Which client statement should alert a nurse that a client may be responding maladaptively to stress?

Scheduled maintenance: Saturday, September 10 from 11PM to 12AM PDT

Show

    Home

    Subjects

    Solutions

    Create

    Log in

    Sign up

    Upgrade to remove ads

    Only ₩37,125/year

    • Flashcards

    • Learn

    • Test

    • Match

    • Flashcards

    • Learn

    • Test

    • Match

    Terms in this set (20)

    A client has experienced the death of a close family member and at the same time becomes unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should the nurse evaluate this client data?

    Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of coping resources and available supports

    A physically and emotionally healthy client has just been fired. During a routine office visit he states to a nurse: "Perhaps this was the best thing to happen. Maybe I'll look into pursuing an art degree." How should the nurse characterize the clients appraisal of the job loss stressor?

    Challenging

    Which client statement should alert a nurse that a client may be responding maladaptively to stress?

    "I've found that avoiding contact with others helps me cope"

    A nursing student finds that she comes down with a sinus infection toward the end of every semester. When this occurs, which stage of stress is the student most likely experiencing?

    Stage of exhaustion

    A school nurse is assessing a female high school student who is overly concerned about her appearance. The clients mother states, "That's not something to be stressed about!" Which is the most appropriate nursing response?

    "Stress can be psychological. A threat to self-esteem may result in high stress levels"

    A bright student confides in the school nurse about conflicts related to attending college or working to add needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend to the student at this time?

    Problem-solving training

    An unemployed college graduate is experiencing severe anxiety over not finding a teaching position and has difficulty with independent problem-solving. During a routine physical examination, the graduate confides in the clinic nurse. Which is the most appropriate nursing intervention?

    Work through the problem-solving process with the client

    A school nurse is assessing a distraught female high school student who is overly concerned because her parents cant afford horseback riding lessons. How should the nurse interpret the students reaction to her perceived problem?

    The problem is personally relevant to her

    Meditation has been shown to be an effective stress management technique. When meditation is effective, what should a nurse expect to assess?

    An achieved state of relaxation

    A distraught, single, first-time mother cries and asks a nurse, "How can I go to work if I cant afford childcare?" What is the nurses initial action in assisting the client with the problem-solving process?

    Assess the facts of the situation

    A nursing instructor is asking students about diseases of adaptation and when they are likely to occur. Which student response indicates that learning has occurred?

    "When an individuals physiological and psychological resources have become depleted"

    When an individual's stress response is sustained over a long period of time, which physiological effect of the endocrine system should a nurse anticipate?

    Decreased resistance to disease

    Which symptom should a nurse identify as typical of the fight-or-flight response?

    Increased heart rate

    A nurse is evaluating a clients response to stress. What would indicate to the nurse that the client is experiencing a secondary appraisal of the stressful event?

    When the individual judges the resources and skills needed to deal with the event

    Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between the effects of life change and illness. This research led to the development of the Recent Life Changes Questionnaire (RLCQ). Which principle most limits the effectiveness of this tool?

    Personal perception of the event is excluded

    A client who experiences stress on a regular basis asks a nurse what causes these feelings. Which is the most appropriate nursing response?

    "How you reacted to past experiences influences how you feel now"

    A nurse is interviewing a distressed client, who relates being fired after 15 years of loyal employment. Which of the following questions would best assist the nurse to determine the clients appraisal of the situation? Select all that apply.

    What resources have you used previously in stressful situations?
    Have you ever experienced a similar stressful situation?
    What skills do you possess that might lead to gainful employment?

    A nurse is working with a client who has recently been under a great deal of stress. Which nursing recommendations would be most helpful when assisting the client in coping with stress? Select all that apply.

    Enjoy a pet.
    Spend time with a loved one.
    Listen to music.
    Journal your feelings

    A nurse is conducting education on anxiety and stress management. Which of the following should be identified as the most important initial step in learning how to manage anxiety?

    Awareness of factors creating stress

    A patient presents in the Emergency Department immediately following a shooting incident in a school where she has been teaching. There is no evidence of physical injury, but she appears very hyperactive and talkative. Which of these symptoms manifested by the patient are common initial biological responses to stress? Select all that apply.

    Watery eyes
    Increased heart rate
    Increased respirations

    Sets with similar terms

    Exam 1 Psych

    43 terms

    AveryAboud

    Chapter 1. The Concept of Stress Adaptation

    20 terms

    mandersg07

    NURS (FUNDAMENTAL): NCLEX Stress and Adaptation

    71 terms

    Saaved47

    Sets found in the same folder

    Chapter 4 - Psych

    21 terms

    Midnight_Special

    Mental Health Exam #1

    76 terms

    alex_culpon

    MH Chapter 33 Forensic Nursing AQ

    39 terms

    gavinjacob99

    Chapter 8

    33 terms

    Alaina_Cohen

    Other sets by this creator

    Test #2

    125 terms

    Ariella_Walton

    Test 1

    37 terms

    Ariella_Walton

    For Test #3: Neuro

    27 terms

    Ariella_Walton

    For Test #3: Resp failure

    55 terms

    Ariella_Walton

    Verified questions

    PSYCHOLOGY

    How does a self-fulfilling prophecy present a problem for researchers?

    Verified answer

    QUESTION

    Jacque learned to speak Italian when she was in the first grade and was able to speak, read, and write Italian fairly well by the fourth grade. She moved to a new school system that did not have Italian as a choice for World Languages, so she decided to take Spanish. Sometimes she found herself saying and writing words in Italian as she completed her Spanish assignments. Often, she remembered the vocabulary in Italian before she said the word in Spanish. Sometimes she felt like knowing Italian helped her learn Spanish, but sometimes she thought it just confused her! When Jacque was in her Spanish classroom, she felt more at ease with the Spanish language. When she went to an Italian restaurant, she enjoyed being able to read the menu to her friends if it was written in Italian. Briefly define each concept and use an example to show how each concept is related to Jacque’s experiences. -Working memory. -Explicit memory. -Effortful processing. -Context-dependent memory. -Proactive interference. Explain how these brain structures play a role in Jacque’s memory processing. -Hippocampus. -Amygdala.

    Verified answer

    QUESTION

    What was one of the major findings of Thomas Bouchard's study of twins? a. It demonstrated that peer influence is more important than parental influence in the development of personality traits. b. It proved that the influence of parental environment becomes more and more important as children grow into adults. c. He discovered striking similarities between adult identical twins who had been separated near birth. d. Fraternal twins showed almost as much similarity as identical twins when they reached adulthood. e. It provided evidence that heritability is less important than researchers previously suspected.

    Verified answer

    QUESTION

    Which of the following is most likely to influence our memory of a painful event? a. The overall length of the event. b. The intensity of pain at the end of the event. c. The reason for the pain. d. The amount of rest you've had in the 24 hours preceding the event. e. The specific part of the body that experiences the pain.

    Verified answer

    Other Quizlet sets

    Security Chapter 1

    32 terms

    YeahMyboi

    3.1.4 Section Quiz

    10 terms

    Crichton_BenPLUS

    Lecture Exam Two

    191 terms

    Ivette_Ramirez7

    Ch. 14 Ear Assessment

    20 terms

    Nursingnku2019

    Related questions

    QUESTION

    how does smoking affect the eye?

    9 answers

    QUESTION

    The Health Belief Model proposes that people will take some health-related action if a threat is perceived and if the perceived benefits of acting outweigh the perceived costs.

    5 answers

    QUESTION

    This dimension of wellness describes the ability to have a broad social network and maintain satisfying interpersonal relationships with friends, family members, and partners

    9 answers

    QUESTION

    Involves arousal of the sympathetic nervous system and the endocrine system

    9 answers