A nurse is caring for a patient who reports a recent increase in stressors.
Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?
Right vs wrong
Justified vs unjustified
Good vs bad
Adaptive vs maladaptive
The Correct Answer is D
Choice A rationale
While understanding the concepts of right and wrong can be important in many aspects of nursing care, it may not be particularly helpful in this context. The patient’s stressors are not necessarily related to moral or ethical dilemmas.
Choice B rationale
The concepts of justified and unjustified might be relevant in some contexts, but they may not provide the necessary context to understand and deliver nursing care for this patient. These
concepts are more related to the evaluation of actions or decisions, rather than understanding a patient’s experience of stress.
Choice C rationale
Good and bad are subjective terms that can vary greatly between individuals. While these concepts might be relevant in some contexts, they may not provide the necessary context to understand and deliver nursing care for this patient.
Choice D rationale
The concepts of adaptive and maladaptive are directly relevant to understanding a patient’s response to stress. Adaptive strategies are those that help an individual cope effectively with stress, while maladaptive strategies are those that do not help, or that may even exacerbate the stress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: This is a closed-ended question focused on comprehension, not emotional insight. It assesses understanding of treatment steps but does not invite exploration of feelings or emotional context.
Choice B rationale: This question targets informational needs and resource access. While supportive, it does not prompt the client to reflect on or express emotional states or internal experiences.
Choice C rationale: Asking about coping skills gathers behavioral data. It may indirectly touch on emotional regulation but does not directly invite clarification or expression of current feelings.
Choice D rationale: This is a reflection statement that mirrors the client’s emotional experience. It encourages the client to explore and clarify their feelings about support and success, aligning with therapeutic communication principles.
Correct Answer is B
Explanation
Choice A rationale
While it’s important for a child to be taken to the hospital if they develop difficulty breathing, this is more of a tertiary prevention strategy, as it involves managing the symptoms of an existing disease.
Choice B rationale
Testing the child to determine the cause of their illness is a form of secondary prevention. By identifying whether the child has SARS-CoV-2, appropriate measures can be taken to treat the illness and prevent further spread.
Choice C rationale
Immunization is a form of primary prevention, as it aims to prevent the disease from occurring in the first place.
Choice D rationale
Wearing a mask can help prevent the spread of SARS-CoV-2, but it is more of a primary prevention strategy, as it aims to prevent exposure to the virus.
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