Deck 37: Stress and Coping

Question 1

During the evaluation stage of the critical thinking model applied to a patient coping with stress,the nurse will

A) Select nursing interventions to promote the patient's adaptation to stress.
B) Establish short- and long-term goals with the patient experiencing stress.
C) Identify stress management interventions for achieving expected outcomes.
D) Reassess patient's stress-related symptoms and compare with expected outcomes.

Answer 1

Reassess patient's stress-related symptoms and compare with expected outcomes.

Question 2

The nursing student gave a wellness lecture on the importance of accurate assessment and intervention from a personal,family,and community perspective.The other nursing students enjoyed the lecture about which nursing theory?

A) Ego defense model
B) Situational model
C) Evidence-based practice model
D) Neuman systems model

Answer 2

Neuman systems model

Question 3

A young adult's chief complaint is "seizure fits." A chart review shows a negative EEG report and a normal neurological consultation report.A psychosocial history reveals increased family stress,bankruptcy,and a recent divorce.The nurse recognizes that this young man's pseudo-seizures most likely are an example of which unconscious coping mechanism?

A) Compensation
B) Conversion
C) Dissociation
D) Denial

Answer 3

Conversion

Question 4

A person states that he was not shoplifting from the store despite very clear evidence on the store surveillance tape.This person is demonstrating which ego defense mechanism?

A) Dissociation
B) Conversion
C) Denial
D) Compensation

Question 5

Pediatric stressors related to self-esteem and changes in family structure reflect which maturational school age category?

A) Elementary school age
B) Preadolescence
C) Adolescence
D) Early adulthood

Question 6

In a natural disaster relief facility,the nurse observes that an elderly man has a recovery plan,while a 25-year-old man is still overwhelmed by the disaster situation.These different reactions to the same situation would be explained best by which of the following?

A) Restorative care
B) Strong financial resources
C) Maturational and sociocultural factors
D) Immaturity and intelligence factors

Question 7

A senior college student contacts the college health clinic about a freshman student living on the same dormitory floor.The senior student reports that the freshman is crying and is not adjusting to college life.The clinic nurse recognizes this as a combination of situational and maturational stress factors.The best comment to the senior student would be

A) "I'd better call 911 because your friend is suicidal."
B) "Give her this list of university and community resources."
C) "You must make an appointment for the student to obtain medications."
D) "I'd recommend you help the student pack her bags to go home."

Question 8

An adult male reports new-onset seizurelike activity.An EEG and a neurology consultant's report rule out a seizure disorder.When considering the ego defense mechanism of conversion,the nurse's next best action would be to

A) Recommend acupuncture.
B) Confront the patient on malingering.
C) Obtain history of any recent life stressors.
D) Recommend a regular exercise program.

Question 9

The nurse teaches stress reduction and relaxation training to a health education group of patients after cardiac bypass surgery.The nurse is performing which level of intervention?

A) Primary
B) Secondary
C) Tertiary
D) Quad level

Question 10

A nurse is teaching guided imagery to a prenatal class.Identify an example of guided imagery from the options below.

A) Singing
B) Back massage
C) Sensory peaceful words
D) Listening to music

Question 11

An assessment finding example for caregiver strain would be which of the following?

A) Caregiver routinely creates a weekly menu plan.
B) Caregiver has not received medical care when ill.
C) Caregiver can identify respite care provider.
D) Caregiver attends religious service.

Question 12

After a natural disaster occurred,an emergency worker referred a family for crisis intervention services.One family member refused to attend the services,stating "No way,I'm not crazy." The best response the nurse can give is which of the following?

A) "Many times disasters can create mental health problems, so you really should participate with your family."
B) "Crisis intervention is a short-term problem-solving type of help, and seeking this help does not mean that you have a mental illness."
C) "Don't worry now. The psychiatrists are well trained to help."
D) "Crisis intervention will help your family communicate better."

Question 13

Identify a sociocultural factor that can lead to developmental problems.

A) Family relocation
B) Childhood obesity
C) Prolonged poverty
D) Loss of stamina

Question 14

While giving a lecture on attention-deficit/hyperactivity disorder,the nurse encourages which of the following to reduce children's stress regarding homework assignments?

A) Time management skills
B) Prevention of iron deficiency anemia
C) Routine preventative health visits
D) Speech articulation skills

Question 15

A trauma survivor is requesting sleep medication because of "bad dreams." Concerned about posttraumatic stress disorder,the nurse asks

A) "Are you reliving your trauma?"
B) "Are you having chest pain?"
C) "Can you describe your phobias?"
D) "Can you tell me when you wake up?"

Question 16

Despite working in a highly stressful nursing unit and accepting additional shifts,a new nursing graduate has a strategy to prevent burnout.The best strategy would be for the new nurse to

A) Identify limits and scope of work responsibilities.
B) Write for 10 minutes in a journal every day.
C) Use progressive muscle relaxation.
D) Delegate complex nursing tasks to licensed professional nurses.

Question 17

A teen with celiac disease continues to eat food she knows will make her ill several hours after ingestion.Given appropriate tertiary level interventions,the nursing intervention would be to

A) Teach the patient about the food pyramid.
B) Administer antidiarrheal medications with meals.
C) Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.
D) Admonish the teen and her parents regarding her consistently poor diet choices.

Question 18

An adult who was in a motor vehicle accident is brought into the emergency department by paramedics,who report the following in-transit vital signs:
Oral temperature: 99.0° F
Pulse: 102 beats per minute
Respiratory rate: 26 breaths per minute
Blood pressure: 140/106
The nurse can identify that which hormones are the likely causes of the abnormal vital signs?

A) ADH and ACTH
B) ACTH and epinephrine
C) ADH and norepinephrine
D) Epinephrine and norepinephrine

Question 19

The purpose of unconscious ego defense mechanisms is to do which of the following for the individual?

A) Protect against feelings of worthlessness and anxiety.
B) Facilitate the use of problem-focused coping.
C) Evaluate an event for its personal meaning.
D) Trigger the stress control functions of the medulla oblongata.

Question 20

A woman who was sexually assaulted a month ago presents to the emergency department with complaints of recurrent nightmares,fear of going to sleep,repeated vivid memories of the sexual assault,and inability to feel much emotion.The nurse recognizes the signs and symptoms of which medical problem?

A) General adaptation syndrome
B) Posttraumatic stress disorder
C) Developmental crisis
D) Alarm reaction