Exam 29: Stress and Adaptation

In a natural disaster relief facility,the nurse observes that an elderly man has a recovery plan,whereas a 25-year-old man is still overwhelmed by the disaster situation.These different reactions to the same situation would be explained best by which of the following?

The nurse teaches stress reduction and relaxation training to a health education group of patients after cardiac bypass surgery.The nurse is performing which level of intervention?

While giving a lecture on attention-deficit-hyperactivity disorder,the nurse encourages which of the following to reduce children's stress regarding homework assignments?

The nurse is involved in crisis intervention with a family in which the father has just lost his job and is experiencing periods of depression.The mother has a chronic debilitating illness that has put added responsibilities on the adolescent child,who is having behavioural problems.How does the nurse help the family focus on their feelings?

Nurses in the medical centre are working with patients experiencing PTSD after losing family members from severe acute respiratory syndrome.Which of the following approaches would be appropriate to incorporate into the plan of care?

When working in a highly stressful nursing unit and accepting additional shifts,a new nursing graduate should develop a strategy to prevent burnout.What would the best strategy for the new nurse be?

The nurse is working with patients in an outpatient health care setting.One of the patients is experiencing job-related stress.Which of the following is a factor that may indicate chronic stress?

An example of an assessment finding of caregiver strain would be which of the following?

A nurse is teaching guided imagery to a prenatal class.Which of the following is an example of guided imagery?

Pediatric stressors related to self-esteem and changes in family structure reflect which maturational school age category?

A 72-year-old patient is in a long-term care facility after having had a cerebrovascular accident.The patient is noncommunicative,enteral feedings are not being absorbed,and respirations are becoming laboured.What stage of the general adaptation syndrome is this patient experiencing?

A senior university student contacts the campus health clinic about a first-year student living on the same dormitory floor.The senior student reports that the first-year student is crying and is not adjusting to university life.The clinic nurse recognizes this as a combination of situational and maturational stress factors.The best comment to the senior student would be which of the following?

A teenager with celiac disease continues to eat food she knows will make her ill several hours after ingestion.In view of appropriate tertiary level interventions,what would be the nursing intervention?

A woman who was sexually assaulted more than a month ago presents to the emergency department with complaints of recurrent nightmares,fear of going to sleep,repeated vivid memories of the sexual assault,and inability to feel much emotion.The nurse recognizes the signs and symptoms of which medical problem?

An adult who was in a motor vehicle accident is brought into the emergency department by paramedics,who report the following in-transit vital signs: • Oral temperature: 37.2°C (99.0°F) • Pulse: 102 beats per minute • Respiratory rate: 26 breaths per minute • Blood pressure: 140/106 The nurse can identify that which hormones are the likely causes of the abnormal vital signs?

The nursing student gave a wellness lecture on the importance of accurate assessment and intervention from a personal,family,and community perspective.The other nursing students enjoyed the lecture about which nursing theory?

During the evaluation stage of the critical thinking model applied to a patient coping with stress,what will the nurse do?

A 23-year-old patient who recently suffered a head injury in a motor vehicle accident is unconscious.The physiological component that is primarily responsible for the patient's level of consciousness is

A trauma survivor is requesting sleep medication because of "bad dreams." Concerned about PTSD,the nurse would ask which of the following?

After a natural disaster occurred,an emergency worker referred a family for crisis intervention services.One family member refused to attend the services,stating,"No way,I'm not crazy." The best response the nurse can give is which of the following?