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 is assessing the developmental levels of patients in a pediatric office. Which person would a nurse document as experiencing developmental stress?
Correct Answer: C
Rationale: The adolescent who is a loner is not meeting a major task (being a part of a peer group) for that level of growth and development.
Question 2 of 5
A nurse in a long-term care facility is caring for patient with a spinal cord injury affecting their sensory and motor reflexes below the waist. Based on the patient's condition, what would be a priority intervention for this patient?
Correct Answer: A
Rationale: A patient with a damaged neurologic reflex arc has a diminished pain reflex response. This diminished sensation and motor response places the patient at risk for burns. All patients should be provided adequate pain relief, but this is not a priority.
Question 3 of 5
A nurse in the emergency department receives a patient rescued from a building fire. The firefighter giving the handoff report tells the nurse the building collapsed immediately after they removed the patient from the building. The nurse notes the patient is experiencing the alarm phase of the fight-or-flight response. What assessment findings support the nurse's observation? Select all that apply.
Correct Answer: A,C,E
Rationale: The sympathetic nervous system initiates the fight-or-flight response, preparing the body to fight a stressor or run from it. This phase of the alarm reaction, called the shock phase, is characterized by an increase in energy levels, oxygen intake, cardiac output, blood pressure, and mental alertness. Hypotension and withdrawn demeanor represent the countershock phase.
Question 4 of 5
Nurses working in a trauma intensive care unit state they experience a high level of stress. Which stressor are they likely to encounter?
Correct Answer: D
Rationale: Incivility encompasses rude or discourteous actions that negatively affect others. Incivility can escalate to bullying, which is defined as repeated, ongoing actions that intend to harm another person.
Question 5 of 5
A college student visits the school's health center reporting extreme fatigue and slight restlessness. The student states, "Exams are right around the corner, and all I feel like doing is sleeping." There are no abnormal physical assessment findings. How does the nurse best help the student frame their desire to sleep?
Correct Answer: D
Rationale: Fatigue and mild anxiety are often handled without conscious thought through the use of coping mechanisms, such as sleeping. These coping mechanisms are protective behaviors used to decrease stress and anxiety.