Question 1

An adult client attends a smoking cessation class. The client tells the nurse, "Even though I smoke, I don't smoke around children, in my car, or in my house." Which defense mechanism does the nurse recognize the client is exhibiting?

Accepted Answer

The client is using rationalization, a defense mechanism where one justifies or rationalizes behavior or feelings in a seemingly logical way to avoid the true explanation. By stating they don't smoke around children or in certain places, the client is attempting to justify their smoking habit and make it seem more acceptable.

Question 2

A patient admitted to the cardiac unit is going for a cardiac catheterization. The patient tells the nurse, "I am so anxious about this. I am afraid the procedure might trigger a heart attack." Which is the first action by the nurse?

Accepted Answer

Instructing the patient about what to expect during the procedure can help alleviate anxiety by providing information and setting realistic expectations, which is often the first step in addressing patient concerns.

Question 3

Two days after a patient undergoes abdominal surgery, the surgical incision is red and slightly edematous and oozing a small amount of serosanguinous (pink-tinged serous) fluid. On the basis of these data, at which conclusion will the nurse arrive? Select all that apply.

Accepted Answer

The redness and edema indicate a vascular response to inflammation, exudate formation is occurring as part of the healing process, and the wound is progressing as expected for two days post-surgery.

Question 4

An older adult patient is tearful, shaky, and withdrawn. The patient shares with the nurse, "I am worried to death" about losing an aging spouse and being "all alone." For which reasons does the nurse diagnose this reaction as anxiety rather than fear? Select all that apply.

Accepted Answer

A) Anxiety often involves worry about future or anticipated events, unlike fear, which is a response to an immediate threat.B) Anxiety is characterized by anticipation of a potential danger or negative outcome, rather than a response to a present, concrete danger.D) The patient's worry about being alone and losing a spouse indicates a psychological threat, which is more aligned with anxiety than fear, which typically involves a physical threat.

Question 5

The nurse in the intensive care unit is experiencing an excessive amount of job-related stress. The nurse visits the employee health nurse and states, "I feel nervous and stressed all the time. Even when I go home, I don't feel better. What am I going to do?" Which are the most appropriate response(s) from the health nurse? Select all that apply.

Accepted Answer

The answer of The nurse in the intensive care unit...

Question 6

During the alarm stage of general adaptation syndrome (GAS), which metabolic changes occur? Select all that apply.

Accepted Answer

During the alarm stage of GAS, the body prepares to respond to the stressor. The liver converts more glycogen to glucose to provide energy (B), and amino acids and fats become more available for energy use (D), supporting the body's heightened state of alertness and readiness to face the stressor.

Question 7

A female client comes to the clinic for her annual physical. During the examination, the nurse palpates a lump in the left breast and informs the client of the finding. The client responds, "Yes, I found it a few months ago but just didn't want to think about it." The nurse recognizes the client is using which approach to coping with the lump?

Accepted Answer

The client is using the avoiding approach to cope with the lump by acknowledging its presence but choosing not to think about it or take action, which is a form of avoidance coping strategy.

Question 8

For which reasons is it important for the nurse to understand stress and adaptation? Select all that apply.

Accepted Answer

The nurse needs to understand stress and adaptation to self-identify stressors and develop healthy adaptation responses, and to identify client stressors and adaptive responses.

Question 9

The nurse is providing care for a patient in an acute care facility. The patient tells the nurse, "Ever since we experienced an earthquake, I keep having flashbacks of the event. I can't sleep for fear of another one happening during the night." Which condition does the nurse associate with the patient's statements?

Accepted Answer

The patient's symptoms of flashbacks and fear of a recurring event are characteristic of Post-traumatic stress disorder (PTSD), which is a mental health condition triggered by experiencing or witnessing a terrifying event.

Quiz 12: Stress Adaptation

An adult client attends a smoking cessation class. The client tells the nurse, "Even though I smoke, I don't smoke around children, in my car, or in my house." Which defense mechanism does the nurse recognize the client is exhibiting?

A patient admitted to the cardiac unit is going for a cardiac catheterization. The patient tells the nurse, "I am so anxious about this. I am afraid the procedure might trigger a heart attack." Which is the first action by the nurse?

Two days after a patient undergoes abdominal surgery, the surgical incision is red and slightly edematous and oozing a small amount of serosanguinous (pink-tinged serous) fluid. On the basis of these data, at which conclusion will the nurse arrive? Select all that apply.

An older adult patient is tearful, shaky, and withdrawn. The patient shares with the nurse, "I am worried to death" about losing an aging spouse and being "all alone." For which reasons does the nurse diagnose this reaction as anxiety rather than fear? Select all that apply.

During the alarm stage of general adaptation syndrome (GAS) , which metabolic changes occur? Select all that apply.

For which reasons is it important for the nurse to understand stress and adaptation? Select all that apply.