Exam 32: Stress and Coping

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The nurse is seeing a patient during a follow-up visit after discharge in which the patient had a nursing diagnosis of Difficulty coping. Which statement by the patient would be a cause for concern?

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C

The nurse knows when the body responds to the release of hormones during "fight or flight," that response includes which physiological signs?

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B, C, D

The nurse manager of the unit is implementing a program to assist the nursing staff in managing compassion fatigue. Which interventions will be the most successful?

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A, B, C, D, E

The nurse knows the one theory explaining the variation in response to stress among individuals is identified by which term?

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The nurse knows that when patients are experiencing stress, which physiologic changes can be seen in their signs and symptoms?

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The nurse identifies which factors that center on the childhood stress related to school experiences?

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The nurse is caring for a patient who is undergoing a major cardiac procedure. When the patient complains of a racing heart and nausea, the nurse recognizes these complaints as part of what hormone response?

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The nurse is providing education to a patient around anger management strategies. Which statement indicates a need for further education by the patient?

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The nurse is assessing the patient's use of coping skills in response to stressful situations. The nurse identifies which question to be the most useful?

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The nurse recognizes which goal to be appropriate for the nursing diagnosis of Anxiety?

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The nurse recognizes which personality factors that have been shown to buffer the impact of stress?

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The nurse is assessing level of stress in a patient from another culture. Which question is the most appropriate in helping the nurse understand the impact of the patient's belief system?

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The nurse knows which goal to be appropriate for the nursing diagnosis of Caregiver stress?

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The nurse is performing a physical assessment of patient who is undergoing a bone marrow biopsy. What finding by the nurse indicates the patient is experiencing stress?

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The nurse is teaching a patient about the difference between mild anxiety and moderate anxiety. Which statement by the patient indicates a need for further education?

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The nurse is providing discharge instructions for a patient with multiple sclerosis. Which discharge instruction is aimed at preventing a future exacerbation?

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When the nurse measures the patient's blood glucose levels after an acute myocardial infarction (MI), the nurse knows this action is based on which rationale?

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The nurse is caring for a patient with a new diagnosis of diabetes type 2. Which statement indicates a negative coping response?

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The nurse is educating the patient about alternative therapies. Which statement by the patient indicates a need for more information?

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The nurse manager of a busy oncology unit is concerned about compassion fatigue among the nursing staff. Which signs and symptoms would alert the nurse to this problem?

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