NURSING STRESS AND ADAPTATION GUIDE
An older client with a history of congestive heart failure was just admittedto the hospital for
chest pain. The patient asks a nurse, "Why did the chest pain begin after I thought someone
was trying to break into my house?" Whatis the nurse's best response?
1. "Fear causes an increase of the body's heart rate and blood pressure, whichcan place
additional stress on your damaged heart and cause chest pain."
2. "Fear causes the parasympathetic system to use all available adrenaline,leaving you so tired
that you developed chest pain."
3. "The decrease in the need for oxygen during the fight-or-flight response experienced with
fear is most likely the reason that you developed chest pain."
4. "Fear causes an increase in glucose levels, which limits blood flow andcauses chest pain.":
1
The nurse is presenting a workshop on stress and adaptation to a group of teenagers. A
teenager approaches the nurse and says, "Sometimes I feel stressed when I have to take a test. I
feel my heart is going faster and I have ahard time focusing. I'm scared I'm going to fail. Do
you think that is normal?"What is the most appropriate response by the nurse?
1. "As long as you are getting through the test, I think you will be just fine."
2. "A little stress is not necessarily a bad thing. It can help you to focus."
3. "You may need to develop some additional stress-reducing activities."
4. "I think you should talk to your teacher about getting accommodations fortesting.": 3
The nurse is discussing coping strategies with a client who has general- ized anxiety disorder.
Which behaviors reported by the client indicate the useof positive coping strategies? Select All
That Apply.
, A client begins experiencing chest pain off and on for a few days and continues to work without
seeking medical attention. Which response to stress isthis client demonstrating?
1. Altering the stressor
2. Avoiding the stressor
3. Analyzing the stressor
4. Adapting to the stressor: 2
The nurse is working with a client who is dealing with multiple stressors.Which action made
by the client indicates a desire to learn from stressors?
1. Beginning a weight loss program after a new diagnosis of type 2 diabetesmellitus
2. Deciding to work from home and rarely leaving the home after becoming a victim of a
crime
3. Choosing to become involved in parent activities at his or her child's school
4. Taking a continuing education course on how to garden and grow plants inthe yard: 1
What must be present for the nurse to consider a client in crisis? SelectAll That Apply.
1. Presence of physiological symptoms
2. Event that has drastically changed a client's life
3. Usual coping mechanisms are ineffective
4. Event is perceived as a threat to the client
5. Anxiety and an inability to function
6. Precipitating event causes the client to gain something: 2,3,4,5
The nursing manager of an intensive care unit is worried about staff burnout. Which behaviors
of the nurses may indicate this problem? Select AllThat Apply.
1. Increased client acuity
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