Chapter 37, Stress and Coping Video Solutions, Fundamentals of Nursing

Problem 1

The nurse is interviewing a patient in the community clinic and gathers the following information about her: she is intermittently homeless, a single parent with two children who have developmental delays. She has had asthma since she was a teenager. She does not laugh or smile, does not volunteer any information, and at times appears close to tears. She has no support system and does not work. She is experiencing an allostatic load. As a result, which of the following would be present during complete patient assessment? (Select all that apply.)
a. Post-traumatic stress disorder
b. Rising hormone levels
c. Chronic illness
d. Insomnia
e. Depression

Dennis Howard

Numerade Educator

01:58

Problem 2

A patient who is having difficulty managing his diabetes mellitus responds to the news that his hemoglobin A1c, a measure of blood sugar control over the past 90 days, has increased by saying, "The hemoglobin A1c is wrong. My blood sugar levels have been excellent for the last 6 months." Which defense mechanism is the patient using?
a. Denial
b. Conversion
c. Dissociation
d. Displacement

Shiksha Dutta

Numerade Educator

01:00

Problem 3

When assessing a young woman who was a victim of a home invasion 3 months earlier, the nurse learns that the woman has vivid images of the event whenever she hears loud yelling or a sudden noise. The nurse recognizes this as _____.

Emily Himsel

Numerade Educator

01:13

Problem 4

While assessing an older woman who is recently widowed, the nurse suspects that this woman is experiencing a developmental crisis. Which questions provide information about the impact of this crisis? (Select all that apply.)
a. With whom do you talk on a routine basis?
b. What do you do when you feel lonely?
c. Tell me what your husband was like.
d. I know this must be hard for you. Let me tell you what might help.
e. Have you experienced any changes in lifestyle habits, such as sleeping, eating, smoking, or drinking?

Samia Islam

Numerade Educator

00:43

Problem 5

The nurse plans care for a 16-year-old male, taking into consideration that stressors experienced most commonly by adolescents include which of the following? (Select all that apply.)
a. Loss of autonomy caused by health problems
b. Physical appearance and body image
c. Accepting one's personal identity
d. Separation from family
e. Taking tests in school

Stacy Storey

Numerade Educator

03:28

Problem 6

A 10 -year-old girl was playing on a slide at a playground during a summer camp. She fell and broke her arm. The camp notified the parents and took the child to the emergency department according to the camp protocol for injuries. The parents arrive at the emergency department and are stressed and frantic. The 10-year-old is happy in the treatment room, eating a Popsicle
and picking out the color of her cast. List in order of priority what the nurse should say to the parents.
a. "Can I contact someone to help you?"
b. "Your daughter is happy in the treatment room, eating a Popsicle and picking out the color of her cast."
c. "ITl have the doctor come out and talk to you as soon as possible."
d. "I want to be sure you are ok. Let's talk about what your concerns are about your daughter before we go see her."

Prashant Bana

Numerade Educator

01:59

Problem 7

When assessing an older adult who is showing symptoms of anxiety, insomnia, anorexia, and mild confusion, what is the first assessment the nurse conducts?
a. The amount of family support
b. A 3-day diet recall
c.A thorough physical assessment
d . Threats to safety in her home

Dennis Howard

Numerade Educator

03:46

Problem 8

A 34 -year-old single father who is anxious, tearful, and tired from caring for his three young children tells the nurse that he feels depressed and doesn't see how he can go on much longer. Which statement would be the nurse's best response?
a. "Are you thinking of suicide?"
b. "You've been doing a good job raising your children. You can do it!"
c. "Is there someone who can help you during the evenings and weekends?"
d. "Tell me what you mean when you say you can'\operatorname{tg} o ~ o n ~ a n y ~ longer."

Dominick Hankle

Numerade Educator

01:52

Problem 9

The nurse is evaluating how well a patient newly diagnosed with multiple sclerosis and psychomotor impairment is coping.
Which statements indicate that the patient is beginning to cope with the diagnosis? (Select all that apply.)
a. "I'm going to learn to drive a car, so I can be more independent."
b. "My sister says she feels better when she goes shopping, so I'll go shopping."
c. "I'm going to let the occupational therapist assess my home to improve efficiency."
d. "I've always felt better when I go for a long walk. I'll do that when I get home."
e. "I'm going to attend a support group to learn more about multiple sclerosis."

James Kiss

Numerade Educator

02:14

Problem 10

A crisis intervention nurse is working with a mother whose child with Down syndrome has been hospitalized with pneumonia and who has lost her child's disability payment while the child is hospitalized. The mother worries that her daughter will fall behind in her classes during hospitalization. Which strategies are effective in helping this mother cope with these stressors? (Select all that apply.)
a. Referral to social service process reestablishing the child's disability payment
b. Sending the child home in 72 hours and having the child return to school
c. Coordinating hospital-based and home-based schooling with the child's teacher
d. Teaching the mother signs and symptoms of a respiratory tract infection
e. Telling the mother that the stress will decrease in 6 weeks when everything is back to normal

Dennis Howard

Numerade Educator