ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 6 : Individual and Family Homeostasis, Stress, and Adaptation Questions
Question 1 of 5
What is most important for the nurses to know about these coping behaviors?
Correct Answer: D
Rationale: Coping processes that include the use of alcohol or drugs to reduce stress increase the risk of illness. The use of drugs and alcohol as a means to reduce stress are not effective coping behaviors. They are maladaptive behaviors, even though they have a short-term effect on stress.
Question 2 of 5
How should you best respond if it is found that the patients health patterns are not achieving their goals?
Correct Answer: A
Rationale: The nurse has a significant role and responsibility in identifying the health patterns of the patient receiving care. If those patterns are not achieving physiologic, psychological, and social balance, the nurse is obligated, with the assistance and agreement of the patient, to seek ways to promote balance. The nurse is not obligated to refer to social work, identify alternative forms of care, or provide insight into the physiologic failings of the system if the patients health patterns are not achieving their goals.
Question 3 of 5
Which of the patients actions best demonstrates adaptively coping?
Correct Answer: B
Rationale: Adaptive ways of coping included seeking information, reprioritizing needs and roles, lowering expectations, making compromises, comparing oneself to others, planning activities to conserve energy, taking things one step at a time, listening to ones body, and using self-talk for encouragement. Becoming controlling or withdrawing are not ways to cope adaptively. Benzodiazepines are sometimes indicated, but these are not considered to be an adaptive coping behavior.
Question 4 of 5
Which factor would the nurse identify as most important in determining health status?
Correct Answer: C
Rationale: The single most important factor for determining health status is social class and, within a social class, the research suggests that the major factor influencing health is level of education. This factor supersedes the importance of ethnicity, gender, or interfamilial relationships.
Question 5 of 5
What factors does the nurse know impact the processes of inflammation, repair, and replacement? Select all that apply.
Correct Answer: A,C,E
Rationale: The condition of the host, the environment, and the nature and severity of the injury affect the processes of inflammation, repair, and replacement. The patients social relationships and familial support do not directly affect the processes of inflammation, repair, and replacement.