Deck 29: Stress and Adaptation

Question 1

When working in a highly stressful nursing unit and accepting additional shifts,a new nursing graduate should develop a strategy to prevent burnout.What would the best strategy for the new nurse be?

A)Identify limits and scope of work responsibilities.
B)Write for 10 minutes in a journal every day.
C)Use progressive muscle relaxation.
D)Delegate complex nursing tasks to licensed professional nurses.

Answer 1

Identify limits and scope of work responsibilities.

Question 2

A 72-year-old patient is in a long-term care facility after having had a cerebrovascular accident.The patient is noncommunicative,enteral feedings are not being absorbed,and respirations are becoming laboured.What stage of the general adaptation syndrome is this patient experiencing?

A)Resistance stage.
B)Exhaustion stage.
C)Reflex pain stage.
D)Alarm reaction stage.

Answer 2

Exhaustion stage.

Question 3

The nurse is involved in crisis intervention with a family in which the father has just lost his job and is experiencing periods of depression.The mother has a chronic debilitating illness that has put added responsibilities on the adolescent child,who is having behavioural problems.How does the nurse help the family focus on their feelings?

A)Pointing out the connection between the situation and their responses.
B)Encouraging the use of the family's usual coping skills.
C)Working on time management skills.
D)Discussing past experiences.

Answer 3

Pointing out the connection between the situation and their responses.

Question 4

A woman who was sexually assaulted more than a month ago presents to the emergency department with complaints of recurrent nightmares,fear of going to sleep,repeated vivid memories of the sexual assault,and inability to feel much emotion.The nurse recognizes the signs and symptoms of which medical problem?

A)General adaptation syndrome.
B)Post-traumatic stress disorder (PTSD).
C)Developmental crisis.
D)Alarm reaction.

Question 5

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: 37.2°C (99.0°F)
• Pulse: 102 beats per minute
• Respiratory rate: 26 breaths per minute
• Blood pressure: 140/106
The nurse can identify that which hormones are the likely causes of the abnormal vital signs?

A)Antidiuretic hormone (ADH)and adrenocorticotropic hormone (ACTH).
B)ACTH and epinephrine.
C)ADH and norepinephrine.
D)Epinephrine and norepinephrine.

Question 6

During the evaluation stage of the critical thinking model applied to a patient coping with stress,what will the nurse do?

A)Select nursing interventions to promote the patient's adaptation to stress.
B)Establish short- and long-term goals with the patient experiencing stress.
C)Identify stress management interventions for achieving expected outcomes.
D)Reassess patient's stress-related symptoms and compare with expected outcomes.

Question 7

While giving a lecture on attention-deficit-hyperactivity disorder,the nurse encourages which of the following to reduce children's stress regarding homework assignments?

A)Time management skills.
B)Prevention of iron deficiency anemia.
C)Routine preventive health visits.
D)Speech articulation skills.

Question 8

A senior university student contacts the campus health clinic about a first-year student living on the same dormitory floor.The senior student reports that the first-year student is crying and is not adjusting to university life.The clinic nurse recognizes this as a combination of situational and maturational stress factors.The best comment to the senior student would be which of the following?

A)"I'd better call 911 because your friend is suicidal."
B)"Give her this list of university and community resources."
C)"You must make an appointment for the student to obtain medications."
D)"I'd recommend you help the student pack her bags to go home."

Question 9

The nursing student gave a wellness lecture on the importance of accurate assessment and intervention from a personal,family,and community perspective.The other nursing students enjoyed the lecture about which nursing theory?

A)Ego defence model.
B)Situational model.
C)Evidence-informed practice model.
D)Neuman's systems model.

Question 10

Nurses in the medical centre are working with patients experiencing PTSD after losing family members from severe acute respiratory syndrome.Which of the following approaches would be appropriate to incorporate into the plan of care?

A)Suppression of anxiety-producing memories.
B)Reinforcement that the PTSD is short term.
C)Promotion of relaxation strategies.
D)Focusing on physical needs.

Question 11

A teenager with celiac disease continues to eat food she knows will make her ill several hours after ingestion.In view of appropriate tertiary level interventions,what would be the nursing intervention?

A)Teach the patient about Canada's Food Guide to Healthy Eating.
B)Administer antidiarrheal medications with meals.
C)Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.
D)Admonish the teen and her parents regarding her consistently poor diet choices.

Question 12

Pediatric stressors related to self-esteem and changes in family structure reflect which maturational school age category?

A)Elementary school age.
B)Preadolescence.
C)Adolescence.
D)Early adulthood.

Question 13

In a natural disaster relief facility,the nurse observes that an elderly man has a recovery plan,whereas a 25-year-old man is still overwhelmed by the disaster situation.These different reactions to the same situation would be explained best by which of the following?

A)Restorative care.
B)Strong financial resources.
C)Maturational and sociocultural factors.
D)Immaturity and intelligence factors.

Question 14

A 23-year-old patient who recently suffered a head injury in a motor vehicle accident is unconscious.The physiological component that is primarily responsible for the patient's level of consciousness is

A)Medulla oblongata.
B)Reticular formation.
C)Pituitary gland.
D)External stress response.

Question 15

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." The best response the nurse can give is which of the following?

A)"Many times,disasters can create mental health problems,so you really should participate with your family."
B)"Crisis intervention is a short-term problem-solving type of help,and seeking this help does not mean that you have a mental illness."
C)"Don't worry now.The psychiatrists are well trained to help."
D)"Crisis intervention will help your family communicate better."

Question 16

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

A)Primary.
B)Secondary.
C)Tertiary.
D)Quad level.

Question 17

The nurse is working with patients in an outpatient health care setting.One of the patients is experiencing job-related stress.Which of the following is a factor that may indicate chronic stress?

A)Avoiding discussion of job problems.
B)Saying negative things about other colleagues.
C)Experiencing chronic pain and irritable bowel syndrome.
D)Blaming the boss for being unreasonably demanding.

Question 18

A trauma survivor is requesting sleep medication because of "bad dreams." Concerned about PTSD,the nurse would ask which of the following?

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?"

Question 19

A nurse is teaching guided imagery to a prenatal class.Which of the following is an example of guided imagery?

A)Singing.
B)Back massage.
C)Sensory peaceful words.
D)Listening to music.

Question 20

An example of an assessment finding of caregiver strain would be which of the following?

A)Caregiver routinely creates a weekly menu plan.
B)Caregiver has not received medical care when ill.
C)Caregiver can identify respite care provider.
D)Caregiver attends religious service.