Question 1

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 2

After hearing the diagnosis of cancer,a client becomes withdrawn and refuses to talk with friends or family.The nurse realizes this client is demonstrating which type of reaction to stress?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

The answer of After hearing the diagnosis of cancer,a client...

Question 3

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

Accepted Answer

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

Question 4

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

The client's increase in drinking and smoking is a short-term and maladaptive coping strategy. Short-term because it provides temporary relief from stress and maladaptive because it can lead to serious health complications and ultimately make coping with the chronic illness more difficult.

Question 5

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

Accepted Answer

Assessing a client's stress and coping patterns involves understanding the client's perception of stressors (A), observing manifestations of stress (B), identifying coping strategies used by the client (D), and noting any weight changes (E) as they can be indicators of stress. Employment status (C) might influence stress but is not directly part of assessing stress and coping patterns.

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

Compromised Family Coping refers to a decrease in the ability of the family system to maintain functioning due to stressors, such as the spouse not helping with household activities, which can have an impact on the client's well-being. This diagnosis is appropriate as it addresses the impact of the spouse's behavior on the client and the family system as a whole. Defensive Coping refers more to the client's personal response to stress, while Disabled Family Coping refers to the family's inability to adapt to stress. Ineffective Coping may be appropriate as a secondary diagnosis, but it is not as comprehensive as Compromised Family Coping in addressing the family system's functioning.

Question 7

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?
(Select all that apply)

Accepted Answer

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

Question 8

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 9

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" in response to a significant health issue requiring immediate surgery indicate the use of defense mechanisms to avoid dealing with the reality of the situation. This behavior aligns with the diagnosis of Defensive Coping, where an individual may deny or minimize distressing information as a way to cope.

Question 10

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

Accepted Answer

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

Question 11

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

Accepted Answer

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

Question 12

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?
(Select all that apply)

Accepted Answer

Dilated pupils, diaphoresis (sweating), and tachycardia (increased heart rate) are common physiological indicators of stress, as they are part of the body's "fight or flight" response mediated by the sympathetic nervous system.

Question 13

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 14

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 a continuation of the body's fight against the stressor that initiated the alarm stage. At this point, the body is attempting to adapt to the stressor and regain homeostasis. Localized swelling and inflammation of the client's leg wound may indicate an inflammatory response, which is a typical response during the resistance stage. Option A is suggestive of anxiety or distraction, which may occur during the alarm stage. Option B suggests exhaustion and fatigue, which is more typically seen during the exhaustion stage. Option D indicates hyperglycemia, which may be caused by stress but is not a specific indicator of the resistance stage of the general adaption syndrome.

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?
(Select all that apply)

Accepted Answer

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

Question 16

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?
(Select all that apply)

Accepted Answer

The end of the exhaustion stage in the stress response is influenced by the severity of the stressor (B), the external resources provided to the individual (D), and the energy resources of the client (E). These factors determine the individual's ability to cope with stress and recover from its effects. The release of hormones (A) and the reversal of body changes (C) are part of the body's response to stress but do not directly determine the end of the exhaustion stage.

Quiz 42: Stress and Coping

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?

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?

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

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 is preparing to assess a client's stress and coping patterns.What will be included in this assessment? (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?

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? (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?

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?

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

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

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? (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

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 concerned that a client diagnosed with a chronic illness is experiencing depression.What did the nurse assess in this client? (Select all that apply)

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? (Select all that apply)