A school nurse is assessing a female high school student who is overly concerned about her appearance. The clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing response?

Correct Answer: D

Rationale: The most appropriate nursing response is option D: "Stress can be psychological. A threat to self-esteem may result in high stress levels." This response acknowledges the client's feelings and addresses the psychological aspect of stress in relation to self-esteem. It shows empathy towards the student and validates her concerns, rather than dismissing them or minimizing them. Understanding that stress can be caused by various factors, including issues related to self-esteem, allows the nurse to provide appropriate support and interventions to help the student cope effectively.

Correct Answer: D

Rationale: The principle that most limits the effectiveness of the Recent Life Changes Questionnaire (RLCQ) is that personal perception of the event is excluded. The RLCQ assigns numerical values to different life events based on the scale developed by Holmes and Rahe. However, this tool does not take into account how individuals subjectively perceive or experience those events. Personal perception plays a significant role in how individuals react to stressors and can influence their susceptibility to illness. By not considering personal perception, the RLCQ may not accurately capture the impact of life changes on an individual's health.

Correct Answer: D

Rationale: When an individual experiences a stressful situation such as a shooting incident, the body initiates a stress response also known as the 'fight or flight' response. This response is mediated by the sympathetic nervous system and leads to physiological changes aimed at preparing the body to either confront the threat or flee from it. Increased heart rate and increased respirations are common initial biological responses to stress as they help to deliver more oxygen to muscles and vital organs, enhancing physical performance in response to the perceived threat. These physiological changes are adaptive in the short term, helping the individual deal with the immediate stressor.

Correct Answer: A

Rationale: The client who is most likely to be receptive to psychiatric treatment is typically someone who has a higher level of education, access to resources, and a better understanding and acceptance of seeking mental health support. In this case, the Jewish, female journalist is more likely to have the awareness, openness, and willingness to engage in psychiatric treatment compared to the other options. Additionally, her profession as a journalist may have exposed her to various perspectives and worldviews, making her more receptive to different interventions and treatments. The combination of her background and profession may contribute to a more positive attitude toward seeking and engaging in psychiatric treatment.

Correct Answer: B

Rationale: Learning is enhanced when anxiety is mild. Moderate to severe anxiety can hinder the learning process by overwhelming the patient, making it difficult for them to focus and retain information. Mild anxiety, on the other hand, can actually improve learning by increasing alertness and focus without causing distress or interference with cognitive functions. Therefore, it is essential for the nurse to recognize the level of anxiety in the patient and aim to keep it at a mild level to facilitate effective medication instruction.