A nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse expect?

Hypotension

Viral infection

Increased cognitive awareness

Increased energy

Answer and Explanation

The Correct Answer is B

Chronic stress can weaken the immune system, making individuals more susceptible to infections, including viral infections. This is because stress hormones such as cortisol can suppress the immune response, making it harder for the body to fight off pathogens. As a result, individuals experiencing chronic stress may be more prone to illnesses such as the common cold or flu.

Incorrect:

A- Hypotension: Hypotension, or low blood pressure, is not typically associated with chronic stress. In fact, chronic stress often leads to increased sympathetic nervous system activity, which can result in elevated blood pressure.

C-Increased cognitive awareness: Chronic stress affects cognitive function. You might find it challenging to concentrate, make decisions, or stay mentally sharp.

D- Increased energy: Chronic stress typically leads to a state of exhaustion and fatigue rather than increased energy. Prolonged stress can drain a person's physical and mental energy, resulting in feelings of fatigue, lethargy, and a lack of motivation.

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Correct Answer is D

Explanation

By remaining with the client, the nurse provides a sense of support and security. This presence can help alleviate the client's anxiety and provide reassurance. It also ensures that the nurse is available to assess the client's condition, offer therapeutic communication, and intervene if the anxiety escalates or the client becomes overwhelmed.

While the other options are also beneficial interventions for managing anxiety, they are not the priority in this situation. Instructing the client to remember past coping mechanisms (Option A) can be helpful, but the immediate presence of the nurse is more important to provide immediate support.

Providing a diverting activity (Option B) can be beneficial to distract the client from their anxiety, but it does not address the underlying anxiety or provide direct support.

Encouraging verbalization of feelings (Option C) is important for therapeutic communication, but it may not be the initial priority when the client is experiencing acute anxiety.

A. "ECT is an effective treatment for personality disorders." B. "It is a myth that clients experience seizures during ECT." C. "Informed consent should be obtained prior to ECT." D. "should monitor the client closely for hypotension following ECT."

Correct Answer is C

Explanation

Obtaining informed consent is a crucial step before administering electroconvulsive therapy (ECT). Informed consent ensures that the client is fully informed about the procedure, its potential risks and benefits, and any alternative treatments available. It allows the client to make an autonomous decision regarding their treatment.

The other responses are not accurate:

A- "ECT is an effective treatment for personality disorders." While ECT may be used in certain cases of severe mental illness, it is not primarily indicated for personality disorders.

B- "It is a myth that clients experience seizures during ECT." Seizures are a common and expected effect of ECT. ECT involves the induction of controlled seizures under anesthesia.

D- "Should monitor the client closely for hypotension following ECT." While monitoring the client for various physiological changes is important, hypotension is not a primary concern following ECT. The nurse would typically monitor for potential adverse effects such as confusion, memory loss, headache, and muscle soreness.

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A nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports acute, moderate anxiety. Which of the following is the priority nursing action?

Correct Answer is D

Explanation

A charge nurse is providing teaching to a staff nurse about assisting the provider with electroconvulsive therapy (ECT). Which of the following responses by the staff nurse indicates understanding of the teaching?

Correct Answer is C

Explanation

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