Exam 12: Stress Adaptation

The nurse believes that a patient may be experiencing a lot of stress at home.The patient is angry and states,"It is too much for me to handle.You don't know what I am going through." What is the most appropriate response(s)by the nurse? Select all that apply.

When counseling a patient about behaviors to reduce stress,which of the following goals should the nurse put on the care plan?

A 35-year-old female comes to the clinic for her annual physical.Upon examination,the nurse palpates a lump in the left breast.She informs the client of the finding and the client responds,"Yes,I found it a few months ago too but just didn't want to think about it." The nurse recognizes that this client has been using which approach to coping with the lump?

What is the function of antidiuretic hormone when released in the alarm stage of the general adaptation syndrome?

Before entering the room of a patient who is angry and yelling,the nurse removes her stethoscope from around her neck.The best rationale for doing so is that the stethoscope:

You are caring for a patient who suddenly experiences a cardiac arrest.As you respond to this emergency,which substance will your body secrete in large amounts to help prepare you to react in this situation?

A patient who has been hospitalized for weeks becomes angry and tells the nurse who is caring for him,"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?

The nursing student asks his instructor,"Why do some of my patients get a headache when they have stress and others cry?" The most appropriate response by the instructor is which of the following?

A patient is in crisis.After assessing the situation,what should the nurse do first?

Why is it important for you as a nurse to understand stress and adaptation? Select all that apply.

The nurse is working on an orthopedic unit in the local hospital.While assessing her patient the patient states,"Ever since we had the earthquake in California I can't sleep for fear of another one happening during the night,and I just keep having flashbacks of the earthquake." The nurse knows that these patient statements are most consistent with:

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

When released in response to alarm,which of the following substances promotes a sense of well-being?

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

Two days after a patient undergoes abdominal surgery,his surgical incision is red and slightly edematous; it is oozing a small amount of serosanguineous (pink-tinged serous)fluid.On the basis of these data,what can you conclude? Select all that apply.

A 75-year-old patient is tearful,shaky,and withdrawn.She tells you that she is "worrying herself to death" about losing her aging husband and being "all alone." Why do you recognize this reaction as Anxiety rather than Fear? Select all that apply.

You are caring for a patient with numerous physiological complaints.A family member tells you that the patient is pretending to have the symptoms of a stomach ulcer to avoid going to work.Which somatoform disorder is this patient most likely experiencing?

After sustaining injuries in a motor vehicle accident,a patient experiences a decrease in blood pressure and an increase in heart rate and respiratory rate despite surgical intervention and fluid resuscitation.Which stage of the general adaptation syndrome is the patient most likely experiencing?

A patient who has been diagnosed with breast cancer decides on a treatment plan and feels positive about her prognosis.Assuming the cancer diagnosis represents a crisis,this patient is most likely experiencing which phase of crisis?

A 60-year-old male attends a smoking cessation class.He tells the nurse,"Even though I smoke,I don't smoke around children,in my car,or in my house" Which defense mechanism is this male exhibiting?