Stress and Coping

Stress and Coping

Learning Outcomes

Nurse must be able to understand the scope of her role.

She is able to make appropriate decisions based on knowledge and analysis.

She must be able to understand all her clients with their unique requirements.

Multiple Choice Questions

1.The nurse is working on a post-war unit with soldiers who have fought in the war. She has been looking after a client to ease his stress levels. Analyze which of the following could be the best alternative to minimize the stress level.

a.I feel comfortable when nobody talks to me about the past.

b.Thinking about war and how did I do in it can help me remain motivated

c.I love socializing and going out to family gatherings.

d.I enjoy sitting in the social room watching TV.

Correct Answer:C

Cognitive level:Analysis Level

Rationale:Answer C shows interaction with others

D, although better than A and B, does not show interaction.

A and B show no interaction.

2.A client has a motorcycle accident and suffers an injury to his left foot. He is refusing all therapy and eats less than 10% of his usual diet. In planning his discharge, the nurse should interface with

a.Occupational therapist, nutritionist, and social worker

b.Case manager

c.Palliative care provider

d.Ward In charge and Palliative care provider

Correct Answer:A

Cognitive Level:Knowledge Level

Rationale:An occupational therapist is needed for the injury to the left foot; a

Nutritionist addresses the client eating less than 10%; and a social worker assists in providing community-based help upon discharge.

3.A client arrives at her clinic appointment with a dark circle around her left eye and bruises on her arms. She tells the nurse that she always says things to anger her spouse. Which of the following is a nursing priority intervention?

a.Collect more data to determine whether the client is being abused and help the client to find a safe place.

b.Inform the client that her spouse is abusing her, and give her the domestic abuse hotline number.

c.Obtain more information and offer techniques to communicate better with her spouse.

d.Refer the client and spouse to a marriage counselor to evaluate their problem

Correct Answer: A

Cognitive Level: Analysis

Rationale:Data collection gives the nurse information from which to determine whether the client is being abused.

These data would indicate the need for protection.

B and C are good ideas but not priorities if the client is not safe.

D is an assumption of domestic violence, and calling the hotline is a rush to judgment.

4.The nurse has a home health client for an initial evaluation. He tells her he has palpitations and is lying awake at night worrying about an increased work load. Therefore, he needs help to relieve some pressure and can have a good night sleep and get relax. In order to cope up with the issues of pressures, which alternative will give maximum result of relaxation?

a.Find out if he needs help in developing time management skills related to time management so that he can manage his work load in a balance way.

b.Advice him to go for a morning walk daily as exercise will also make his mind healthy.

c.Ask him to finish his entire work before ...