Exam 27: Stress

An older patient presents to the outpatient clinic with a chief complaint of headache and insomnia.In gathering the history,the nurse notes which factors as contributing to this patient's chief complaint?

A patient tells the nurse,"I'm told that I should reduce the stress in my life,but I have no idea where to start." Which would be the best initial nursing response?

A patient has not been sleeping well because he is worried about losing his job and not being able to support his family.The nurse takes the patient's vital signs and notes a pulse rate of 112 beats/min,respirations are 26 breaths/min,and his blood pressure is 166/88 instead his usual 110-120/76-84 range.Which nursing intervention or recommendation should be used first?

The nurse is planning to teach a patient how to use relaxation techniques to prevent elevation of blood pressure and heart rate.The nurse is teaching the patient to

A patient tells the nurse "My doctor thinks my problems with stress relate to the negative way I think about things,and he wants me to learn a new way of thinking." Which response would be in keeping with the doctor's recommendations?

A diabetic patient who is hospitalized tells the nurse,"I don't understand why I can keep my blood sugar under control at home with diet alone,but when I get sick,my blood sugar goes up." Which response by the nurse is appropriate?

A patient who had been complaining of intolerable stress at work has demonstrated the ability to use progressive muscle relaxation and deep breathing techniques.He will return to the clinic for follow-up evaluation in 2 weeks.Which data will best suggest that the patient is successfully using these techniques to cope more effectively with stress?

A patient who was recently diagnosed with diabetes is having trouble concentrating.This patient is usually very organized and laid back.Which action should the nurse take?