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NURS 201-Chapter 43
Stress and Adaptation
| Question | Answer |
|---|---|
| Cancer pt. recovers from tumor, undergoing chemo. She is not having any symptoms at this time and is continuing to work and enjoy social events. What stage of the general adaptation syndrome (GAS) would the nurse place her in? | Resistance |
| Nurse takes vital signs, pt. tells her that his blood pressure may be a little off this morning b/c he is recently unemployed, stressed, having hard time coping. Feels like pain needs numbing. What is the nurse most concerned about regarding this client? | alcohol use |
| A client is admitted to the emergency department with a urinary tract infection and is experiencing a stress response from hospitalization. The client does not speak any of the dominant language. What is the priority nursing intervention? | contact a translator |
| A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea? | sit with the client and ask them about their feelings |
| A nurse has accepted numerous overtime shifts over the past several months. Which behavior indicates the nurse is experiencing burnout? | Dozing at the desk during downtime |
| A young woman, who has recently suffered acute stress, asks the nurse why she seems to be more sensitive to stress than her husband. The nurse explains that a contributor to this phenomenon is: | estrogen levels. |
| Which are considered internal stressors? | -illness -hormonal change -fear |
| A nursing instructor is discussing burnout with a group of graduating nursing students. Which statement might lead the instructor to believe that the particular student has not developed needed coping mechanisms for nursing practice? | “I can handle absolutely any situation now. You teachers have trained us well.” |
| Red Cross volunteer can't sleep and returned to smoking cigarettes after saving from a fire. Which statement leads the nurse to suspect the nursing concern of role strain related to stress from being a caregiver during their disaster volunteer activities? | “I cannot seem to calm down. I keep seeing those faces and hearing their words every time I close my eyes.” |
| Which behaviors represent effective coping mechanisms? | -setting limits with family members who upset you -learning relaxation techniques -taking a vacation |
| A client's body uses physiologic mechanisms from within to respond to internal changes and maintain an essential balance. This process is known as: | homeostasis. |
| The emergency department nurse suspects that an older adult client who fell and broke her hip is using a defense mechanism when the client states: | “They must have given me the wrong medication at the drug store. I don’t have trouble with my eyesight.” |
| College student has several tests and assignments due in approximately 3 days. The client has developed a sore throat and fever. Which teaching would the nurse provide to the client to combat the effect intense stress has on the development of illness? | “Be sure that you get enough sleep and eat well during these stressful times.” |
| Many families are sheltering in the local middle school gymnasium during a severe tornado outbreak. Many homes have been destroyed and lives lost. The community health nurse expects to see negative stress reactions to the crisis, such as: | a young wife asking everyone repeatedly if they know where her husband is. |
| When nurses become overwhelmed in their jobs and develop symptoms of anxiety and stress, they are experiencing what condition? | Burnout |
| Nurse cares for client who is a doctor. He complains about stress of job. Lately, he has become increasingly susceptible to colds, headaches, muscular tension, excessive tiredness, and many other symptoms. At what stage of stress is the client? | exhaustion stage |
| The nurse determines that a client understands instruction regarding progressive relaxation when the client states that the technique requires: | tensing and relaxing various muscle groups. |
Created by:
kmeans34
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