BSN 225 Stress

Question 2 of 5 Which question would the nurse ask to assess a patient's support network? "Does your cultural or spiritual background provide you with certain beliefs that are helpful in times of stress?" "Can you describe who you rely on in times of need?" "Do you suffer from physical illnesses?" "Have there been any major changes in your life recently?"

"Can you describe who you rely on in times of need?" A question about whom the patient relies on would discern the nature of the patient's support system during times of stress.

Question 1 of 3 Which question would the nurse ask to determine if a patient serves in the role of a caregiver who needs support? "Does someone rely on you for his or her overall well-being?" "Is there someone who can stay with you while you are feeling stressed?" "Who helps you get meals to eat and keep your home clean?" "Is there someone in your family who you know is always there for you?"

"Does someone rely on you for his or her overall well-being?" This question directly addresses caretaking for someone else by asking if another person relies on the patient for overall well-being.

Question 12 of 12 Which response would the nurse provide to a patient who states, "I feel overwhelmed right now, but at least that makes me work harder"? "Keep pushing yourself; stress always makes you more productive." "How do you feel about yourself when you are overwhelmed and working so much?" "I think you should stop doing so much since you are overwhelmed." "Do you think your boss will be pleased with the increased work?"

"How do you feel about yourself when you are overwhelmed and working so much?" This nursing response recognizes that the patient is using the defense mechanism of compensation and gives the patient a chance to continue talking about feelings associated with stress.

Question 1 of 12 Which questions would elicit an assessment of the patient's ability to cope? Select all that apply. "How have you dealt with stressful situations in the past?" "Are you experiencing feelings of anxiety or nervousness?" "Were these techniques of handling stress effective?" "Whom can you ask for assistance from during stressful times?" "Have you experienced any changes in your life recently?"

"How have you dealt with stressful situations in the past?" "Were these techniques of handling stress effective?" "Whom can you ask for assistance from during stressful times?"

Question 2 of 12 Which questions would the nurse ask regarding current stressors in a patient with a new job who reports recent increases in migraines and significant weight loss? Select all that apply. "Do your friends and family know about your migraines?" "How long have you had migraines?" "How much weight have you lost since starting your new job?" "Have you experienced changes in your anxiety level because of your new job?" "Do you normally experience migraines when you are under stress?"

"How long have you had migraines?" "How much weight have you lost since starting your new job?" "Have you experienced changes in your anxiety level because of your new job?" "Do you normally experience migraines when you are under stress?"

Question 2 of 15 Which patient statement exemplifies stress appraisal? "I anticipated the loss of my job before I was laid off work." "I am very depressed at the thought of losing my job." "I experienced nausea when I realized I would lose my job." "I am taking the loss of my job as a challenge to find a more interesting career."

"I am taking the loss of my job as a challenge to find a more interesting career." The process by which a person interprets a stressor as a threat or a challenge is known as stress appraisal.

Question 5 of 12 Which patient statement indicates an ability to cope with a current stressor? "I love my new job but the hours are very long." "I am much more relaxed now that I am retired." "I am talking to my supervisor about working from home to reduce my weekly commute." "I am falling behind on my work because of problems at home."

"I am talking to my supervisor about working from home to reduce my weekly commute." This statement reflects the ability to cope and find ways to manage the stress of the commute at the new job.

Question 10 of 15 Which statements made by a 7-year-old patient alert the nurse about the child's ability to cope with stressors? Select all that apply. "My dad is not home very often." "I really enjoy learning in school." "I am very concerned about my grades." "Sometimes I talk to my friends when I am sad." "My mom and I do things together all the time."

"My dad is not home very often." "Sometimes I talk to my friends when I am sad." "My mom and I do things together all the time."

Question 11 of 15 Which statements made by an 8-year-old patient indicate school-related stress? Select all that apply. "My tests are so hard." "I like my teacher very much." "I want to be the best in my class." "The kids in my class are so competitive." "I have to walk a lot to get around school."

"My tests are so hard." "I want to be the best in my class." "The kids in my class are so competitive."

Question 3 of 3 Which patient statement regarding coping indicates that teaching by the nurse has been effective? "The way I cope may change over time." "All coping styles are healthy responses to stress." "Coping ensures that I will resolve my problems." "Everyone copes in the same basic way."

"The way I cope may change over time." Coping is a dynamic process and may change with the stressor or over time.

Question 4 of 12 Which question would the nurse ask to assess a patient's spiritual and cultural coping mechanisms? "Whom do you see for health care in addition to your health care provider or nurse?" "Whom do you turn to when you need help?" "Do you suffer from physical illnesses?" "Do you experience diarrhea or constipation during challenging situations?"

"Whom do you see for health care in addition to your health care provider or nurse?" Asking patients whom they see in addition to their health care provider can enable the nurse to identify spiritual and cultural coping mechanisms. A psychologist, social worker, faith healer, and medicine man are all examples of additional support that reveal the patient's spiritual and cultural habits.

Question 3 of 7 For which patient would the nurse recommend including nutrition counseling as the primary method to decrease stress? A patient going through a difficult divorce A patient with a postoperative wound that is slow to heal A patient feeling stressed about the ability to meet personal commitments A patient experiencing stress caused by unresolved anger related to an ongoing personal dispute

A patient with a postoperative wound that is slow to heal Unhealthy food choices can affect a patient's response to inflammation, including delayed wound healing. Nutrition counseling to encourage people to eat a balanced diet can facilitate stress reduction and improve physical well-being.

Question 3 of 15 Pupil dilation in response to a stressor is an example of which type of physiologic response? Allostasis Homeostasis Psychological stress Local adaptation syndrome (LAS)

Allostasis Allostasis is another term for the stress response, the means by which homeostasis is reestablished, assisting the body in maintaining stability. It may involve increases in heart rate, blood pressure, and respirations; pupil dilation; and a decrease in gastric motility and blood flow to the skin.

Question 11 of 11 Which priority hypotheses demonstrate that the patient is experiencing an actual problem related to stress or coping? Select all that apply. Risk for Difficulty with Coping Anxiety Ready to Learn Risk for Caregiver Stress Stress Overload

Anxiety Stress Overload

Question 3 of 11 A single mother of a globally handicapped child says, "I haven't had a full night's sleep or 10 minutes to myself since the baby came home from the hospital 3 months ago. She is so sick and her care is such a challenge. There are some days I just want to scream." Which priority hypothesis is most appropriate for this patient? Caregiver Stress Anxiety Difficulty Coping Ready to Learn

Caregiver Stress An appropriate priority hypothesis for a mother experiencing stress related to the care of a globally handicapped child is Caregiver Stress related to exhaustion from providing 24-hour care.

Question 3 of 3 With which team member would the nurse collaborate when a patient reports having financial difficulties affording food? Nurse manager Occupational therapist Health care provider Case manager

Case manager The case manager's role is to provide social services assistance to the patient. This individual can help with finding shelter, groceries, and other means of financial support that can benefit the patient.

Question 5 of 7 Which method of support would the nurse recommend for a patient who needs care but has no living relatives or close friends? Health care provider Support group for caregivers Community agencies

Community agencies Community agencies can provide numerous types of support, ranging from social support to support groups. This is an appropriate referral to make for a patient who does not have anyone else close by that can serve as a caretaker.

Question 1 of 3 A 5'1" patient reports that he has always felt insecure about his height, so he has become a bodybuilder. Which defense mechanism is exemplified by this patient's actions? Projection Repression Compensation Rationalization

Compensation Compensation involves focusing on strengths, such as physical build, rather than perceived weaknesses, such as a short stature.

Question 1 of 3 Which coping mechanisms are healthy for a 12-year-old who is stressed about school grades? Select all that apply. Creating a daily study schedule Talking with a teacher about how to improve grades Making an appointment with the guidance counselor Giving up video games for an hour a day to study Telling parents, "There's nothing I can do to improve."

Creating a daily study schedule Talking with a teacher about how to improve grades Making an appointment with the guidance counselor Giving up video games for an hour a day to study

Question 3 of 3 Which age-related situations are associated with increased stress in older adults? Select all that apply. Dementia Job stress Impaired hearing Connectedness through technology Inability to dress oneself

Dementia Impaired hearing Inability to dress oneself

Question 3 of 3 A patient with newly diagnosed terminal cancer states, "There is no way I am dying; the diagnosis is completely wrong." Which defense mechanism is being used by the patient? Denial Projection Compensation Intellectualization

Denial Denial involves ignoring aspects of reality that induce anxiety, such as a terminal diagnosis.

Question 9 of 15 A patient reports being unable to sleep, lack of energy, and no longer enjoying activities that used to be pleasurable. Which response to stress would the nurse suspect that the patient is experiencing? Panic Depression Mild anxiety Moderate anxiety

Depression Depression is often manifested through insomnia, lack of energy, and an inability to enjoy previously pleasurable activities.

Question 3 of 3 The nurse is caring for a patient who reports a lack of energy and insomnia caused by stress. Which other assessment finding would the nurse anticipate? Panic Depression Anxiety

Depression People experiencing depression may feel worthless, guilty, or hopeless, and may experience physiologic symptoms such as lack of energy.

Question 4 of 4 Which person would the nurse primarily collaborate with to provide a patient experiencing stress with a specialized nutritional plan? Dietitian Case manager Patient's spouse Occupational therapist

Dietitian A dietitian can be consulted by the nurse to assess the patient's nutritional needs and develop a nutritional plan if the patient is in need of nutritional support.

Question 2 of 3 Which priority hypothesis would the nurse select for a patient responding to life challenges with avoidance and denial? Anxiety Ready to Learn Difficulty Coping Caregiver Stress

Difficulty Coping The patient has a priority hypothesis of Difficulty Coping as evidenced by the patient's inability to cope with life's challenges, resulting in avoidance and denial.

Question 2 of 3 Which situations can significantly affect the level of stress in a 50-year-old patient? Select all that apply. Divorce Physical illness Maternal stress New job promotion Upcoming presidential election

Divorce Physical illness New job promotion Upcoming presidential election

Question 15 of 15 Which type of coping strategy is being utilized by a patient who uses alcohol to ease anxiety? Projection Regression Problem-focused Emotion-focused

Emotion-focused Emotion-focused coping involves internal coping techniques such as avoidance of a stressor, which is demonstrated by a patient who uses alcohol to ease anxiety.

Question 2 of 4 A patient received a highly desired promotion and reports feeling anxious when thinking about beginning the new job. Which type of stress is the patient experiencing? Distress Eustress Sociocultural stress Psychological stress

Eustress Eustress is motivational stress associated with effective coping and adaptation as would occur with a new job promotion.

Question 1 of 3 A patient tells the nurse, "I just lost my job. I don't know what I am going to do to pay my medical bills." Which priority hypothesis does the nurse identify that the patient has? At risk for developing problems Experiencing an actual problem Would benefit from health teaching

Experiencing an actual problem The patient has expressed a problem that is occurring now, which is the concern about paying medical bills because of job loss; therefore, this is an "actual" problem that has just occu

Question 1 of 4 A patient with numerous medical bills experiences a physical reaction when the bills come due, including a "racing heart" and an "upset stomach." Which term describes this physiologic response? Stressor Homeostasis Stress appraisal Fight-or-flight response

Fight-or-flight response The fight-or-flight response is a physiologic response to stress. It causes an increase in heart rate, blood pressure, and respirations.

Question 11 of 12 Which definition applies to the defense mechanism of compensation? Ignoring aspects of reality that induce anxiety or contribute to a loss of self-esteem Channeling unacceptable emotions or impulses into acceptable actions or responses Focusing on real or perceived strengths rather than perceived weaknesses Redirecting negative emotions perceived as unacceptable or threatening to a safer focus

Focusing on real or perceived strengths rather than perceived weaknesses This definition applies to the defense mechanism of compensation.

Question 9 of 12 Which patient action alerts the nurse that the patient may be experiencing stress? Heavy, labored breathing Frequent readjustment of position Eye-rolling while answering questions Checking email on a cell phone between nursing questions

Frequent readjustment of position Frequent fidgeting is a common sign of stress.

Question 12 of 15 Which responses to stress are considered healthy coping mechanisms? Select all that apply. Sleeping all day Going to church Seeing a therapist Taking up a hobby Changing one's outlook

Going to church Seeing a therapist Taking up a hobby Changing one's outlook

Question 1 of 5 Which question would the nurse use to assess a patient's ability to deal with a stressful situation? "Are you currently experiencing stress?" "Have you experienced any changes in your life recently?" "How have you responded to stressful situations in the past?" "Are you experiencing feelings of anxiety or nervousness?"

How have you responded to stressful situations in the past?" An open-ended question that asks how the patient responded to stressful situations in the past assesses the patient's ability to deal with stressful situations.

Question 2 of 3 Which phrases describe how stress increases a patient's susceptibility to disease? Select all that apply. Increases sleep Impairs lymphocyte activity Increases reactivation of viruses Decreases response to antibiotics Accelerates progression of HIV to AIDS

Impairs lymphocyte activity Stress decreases the activity of some lymphocytes, decreasing the body's ability to fight infection. Increases reactivation of viruses Periodic reactivation of herpes infections, especially herpes simplex virus type 1 and type 2 (HSV-1and HSV-2) infections, commonly occurs with stress. Accelerates progression of HIV to AIDS Stress accelerates the progression of HIV infection toward active AIDS.

Question 1 of 3 Which physiologic response to stress is an example of why a patient might experience gastrointestinal distress during stressful situations? Increase in food digestion Increase in blood flow to the muscles Increase in kidney function Increase in digestive tract activity

Increase in blood flow to the muscles During a stressful situation, there is an increase in the flow of blood to the muscles at the expense of the digestive system and other systems not immediately needed in the fight-or-flight response.

Question 5 of 5 Which symptoms exhibited by a healthy adult patient indicate to the nurse that the cardiovascular system is affected by stress? Select all that apply. Increased heart rate Increased blood pressure Increased respirations Diarrhea and abdominal pain Reports of visual changes and headache

Increased heart rate Tachycardia, or a rapid heart rate, in the normal healthy adult is an indication of the cardiovascular system being affected by stress. Increased blood pressure Elevated blood pressure, or hypertension, in the normal healthy adult is an indication of the cardiovascular system being affected by stress.

Question 4 of 7 Which stress management interventions would the nurse recommend to a patient with overwhelming work responsibilities? Select all that apply. Increasing concentration skills Anger management Setting achievable goals Avoiding procrastination Nutrition counseling

Increasing concentration skills Setting achievable goals Avoiding procrastination Nutrition counseling

Question 13 of 15 Which statement regarding coping is true? It is a static process. It can improve mental status. It results in healthy behavior. It always facilitates physical healing.

It can improve mental status. Successful coping can preserve psychological well-being, although it is not guaranteed.

Question 2 of 3 Which interventions would the nurse choose to help a patient manage anger in a healthy way? Select all that apply. Jogging Using humor Problem-solving Eating a well-balanced diet Increasing focus and concentration

Jogging Physical exercise is an effective anger management intervention. Using humor Diffusing the situation with humor is an effective anger management intervention. Problem-solving Identifying potential solutions is an effective anger management intervention.

Question 5 of 15 Which situations would evoke general adaptation syndrome (GAS)? Select all that apply. Marital infidelity Promotion at work Death of a loved one Injury in a car accident

Marital infidelity Promotion at work Death of a loved one Injury in a car accident

Question 7 of 11 A 55-year-old patient comes to the clinic with weight loss, depression, and malaise. Which collaborative partner would be beneficial in assisting in the plan of care? Dietitian Mental health care provider Social worker Patient's family

Mental health care provider The nurse should address the most immediate needs of the patient first; therefore, the nurse would collaborate first and most importantly with a mental health care provider to address the patient's depression.

Question 7 of 15 Which reaction is a person experiencing when enhanced memory and focus occur on the first day of a new job? Mild anxiety Moderate anxiety Severe anxiety Panic

Mild anxiety Mild anxiety can be motivational, foster creativity, and actually increase the ability to think clearly.

Question 7 of 12 Which sign or symptom can be directly related to high levels of stress? Vomiting after taking medications Fatigue after a postsurgical walk around the unit Nausea while waiting for test results Flushed cheeks after physical therapy

Nausea while waiting for test results Nausea is a physical symptom that relates to high levels of stress.

Question 3 of 12 When evaluating a patient for stress, which assessment findings would the nurse anticipate? Select all that apply. Nervousness Irritability Muscle tension Increased focus Weight loss

Nervousness Irritability Muscle tension Weight loss

Question 10 of 12 Which definition applies to the defense mechanism of intellectualization? Attributing one's motives, values, desires, situational responses, and personality traits to another person Reverting to behavior associated with an earlier stage of development when challenged by thoughts and stressors Overthinking a challenging situation or impulse to avoid dealing with the emotions it elicits Responding to negative thoughts or feelings by demonstrating opposite emotions and actions

Overthinking a challenging situation or impulse to avoid dealing with the emotions it elicits This definition applies to the defense mechanism of intellectualization.

Question 8 of 12 Which patient does the nurse identify as likely experiencing stress? Patient that is panting and sweating during assessment Patient with a loudly grumbling stomach Patient resting with eyes closed Patient laughing while talking with the office receptionist

Patient that is panting and sweating during assessment Perspiration and tachypnea are autonomic symptoms of stress.

Question 2 of 11 Which goal related to stress and coping is written correctly? Patient will have a better ability to cope. Patient will discuss strategies to cope with family violence with a social worker within 24 hours. Patient will attend a support group. Patient will discuss one new coping strategy.

Patient will discuss strategies to cope with family violence with a social worker within 24 hours. This goal is appropriately stated as it has a definable action and time frame within which to accomplish the action.

Question 2 of 4 Which goal would the nurse incorporate into the plan of care for a patient who asks the nurse for help dealing with multiple work stressors? Patient will identify one current coping ability within 1 week. Patient will verbalize awareness of feelings of anxiety. Patient will verbalize or demonstrate reduced stress reaction. Patient will meet psychological needs by appropriately expressing feelings.

Patient will identify one current coping ability within 1 week. A patient who asks the nurse for help coping with multiple work stressors would have an identified priority hypothesis of Difficulty Coping. An appropriate, measurable goal would be for the patient to verbalize awareness of one current coping ability within 1 week.

Question 1 of 4 Which goal would the nurse incorporate into the plan of care for a patient who presents with diarrhea and fatigue and reports frustration at having to provide constant care for her 85-year-old mother? Patient will verbally indicate reduced stress. Patient will indicate that she is searching for a support group for her mother this week. Patient will indicate which coping behaviors are not working. Patient will identify resources available to help manage the stress of caring for her mother within 2 weeks. NOT SURE

Patient will identify resources available to help manage the stress of caring for her mother within 2 weeks. A patient frustrated with her role as caretaker has the priority hypothesis of Caregiver Stress. An appropriate goal for a patient with Caregiver Stress is the identification of available resources to help deal with the situation within a given time frame (2 weeks).

Question 1 of 3 When dealing with stressors, to which group will a 17-year-old patient most readily relate? Younger siblings who live in the same home with the patient Peers that go to school with the patient Mother and father of the patient Teachers and counselors that the patient trusts

Peers that go to school with the patient Teenagers relate to their own peer group most closely and readily.

Question 3 of 4 A patient whose child died of a brain tumor several years ago initiates a fundraiser to raise money for cancer research. According to Roy's Adaptation Model, in which way is this patient adapting to stress? Meeting physiologic needs Developing a positive identity Performing social role functions Balancing dependence and independence

Performing social role functions Initiating a fundraiser indicates that the patient is adapting to stress by performing social role functions.

Question 14 of 15 Which type of coping strategy is being utilized by a cancer patient who is actively fundraising for cancer research in the community? Displacement Compensation Problem-focused Emotion-focused

Problem-focused Problem-focused coping techniques are aimed at altering or removing the stressor as is demonstrated by a cancer patient actively fundraising for cancer research in the community.

Question 1 of 11 Which action would the nurse take when caring for a patient with stress? Prescribe therapy for the patient. Provide referrals to mental health professionals. Assess nutrition needs and develop a nutrition plan. Identify services and resources.

Provide referrals to mental health professionals. This role is served by the nurse.

Question 2 of 3 A patient recently diagnosed with skin cancer explains that the cancer is because of all the times he took his children boating on vacation. Which defense mechanism does this situation exemplify? Repression Compensation Rationalization Reaction formation

Rationalization Rationalization involves explaining personal actions in a way that enhances one's self-image, such as a patient explaining that the reason he got skin cancer was because he took his children boating.

Question 10 of 11 Which priority hypothesis demonstrates that the patient could benefit from health teaching? Risk for Difficulty with Coping Anxiety Ready to Learn Stress Overload

Ready to Learn A priority hypothesis of Ready to Learn demonstrates that the patient could benefit from health teaching.

Question 3 of 3 Which priority hypothesis is evidenced by the patient's use of spiritual resources to address a stressful situation? Anxiety Difficulty Coping Caregiver Stress

Ready to Learn A readiness to learn is evidenced by the use of spiritual or religious resources to help solve problems as this individual can benefit (or has benefited) from health teaching.

Question 3 of 4 Which intervention would the nurse include in the plan of care for a patient with health problems related to stress? Provide personal counseling. Obtain a prescription for antipsychotic medication. Collaborate with a case manager in providing care. Refer to an appropriate mental health care provider.

Refer to an appropriate mental health care provider. The patient's mental health care provider can diagnose problems, prescribe medications and therapy, and refer the patient to other specialists who can provide treatment if needed.

Question 2 of 3 Which reactions to stress are considered unhealthy coping mechanisms? Select all that apply. Refusing to discuss the stress Exercising to relieve the stress Keeping a journal about the stress Chronically using pain medication Refusing to acknowledge the stress

Refusing to discuss the stress Chronically using pain medication Refusing to acknowledge the stress

Question 3 of 3 Which explanation demonstrates how relaxation therapy differs from energy therapy? Relaxation therapy can be used effectively to treat chronic pain. Relaxation therapy uses techniques such as therapeutic touch and reiki. Relaxation therapy combines pharmacologic and nonpharmacologic interventions. Relaxation therapy teaches patients to recognize and respond to stress in any setting.

Relaxation therapy teaches patients to recognize and respond to stress in any setting. Relaxation therapy teaches patients to recognize and respond to potential stressors by initiating relaxation techniques, whereas energy therapy requires physical touch from a practitioner.

Question 2 of 3 Which life event indicates a patient may soon take on the role of a caretaker? Married a person who has two grown children living nearby Reports that an aging parent recently fell and fractured a hip Celebrated the graduation of an 18-year-old child Took on a new job that has a 30-minute commute

Reports that an aging parent recently fell and fractured a hip Reporting that an aging parent recently fell and experienced a hip fracture can indicate that the patient may soon assume the role of a caretaker if the aging parent needs assistance in recovery.

Question 9 of 11 Which priority hypothesis demonstrates that the patient could possibly develop problems related to stress or coping? Risk for Difficulty with Coping Anxiety Ready to Learn Stress Overload

Risk for Difficulty with Coping A priority hypothesis of Risk for Difficulty with Coping demonstrates that the patient could possibly develop problems since he or she is "at risk" for a concern related to stress or coping.

Question 6 of 7 Which recommendation would the nurse give to a caretaker who is feeling overwhelmed and tired? See a case manager who can help identify financial support for your loved one. Enroll your loved one in a support group to help him or her cope with the illness. Continue providing care to your loved one so that you do not have to train new caregivers. Seek community services such as respite care for your loved one.

Seek community services such as respite care for your loved one. Respite care can alleviate some of the burden on a caretaker; therefore, this is an appropriate referral to address the caretaker's feelings of being overwhelmed and tired.

Question 8 of 11 Which member of the health care team would the nurse collaborate with to identify appropriate services for a 20-year-old female victim of domestic violence? Dietitian Social worker Case manager Spiritual care provider

Social worker The nurse should collaborate with a social worker first to identify resources, such as support groups or safe homes, for the patient.

Question 4 of 5 Which patient behavior during the physical assessment alerts the nurse that the patient may be experiencing stress? Staring at the floor Sitting in a chair with legs crossed Sighing intermittently Allowing a caregiver to answer questions

Staring at the floor A patient making poor eye contact during the physical assessment is a nonverbal behavior that indicates the patient is stressed.

Question 6 of 12 Which observed patient behavior during the health history interview suggests the need for further assessment related to stress and coping? Staring at the floor and responding with abrupt, monosyllabic answers Sitting with crossed legs and taking notes Reclining in a chair and telling the nurse about a recently read novel Holding partner's hand and nodding

Staring at the floor and responding with abrupt, monosyllabic answers Lack of eye contact and abrupt answers are often signs of stress, so further investigation would be appropriate.

Question 4 of 4 Which term is used to refer to the process of evaluating a threat by interpreting it as a threat or a challenge? Stress appraisal Stressor Allostasis Fight-or-flight response

Stress appraisal Stress appraisal involves determining what is at stake and then evaluating coping options.

Question 2 of 7 A patient has stayed in bed for almost a week in an attempt to relieve stress-related anxiety. Which principle explains why this is not the most effective stress management technique? Stress-related anxiety is best treated by exercise and keeping busy. Stress management must focus on balance, relaxation, and nutrition. Relief of stress-related anxiety requires a high level of physical activity accompanied by brief intervals of rest. Energy therapy and nutrition therapy are the keys to successful stress management.

Stress management must focus on balance, relaxation, and nutrition. To maximize the effectiveness of stress management strategies, the patient must observe balance, relaxation, and nutrition. An imbalance contributes to further physiologic and physical signs of stress. Staying in bed all week does not represent balance.

Question 4 of 15 According to Roy's Adaptation Model, which is an example of a nursing action that would help a patient adapt? Assuring the patient that everything will be okay Offering suggestions for effective antidepressants Distracting the patient by discussing common interests Teaching the patient how to cope with the stress through deep breathing

Teaching the patient how to cope with the stress through deep breathing According to Roy's Adaptation Model, the nurse's role is to help the patient develop positive adaptive behaviors.

Question 4 of 11 Which goal is appropriate for a caregiver who is fatigued as a result of caring for a spouse with Alzheimer disease? The caregiver will be encouraged to utilize available volunteer help weekly. Home aid assistance will be arranged by the case manager. The caregiver will arrange for biweekly respite care. The caregiver will appear rested and well-nourished.

The caregiver will arrange for biweekly respite care. This goal is both patient centered and measurable and is an appropriate goal.

Question 5 of 11 Which goal is appropriate and measurable for a recently widowed patient whose priority hypothesis is Ready to Learn regarding community resources? The patient will feel less sad and more able to enjoy social activities. The patient will maintain interest in meeting with other bereaved persons. The patient will appear increasingly confident and in control. The patient will attend a weekly bereavement support group.

The patient will attend a weekly bereavement support group. This is a measurable goal that is appropriate for a patient whose priority hypothesis is Ready to Learn regarding community resources.

Question 1 of 3 Which stress management strategy would the nurse suggest as a priority for a patient who is overwhelmed with multiple responsibilities? Nutrition Time management Anger management Relaxation therapy

Time management When stress results from overwhelming responsibilities, time management may be an effective intervention to help people address identified stressors.

Question 7 of 7 Which symptom, when reported by a caretaker, would the nurse identify as a sign of stress? Sets aside increased time to exercise Reads books 30 minutes daily Asked a sister to help provide care for a loved one Unintentionally lost 5 pounds last month

Unintentionally lost 5 pounds last month Fatigue, feelings of powerlessness, unplanned weight loss or gain, and/or losing interest in normally pleasurable activities are signs of caretaker stress.

Question 3 of 5 Which assessment finding alerts the nurse that a patient may be experiencing stress? Calmly sitting on the examination table Talkative and expressive during the assessment Withdrawn and fidgeting in the chair Normal gait and adequate posture for age and height

Withdrawn and fidgeting in the chair A patient who is withdrawn and unable to sit still in a chair is most likely experiencing active stress, and this observation is important to note during the assessment.