After the death of several long-term clients, which action indicates the nurse is demonstrating ineffective coping?
The nurse talks at length to her partner about the deaths
The nurse keeps busy with other actions and doesn’t
think about the deaths for several days.
The nurse offers to work extra shifts for several weeks.
Several nurses schedule a group session with the
agency clergy to discuss the deaths.
The nurse helps a 50-year-old client with diabetes who is to begin giving insulin injections identify previously successful coping strategies that may be useful in the current situation. Which stressor is closely related to the new stressor?
Interviewing for a new job
Death of a pet while the person was a teenager
The person’s partner filing for a divorce
Starting to wear eyeglasses at age 30
Two people have been in a motor vehicle crash and have similar injuries. According to the transaction-based model, their degree of stress from the crash would be
Based on previous experience and personal characteristics
Extremely similar since they had the same stimulus
The identical physiological alarm reaction
Different depending on their external resources and
A client who was informed of a cancer diagnosis assures the nurse he is fine. Which of the following is the most indicative physical evidence to the nurse of the client’s stress?
Dilated peripheral blood vessels (flush)
Decreased heart rate
Immediately after the parents of a hospitalized child are informed that the child has leukemia, the father responds by continuing his usual work schedule, rarely visiting, and asking when the child can return to school. Of the following, which is the least likely to be an appropriate nursing diagnosis at this time?
Caregiver Role Strain
Compromised Family Coping
The nurse has recently changed jobs to work with young adults and recognizes that sources of stress common to that
population include which of the following? (Select all that apply.)
Starting a new job
Leaving the parental home
Decreased physical abilities
Changing body structure
A middle-aged male client is experiencing job-related stress associated with the fear of being laid off, resulting in his accepting projects that require a great deal of travel. Which of the following would be the most important health promotion strategy for this client?
The first time the nurse enters the client’s room, the client is on the phone. Immediately, the client slams down the
phone, sweeps everything off the overbed table, and demands that the nurse perform several duties “this very
minute.” Which of the following would be the most appropriate response for the nurse?
Tell the client “I will return” and then leave the room.
Tell the client no care will be given until the screaming ends.
Begin providing needed care calmly and quietly.
Allow the client to complete venting, then respond
A client newly diagnosed with a chronic condition that will significantly change the lifestyle needs to learn some aspects of self-care. The client exhibits severe anxiety: increased blood pressure and pulse, headache, and nervousness. Based on this situation, how would the nurse appropriately plan the teaching?
Recognize that the client’s ability to learn is severely
impaired and teach only the immediate, critical needs
and plan to follow up and reinforce this teaching later.
Recognize that the client’s learning will be adaptive and
begin immediately to implement the full teaching and
Recognize that the client’s ability to learn will be slightly
impaired and modify the usual teaching strategies to
accommodate for this impairment.
Recognize that the client is unable to learn at this time,
that the level of anxiety must first be reduced, and then
teaching can be based on this new level of anxiety.
Which of the following defense mechanisms for coping with stress could be considered effective and constructive?
(Select all that apply.)