approaches the nurse for help. The nurse suggests that the client prioritize the work, complete the difficult part of the work first, and delegate the rest of the work to colleagues. In this case, what technique is the nurse asking the client to follow? A) Alternative lifestyle B) Alternative behaviors C) Alternative thinking D) Negative technique

Alternative behaviors

A client, while driving, hit a small child crossing the road but the child emerged unharmed. The client feels very much stressed and is depressed when thinking of his action. Which of the following techniques should the nurse implement in this case? A) Alternative thinking B) Alternative behaviors C) Alternative lifestyles D) Adaptive activities

Alternative thinking

When discussing his concerns with the nurse, the client discloses that when he comes home from work, he plays with his pet ferret and this makes him feel relaxed. His friends make fun of him because of this, however. The nurse explains that this is perfectly normal and is not a cause of worry. In this case, how is the client relieving stress? A) By adopting an alternative lifestyle B) By adopting alternative behaviors C) By adopting alternative thinking D) By adopting alternative hobbies

By adopting an alternative lifestyle

A client is receiving treatment in the intensive care unit for sepsis, a systemic infection that poses a grave threat to his body's homeostasis. The body is adapting to numerous threats, a process that primarily involves the integration of what body systems? Select all that apply. A) Central nervous system B) Autonomic nervous system C) Endocrine system D) Cerebellar system E) Integumentary system

Central nervous system B) Autonomic nervous system C) Endocrine system

A child is receiving care ongoing stress, a problem that has been causing her to avoid going to school. How should the nurse first attempt to treat the child? A) Teach the child the importance of being happy and unstressed. B) Administer therapy that alters the child's mood and feelings. C) Administer antidepressants to counter stress. D) Find the factors that have caused stress in the child.

Find the factors that have caused stress in the child.

A nurse is working with a client whose current symptoms are attributable to high levels of norepinephrine. Which of the following functions does norepinephrine perform? A) Stabilizes mood and regulates temperature B) Promotes coordinated movement C) Heightens arousal and increases energy D) Transmits sensation of pain

Heightens arousal and increases energy

A nurse is trying to calm a client who is highly agitated after being involved in an accident. The client escaped with minor bruises from the accident. What should the nurse do in order to calm the agitated client? A) Administer sedatives to calm the nerves. B) Ask family members to take him for a vacation. C) Help him identify ways that the outcome could have been worse. D) Advise him to file a claim on his accident insurance.

Help him identify ways that the outcome could have been worse.

A client has been admitted to the emergency department following a motorcycle accident and is experiencing major physiological and psychological stressors during this period. What sign or symptom may be attributable to the parasympathetic effects of stress? A) Increased muscle tone B) Increased perspiration C) Increased bronchoconstriction D) Increased heart rate

Increased bronchoconstriction

A client who has been dealing with numerous physical, interpersonal, and financial stressors appears to be experiencing the final stage of Selye's general adaptation syndrome (GAS). Individuals in the final stage of the GAS are likely to experience what? A) Resumption of normal life roles B) Resolution of normal hormone levels C) Increased susceptibility to illness D) Increased stamina

Increased susceptibility to illness

A nurse is planning the care of a client who will soon begin radiotherapy for the treatment of breast cancer. The nurse has been identifying interventions that are rooted in the notion of holism, which states that: A) Interactions between the mind and the body can profoundly influence health. B) An individual's medical diagnosis has local, but not systemic, effects. C) Most physical illnesses do not require pharmacologic interventions or surgery. D) A client's illness affects friends and family in the same way that the client is affected.

Interactions between the mind and the body can profoundly influence health.

A nurse is assessing an obese teenager who is unhappy and stressed out because she has not lost weight despite working out at the gym. The physician asks the nurse to try the modeling intervention for stress management for the client. Which of the following actions should the nurse perform when adhering to the modeling intervention? A) Ask the client to discontinue her exercise regimen B) Introduce the client to someone who has successfully lost weight C) Ask the client to identify the reasons for her eating D) Ask the client to undergo liposuction surgery

Introduce the client to someone who has successfully lost weight

A client who is an intravenous drug user visits a health care facility for treatment. During counseling, he discloses that he initially took drugs because it helped him deal with stressful situations. The nurse recognizes that he is not using an effective coping strategy to overcome his stress-related problems. What kind of strategy has the client used in this case? A) Nontherapeutic coping strategy B) Therapeutic coping strategy C) Stress-reduction strategy D) Antidepressant strategy

Nontherapeutic coping strategy

A nurse is working with a client whose quality of life is impacted by the presence of numerous comorbid health problems. The nurse is aware that the client's body is attempting to maintain homeostasis, a process that primarily involves which of the following? A) Minimizing the body's exposure to external influences B) Maximizing the serum levels of hormones C) Ensuring a stable level of blood glucose D) Responding appropriately to internal and external influences

Responding appropriately to internal and external influences

A young-adult client visits the medical unit with his father for his scheduled checkup. The client's father has been recently diagnosed with hypertension. The nurse suggests that the client gets his blood pressure regularly checked to avoid possible problems. What level of prevention is the nurse following in this case? A) Primary level B) Secondary level C) General guidance level D) Tertiary level

Secondary level

A client visits a health care facility with complaints of work-related stress that alters her mood when she comes home. At the nurse's suggestion, the client states that she is open making changes to her home décor to include vibrant colors and bright lighting, and listen to soothing music when she returns home. Which stress-reducing technique is the nurse following in this case? A) Sensory manipulation technique B) Alternative thinking technique C) Nontherapeutic technique D) Alternative behavior technique

Sensory manipulation technique

A nurse is assessing a client with stress-related problems. Which of the following factors most significantly influences a person's responses to stressors? A) Eating habits B) Social support C) Economic status D) Personal hygiene

Social support

When discussing his life, a client tells the nurse that he is always doing small, petty jobs for everyone and he is not happy about it. Because of this, he is feeling stressed and has been getting into fights with his wife. What should the nurse suggest to help the client overcome this problem? A) Change jobs. B) Avoid people who dump tasks on him. C) Take control of the situation. D) Avoid doing petty jobs.

Take control of the situation.

A teenage boy has been admitted for rehabilitation following a head injury. His parents explain that he is not able to interpret what they say and so is not able to speak clearly. The boy is also not able to remember what he is taught during educational sessions. What should the nurse conclude about the part of the brain that is likely affected in this case? A) The cortex is affected. B) The subcortex is affected. C) The mid-brain is affected. D) The brainstem is affected.

The cortex is affected.

A 35-year-old client is stressed because he is having problems with his superiors at work. The client says that he had an argument about his salary. He has become very anxious and has started consuming large amounts of caffeine very frequently. He also suffers from insomnia and gets angry quickly. Which of the following techniques should the nurse promote to help the client? A) Nontherapeutic coping strategy B) Negative coping strategy C) Therapeutic coping strategy D) Sensory manipulation strategy

Therapeutic coping strategy

A client visits a health care facility a few months after his wife's death. The client is quite depressed and feels very lonely. The nurse tactfully asks him to confront the reality and helps him to brainstorm some useful ways of dealing with his loss. What type of strategy is the nurse following in this case? A) Nontherapeutic coping strategy B) Therapeutic coping strategy C) Negative coping strategy D) Sensory manipulation strategy

Therapeutic coping strategy

The nurse is caring for a client who works as a doctor in a general hospital. He complains about the stressful condition of his job. Lately, he has become increasingly susceptible to colds, headaches, muscular tension, excessive tiredness, and many other symptoms. At what stage of stress is the client? A) Alarm stage B) Exhaustion stage C) Resistance stage D) Secondary stage

exhaustion stage