ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 67 : Interaction of Body and Mind Questions
Question 1 of 5
The nurse is caring for a client who consistently presents to the emergency department with symptoms of varied illnesses. Family members correlate the symptoms to illnesses seen on television or in other family members. When viewing past documentation of client history, which would the nurse anticipate?
Correct Answer: B
Rationale: Hypochondriasis is an abnormal fixation about the status of one's health. Some would propose that the disorder occurs when a person receives excessive attention and concern from others during childhood illnesses, which were unconsciously perceived as rewarding. The other disorders are not related.
Question 2 of 5
The nurse is caring for a client and family member who are distressed about not having a concrete medical diagnosis. The client states, 'I have been through a lot of tests, and I still know nothing.' When confirming a psychobiologic diagnosis, the nurse is most accurate to state which of the following?
Correct Answer: C
Rationale: Unfortunately, it has time to obtain a definitive diagnosis for a psychobiologic disorder. Diagnosis is frequently achieved by ruling out other diseases which manifest similar signs and symptoms. Stating the circumstances in the delay in diagnosis is the best and most accurate explanation. Simply saying that the tests will conclude soon and that it takes time to receive reports from specialists is general and does not assist the client in understanding why waiting for the reports is necessary. Psychotherapy provides a component of assessment data but not the best data.
Question 3 of 5
The nurse is instructing a community education class on stress. The nurse asks the participants, 'Is all stress bad for you?' Which answer by the participants indicates that teaching has been effective?
Correct Answer: D
Rationale: Teaching has been effective if participants state that not all stress is bad because the right amount of stress can be motivating. Just the right amount of stress, called eustress, is what maintains a healthy balance in life. The other statements are not accurate.
Question 4 of 5
The nurse is obtaining a health history from a client with stress-related illnesses. When the nurse asks the client how the client copes with stress, which coping mechanism causes the nurse the most concern?
Correct Answer: B
Rationale: The nurse is most concerned about the maladaptive coping mechanism of running eight hours per day. Playing video games, exercising or lifting weights, and going out with friends are more positive, beneficial coping mechanisms which, if done appropriately and in moderation, can reduce stress.
Question 5 of 5
The nurse is consulting with a client who verbalizes extreme stress. When the nurse asks the client how life is, which response represents hardiness in character?
Correct Answer: B
Rationale: The nurse would be correct to select the response that represents the effective coping style of hardiness as the client that identifies life as a challenge but coping with life situations as they arise. Clients who respond negatively with a sense of helplessness or indifference are not representing hardiness.