The nurse is collecting admission data on a new patient with a long health history. Which of the following life events is considered a stressor?

Divorce at age 50

Whatever the patient says is stressful

Loss of job at age 55

Gallbladder surgery at age 60

Answer and Explanation

The Correct Answer is B

Choice A reason: Divorce can be a stressor, but it is not universally stressful to every individual; it depends on the person's experience and perception.

Choice B reason: Stress is subjective, and what one person finds stressful may not be stressful to another. Therefore, if the patient identifies an event as stressful, it should be considered as such.

Choice C reason: Loss of job can be a significant stressor due to financial and social implications, but again, it depends on the individual's circumstances and perception.

Choice D reason: Surgery can be a stressor due to its impact on physical health and potential for causing anxiety about medical procedures and outcomes.

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Correct Answer is D

Explanation

Choice A reason: Setting consequences just before the behavior occurs does not provide clear expectations and boundaries for the patient.

Choice B reason: Setting consequences after the behavior is done may not effectively prevent the behavior and can lead to inconsistent enforcement.

Choice C reason: Waiting for complaints before setting consequences can lead to a reactive rather than proactive approach to care.

Choice D reason: Consequences should be clearly communicated when the limit is set to establish clear boundaries and expectations, which is essential in managing patients with personality disorders.

A. Unconsciousness B. Tachycardia C. Cold clammy skin D. Diminished urine output

Correct Answer is B

Explanation

Choice A reason: Unconsciousness is not typically a finding in the early compensatory stage of hypovolemic shock; it may occur in more advanced stages.

Choice B reason: Tachycardia, or rapid heartbeat, is a compensatory mechanism to maintain cardiac output during the early stages of hypovolemic shock.

Choice C reason: Cold clammy skin is a result of peripheral vasoconstriction, which is a compensatory response to maintain blood flow to vital organs.

Choice D reason: Diminished urine output occurs as the body conserves fluid in response to decreased blood volume.

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The nurse is collecting admission data on a new patient with a long health history. Which of the following life events is considered a stressor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

Correct Answer is D

Explanation

A nurse is assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

Effective coping skills are described as:

Which clinical finding will the nurse anticipate for a patient experiencing a panic attack?

A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

Which of the following is a priority when caring for a highly anxious patient?

The 3 main types of Phobias as identified by DSM-5 include: (select all that apply)

Which of the following does the nurse implement to prevent postoperative respiratory complications for a patient? (Select all that apply)

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions is appropriate for the nurse to take?

Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an: