Exam 31: Stress and Coping

Occupation-specific stressors that are ongoing and unmanaged can lead to what extreme form of stress?

Which hormone is one of the primary mediators of stress?

Which instruction by the nurse to a client prescribed diazepam (Valium)for anxiety and stress is appropriate?

The home care nurse observes a client scrubbing areas throughout the house over and over, especially areas where the family gathers. Prior to planning care for this client, which must the nurse assess?

The nurse is evaluating medication teaching for a client who recently started taking fluoxetine (Prozac)for anxiety. Which statement by the client indicates appropriate understanding of the information presented?

When caring for a client newly diagnosed with obsessive-compulsive disorder, which action by the nurse is appropriate?

Which nursing diagnosis would be a priority for a client who is experiencing a situational crisis?

Which finding would indicate that treatment for a client with obsessive-compulsive disorder is effective?

The nurse needs to plan interventions to address a client's crisis. Which action by the nurse is appropriate?

Which of these is an accurate description of a crisis?

A client states, "I haven't left my house for 6 years." Based on this data, which diagnosis does the nurse anticipate for this client?

A nurse is caring for a client in crisis. While providing care it is imperative that the nurse communicate effectively with this client. Which is true when communicating with clients in crisis? Select all that apply.

What important fact should the nurse relay to the young adult who was just diagnosed with obsessive-compulsive disorder?

The nurse is assessing a 68-year-old client who appears disheveled. At previous appointments, the client was well kept with good hygiene practices. Today, the client's clothes do not match, the client's hair is unkempt, and the client has intense body odor. The nurse is concerned about this change in self-care. When conducting the assessment, what is the primary factor the nurse should consider?

A client diagnosed with obsessive-compulsive disorder (OCD)is being admitted as an inpatient. The client is obsessed with thoughts of symmetry. Which compulsive behaviors does the nurse anticipate when performing the admission assessment? Select all that apply.

A client, who was recently laid off from work, is scheduled for a biopsy to evaluate a site for malignancy. When planning this client's care, which does the nurse include?

A 68-year-old female client was recently diagnosed with depression and subclinical obsessive-compulsive symptoms. What does the nurse need to consider when planning care for this client?

After a mammogram, a client is told that she needs a fine needle aspirate of a breast mass. Which action by the client demonstrates engagement in a primary appraisal of the stressful situation?

The nurse is concerned that a client is demonstrating signs of obsessive-compulsive disorder. Which clinical manifestations and risk factors identified during the nursing assessment caused the nurse's concern? Select all that apply.

A client complains about the stress of having to work long hours and missing daily exercise routines. Which response by the nurse is appropriate?