Exam 1: The Concept of Stress Adaptation

A client has experienced the death of a close family member and at the same time becomes unemployed.The client's 6-month score on the Recent Life Changes Questionnaire is 110.The nurse:

A nursing student comes down with a sinus infection toward the end of every semester.Which stage of stress is the student most likely experiencing when this occurs?

A physically and emotionally healthy client has just been fired.During a routine office visit,he tells the nurse,"Perhaps this was the best thing to happen.Maybe I'll consider pursuing an art degree." The nurse determines the client perceives the stressor of his job loss as:

A first-time mother is crying and asks the nurse,"How can I go to work if I can't afford child care?" Which is the nurse's initial action to assist the client with problem-solving?

A patient presents in the emergency department immediately following a shooting incident in a school where she has been teaching.There is no evidence of physical injury,but she appears very hyperactive and talkative.Which are common initial biological responses to stress? Select all that apply.

A nurse is providing education on anxiety and stress management.Which of the following should be identified as the most important initial step in learning how to manage anxiety?

A nurse is assessing a client's response to stress.The nurse concludes that the client is performing a secondary appraisal of a stressful event when the client determines:

An unemployed college graduate confides in the clinic nurse that she is experiencing severe anxiety over not finding a teaching position and that she is having difficulty with independent problem-solving.Which nursing intervention is best?

A school nurse is assessing a female high-school student who is overly concerned about her appearance.The client's mother states,"That's not something to be stressed about!" Which response by the nurse is best?

When an individual's stress response is sustained over a long period,the nurse anticipates which physiological effect?

Which client statement alerts the nurse that the client may be responding maladaptively to stress?

Miller and Rahe (1997)identified a correlation between the effects of life change and illness.This research led to the development of the Recent Life Changes Questionnaire (RLCQ).Which principle most limits the effectiveness of this tool?

A nurse is working with a client who has recently been under a great deal of stress.Which nursing recommendations would be most helpful to assist the client to cope with stress? Select all that apply.

The nurse identifies which symptom as typical of the fight-or-flight response?

Which concepts are included in Hobfoll's Conservation of Resources theory? Select all that apply.

The emergency department nurse is providing discharge instructions to a 23-year-old man who was injured in a motor vehicle crash.The client stated,"My heart was racing when I saw the car coming through the red light was going to hit me.I didn't know my heart could go that fast!" Which is the nurse's best response?

A 32-year-old woman is speaking to the office nurse at an initial visit.The nurse asked,"What brings you in today?" The woman replied,"I have been having headaches three to four times a week for the past month or so.I'm not sleeping well and feel tired most of the time.I work 60 hours per week and am going through a divorce." The nurse determines the client's symptoms represent which of the following?

A student confides in the school nurse that he is "stressed out" about deciding whether to go to college or work to provide income the family needs.Which coping strategy is the nurse's best recommendation?

A nursing instructor asks students when diseases of adaptation are likely to occur.Which student response indicates that teaching is effective?

Meditation has been shown to be an effective stress management technique.Which nursing assessment indicates meditation has been effective?