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CH 42 ( 1078-1097)

Question 1 of 10

1

After the death of several long-term clients, which action indicates the nurse is demonstrating ineffective coping?

Select one of the following:

  • The nurse talks at length to her partner about the deaths

  • The nurse keeps busy with other actions and doesn’t
    think about the deaths for several days.

  • The nurse offers to work extra shifts for several weeks.

  • Several nurses schedule a group session with the
    agency clergy to discuss the deaths.

Explanation

Question 2 of 10

1

The nurse helps a 50-year-old client with diabetes who is to begin giving insulin injections identify previously successful coping strategies that may be useful in the current situation. Which stressor is closely related to the new stressor?

Select one of the following:

  • Interviewing for a new job

  • Death of a pet while the person was a teenager

  • The person’s partner filing for a divorce

  • Starting to wear eyeglasses at age 30

Explanation

Question 3 of 10

1

Two people have been in a motor vehicle crash and have similar injuries. According to the transaction-based model, their degree of stress from the crash would be

Select one of the following:

  • Based on previous experience and personal characteristics

  • Extremely similar since they had the same stimulus

  • The identical physiological alarm reaction

  • Different depending on their external resources and
    support levels.

Explanation

Question 4 of 10

1

A client who was informed of a cancer diagnosis assures the nurse he is fine. Which of the following is the most indicative physical evidence to the nurse of the client’s stress?

Select one of the following:

  • Constricted pupils

  • Dilated peripheral blood vessels (flush)

  • Hyperventilation

  • Decreased heart rate

Explanation

Question 5 of 10

1

Immediately after the parents of a hospitalized child are informed that the child has leukemia, the father responds by continuing his usual work schedule, rarely visiting, and asking when the child can return to school. Of the following, which is the least likely to be an appropriate nursing diagnosis at this time?

Select one of the following:

  • Ineffective Denial

  • Caregiver Role Strain

  • Fear

  • Compromised Family Coping

Explanation

Question 6 of 10

1

The nurse has recently changed jobs to work with young adults and recognizes that sources of stress common to that
population include which of the following? (Select all that apply.)

Select one or more of the following:

  • Marriage

  • Aging parents

  • Starting a new job

  • Leaving the parental home

  • Decreased physical abilities

  • Changing body structure

Explanation

Question 7 of 10

1

A middle-aged male client is experiencing job-related stress associated with the fear of being laid off, resulting in his accepting projects that require a great deal of travel. Which of the following would be the most important health promotion strategy for this client?

Select one of the following:

  • Exercise

  • Sleep

  • Nutrition

  • Time management

Explanation

Question 8 of 10

1

The first time the nurse enters the client’s room, the client is on the phone. Immediately, the client slams down the
phone, sweeps everything off the overbed table, and demands that the nurse perform several duties “this very
minute.” Which of the following would be the most appropriate response for the nurse?

Select one of the following:

  • Tell the client “I will return” and then leave the room.

  • Tell the client no care will be given until the screaming ends.

  • Begin providing needed care calmly and quietly.

  • Allow the client to complete venting, then respond
    calmly.

Explanation

Question 9 of 10

1

A client newly diagnosed with a chronic condition that will significantly change the lifestyle needs to learn some aspects of self-care. The client exhibits severe anxiety: increased blood pressure and pulse, headache, and nervousness. Based on this situation, how would the nurse appropriately plan the teaching?

Select one of the following:

  • Recognize that the client’s ability to learn is severely
    impaired and teach only the immediate, critical needs
    and plan to follow up and reinforce this teaching later.

  • Recognize that the client’s learning will be adaptive and
    begin immediately to implement the full teaching and
    learning plan.

  • Recognize that the client’s ability to learn will be slightly
    impaired and modify the usual teaching strategies to
    accommodate for this impairment.

  • Recognize that the client is unable to learn at this time,
    that the level of anxiety must first be reduced, and then
    teaching can be based on this new level of anxiety.

Explanation

Question 10 of 10

1

Which of the following defense mechanisms for coping with stress could be considered effective and constructive?
(Select all that apply.)

Select one or more of the following:

  • Compensation

  • Displacement

  • Minimization

  • Repression

  • Regression

Explanation

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