A nurse is reinforcing teaching with a client who has chronic stress.
Which of the following instructions should the nurse provide?
Engage in regular physical activity.
Consume a moderate amount of caffeine.
Limit exercise close to bedtime.
Aim for approximately 7-9 hours of sleep per night.
Correct Answer : A,C,D
Choice A rationale
Engaging in regular physical activity helps to reduce the physiological effects of chronic stress by releasing endorphins, which have mood-boosting and pain-relieving effects. Exercise also improves cardiovascular health, reduces muscle tension, and promotes better sleep, all of which are negatively impacted by prolonged stress.
Choice B rationale
Consuming a moderate amount of caffeine can provide a temporary boost in alertness and energy; however, it can also exacerbate anxiety, interfere with sleep patterns, and increase heart rate, potentially worsening the physiological symptoms of chronic stress in the long run. Its effects are highly individual.
Choice C rationale
Limiting exercise close to bedtime is important because physical activity stimulates the body and can make it harder to fall asleep. Engaging in exercise too close to sleep can elevate heart rate and body temperature, counteracting the body's natural preparation for rest. It is generally recommended to finish strenuous activity at least a few hours before sleep.
Choice D rationale
Aiming for approximately 7-9 hours of sleep per night is crucial for managing chronic stress. Adequate sleep allows the body and mind to recover, improves mood regulation, enhances cognitive function, and strengthens the immune system, all of which are compromised by chronic stress and essential for resilience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects the privacy and security of individuals' health information. Discussing a client's diagnosis in a public place like the cafeteria with someone not involved in their care constitutes a breach of confidentiality under HIPAA.
Choice B rationale
The Good Samaritan Act offers legal protection to individuals who provide assistance in an emergency situation. It is not relevant to the discussion of a client's private health information by healthcare personnel in a non-emergency setting.
Choice C rationale
The Occupational Safety and Health Act (OSHA) ensures safe and healthful working conditions for employees. It does not pertain to the confidentiality of patient health information.
Choice D rationale
The Patient Protection and Affordable Care Act aims to increase the quality and affordability of health insurance, expand public and private insurance coverage, and reduce the costs of healthcare. It does not directly address the confidentiality of patient information in the context described. .
NGN NGN NGN
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale
Access to firearms in the home significantly increases the risk of suicide because firearms are highly lethal and provide a quick and often impulsive means of ending one's life. The availability of a firearm reduces the time between suicidal ideation and action, making intervention more difficult.
Choice B rationale
A sibling history of suicide can increase an individual's risk due to potential genetic predispositions to mental health disorders or learned behaviors and coping mechanisms within the family. However, it is not as direct or immediate a risk factor as other factors.
Choice C rationale
Being currently unmarried can be a contributing factor to social isolation and lack of support, which are risk factors for suicide. However, marital status alone is not a strong predictor of suicide risk, as many unmarried individuals have strong social networks, and married individuals can still experience isolation.
Choice D rationale
Expressing feelings of hopelessness is a critical warning sign for suicide. Hopelessness is a state of despair where an individual believes their situation will never improve, leading to a sense of futility and a higher likelihood of considering suicide as an escape.
Choice E rationale
A recent significant loss, such as the death of a loved one, a job loss, or the end of a significant relationship, can trigger intense emotional distress and increase vulnerability to suicidal ideation, especially if the individual lacks adequate coping mechanisms or social support. .
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