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Stress And Coping

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Question 1
Free
Multiple Choice

In a natural disaster relief facility, the nurse observes that an older-adult male has a recovery plan, while a 25-year-old male is still overwhelmed by the disaster situation. A nurse is planning care for both patients. Which factors will the nurse consider about the different coping reactions?

Choose correct answer/s
A

Restorative care factors

B

Strong financial resource factors

C

Maturational and situational factors

D

Immaturity and intelligence factors

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Question 2
Free
Multiple Choice

A woman who was sexually assaulted a month ago presents to the emergency department with reports of recurrent nightmares, fear of going to sleep, repeated vivid memories of the sexual assault, and inability to feel much emotion. Which medical problem will the nurse expect to see documented in the chart?

Choose correct answer/s
A

General adaptation syndrome

B

Post-traumatic stress disorder

C

Acute stress disorder

D

Alarm reaction

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Question 3
Free
Multiple Choice

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

Choose correct answer/s
A

Primary

B

Secondary

C

Tertiary

D

Quad

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Question 4
Free
Multiple Choice

A nurse is teaching guided imagery to a prenatal class. Which technique did the nurse describe?

Choose correct answer/s
A

Singing

B

Massaging back

C

Listening to music

D

Using sensory peaceful words

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Question 5
Free
Multiple Choice

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." What is the nurse's best response?

Choose correct answer/s
A

"Many times disasters can create mental health problems, so you really should participate with your family."

B

"Seeking this kind of help does not mean that you have a mental illness; it is a short-term problem-solving technique."

C

"Don't worry now. The psychiatrists are well trained to help."

D

"This will help your family communicate better."

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Question 6
Multiple Choice

A preadolescent patient is experiencing maturational stress. Which area will the nurse focus on when planning care?

Choose correct answer/s
A
Identity issues
B
Self-esteem issues
C
Physical appearance
D
Major changing life events
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Question 7
Multiple Choice

A nurse is caring for a patient with stress and is in the evaluation stage of the critical thinking model. Which actions will the nurse take?

Choose correct answer/s
A
Select nursing interventions and promote patient's adaptation to stress.
B
Establish short- and long-term goals with the patient experiencing stress.
C
Identify stress management interventions and achieve expected outcomes.
D
Reassess patient's stress-related symptoms and compare with expected outcomes.
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Question 8
Multiple Choice

An adult male reports new-onset, seizure-like activity. An EEG and a neurology consultant's report rule out a seizure disorder. It is determined the patient is using conversion. Which action should the nurse take next?

Choose correct answer/s
A
Suggest acupuncture.
B
Confront the patient on malingering.
C
Obtain history of any recent life stressors.
D
Recommend a regular exercise program.
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Question 9
Multiple Choice

A senior college student visits the college health clinic about a freshman student living on the same dormitory floor. The senior student reports that the freshman is crying and is not adjusting to college life. The clinic nurse recognizes this as a combination of situational and maturational stress factors. Which is the best response by the nurse?

Choose correct answer/s
A
"Let's call 911 because this freshman student is suicidal."
B
"Give the freshman student this list of university and community resources."
C
"I recommend that you help the freshman student start packing bags to go home."
D
"You must make an appointment for the freshman student to obtain medications."
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Question 10
Multiple Choice

Despite working in a highly stressful nursing unit and accepting additional shifts, a new nurse has a strategy to prevent burnout. Which strategy will be best for the nurse to use?

Choose correct answer/s
A
Delegate complex nursing tasks to nursing assistive personnel.
B
Strengthen friendships outside the workplace.
C
Write for 10 minutes in a journal every day.
D
Use progressive muscle relaxation.
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Question 11
Multiple Choice

A female teen with celiac disease continues to eat food she knows will make her ill several hours after ingestion. While planning care, the nurse considers maturational and tertiary-level interventions. Which intervention will the nurse add to the care plan?

Choose correct answer/s
A
Teach the teen about the food pyramid.
B
Administer antidiarrheal medications with meals.
C
Gently admonish the teen and her parents regarding the consistently poor diet choices.
D
Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.
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Question 12
Multiple Choice

A trauma survivor is requesting sleep medication because of "bad dreams." The nurse is concerned that the patient may be experiencing post-traumatic stress disorder (PTSD). Which question is a priority for the nurse to ask the patient?

Choose correct answer/s
A
"Are you reliving your trauma?"
B
"Are you having chest pain?"
C
"Can you describe your phobias?"
D
"Can you tell me when you wake up?"
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Question 13
Multiple Choice

A patient in a motor vehicle accident states, "I did not run the red light," despite very clear evidence on the street surveillance tape. Which defense mechanism is the patient using?

Choose correct answer/s
A
Denial
B
Conversion
C
Dissociation
D
Compensation
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Question 14
Multiple Choice

A young male patient is diagnosed with testicular cancer. Which action will the nurse take first?

Choose correct answer/s
A
Provide information to the patient.
B
Allow time for the patient's friends.
C
Ask about the patient's priority needs.
D
Find support for the family and patient.
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Question 15
Multiple Choice

A nurse is teaching the staff about a nursing theory that views a person, family, or community developing a normal line of defense. Which theory is the nurse describing?

Choose correct answer/s
A
Ego defense model
B
Immunity model
C
Neuman Systems Model
D
Pender's Health Promotion Model
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Question 16
Multiple Choice

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: 99.0° F
Pulse: 102 beats/min
Respiratory rate: 26 breaths/min
Blood pressure: 140/106
Which hormones should the nurse consider as the most likely causes of the abnormal vital signs?

Choose correct answer/s
A
ADH and ACTH
B
ACTH and epinephrine
C
ADH and norepinephrine
D
Epinephrine and norepinephrine
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Question 17
Multiple Choice

A nurse is planning care for a patient that uses displacement. Which information should the nurse consider when planning interventions?

Choose correct answer/s
A
This copes with stress directly.
B
This evaluates an event for its personal meaning.
C
This protects against feelings of worthlessness and anxiety.
D
This triggers the stress control functions of the medulla oblongata.
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Question 18
Multiple Choice

Which sociocultural finding in the history of a patient will alert the nurse to a possible developmental problem?

Choose correct answer/s
A
Family relocation
B
Childhood obesity
C
Prolonged poverty
D
Loss of stamina
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Question 19
Multiple Choice

A nurse is helping parents who have a child with attention-deficit/hyperactivity disorder. Which strategy will the nurse share with the parents to reduce stress regarding homework assignments?

Choose correct answer/s
A
Time-management skills
B
Speech articulation skills
C
Routine preventative health visits
D
Assertiveness training for the family
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Question 20
Multiple Choice

A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply.)

Choose correct answer/s
A
Cancer
B
Diabetes
C
Infections
D
Allostasis
E
Low blood pressure
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