A nurse is assessing coping in older women in a support group for recent widows. Which statement by a participant best indicates potential for successful coping?

Correct Answer: A

Rationale: A long-term best friend suggests a strong, stable support network, key to coping with widowhood per geriatric psychology. Self-reported coping lacks evidence, kids' visits are helpful but less consistent, and senior center friends are broad but not deep. A indicates resilience through enduring ties, making it the best indicator.

Correct Answer: C

Rationale: Guided Imagery is a mind-body technique where individuals are guided to visualize specific scenes or processes to achieve therapeutic goals. It doesn't focus solely on cure over prevention , nor is it about listening to music , which aligns more with music therapy. It's also not limited to structured breathing exercises , though breathing may be involved. The correct answer, C, reflects its use in visualizing the body combating illness, such as imagining immune cells attacking pathogens, which can enhance immune response and reduce stress. Studies show this technique activates the parasympathetic nervous system, lowering cortisol levels and boosting immune function, making it effective for both physical and emotional healing.

Correct Answer: B

Rationale: Peplau's Interpersonal Theory outlines phases in nurse-client relationships. The Orientation phase begins with introductions, establishing roles, and setting expectations, as seen here with the nurse's clear communication about availability and responsibilities. The Termination phase occurs at the relationship's end, not the start. 'Intimate look phase' isn't a recognized phase, and 'Determination phase' is fabricated. During Orientation, trust and rapport begin forming, reducing client anxiety and clarifying the nurse's role. This initial interaction sets the stage for collaboration, aligning with Peplau's focus on therapeutic engagement, making B the correct answer.

Correct Answer: B

Rationale: Elevated blood sugars post-surgery in a non-diabetic patient are likely due to the 'fight-or-flight' response . Stress from prolonged surgery triggers cortisol and catecholamine release, increasing glucose production via gluconeogenesis and glycogenolysis, a normal physiological reaction. Undiagnosed diabetes is possible but less likely without prior evidence. Surgery doesn't cause diabetes , though it can unmask it. Antidiuretic hormone regulates water, not glucose directly. The stress response explains this temporary hyperglycemia, resolving as recovery progresses, making B the most accurate attribution.

Correct Answer: A

Rationale: Stress is a universal human experience , varying in source and intensity but unavoidable across all individuals and cultures. Not all stress is harmful ; eustress can motivate growth. Stress exists in all cultures (C is false), and it can be an asset (D is false), like driving performance. Recognizing stress's universality informs nursing care, ensuring interventions address its inevitability while distinguishing between beneficial and detrimental forms, enhancing client support.