Exam 6: Stress and Stress Management

The nurse teaches a patient who is experiencing stress at work how to use imagery as a relaxation technique. Which statement by the nurse would be appropriate?

A hospitalized patient with diabetes 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. This is so frustrating." Which response by the nurse is accurate?

An adult patient who arrived at the triage desk in the emergency department (ED)with minor facial lacerations after a motor vehicle accident has a blood pressure (BP)of 182/94. Which action by the nurse is appropriate?

A nurse prepares an adult patient with a severe burn injury for a dressing change. The nurse knows that this is a painful procedure and wants to try providing music to help the patient relax. Which action is best for the nurse to take?

An obese female patient who had enjoyed active outdoor activities is stressed because osteoarthritis in her hips now limits her activity. Which action by the nurse will best assist the patient to cope with this situation?

A patient is extremely anxious about having a biopsy on a femoral lymph node. Which relaxation technique would be the best choice for the nurse to facilitate during the procedure?

An adult patient who is hospitalized after a motorcycle crash tells the nurse,"I didn't sleep last night because I worried about missing work at my new job and losing my insurance coverage." Which nursing diagnosis is appropriate to include in the plan of care?

A patient who is hospitalized with a pelvic fracture after a motor vehicle accident just received news that the driver of the car died from multiple injuries. What actions should the nurse take based on knowledge of the physiologic stress reactions that may occur in this patient ?

A patient who has frequent migraines tells the nurse,"My life feels chaotic and out of my control. I could not manage if anything else happens." Which response should the nurse make initially?

A female patient who initially came to the clinic with incontinence was recently diagnosed with endometrial cancer. She is usually well organized and calm,but the nurse who is giving her preoperative instructions observes that the patient is irritable,has difficulty concentrating,and yells at her husband. Which action should the nurse take?

A patient who is taking antiretroviral medication to control human immunodeficiency virus (HIV)infection tells the nurse about feeling mildly depressed and anxious. Which additional information about the patient is most important to communicate to the health care provider?

A middle-aged male patient with usually well-controlled hypertension and diabetes visits the clinic. Today he has a blood pressure of 174/94 mm Hg and a blood glucose level of 190 mg/dL. What patient information may indicate that additional intervention by the nurse is needed?