A nurse is collecting data from a client who reports feeling stress. Which of the following should the nurse identify as an external stressor?

Recurring urinary tract infections

A recent move to a new city

Lack of nutritional knowledge

Report of feeling depressed

Answer and Explanation

The Correct Answer is B

A.   Incorrect. Recurring urinary tract infections are related to health and hygiene and are not typically considered external stressors.
B.   Correct. A recent move to a new city is an external stressor because it is an environmental change that can lead to feelings of stress and adjustment.
C.   Incorrect. Lack of nutritional knowledge is an internal stressor related to the client's knowledge and awareness, not an external factor.
D.   Incorrect. Feeling depressed is an internal emotional state and is not an external stressor.

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Correct Answer is A

Explanation

The correct answer is choice a. Wear shoes with rubber soles.

Choice A rationale:

Wear shoes with rubber soles () - Quiet footwear minimizes noise disruption during sleep hours, promoting a better sleep environment.

Choice B rationale:

Conduct change of shift reports near the clients’ rooms () - Conducting reports near rooms creates noise and disrupts sleep. It’s best done in designated areas away from patients.

Choice C rationale:

Open curtains between clients in semi-private rooms () - Privacy and individual light control are crucial for sleep. Open curtains can disrupt a client’s sleep cycle.

Choice D rationale:

Turn on overhead lights briefly when checking IV lines () - Bright lights suppress melatonin production, a hormone vital for sleep. Using alternative light sources or dimmed lighting minimizes sleep disruption.

A. "Open the fireplace dampers in the day room." B. "Cover the electrical outlets with wet towels." C. "Move clients to a room above ground with few windows." D. "Turn on fans in the facility to circulate air."

Correct Answer is C

Explanation

A. Incorrect. Opening the fireplace dampers may allow external contaminants to enter the facility and is not recommended during an external chemical disaster.
B. Incorrect. Covering electrical outlets with wet towels may not provide effective protection against chemical contaminants and is not a recommended action.
C. Correct. Moving clients to a room above ground with few windows helps protect them from potential exposure to external chemical contaminants. Windows can allow contaminants to enter, and an aboveground location can reduce the risk of exposure.
D. Incorrect. Turning on fans may circulate contaminated air throughout the facility and is not recommended during a chemical disaster.

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A nurse is collecting data from a client who reports feeling stress. Which of the following should the nurse identify as an external stressor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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