A nurse is collecting data from a client who is experiencing stress. Which of the following findings should indicate to the nurse ineffective coping?

The client takes a 20-min nap each afternoon.

The client has gained 4.5 kg (10 lb) in the past month.

The client takes a walk for 1 hr each day.

The client is taking a poetry class.

Answer and Explanation

The Correct Answer is B

A. The client takes a 20-min nap each afternoon. Taking a short nap is a healthy coping mechanism and does not indicate ineffective coping.

B. The client has gained 4.5 kg (10 lb) in the past month. Sudden weight gain can indicate emotional eating or stress-related metabolic changes, which are signs of ineffective coping.

C. The client takes a walk for 1 hr each day. Walking is a positive coping strategy that helps manage stress.

D. The client is taking a poetry class. Engaging in creative activities is a healthy coping mechanism that can reduce stress.

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Correct Answer is B

Explanation

A. FACES. The Wong-Baker FACES scale is used for children aged 3 years and older who can understand and select a face representing their pain level.

B. FLACC. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for infants and nonverbal children to assess pain through observation of behaviors.

C. Visual Analog Scale. The Visual Analog Scale (VAS) requires the client to point on a numeric pain scale, which is inappropriate for infants who cannot communicate pain verbally.

D. Oucher. The Oucher scale is similar to FACES and is used in children aged 3–12 years. It relies on self-report, which is not feasible for a 6-month-old infant.

A. Identify when the client first noticed the lesion. B. Photograph the lesion for the client's medical record. C. Instructing the client on the use of daily sunscreen products. D. Document the client's history of skin allergies.

Correct Answer is A

Explanation

A. Identify when the client first noticed the lesion. Determining onset and duration helps assess whether the lesion is new, growing, or concerning for malignancy.

B. Photograph the lesion for the client's medical record. While documentation is important, assessing history and changes in the lesion takes priority.

C. Instructing the client on the use of daily sunscreen products. Sunscreen is essential for prevention, but identifying and assessing the lesion comes first.

D. Document the client's history of skin allergies. While important, it does not take priority over determining how long the lesion has been present and whether it is changing.

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A nurse is collecting data from a client who is experiencing stress. Which of the following findings should indicate to the nurse ineffective coping?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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