Exam 26: Stress and Coping

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The nurse manager is overwhelmed as the unit prepares for an accreditation inspection.Which type of factor is causing the stress for the nurse manager?

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A

Which interventions are appropriate to assist the patient who is exhausted and depressed from providing care to the spouse with advanced dementia?

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A,C,D

The patient develops an inability to swallow after many years of emotional abuse.The physicians can find no medical reason for the patient's dysphagia.Which ego-defense mechanism is used by the patient?

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D

Which situation demonstrates an allostatic stress load?

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Which position is best suited for a nurse who preferred to study until the early hours of the morning during nursing school?

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Which hormone is the most important factor for the physiological response to stress?

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Which assessment finding is expected for a patient who was just chased by an attacker?

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The patient is frustrated after being treated poorly by providers due to lack of health insurance.Which type of factor is causing the stress for the patient?

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The nurse is caring for a patient who has just been diagnosed with amyotrophic lateral sclerosis (ALS).Which assessment findings justify the diagnosis of ineffective denial related to fear of loss of body function and death for the patient?

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The patient is severely injured in an accident but does not feel the pain until several hours afterward.Which type of hormone reduced the patient's sense of pain as part of the stress response?

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The patient concentrates on the mind-numbing details of the spouse's funeral to delay dealing with the overwhelming pain of the loss.Which ego-defense mechanism is used by the patient?

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The patient's spouse is overwhelmed and exhausted trying to provide the ongoing care required by the patient.Which nursing diagnosis is most appropriate for the patient's spouse?

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The young child cries and tries to run away when after being told that a flu shot is to be administered.Which term best describes the psychological reaction of the child?

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A young child begins wetting the bed again after the parents bring home a new baby sister.Which ego-defense mechanism is used by the child?

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The new mother experiences insomnia,irritability,and lack of appetite after several weeks in the neonatal care unit with her critically ill infant.Which stage of the general adaptation syndrome (GAS)is the new mother experiencing?

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The patient refuses to believe the physician's diagnosis and insists on a second opinion from a specialist.Which ego-defense mechanism is used by the patient?

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The new mother experiences insomnia,irritability,and lack of appetite after several weeks in the neonatal care unit with her critically ill infant.Which nursing diagnosis is most appropriate for the new mother?

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A patient telephones a crisis intervention hotline.The nurse assigned to this center assesses that the patient is experiencing a crisis.What is the most appropriate action for the nurse to take?

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Which intervention is appropriate for the nurse to reduce compassion fatigue?

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The patient is overwhelmed by the stresses of being a spouse,new parent,and full-time employee.The nurse encourages the patient to use a housekeeper,babysitter,friends,or relatives to help reduce personal responsibilities and obligations.Which stress-relieving technique was recommended for the patient?

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