Exam 4: Health, Illness, Stress, and Coping

During the initial gathering of data, a patient reveals a weight loss of 17 lb since the death of his spouse 5 weeks earlier.He says that he is not sleeping and has no appetite.What category of unmet needs should be considered by the nurse according to Maslow's hierarchy of needs?

A patient with low back pain confesses that he drinks heavily each night to help him sleep and control pain.What does this behavior exemplify?

A 5-year-old patient was in an accident in which his cousin was killed.The patient starts to wet the bed at night.What question should the nurse ask the mother when she confirms that it has been several years since the patient had any difficulty with bedwetting?

A nurse assesses that smoking, drinking alcohol, and exercising compulsively may occur as responses to a stressful situation.What type of response should this be considered?

How can a nurse assist when a caregiver is frustrated and is complaining of being overwhelmed? (Select all that apply.)

A nurse gives the example of when an individual becomes frightened and experiences an increased heart rate and mental activity along with increased blood flow to the skeletal muscles and dilated pupils.The person is experiencing an alarm reaction that helps the body defend against stressors.What type of response is the alarm reaction considered?

What are the ability to solve problems and to maintain self-confidence and the willingness to accept criticism incorporated in according to Maslow?

What is the best example for a nurse to use when explaining chronic illness?

Which patient diagnosis and behavior should lead a nurse to conclude the patient is using the defense mechanism of denial?

What nursing action should be implemented when dealing with a patient who is an alcoholic in denial and claims to only drink in social situations?

What should the nurse explain as reasons why a person who is ill should be allowed to adopt the "sick role." (Select all that apply.)

In which stage is introspection a major characteristic?

How does fear differ from anxiety?

A star quarterback on the high school football team is injured in a motorcycle accident.He will be unable to play football again.Which patient problem is most appropriate when planning care specific to coping?

What is the major advantage of using Maslow's hierarchy of needs when planning nursing care for patients?

A nurse clarifies that a neuroendocrine response involves both the autonomic nervous system and the endocrine system.Which syndrome is this considered?

A student nurse who was terrified of giving an injection now gives many injections every shift.The change in the nurse is the result of _______.

How should a nurse describe a patient who has a functional interaction of the cognitive, affective, behavioral, and social dimensions of his personality?

What is the term for activities directed toward maintaining or enhancing well-being against illness?

A patient returning from surgery complains of incisional pain that is now rated 7 in intensity on the 1-to-10 pain scale.What should the nurse be aware that pain exemplifies?