Stress And Coping

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Question 1
Free
Multiple Choice

The nurse knows that one theory explaining the variation in response to stress among individuals is called:

Choose correct answer/s
A

stress appraisal.

B

sense of coherence.

C

allostasis.

D

homeostasis.

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Question 2
Free
Multiple Choice

The nurse is caring for a patient with a new diagnosis of diabetes type 2. Which of the following statements indicates a negative coping response?

Choose correct answer/s
A

"I will look up information on the Internet about diabetes."

B

"I will join a support group."

C

"I will only focus on learning to manage my medication first."

D

"I will make changes slowly so I can adapt to each change."

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Question 3
Free
Multiple Choice

The nurse is caring for a patient who is undergoing a major cardiac procedure. The patient tells you her heart is racing and she feels nauseated. You know this is part of hormone response known as:

Choose correct answer/s
A

sense of coherence.

B

stress appraisal.

C

fight or flight.

D

sympathoadrenal response.

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Question 4
Free
Multiple Choice

The nurse is measuring her patient's blood glucose levels after an acute myocardial infarction (MI). She knows the rationale for doing this is:

Choose correct answer/s
A

damaged muscle tissue releases glucose.

B

corticosteroids increase glucose.

C

myocardial infarctions are often seen in diabetics.

D

all patients should have their blood glucose checked.

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Question 5
Free
Multiple Choice

The nurse is teaching her patient about the difference between mild anxiety and moderate anxiety. Which statement by the patient indicates a need for further education?

Choose correct answer/s
A

"Mild anxiety can help me remember things."

B

"Moderate anxiety will narrow my focus."

C

"Mild anxiety will help me be creative."

D

"Moderate anxiety will increase my perception."

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Question 6
Multiple Choice

The nurse is providing discharge instructions for a patient with multiple sclerosis (an autoimmune disease). Which discharge instruction is aimed at preventing a future exacerbation?

Choose correct answer/s
A
Engage in some form of exercise as tolerated.
B
Avoid highly stressful situations.
C
Check your skin regularly for pressure sores.
D
Eat a diet with lots of fiber.
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Question 7
Multiple Choice

The nurse is assessing level of stress in a patient from another culture. Which question is the most appropriate in helping the nurse understand the impact of the patient's belief system?

Choose correct answer/s
A
"Do you engage in prayer to help you during times of stress?"
B
"Do you go to church or other form of organized worship?"
C
"Do you have certain beliefs that are helpful during times of stress?"
D
"Do you want spiritual counseling while you are here?"
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Question 8
Multiple Choice

The nurse is performing a physical assessment of patient who is undergoing a bone marrow biopsy. What finding by the nurse indicates the patient is experiencing stress?

Choose correct answer/s
A
Blood pressure of 120/84
B
Temperature of 37.5° C
C
Heart rate of 110 beats/min
D
Respiratory rate of 10 breaths/min
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Question 9
Multiple Choice

The nurse is assessing the patient's use of coping skills in response to stressful situations. Which of the following questions is the most useful?

Choose correct answer/s
A
"Have you been evaluated for stress?"
B
"Do you have someone you can go to for help when you are stressed?"
C
"How have you managed stressful situations in the past?"
D
"Does stress cause you to experience muscle tension or headaches?"
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Question 10
Multiple Choice

The nurse is caring for a patient on a medical-surgical inpatient unit. The patient tells the nurse he is very sad and is considering suicide. What is the first thing the nurse should do?

Choose correct answer/s
A
Notify the health care provider.
B
Make a referral to psychiatric services.
C
Implement one-on-one observations.
D
Document in the electronic medical record.
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Question 11
Multiple Choice

The nurse knows an appropriate goal for the nursing diagnosis of Ineffective coping would be:

Choose correct answer/s
A
The patient will report an ability to remember discharge instructions.
B
The patient's family will understand how to access respite care services.
C
The patient will discuss possible coping strategies during weekly counseling sessions.
D
The patient will attend an online support group weekly.
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Question 12
Multiple Choice

The nurse knows an appropriate goal for Stress overload is:

Choose correct answer/s
A
The patient will attend a weekly support group.
B
The patient will discuss possible coping strategies during weekly office visits.
C
The patient will discuss strategies for coping with relationship violence within 24 hours.
D
The patient's family will use respite care once a week for the next month.
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Question 13
Multiple Choice

The nurse knows that an appropriate goal for Readiness for enhanced coping would be:

Choose correct answer/s
A
The patient will report an ability to focus on discharge instructions.
B
The patient will attend a coping skills class on a weekly basis.
C
The patient will discuss possible coping strategies during weekly office visits.
D
The patient will discuss strategies for coping with relationship violence within 24 hours.
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Question 14
Multiple Choice

The nurse knows that when coordination between multiple health care disciplines is needed, the following role is used:

Choose correct answer/s
A
Pastoral care
B
Case manager
C
Social worker
D
Dietitian
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Question 15
Multiple Choice

The nurse is providing education to a patient around anger management strategies. Which statement indicates a need for further education by the patient?

Choose correct answer/s
A
"Exercise can help me deal with the anger."
B
"I can use humor."
C
"I can punch things."
D
"I can take a time out."
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Question 16
Multiple Choice

The nurse is educating the patient about alternative therapies. Which statement by the patient indicates a need for more information?

Choose correct answer/s
A
Alternative therapies can include relaxation techniques.
B
Alternative therapies are used in conjunction with medical therapies.
C
Alternative therapies can be used when patients are experiencing stress.
D
Some alternative therapists require certification.
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Question 17
Multiple Choice

The nurse is educating the patient on the use of relaxing therapy. Which statement by the patient indicates a need for further education?

Choose correct answer/s
A
"I should relax my muscles from head to toe."
B
"I visual the relaxed muscle."
C
"I should do this three times a week."
D
"I focus on muscles that are tense."
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Question 18
Multiple Choice

The nurse is seeing a patient during a follow-up visit after discharge in which the patient had a nursing diagnosis of Ineffective coping. Which statement by the patient would be a cause for concern?

Choose correct answer/s
A
"I am sleeping better most nights."
B
"I feel less anxious."
C
"I do not need to do the relaxation exercises anymore."
D
"I am continuing my exercises every day."
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Question 19
Multiple Choice

The nurse knows that when patients are experiencing stress, the following change can be seen in their signs and symptoms: (Select all that apply.)

Choose correct answer/s
A
Increase in heart rate
B
Increase in gastric motility
C
Pupil dilation
D
Decrease in blood pressure
E
Increase in respiratory rate
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Question 20
Multiple Choice

The nurse knows that the body's response to the release of hormones in the "fight or flight" response is which of the following? (Select all that apply.)

Choose correct answer/s
A
Decreased respiratory rate
B
Slowing of the digestive process
C
Glucose being mobilized from the liver
D
Pupils dilating
E
Smooth muscles in the bronchi constricting
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