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Stress, anxiety, adaptation, and change > Fundamentals
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Total Questions : 24
Showing 24 questions, Sign in for moreA nurse enters a client’s room for the first time. The client slams down the phone, sweeps items off the overbed table, and demands immediate care. Which response would be most appropriate?
A nurse is working on a medical-surgical unit that has recently reorganized its scheduling system. The nursing staff state they are pleased with the new self-scheduling method and have become comfortable with the change. According to Lewin’s theory of change, the staff are in which phase?
A nurse has been teaching a client the thought-stopping technique for stress reduction. Which of the following client statements indicates a need for further teaching?
A nurse is assessing a college student whose roommate reports being “so stressed.” What happens within the human body as a result of stress?
A nurse is identifying stressors affecting a client. Which of the following would the nurse classify as an external stressor?
A nurse is teaching a client about how the body maintains its internal environment at a constant state. Which term best describes this process?
A nurse is assessing individuals for developmental stress. Which of the following would the nurse identify as an example of developmental stress?
A nurse is explaining the body’s responses to stressors. The reflex pain response and the inflammatory response are examples of which type of stress response?
A nurse is caring for a client in the shock phase of the General Adaptation Syndrome (GAS). Which response by the client would the nurse expect?
A nurse is assessing a client who reports a vague feeling of discomfort or dread with no identifiable source. The nurse recognizes this as:
A client has just been diagnosed with cancer but responds as though the diagnosis is impossible. The nurse identifies this as which defense mechanism?
A nurse is teaching a client about a painful diagnostic procedure. Which type of stress reduction activity would be the most effective?
A nurse teaches problem solving to a college student who is in a crisis situation. What statement best illustrates the student’s understanding of the process?
A client with hypertension is learning to use biofeedback. The nurse understands that which body system is being used with this technique?
A new nursing graduate is considering employment. What setting is considered most stressful for nurses?
The nurse is interviewing a client in the community clinic and gathers the following information about her: She is intermittently homeless and is a single parent with two children who have developmental delays. She has had asthma since she was a teenager. She does not laugh or smile, does not volunteer any information, and at times appears close to tears. She has no support system and does not work. She is experiencing an allostatic load. As a result, which of the following would be present during a complete client assessment? Select all that apply
The nurse is caring for a client who is suffering from posttraumatic stress disorder (PTSD) after a motor vehicle accident. What assessment findings reported by the client provide cues to validate the diagnosis of PTSD? Select all that apply
The nurse plans care for a 16-year-old male client, taking into consideration that stressors experienced most by adolescents include which of the following? Select all that apply
A 10-year-old client fell and broke her arm while playing at summer camp. The camp followed protocol and brought her to the emergency department. The parents arrive stressed and frantic, while the child is happy in the treatment room eating a Popsicle and choosing her cast color. In order of priority, what should the nurse say to the parents?
A nurse is assessing an older woman who is recently widowed and suspects she is experiencing a developmental crisis. Which questions would provide information about the impact of this crisis? Select all that apply
A nurse is teaching a client about stress. Which statement best reflects the concept of stress as a transaction?
A nurse is caring for a client in the exhaustion stage of Selye’s General Adaptation Syndrome. Which nursing action should take priority?
A nurse is assessing a client who reports difficulty concentrating, selective inattention, and feelings of unease. Which level of anxiety is the client most likely experiencing?
A client who is having difficulty managing his diabetes mellitus responds to the news that his hemoglobin A1c, a measure of blood sugar control over the past 90 days, has increased by saying, “The hemoglobin A1c is wrong. My blood sugar levels have been excellent for the last 6 months.” Which defense mechanism is the client using?
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