Question 1
Question
After the death of several long-term clients, which action indicates the nurse is demonstrating ineffective coping?
Answer
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The nurse talks at length to her partner about the deaths
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The nurse keeps busy with other actions and doesn’t think about the deaths for several days.
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The nurse offers to work extra shifts for several weeks.
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Several nurses schedule a group session with the agency clergy to discuss the deaths.
Question 2
Question
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?
Answer
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Interviewing for a new job
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Death of a pet while the person was a teenager
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The person’s partner filing for a divorce
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Starting to wear eyeglasses at age 30
Question 3
Question
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
Answer
-
Based on previous experience and personal characteristics
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Extremely similar since they had the same stimulus
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The identical physiological alarm reaction
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Different depending on their external resources and support levels.
Question 4
Question
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?
Answer
-
Constricted pupils
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Dilated peripheral blood vessels (flush)
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Hyperventilation
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Decreased heart rate
Question 5
Question
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?
Answer
-
Ineffective Denial
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Caregiver Role Strain
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Fear
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Compromised Family Coping
Question 6
Question
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.)
Answer
-
Marriage
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Aging parents
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Starting a new job
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Leaving the parental home
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Decreased physical abilities
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Changing body structure
Question 7
Question
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?
Answer
-
Exercise
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Sleep
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Nutrition
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Time management
Question 8
Question
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?
Answer
-
Tell the client “I will return” and then leave the room.
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Tell the client no care will be given until the screaming ends.
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Begin providing needed care calmly and quietly.
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Allow the client to complete venting, then respond calmly.
Question 9
Question
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?
Answer
-
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.
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Recognize that the client’s learning will be adaptive and begin immediately to implement the full teaching and learning plan.
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Recognize that the client’s ability to learn will be slightly impaired and modify the usual teaching strategies to accommodate for this impairment.
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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.
Question 10
Question
Which of the following defense mechanisms for coping with stress could be considered effective and constructive?
(Select all that apply.)
Answer
-
Compensation
-
Displacement
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Minimization
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Repression
-
Regression
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