ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 43 : Stress and Adaptation Questions
Question 1 of 5
A nurse at the university health clinic has assessed a student reporting an inability to concentrate and a pounding heart. The student states, "my boyfriend just dumped me out of the blue. They were supposed to be my date at my sister's wedding this weekend. How can I go now?" Which response would the nurse make?
Correct Answer: A
Rationale: Although identifying the problem may be difficult, a solution to a crisis situation is impossible until the problem is identified.
Question 2 of 5
A nurse is performing an assessment of a patient who is 8 months' pregnant. The patient states, "I worry about being able to handle becoming a mother." The nurse plans interventions for which problem?
Correct Answer: C
Rationale: The nurse prepares a care plan focusing on anxiety, which can develop in a situational/maturational crises or changes in role status. There is insufficient data to determine whether the patient is demonstrating poor coping or low self-esteem.
Question 3 of 5
A parent bringing their toddler for a visit to the pediatric clinic tells the nurse that after work their partner yelled at the child for dropping a fork. Later the patient learned the partner's supervisor had been angry about the contents of a report that was submitted. The nurse explains it is likely their partner was using which coping mechanism?
Correct Answer: C
Rationale: The nurse can explain that the patient's partner used the coping mechanism displacement, by transferring (displacing) their anger to a "safe" target. Another example is an angry person kicking a chair or slamming a door.
Question 4 of 5
A nursing student tells the clinical professor that they hate when they feel anxious before performing new procedures. They state they do not sleep well the night before, feel restless, and have increased alertness. How does the professor best respond to this concern?
Correct Answer: B
Rationale: The professor can normalize the student's experience by explaining that mild anxiety is present in day-to-day living. It can increase alertness and perceptual fields (e.g., vision and hearing) and motivate learning and growth.
Question 5 of 5
A nurse in a medical practice has assessed a patient reporting abdominal pain, diarrhea, and anxiety. With no identifiable cause for the pain, which actions to reduce stress would the nurse recommend? Select all that apply.
Correct Answer: A,C,D
Rationale: Keeping a diary of sources of stress can help identify the problem, which is the first step in stress management. The nurse can help the patient identify supports and their strengths. The nurse should recommend sleeping 7 to 9 hours nightly.