NCO stress and coping

How do adolescents establish health identity during psychosocial development? Select all that apply. One, some, or all responses may be correct. 1 By evaluating their own health with a feeling of well-being 2 By fostering their independence within a balanced family structure 3 By building close peer relationships to achieve acceptance in the society 4 By achieving marked physical changes with masculine and feminine behaviors 5 By having the ability to function normally in the absence of any disease or infirmity

1 by evaluating their own health with a feeling of well being, 5 by having the ability to function normally in the absence of any disease

A client who is taking an oral hypoglycemic daily for type 2 diabetes develops an infection with anorexia. Which advice will the nurse provide to the client? Select all that apply. One, some, or all responses may be correct. 1 Avoid solid food. 2 Continue to take the oral medication. 3 Drink fluids throughout the day. 4 Monitor capillary glucose levels. 5 Do not take medication until tolerating food.

2 continue to take the oral medication, 3 drink fluids throughout the day, 4 monitor capillary glucose levels

Which role is most important for the nurse to assume when providing therapeutic crisis intervention? 1 Passive listener 2 Participant observer 3 Active participant 4 Friendly advisor

3 active participant

Which statement is true about Neuman's theory? 1 Based on anthropology 2 Views the client as an adaptive system 3 Based on stress and the client's reaction to the stressor 4 Defines the outcomes of the nursing activity based on humanistic aspects of life

3 based on stress and the clients reaction to the stressor

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? 1 By withholding the medication to help prevent addiction 2 By stating that the limb has been removed and that the pain is psychological 3 By acknowledging that the pain is real and administering medication to relieve it 4 By explaining that the phantom limb sensation will subside within a few more days

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

Which stage of health behavior would the nurse suspect when a client is ambivalent about making a change in health behavior? 1 Preparation 2 Maintenance 3 Contemplation 4 Precontemplation

3 contemplation

For a client with obsessive-compulsive disorder, which rationale supports giving the client time to perform a specific ritual? 1 It demonstrates respect for the client's autonomy. 2 This behavior is viewed as a result of anger turned inward. 3 Denying this activity may precipitate an increased level of anxiety. 4 Successful performance of independent activities enhances self-esteem.

3 denying this activity may result in increase level of anxiety

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 can't stop washing them"? 1 "Let's talk about why you feel that you have to wash your hands." 2 "You're getting better; you're beginning to understand your problem." 3 "Don't worry about it; these actions are part of your illness, and the feelings will pass." 4 "I understand that—maybe we can work together to limit the number of times you wash them."

4 I understand that, maybe we can work together to limit the number of times you wash them

Which is a sensory simulation strategy a laboring client can use as a nonpharmacological strategy for pain management? 1 Gentle massage of the abdomen 2 Biofeedback-assisted relaxation techniques 3 Application of a heat pack to the lower back 4 Selecting a focal point and beginning breathing techniques

4 selecting a focal point and beginning breathing techniques

Which resources enable the family of a preschool-aged child to develop and adapt to stressors? Select all that apply. One, some, or all responses may be correct. 1 Education 2 Communication 3 Problem solving 4 Prior experiences 5 Adequate finances

1 communication, 4 prior experiences, 5 adequate finances because questions asks about RESOURCES

Which strategy would the nurse use to help a depressed, withdrawn client who exhibits sadness through nonverbal behavior? 1 Increase structured physical activity. 2 Cope with painful feelings by sharing them. 3 Decide which unit activities the client can perform. 4 Improve the ability to communicate with significant others.

2 cope with painful feelings by sharing them

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? 1 Remind the client of consequences if he or she refuses treatment. 2 Help investigate appropriate clothing to minimize appearance of the brace. 3 Disregard negative characteristics and focus on positive attributes. 4 Refer the client for psychological counseling until the treatment program is completed.

2 help investigate appropriate clothing to minimize appearance of the brace

The nurse is assessing the needs of a client who just learned that a tumor is malignant and has metastasized to several organs and that the illness is terminal. Which behavior would the nurse expect the client to exhibit during the initial stage of grieving? 1 Crying uncontrollably 2 Criticizing medical care 3 Refusing to receive visitors 4 Asking for a second opinion

4 asking for a second opinion

The nurse is assessing a middle-aged client whose children have left home in search of work. The client is trying to adjust to these family changes. Which family life-cycle stage is the client going through? 1 Family in later life 2 Family with adolescents 3 Unattached young adult 4 Launching children and moving on

4 launching children and moving on

Which intervention relieves pruritus associated with varicella (chickenpox)? 1 Have the child wear mittens. 2 Rub an antibiotic ointment on the lesions. 3 Use wet-to-dry saline dressings over the oozing vesicles. 4 Pat the lesions while applying the prescribed calamine lotion.

4 pat the lesions, this helps to prevent itching

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? 1 Denial 2 Projection 3 Regression 4 Rationalization

4 rationalization