Chapter 16 Stress and Coping

Chapter 16 Stress and Coping

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A high school student has arrived for an appointment she scheduled with the school nurse and istaken to the nurse’s office. The nurse notices that the student shifts her body frequently in the chair,crosses and recrosses her legs, and fidgets with her hair and nails. What should the nurse mostappropriately plan to say to the client next?1)A)”What brings you to my office today?”B)”I notice that you seem very anxious. Would you like to reschedule your appointment whenyou feel better?”C)”You seem to be uncomfortable in that chair. Is there something I can do to help you feel morecomfortable?”D)”Are you concerned about whether I will be able to keep what you tell me confidential?”Answer:CExplanation:A)The student’s behavior suggests some degree of anxiety about the visit with theschool nurse, even though the student made the appointment. It is appropriate forthe nurse to comment on his or her observations of the student’s verbal andnonverbal behavior, which suggest that anxiety is present. Seek to create atherapeutic physical and psychological environment prior to initiating a discussionof the reason for the visit. Asking what brings the client to the office today avoidsthe nonverbal clues the client is offering. Asking if the client is concerned aboutconfidentiality makes an assumption about the cause of the behavior. Saying thatthe client seems anxious makes an assumption and then opens the possibility thatthe client will leave without talking with the nurse, and may not return.PlanningPsychosocial IntegrityAnalysisB)The student’s behavior suggests some degree of anxiety about the visit with theschool nurse, even though the student made the appointment. It is appropriate forthe nurse to comment on his or her observations of the student’s verbal andnonverbal behavior, which suggest that anxiety is present. Seek to create atherapeutic physical and psychological environment prior to initiating a discussionof the reason for the visit. Asking what brings the client to the office today avoidsthe nonverbal clues the client is offering. Asking if the client is concerned aboutconfidentiality makes an assumption about the cause of the behavior. Saying thatthe client seems anxious makes an assumption and then opens the possibility thatthe client will leave without talking with the nurse, and may not return.PlanningPsychosocial IntegrityAnalysis1
C)The student’s behavior suggests some degree of anxiety about the visit with theschool nurse, even though the student made the appointment. It is appropriate forthe nurse to comment on his or her observations of the student’s verbal andnonverbal behavior, which suggest that anxiety is present. Seek to create atherapeutic physical and psychological environment prior to initiating a discussionof the reason for the visit. Asking what brings the client to the office today avoidsthe nonverbal clues the client is offering. Asking if the client is concerned aboutconfidentiality makes an assumption about the cause of the behavior. Saying thatthe client seems anxious makes an assumption and then opens the possibility thatthe client will leave without talking with the nurse, and may not return.PlanningPsychosocial IntegrityAnalysisD)The student’s behavior suggests some degree of anxiety about the visit with theschool nurse, even though the student made the appointment. It is appropriate forthe nurse to comment on his or her observations of the student’s verbal andnonverbal behavior, which suggest that anxiety is present. Seek to create atherapeutic physical and psychological environment prior to initiating a discussionof the reason for the visit. Asking what brings the client to the office today avoidsthe nonverbal clues the client is offering. Asking if the client is concerned aboutconfidentiality makes an assumption about the cause of the behavior. Saying thatthe client seems anxious makes an assumption and then opens the possibility thatthe client will leave without talking with the nurse, and may not return.PlanningPsychosocial IntegrityAnalysis2)The wife of a client who is being discharged tomorrow approaches the nurse and says, “Do youthink my husband can stay one more day in the hospital? I’m a little nervous about taking care ofhim at home by myself.” Which of the following possible responses by the nurse are the leasthelpful responses to say to the wife at this time? (Select all that apply.)2)A)”Can you tell me what things specifically are making you feel nervous?”B)”Are any arrangements being made for a home health nurse to visit?”C)”Do you have family or friends that might be able to help you with some of his care?”D)”I will call his doctor to see if that can be done. The length of hospital stay is determined bywhat are called diagnosis related groups or DRGs. The doctor might be able to arrange foryour husband to stay one more day.”E)”You have been doing really well checking his blood sugars and giving him insulin.”F)”It’s normal for you to feel some nervousness. It will get easier. I know when I do anythingnew for the first time myself, I get nervous.”Answer:D, E, F2
Explanation:A)Saying that the wife has done a good job checking the client’s blood sugar andgiving him insulin is not a helpful response by the nurse. Although this responsedoes compliment the wife, it makes an assumption about the source of thenervousness and does not encourage further nurse-client communication.Offering to call the doctor to see if the client can stay one more day focuses on thewife’s request, rather than what is behind the request. Saying that the nurse feelsnervous when doing something for the first time minimizes the client’s concernsand turns the attention back to the nurse. The other choices will all assist the nursein gathering additional information to identify specific concerns and exploringsupport options.ImplementationPsychosocial IntegrityAnalysisB)Saying that the wife has done a good job checking the client’s blood sugar andgiving him insulin is not a helpful response by the nurse. Although this responsedoes compliment the wife, it makes an assumption about the source of thenervousness and does not encourage further nurse-client communication.Offering to call the doctor to see if the client can stay one more day focuses on thewife’s request, rather than what is behind the request. Saying that the nurse feelsnervous when doing something for the first time minimizes the client’s concernsand turns the attention back to the nurse. The other choices will all assist the nursein gathering additional information to identify specific concerns and exploringsupport options.ImplementationPsychosocial IntegrityAnalysisC)Saying that the wife has done a good job checking the client’s blood sugar andgiving him insulin is not a helpful response by the nurse. Although this responsedoes compliment the wife, it makes an assumption about the source of thenervousness and does not encourage further nurse-client communication.Offering to call the doctor to see if the client can stay one more day focuses on thewife’s request, rather than what is behind the request. Saying that the nurse feelsnervous when doing something for the first time minimizes the client’s concernsand turns the attention back to the nurse. The other choices will all assist the nursein gathering additional information to identify specific concerns and exploringsupport options.ImplementationPsychosocial IntegrityAnalysisD)Saying that the wife has done a good job checking the client’s blood sugar andgiving him insulin is not a helpful response by the nurse. Although this responsedoes compliment the wife, it makes an assumption about the source of thenervousness and does not encourage further nurse-client communication.Offering to call the doctor to see if the client can stay one more day focuses on thewife’s request, rather than what is behind the request. Saying that the nurse feelsnervous when doing something for the first time minimizes the client’s concernsand turns the attention back to the nurse. The other choices will all assist the nursein gathering additional information to identify specific concerns and exploringsupport options.ImplementationPsychosocial IntegrityAnalysis3
E)Saying that the wife has done a good job checking the client’s blood sugar andgiving him insulin is not a helpful response by the nurse. Although this responsedoes compliment the wife, it makes an assumption about the source of thenervousness and does not encourage further nurse-client communication.Offering to call the doctor to see if the client can stay one more day focuses on thewife’s request, rather than what is behind the request. Saying that the nurse feelsnervous when doing something for the first time minimizes the client’s concernsand turns the attention back to the nurse. The other choices will all assist the nursein gathering additional information to identify specific concerns and exploringsupport options.ImplementationPsychosocial IntegrityAnalysisF)Saying that the wife has done a good job checking the client’s blood sugar andgiving him insulin is not a helpful response by the nurse. Although this responsedoes compliment the wife, it makes an assumption about the source of thenervousness and does not encourage further nurse-client communication.Offering to call the doctor to see if the client can stay one more day focuses on thewife’s request, rather than what is behind the request. Saying that the nurse feelsnervous when doing something for the first time minimizes the client’s concernsand turns the attention back to the nurse. The other choices will all assist the nursein gathering additional information to identify specific concerns and exploringsupport options.ImplementationPsychosocial IntegrityAnalysis3)A husband tells the nurse that his wife is an “invalid” and that she can do little for herself. He findslooking after her quite fatiguing and says he does not know if he can continue to do it. Which ofthese questions would be most helpful for the nurse to ask the husband initially?3)A)”How are you feeling besides being tired?”B)”Have you thought about hiring someone to help you with your wife?”C)”What do you have to do to take care of your wife?”D)”Is your wife aware of your feelings about caring for her?”Answer:CExplanation:A)The husband told the nurse that he is fatigued and described a situation that hefeels he cannot continue to cope with. Rather than focus on the husband’s physical,psychological, or cognitive responses to the stress of caring for his wife, initiallyfind out what care is required. There may be options that can be explored with himto relieve him of some of the responsibilities of his wife’s care. The nurse does notyet know if the client’s fatigue is physically-or psychologically-based. Asking ifhis wife is aware of his feelings does not focus on the husband and his needs.Asking if he has thought about hiring someone to help offers a suggestion withoutgathering additional information. It may ultimately be an appropriate question.AssessmentPsychosocial IntegrityAnalysis4
B)The husband told the nurse that he is fatigued and described a situation that hefeels he cannot continue to cope with. Rather than focus on the husband’s physical,psychological, or cognitive responses to the stress of caring for his wife, initiallyfind out what care is required. There may be options that can be explored with himto relieve him of some of the responsibilities of his wife’s care. The nurse does notyet know if the client’s fatigue is physically-or psychologically-based. Asking ifhis wife is aware of his feelings does not focus on the husband and his needs.Asking if he has thought about hiring someone to help offers a suggestion withoutgathering additional information. It may ultimately be an appropriate question.AssessmentPsychosocial IntegrityAnalysisC)The husband told the nurse that he is fatigued and described a situation that hefeels he cannot continue to cope with. Rather than focus on the husband’s physical,psychological, or cognitive responses to the stress of caring for his wife, initiallyfind out what care is required. There may be options that can be explored with himto relieve him of some of the responsibilities of his wife’s care. The nurse does notyet know if the client’s fatigue is physically-or psychologically-based. Asking ifhis wife is aware of his feelings does not focus on the husband and his needs.Asking if he has thought about hiring someone to help offers a suggestion withoutgathering additional information. It may ultimately be an appropriate question.AssessmentPsychosocial IntegrityAnalysisD)The husband told the nurse that he is fatigued and described a situation that hefeels he cannot continue to cope with. Rather than focus on the husband’s physical,psychological, or cognitive responses to the stress of caring for his wife, initiallyfind out what care is required. There may be options that can be explored with himto relieve him of some of the responsibilities of his wife’s care. The nurse does notyet know if the client’s fatigue is physically-or psychologically-based. Asking ifhis wife is aware of his feelings does not focus on the husband and his needs.Asking if he has thought about hiring someone to help offers a suggestion withoutgathering additional information. It may ultimately be an appropriate question.AssessmentPsychosocial IntegrityAnalysis