Question 1

The nurse determines that a client is utilizing a maladaptive method to cope with a new illness. Which of the following is the client most likely demonstrating?

Accepted Answer

Sleeping excessively or using sleep as a way to escape reality can be considered a maladaptive coping mechanism when dealing with stress or new illnesses. It can indicate avoidance rather than addressing or adapting to the situation.

Question 2

A client from a non-English-speaking culture refuses to accept one prescribed treatment for an acute illness. Which of the following should the nurse do to support this client's refusal of care?

Accepted Answer

The nurse should communicate with the client, acknowledge the client's concerns, and provide education and information about the treatment in question. The nurse should also explore any cultural or personal beliefs that may be contributing to the client's reluctance to accept treatment. Discharging the client or transferring them to another care area may not be appropriate or necessary. Providing an equally effective treatment may not be possible, and it is important to respect the client's autonomy in making decisions about their own healthcare.

Question 3

The nurse, working as a case manager, is designing a program to help clients meet their health promotion needs. Which of the following activities would be appropriate to include in this program?

Accepted Answer

Providing education to support a healthy lifestyle would be appropriate in a program to help clients meet their health promotion needs. A healthy lifestyle can prevent several health problems and improve overall health. The other options do not contribute to promoting health but rather may have adverse effects on the client's health.

Question 4

A client diagnosed with post-traumatic stress disorder is demonstrating signs of increased arousal. Which of the following did the nurse most likely assess in this client?

Accepted Answer

Increased arousal is a symptom of post-traumatic stress disorder and can manifest in various ways, such as sleep disturbances, irritability, angry outbursts, and an exaggerated startle response. Crying and sleeping are not typically associated with increased arousal in PTSD.

Question 5

A client tells the nurse that he feels "stressed out." The nurse realizes which of the following regarding stress?

Accepted Answer

Stress can be caused by a variety of situations, including positive events such as getting married or receiving a promotion. It is the individual's perception and response to the stressor that determines the level of stress experienced. Stress can also be a result of difficult or challenging situations, such as financial problems or relationship issues.

Question 6

The nurse suspects a client is experiencing acute stress disorder when which of the following symptoms are assessed? (Select all that apply.)

Accepted Answer

Symptoms of acute stress disorder include a sense of detachment, depersonalization, and an inability to cope. Internal locus of control and setting goals are not necessarily associated with acute stress disorder. Hoping for a positive outcome may be present, but it is not a defining symptom.

Question 7

A client diagnosed with a terminal illness tells the nurse that he will do whatever it takes to work through the illness and be as healthy as he can. The nurse recognizes this client's inner strength is a characteristic of:

Accepted Answer

Resilience is the ability to adapt and cope positively with stressors, such as a terminal illness. The client's statement reflects an inner strength and determination to work through the illness, which is a sign of resilience. Emotion-focused coping, compliance, and adherence are not relevant to the client's statement.

Question 8

The nurse is determining in which stage a client is experiencing the biological effects of the general adaptation syndrome (GAS). This syndrome includes which three stages? (Select all that apply.)

Accepted Answer

The three stages of the general adaptation syndrome (GAS) are alarm reaction stage, resistance stage, and exhaustion stage. C, E, and F are not stages of the GAS.

Question 9

A client diagnosed with heart failure is experiencing feeling of helplessness and is uncertain about how her heart failure has been progressing. These feelings are referred to as:

Accepted Answer

Dysthymia refers to a persistent mild depression, which aligns with feelings of helplessness and uncertainty about one's health condition.

Question 10

A client tells the nurse that he believes he will learn to manage his illness and will continue to live a productive life. The nurse realizes that this client's positive self-esteem is evidence of:

Accepted Answer

Self-efficacy refers to one's belief in their ability to achieve certain goals or outcomes, in this case managing their illness and continuing to live a productive life. The client's positive self-esteem is evidence that they believe they have the capability to achieve these goals. External locus of control refers to the belief that external factors beyond one's control determine their outcomes, which is not evidenced by this statement. Pity and hopelessness are not reflected in the client's statement of believing in their ability to manage their illness and continue to live a productive life.

Question 11

The nurse is concerned that a client is in the third stage of the general adaptation syndrome (GAS) when which of the following is assessed?

Accepted Answer

The third stage of GAS is the exhaustion stage, where the body's resources have been depleted, and the client experiences negative effects, such as numbness, fatigue, and possibly even collapse. Increased energy (choice A) would be seen in the alarm stage, and fluid retention (choice B) and prolonged stress (choice C) are not specific indicators of any stage of GAS.

Question 12

A client tells the nurse that as long as he is alive, he is going to hope that his chronic illness will improve. The nurse recognizes that this client is demonstrating which of the following qualities? (Select all that apply.)

Accepted Answer

The client's statement indicates that he is future-oriented and determined to improve his health. He is also showing a sense of control by expressing his hope for the future. The client is not displaying despair, helplessness, or confusion.

Question 13

The nurse is planning interventions for a client with a chronic illness who is experiencing stress. Which of the following would be appropriate for this client?

Accepted Answer

Providing education about lifestyle changes such as diet, exercise, and medications can help the client manage their stress and chronic illness. The other options are not appropriate and could potentially harm the client's well-being.

Question 14

The family of a client in the critical care unit are complaining about the care their family member is receiving. Which of the following can the nurse do to reduce the family's stress?

Accepted Answer

The nurse should address the family's concerns and provide information about the care their family member is receiving. This will help alleviate their stress and anxiety about the situation. Encouraging the family to visit less frequently or suggesting they speak to the nursing supervisor may not be the most effective way to address their concerns. Explaining the monitor volume can be helpful, but it may not be sufficient to reduce the family's stress.

Question 15

A client is utilizing a problem-focused approach to cope with a new illness. Which of the following behaviors is this client most likely demonstrating? (Select all that apply.)

Accepted Answer

The answer of A client is utilizing a problem-focused approach...

Question 16

The nurse is feeling overworked, tired, and irritable. Which of the following should the nurse do to combat these feelings of burnout?

Accepted Answer

Taking care of one's physical health by exercising regularly, eating a well-balanced diet, and getting adequate sleep is the best way to combat feelings of burnout. While short-term solutions like taking a day off or partying with friends may provide temporary relief, they do not address the underlying causes of burnout and may even exacerbate the problem in the long run. Similarly, using substances like alcohol and cigarettes to cope with stress can lead to addiction and other health problems. It's important for nurses to prioritize self-care and seek support from colleagues, supervisors, or mental health professionals when needed.

Question 17

A client tells the nurse that she uses herbal remedies to help control the symptoms of a chronic illness but does not want her physician to know. Which of the following should the nurse respond to this client?

Accepted Answer

The nurse should inform the client about possible interactions between herbal remedies and prescribed medications. It is important for the client to disclose all remedies, including herbal remedies, to their physician to ensure safe and effective treatment. Discouraging the client from telling their physician or criticizing the use of herbal remedies is not appropriate or helpful.

Question 18

A client's symptoms are consistent with those seen in the first stage of the general adaptation syndrome (GAS). Which of the following symptoms did the nurse most likely assess in this client?

Accepted Answer

The first stage of the general adaptation syndrome (GAS) is the alarm reaction, which is characterized by the body's initial response to stress. This response involves activation of the sympathetic nervous system, leading to an increase in blood pressure, dilation of pupils, and tachycardia. These are all physical symptoms that prepare the body for fight or flight. Mental exhaustion, cool skin, decreased senses, hyperventilation, nausea, vomiting, physical illness, hypertension, and shortness of breath are not specific to the first stage of GAS.

Quiz 10: Stress, Coping, and Adaptation