Question 1

A client asks what changes can be made to dietary intake to reduce the effects of stress.What changes should the nurse encourage the client to make?
Standard Text: Select all that apply.

Accepted Answer

The answer of A client asks what changes can be...

Question 2

During an assessment,the nurse learns that a client has been having periodic upper respiratory infections since experiencing the death of a close family member.The nurse identifies this client's reaction to stress as being a

Accepted Answer

The answer of During an assessment,the nurse learns that a...

Question 3

A client is informed of the need for surgery to correct a potentially life-threatening health problem.Afterward,the nurse determines that the client is experiencing physiological indicators of stress.What did the nurse assess to make this determination?
Standard Text: Select all that apply.

Accepted Answer

Dilated pupils, diaphoresis, and tachycardia are all physiological indicators of stress. Flaccid muscle tone and excessive oral secretions are not typically associated with stress.

Question 4

The adult daughter of an older client,who provides and pays for the client's care and needs,tells the nurse that her time is limited because of work responsibilities.The client complains that all the daughter ever does is work.What basic need is being affected by the daughter's stress?

Accepted Answer

The answer of The adult daughter of an older client,who...

Question 5

The nurse asks a client what strategies he uses to cope with stress.The client does not respond.What should the nurse do?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse asks a client what strategies...

Question 6

A client diagnosed with a chronic illness tells the nurse that the spouse is not helping the client with household activities,which is causing stress.Which diagnosis should the nurse identify as being appropriate for the client at this time?

Accepted Answer

The client's statement suggests that the spouse is not providing adequate support with household activities, which can result in compromised family coping. This diagnosis is appropriate when the family is not able to effectively address the stressors associated with the illness, such as managing symptoms or adapting to the changes in the family's routine. Defensive coping is not appropriate in this scenario, as the client is not exhibiting any defensive behaviors. Disabled family coping is more appropriate when the family is unable to function effectively because of the illness, which is not indicated in this scenario. Ineffective coping is too broad and does not specifically address the family's ability to cope with the illness.

Question 7

After dealing with a variety of physical stressors,a client is entering the stage of exhaustion.The nurse should recognize that the end of this stage will depend upon which factors?
Standard Text: Select all that apply.

Accepted Answer

The answer of After dealing with a variety of physical...

Question 8

A client repeatedly tells the nurse that "all will be well" and "I'm fine" in response to learning of a health problem that requires immediate surgery.The nurse realizes that which diagnosis is appropriate for the client at this time?

Accepted Answer

The client's repeated assurances that "all will be well" and "I'm fine" despite the seriousness of the situation suggest a defensive mechanism to protect themselves from the anxiety of the health problem, indicating Defensive Coping.

Question 9

While assessing a client's ability to cope after being diagnosed with a chronic illness,the client admits to an increase in drinking and smoking.The nurse recognizes the client is utilizing which type of coping strategy?

Accepted Answer

Increased drinking and smoking are maladaptive coping strategies that provide short-term relief but can lead to long-term negative consequences.

Question 10

The nurse identifies that a client is experiencing the resistance stage of the general adaption syndrome.What did the nurse assess to make this clinical decision?

Accepted Answer

The resistance stage of the general adaption syndrome is characterized by the body's attempts to adapt to the stressor. In this stage, the body releases hormones to increase glucose levels and blood pressure, which can result in localized inflammation and swelling, such as in the case of a wound. Therefore, the presence of localized swelling and inflammation in the client's leg wound indicates that they are in the resistance stage. None of the other options have been associated with this stage.

Question 11

The nurse is preparing to assess a client's stress and coping patterns.What will be included in this assessment?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is preparing to assess a...

Question 12

A client is experiencing the shock phase within the general adaption syndrome.The nurse realizes that this phase affects which hormones?
Standard Text: Select all that apply.

Accepted Answer

The shock phase of the general adaptation syndrome is characterized by the release of stress hormones such as epinephrine, norepinephrine, and corticotropin-releasing hormone. Estrogen and progesterone are not directly involved in the stress response.

Question 13

A client newly diagnosed with colon cancer finishes dinner and turns on the nightly news.The nurse suspects the client is experiencing which cognitive indicator of stress?

Accepted Answer

The answer of A client newly diagnosed with colon cancer...

Question 14

During a health interview,the nurse decides to focus the assessment questions on the middle-aged client's amount of stress.What information did the nurse use to make this clinical decision?
Standard Text: Select all that apply.

Accepted Answer

The answer of During a health interview,the nurse decides to...

Question 15

The nurse is concerned that a client diagnosed with a chronic illness is experiencing depression.What did the nurse assess in this client?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is concerned that a client...

Question 16

After hearing the diagnosis of cancer,a client becomes withdrawn and refuses to talk with friends or family.The nurse realizes this client is demonstrating which type of reaction to stress?

Accepted Answer

Transaction involves both stimulus and response, and is the correct answer.

Quiz 42: Stress and Coping

A client asks what changes can be made to dietary intake to reduce the effects of stress.What changes should the nurse encourage the client to make? Standard Text: Select all that apply.

During an assessment,the nurse learns that a client has been having periodic upper respiratory infections since experiencing the death of a close family member.The nurse identifies this client's reaction to stress as being a

A client is informed of the need for surgery to correct a potentially life-threatening health problem.Afterward,the nurse determines that the client is experiencing physiological indicators of stress.What did the nurse assess to make this determination? Standard Text: Select all that apply.

The adult daughter of an older client,who provides and pays for the client's care and needs,tells the nurse that her time is limited because of work responsibilities.The client complains that all the daughter ever does is work.What basic need is being affected by the daughter's stress?

The nurse asks a client what strategies he uses to cope with stress.The client does not respond.What should the nurse do? Standard Text: Select all that apply.

A client diagnosed with a chronic illness tells the nurse that the spouse is not helping the client with household activities,which is causing stress.Which diagnosis should the nurse identify as being appropriate for the client at this time?

After dealing with a variety of physical stressors,a client is entering the stage of exhaustion.The nurse should recognize that the end of this stage will depend upon which factors? Standard Text: Select all that apply.

A client repeatedly tells the nurse that "all will be well" and "I'm fine" in response to learning of a health problem that requires immediate surgery.The nurse realizes that which diagnosis is appropriate for the client at this time?

While assessing a client's ability to cope after being diagnosed with a chronic illness,the client admits to an increase in drinking and smoking.The nurse recognizes the client is utilizing which type of coping strategy?

The nurse identifies that a client is experiencing the resistance stage of the general adaption syndrome.What did the nurse assess to make this clinical decision?

The nurse is preparing to assess a client's stress and coping patterns.What will be included in this assessment? Standard Text: Select all that apply.

A client is experiencing the shock phase within the general adaption syndrome.The nurse realizes that this phase affects which hormones? Standard Text: Select all that apply.

A client newly diagnosed with colon cancer finishes dinner and turns on the nightly news.The nurse suspects the client is experiencing which cognitive indicator of stress?

During a health interview,the nurse decides to focus the assessment questions on the middle-aged client's amount of stress.What information did the nurse use to make this clinical decision? Standard Text: Select all that apply.

The nurse is concerned that a client diagnosed with a chronic illness is experiencing depression.What did the nurse assess in this client? Standard Text: Select all that apply.

After hearing the diagnosis of cancer,a client becomes withdrawn and refuses to talk with friends or family.The nurse realizes this client is demonstrating which type of reaction to stress?