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concepts of nursing
Assessment related to stress, coping, grief and death
| Question | Answer |
|---|---|
| Which questions would be appropriate to ask when assessing a patient’s coping mechanisms? | "How have you dealt with stressful situations in the past?" "Were these techniques of handling stress effective?" "Whom can you ask for assistance from during stressful times?" |
| Which question will provide information about current stressors in a patient who reports recent increases in migraines and significant weight loss? | "Have you experienced changes in your anxiety level due to your new job?" |
| When assessing a patient for stress, which symptoms might the nurse expect to see? | Nervousness Irritability Muscle tension Weight loss |
| Which question would help the nurse assess a patient’s spiritual and cultural coping mechanisms? | "Whom do you see for health care in addition to your health care provider or nurse?" |
| Which patient statement made in response to an assessment question about coping indicate the patient’s ability to cope with a current stressor? | "I have reached out to human resources to get information on flexible hours to help my commute at my new job." |
| Which patient behaviors observed during the health history interview suggest the patient should be further assessed for stress? | Staring at the floor and responding with abrupt, monosyllable answers |
| Which signs or symptoms can be directly related to high levels of stress? | Nausea while waiting for test results |
| Which physical sign found during an assessment would alert the nurse to the possibility of an adult patient under acute stress? | Heart rate 98 bpm Blood pressure 138/88 |
| Which patient is likely experiencing stress? | Patient that is panting and sweating during assessment |
| Which patient action most likely indicates the patient is experiencing stress? | Frequent adjustment of position |
| Which question, related to socioeconomic status, should the nurse ask the caregiver of a terminally ill patient? | "Do you have trouble being able to pay for all of the patient's medications?" |
| Which question should the nurse ask the family of a dying parent to assess anticipatory grief? | "Are you having difficulty making decisions?" |
| Which assessment question would provide information related to caregiver strain on the daughter of a terminally ill patient? | "Do you find yourself either unable to sleep or sleeping too much?" |
| Which assessment question provides information related to the amount of stress the spouse of a dying patient is experiencing? | "On a scale of 1-5 with one being very little and 5 being all consuming, how much stress do you feel?" |
| Which tool would the nurse use to identify the needs of a patient at home suffering from a terminal illness? | Toolkit of Instruments to Measure End of Life Care (TIME) |
| Which nursing assessment finding indicates the patient is close to death? | The patient has stopped eating and drinking |
| Which sign of death is known as “rigor mortis”? | Stiffening of the joints of the body |
| Which assessment finding describes the sign of death known as “algor mortis”? | Body temperature of 97.5° C |
| Which part of the nurse’s assessment of a dying patient would be important to share with the patient’s loved ones who are gathered around them? | The patient wants to get up and walk |
| Which findings would be expected when assessing a patient at the end of life? | Apnea Increased heart rate Decreased urine output |
Created by:
colby.caswell