Exam 31: Stress and Coping

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Which assessment findings indicate to the nurse that a client is experiencing stress? Select all that apply.

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A,E

The nurse is providing care to a client who is diagnosed with obsessive-compulsive disorder.Which nursing intervention is most appropriate when providing care to this client?

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D

Which nursing intervention minimizes the stress and anxiety of hospitalization for a client?

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B

A nurse is providing discharge instructions to a client recently diagnosed with obsessive-compulsive disorder (OCD)and prescribed Fluvoxamine (Luvox).Which statement made by the client indicates to the nurse that the client understands the instructions?

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The home care nurse observes a client scrubbing areas throughout the house over and over,especially areas where the family gathers.Prior to planning care for this client,which must the nurse assess?

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After a mammogram,a client is told that she needs a fine needle aspirate of a breast mass.Which actions by the client demonstrates engagement in a primary appraisal of the stressful situation?

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The nurse is reviewing the effectiveness of care provided to a client diagnosed with posttraumatic stress disorder.Which outcomes would indicate the interventions in the plan of care have been effective? Select all that apply.

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After an assessment,the nurse determines that an older adolescent client is experiencing a maturational crisis because of which findings? Select all that apply.

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A client asks for a hospital bed near the door because of a fear of being trapped in a room and not being able to get out.When planning care for this client,which does the nurse include as a possible cause for this client's fear?

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Which nursing diagnosis would be appropriate for a client with a fear of doctors and hospitals?

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The nurse is caring for a client who was diagnosed with posttraumatic stress disorder 4 months ago.Which should the nurse include in the client's plan of care?

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A client,who was recently being laid off from work,is scheduled for a biopsy to detect a malignancy.When planning this client's care,which does the nurse include?

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A nurse on the behavioral health unit is caring for a client diagnosed with depression,who just lost a spouse in a motor-vehicle accident.The client states to the nurse,"my wife would not have wanted to live if she were disabled." Based on this statement,which defense mechanism is the client using?

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The nurse is discharging a client diagnosed with general anxiety disorder (GAD).The client is prescribed a selective serotonin reuptake inhibitor (SSRI).Which statement made by the client would indicate to the nurse a need for further education?

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A client is experiencing severe anxiety associated with a phobia.Which nursing actions are appropriate when providing care to the client? Select all that apply.

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When caring for a client newly diagnosed with obsessive-compulsive disorder,which action by the nurse is appropriate?

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The nurse is concerned that a client is demonstrating signs of obsessive-compulsive disorder.Which clinical manifestations observed during the nursing assessment causes the nurse to come to this conclusion? Select all that apply.

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A clinic nurse is assessing a client who is experiencing crisis.The nurse needs to determine the client's immediate needs.Which is the priority action by the nurse?

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During the assessment,the nurse observes a client who was a victim of a home invasion abruptly stand up and begin to run out of the room in response to hearing a loud bang.Which should the nurse assume regarding the client's behavior?

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Which instruction by the nurse to a client prescribed diazepam (Valium)for anxiety and stress is appropriate?

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