Exam 12: Stress Adaptation

A female client comes to the clinic for her annual physical. During the examination, the nurse palpates a lump in the left breast and informs the client of the finding. The client responds, "Yes, I found it a few months ago but just didn't want to think about it." The nurse recognizes the client is using which approach to coping with the lump?

A nurse identifies a patient's nursing diagnosis as "Diarrhea related to stress." Which nursing intervention does the nurse include in the nursing care plan to help the patient relieve the cause of the diarrhea?

The nurse is providing care for a patient in an acute care facility. The patient tells the nurse, "Ever since we experienced an earthquake, I keep having flashbacks of the event. I can't sleep for fear of another one happening during the night." Which condition does the nurse associate with the patient's statements?

The nurse caring for a patient with unresolved anger. For which associated complication should the nurse assess?

The nurse is providing care to a patient who expresses feeling of dread and of vague uneasiness. Nursing assessment reveals the patient's heart rate is elevated. Which nursing diagnoses is most appropriate for this patient?

An 18-year-old is accepted to nursing school in another state. The adolescent states to the parents, "I know I am going away to college, but I am nervous about going." Which type of stressor is the student most likely experiencing?

The nurse asks, "Why do some of my patients get a headache when they have stress but others cry?" Which is the most appropriate response to the nurse's question?

The nurse is providing care for a patient who suddenly experiences a cardiac arrest. As the nurse responds to this emergency, which substance does the nurse's body secrete in large amounts to help prepare the nurse to react in this situation?

A patient, who has been hospitalized for weeks, becomes angry and tells the nurse who is providing care, "I hate this place; nobody knows how to take care of me or I'd be home by now." Which response by the nurse is best in this situation?

An adult client attends a smoking cessation class. The client tells the nurse, "Even though I smoke, I don't smoke around children, in my car, or in my house." Which defense mechanism does the nurse recognize the client is exhibiting?

Two days after a patient undergoes abdominal surgery, the surgical incision is red and slightly edematous and oozing a small amount of serosanguinous (pink-tinged serous) fluid. On the basis of these data, at which conclusion will the nurse arrive? Select all that apply.

The nurse is counseling a patient about behaviors to reduce stress. Which goal should the nurse put on the care plan?

Before entering the room of a patient who is angry and yelling, the nurse removes the stethoscope from around the neck. Which is the best rationale for the nurse's action?

An older adult patient is tearful, shaky, and withdrawn. The patient shares with the nurse, "I am worried to death" about losing an aging spouse and being "all alone." For which reasons does the nurse diagnose this reaction as anxiety rather than fear? Select all that apply.

During the alarm stage of general adaptation syndrome (GAS), which metabolic changes occur? Select all that apply.

At the end of a guided imagery session, which physical assessment finding would suggest to the nurse the relaxation technique was successful?

The nurse is providing care for a patient who is in crisis. After assessing the situation, which action does the nurse perform first?

For which reasons is it important for the nurse to understand stress and adaptation? Select all that apply.

The nurse in the intensive care unit is experiencing an excessive amount of job-related stress. The nurse visits the employee health nurse and states, "I feel nervous and stressed all the time. Even when I go home, I don't feel better. What am I going to do?" Which are the most appropriate response(s) from the health nurse? Select all that apply.

The nurse is providing care for a patient who sustains a laceration of the thigh in an industrial accident. Which step in the inflammatory process does the nurse expect the patient to experience first?