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 visiting nurse is assessing a family that includes a young couple and their infant who has cerebral palsy. The nurse notes that the mother is unkempt, the house is untidy, and the mother states she is "so busy with the baby that I don't have time to do anything else." What priority intervention would the nurse set for this family?
Correct Answer: D
Rationale: A person providing care at home for a family member for long periods of time often experiences caregiver burden, manifested by chronic fatigue, sleep disorders, and an increased incidence of stress-related illnesses. The nurse could recommend a consultation with a social worker or suggest community resources including possible respite care for the parent(s).
Question 2 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 3 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 4 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 5 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.