prep u- stress and adaptation

A client has been admitted to the mental health unit and states to the nurse, "I just couldn't take it anymore. The stress of what is going on in my life has taken over." What questions asked by the nurse can assist with determining adaptation to stress? Select all that apply. "Do you understand that everyone feels stressed out at times in their life?" "Why do you think you can't handle life right now?" "What type of past experiences have you had that have been traumatic to you?" "When life events have occurred that caused you distress, how did you cope with it?" "Who do you talk to when you are feeling anxious or stressed about things?"

"What type of past experiences have you had that have been traumatic to you?" "When life events have occurred that caused you distress, how did you cope with it?" "Who do you talk to when you are feeling anxious or stressed about things?"

Which client is experiencing the panic level of anxiety?

A client loses control and expresses irrational thinking.

The nurse is planning the care for a client whose nursing diagnoses include "Difficulty coping associated with child's suicide attempt indicated by crying and sleep disturbances". What desired outcome should the nurse include in the client's plan of care?

Client verbalizes feelings related to present emotional state within 24 to 48 hours.

A client presents with a flare of lupus. Which statement made by the client would cause the nurse to suspect a stress reaction?

I just had an infant 3 weeks ago

A client is using prayer to assist in relieving stress. How would the nurse respond when entering the room to administer medication?

Leave and allow the client to continue for as long as needed.

Upon arrival to the emergency room, the mother of a client involved in a motor vehicle accident becomes upset when she learns her son is unconscious and unstable. The mother begins to yell at the emergency room staff in unintelligible words, and she is trembling. She becomes short of breath and yells she can't breathe. What is the mother likely experiencing?

a panic attack

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

Many families are sheltering in the local middle school gymnasium during a severe tornado outbreak. Many homes have been destroyed and lives lost. The community health nurse expects to see negative stress reactions to the crisis, such as

a young wife asking everyone repeatedly if they know where her husband is.

A nurse hears a client yelling for help from the room. Upon arriving the nurse notes tachypnea and a sense of panic. On further evaluation, the client's heart rate is increased as well as oxygen needs. Which step would the nurse take first to address this client's needs?

attempt to calm the client and administer oxygen

A nursing student is engaging in a conversation with a nursing instructor whom the student intensely dislikes. Which nursing student behavior is consistent with reaction formation?

being extremely nice to the nursing instructor

A nurse is assessing a client who has recently lost their spouse. During the interview the nurse realizes that the client is unable to cope with the loss. The client finds it difficult to organize daily tasks or solve problems effectively. Which suggestion would be most appropriate for the nurse to suggest as a crisis intervention?

seek assistance from family and friends

A Red Cross volunteer has recently returned from assisting families who survived a devastating forest fire. The volunteer is having trouble sleeping and has returned to smoking cigarettes. Which statement by the volunteer leads the nurse to suspect the nursing concern of role strain related to stress from being a caregiver during their disaster volunteer activities?

"I cannot seem to calm down. I keep seeing those faces and hearing their words every time I close my eyes."

A parent tells the school nurse that their 5-year-old is refusing to go to school and won't accept a "school night" bedtime. The school nurse knows the parent will need more instruction when they make which statement?

"I don't know why my child is acting like this. They haven't had anyone to play with but their younger sibling all summer."

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."

A 7-year-old child appears stoic and disconnected while being interviewed by the nurse about their burn injury. Although the child currently has a painful injury, the child does not cry or flinch when the area is touched. What is the nurse's best action?

Assess for signs of abuse or neglect

A nurse has accepted numerous overtime shifts over the past several months. Which behavior indicates the nurse is experiencing burnout?

Dozing at the desk during downtime

Which of the following clients experiencing stress should the nurse monitor most closely for indications of avoidance coping?

The client who admits to drinking more alcohol than normal to deal with a stressor

The client is a single mother of two children who attends college and works full time. She is seeing the college nurse due to a crying outburst in class. The first step of crisis intervention that the nurse employs is:

assisting the client to identify the reason for her outburst.

A 56-year-old construction worker is in for their annual physical. As the nurse takes the client's vital signs, they tell the nurse that their blood pressure may be a little off this morning. The client tells the nurse that they are recently unemployed, quite stressed, and having a hard time coping. They feel like they need to numb the pain. What is the nurse most concerned about regarding this client?

alcohol use

Prior to the client's scheduled bone marrow biopsy, the nurse has devoted time to educating him about the rationale and the specific details of the procedure. The nurse's actions constitute what stress management technique?

anticipatory guidance

A client is facing significant psychological and physiological stressors. During the stress response, activation of the client's sympathetic nervous system will cause what effect?

bronchial dilation

An intensive care unit (ICU) nurse with 11 years of experience has been frequently absent or late for shifts, has been verbally abusive with coworkers she feels are unskilled at the technological tasks of the job, and cursed under her breath at a distraught family member today. The nurse manager is threatening to suspend her if it happens again. The ICU nurse may be experiencing:

burnout

When nurses become overwhelmed in their jobs and develop symptoms of anxiety and stress, they are experiencing what condition?

burnout

The nurse involved in coordinating a support group for spinal cord injury clients learns that one of the participants in the support group was a college athlete prior to his diving accident. The client informs the group that he earned a scholarship based upon his athletic abilities and not his academic performance, and after the injury, he focused his energies on his studies. He has been on the dean's list for two semesters. What defense mechanism is illustrated in this scenario?

compensation

A client who responds to bad news concerning laboratory results by crying uncontrollably is handling stress by using:

coping mechanisms

The nurse is caring for a client with chronic pain which is a source of ongoing stress. Which long-term coping strategies should the nurse recommend

deep breathing and meditation

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:

estrogen

The nurse is caring for a client who is 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?

exhaustion

A client's body uses physiologic mechanisms from within to respond to internal changes and maintain an essential balance. This process is known as:

homeostasis

Which are considered internal stressors? Select all that apply. loud noises pollution illness hormonal change fear

illness hormonal change fear

A 65-year-old client has experienced the death of a parent and a family pet in the span of 1 month. Which action is a coping mechanism that demonstrates adaptation?

joining the local garden club

A client is experiencing a stress response each time the family visits the room. What nursing intervention is most appropriate?

limit the family visits to once daily

A withdrawn and isolated client is most likely suffering from what type of stressors on basic human needs?

love and belonging needs

An adolescent describes a dysfunctional home life to the nurse and reports smoking cannabis daily to help cope with the situation. How will the nurse document this type of coping?

maladaptive

An occupational health nurse at an oil refinery on the Gulf Coast of Texas performs client education with an adult client. The client is being seen after having suffering a chemical burn in an accident at the refinery. Which type of stressor has this client been exposed to?

physiological

The nurse is making preparations for a group of clients who have been experiencing some stressful events in their lives. Which nursing strategies should the nurse use to assist these clients? Select all that apply. ignoring the stressors preventing additional stressors assessing the client's response to stress implementing stress management techniques assisting in maintaining a network of social support

preventing additional stressors assessing the client's response to stress implementing stress management techniques assisting in maintaining a network of social support

The nurse is facilitating an evening meditation and deep breathing class for breast cancer survivors. Which outcome will the nurse anticipate occurring after performing deep breathing with the clients?

slow heart rate

During a counseling session a client states, "I just try to forget about my spouse hitting me." Which coping mechanism should the nurse document on the basis of this client's statement?

repression

A client with cancer has recovered from tumor removal surgery and is now stable while undergoing a chemotherapy treatment schedule. She is not having any symptoms at this time and is continuing to work and enjoy social events. What stage of the general adaptation syndrome (GAS) would the nurse place her in?

resistance

Which behaviors represent effective coping mechanisms? Select all that apply. setting limits with family members who upset you learning relaxation techniques taking a vacation sleeping 14 hours a night sleeping 3 hours a night denying responsibility for a DUI conviction

setting limits with family members who upset you learning relaxation techniques taking a vacation

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea?

sit with the client and ask them about their feelings

A client is on a stress management program. She states that she is open to trying a guided meditation class. When helping her get started, a nurse tells her that which of the following is not important?

soft music

A group of nursing students is learning about the body's response to stress. Which system is responsible for initiating the fight-or-flight response to stress?

sympathetic nervous system

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?

the behavior is called regression