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concepts of nursing
Stress and Coping: Analyze Cues and Prioritize Hypotheses; Plan and Generate Sol
| Question | Answer |
|---|---|
| Which questions would elicit an assessment of the patient’s ability to cope? | 1. "How have you dealt with stressful situations in the past?" 3. "Were these techniques of handling stress effective?" 4. "Whom can you ask for assistance from during stressful times?" |
| Which questions would the nurse ask regarding current stressors in a patient with a new job who reports recent increases in migraines and significant weight loss? | “How much weight have you lost since starting your new job?” “Have you experienced changes in your anxiety level because of your new job?” “Do you normally experience migraines when you are under stress?” “How long have you had migraines?” |
| When evaluating a patient for stress, which assessment findings would the nurse anticipate? | 1. Nervousness 2. Irritability 3. Muscle tension 5. Weight loss |
| Which question would the nurse ask to 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 indicates an ability to cope with a current stressor? | “I am talking to my supervisor about working from home to reduce my weekly commute.” |
| Which observed patient behavior during the health history interview suggests the need for further assessment related to stress and coping? | Staring at the floor and responding with abrupt, monosyllabic answers |
| Which sign or symptom can be directly related to high levels of stress? | Nausea while waiting for test results |
| Which patient does the nurse identify as likely experiencing stress? | Patient that is panting and sweating during assessment |
| Which patient action alerts the nurse that the patient may be experiencing stress? | Frequent adjustment of position |
| Which definition applies to the defense mechanism of intellectualization? | Overthinking a challenging situation or impulse to avoid dealing with the emotions it elicits |
| Which definition applies to the defense mechanism of compensation? | Focusing on real or perceived strengths rather than perceived weaknesses |
| Which response would the nurse provide to a patient who states, “I feel overwhelmed right now, but at least that makes me work harder”? | “How do you feel about yourself when you are overwhelmed and working so much?” |