NursingNursing PracticeConcepts for Nursing PracticePractice Set 8Stress
Questions Bank
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An older patient presents to the outpatient clinic with a chief complaint of headache and insomnia. In gathering the history, the nurse notes which factors as contributing to this patient's chief complaint?
The patient is responsible for caring for two school-age grandchildren.
The patient's daughter works to support the family.
The patient is being treated for hypertension and is overweight.
The patient has recently lost her spouse and needed to move in with her daughter.
A patient who was recently diagnosed with diabetes is having trouble concentrating. This patient is usually very organized and laid back. Which action should the nurse take?
Ask the health care provider for a psychiatric referral.
Administer the PRN sedative medication every 4 hours.
Suggest the use of a home caregiver to the patient's family.
Plan to reinforce and repeat teaching about diabetes management.
A diabetic patient who is hospitalized tells the nurse, "I don't understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up." Which response by the nurse is appropriate?
"It is probably just coincidental that your blood sugar is high when you are ill."
"Stressors such as illness cause the release of hormones that increase blood sugar."
"Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times."
"Your diet is different here in the hospital than at home, and that is the most likely cause of the increased glucose level."
A patient has not been sleeping well because he is worried about losing his job and not being able to support his family. The nurse takes the patient's vital signs and notes a pulse rate of 112 beats/min, respirations are 26 breaths/min, and his blood pressure is 166/88 instead his usual 110-120/76-84 range. Which nursing intervention or recommendation should be used first?
Go to sleep 30 to 60 minutes earlier each night to increase rest.
Relax by spending more time playing with his pet dog.
Slow and deepen breathing via use of a positive, repeated word.
Consider that a new job might be better than his present one.
The nurse is planning to teach a patient how to use relaxation techniques to prevent elevation of blood pressure and heart rate. The nurse is teaching the patient to control which physiological function?
Switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode.
Alter the internal state by modifying electronic signals related to physiologic processes.
Replace stress-producing thoughts and activities with daily stress-reducing thoughts and activities.
Reduce catecholamine production and promote the production of additional beta-endorphins.