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 teaching a patient who is experiencing stress how to perform a relaxation technique. Which statement by the patient indicates the need for additional teaching?
Correct Answer: B
Rationale: No matter what the technique, relaxation involves rhythmic breathing, a slower (not a faster) pulse, reduced muscle tension, and an altered state of consciousness.
Question 2 of 5
A nurse in the obstetrics clinic is teaching pregnant patients techniques to manage pain during labor. Which stress reduction activities would be most effective? Select all that apply.
Correct Answer: A,B,E,F
Rationale: Relaxation techniques are useful in many situations, including childbirth, and consist of rhythmic breathing and progressive muscle relaxation. Meditation and guided imagery could also be used to distract a patient from the pain of childbirth. Anticipatory socialization helps to prepare people for roles they don't have yet, but aspire to, such as parenthood.
Question 3 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 4 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 5 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.