Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
$2.99
Chapter 5- Homeostasis, Adaptation, and Stress
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is caring for a client who works as a doctor in a general hospital. He complains about the stressful condition of his job. Lately, he has become increasingly susceptible to colds, headaches, muscular tension, excessive tiredness, and many other symptoms. At what stage of stress is the client? | |
| A) | Alarm stage | |
| B) | Exhaustion stage | |
| C) | Resistance stage | |
| D) | Secondary stage | |
| Ans: | B | |
| Feedback: | ||
| The client is in the exhaustion stage when one or more adaptive/resistive mechanisms can no longer protect the person experiencing a stressor; this results in exhaustion. The effects of stress-related neurohormones suppress the immune system and the body is open to various ailments. In the alarm stage, the person is prepared for a fight-or-flight response. In the resistance stage, the client’s body is returned to the homeostasis state. Consequently, one or more organs or physiologic processes may eventually lead to increased vulnerability to stress-related disorders or progression to the stage of exhaustion. The secondary stage is not a stage related to stress. | ||
| 2. | A client visits a health care facility a few months after his wife’s death. The client is quite depressed and feels very lonely. The nurse tactfully asks him to confront the reality and helps him to brainstorm some useful ways of dealing with his loss. What type of strategy is the nurse following in this case? | |
| A) | Nontherapeutic coping strategy | |
| B) | Therapeutic coping strategy | |
| C) | Negative coping strategy | |
| D) | Sensory manipulation strategy | |
| Ans: | B | |
| Feedback: | ||
| Therapeutic coping strategies usually help the person to acquire insight, gain confidence to confront reality, and develop emotional maturity. People use nontherapeutic coping strategies such as mind- and mood-altering substances, hostility and aggression, excessive sleep, avoidance of conflict, and abandonment of social activities. Sensory manipulation involves altering moods, feelings, and physiologic responses by stimulating pleasure centers in the brain using sensory stimuli. Negative coping strategies may provide immediate temporary relief from a stressor, but they eventually cause problems. | ||
| 3. | A nurse is trying to calm a client who is highly agitated after being involved in an accident. The client escaped with minor bruises from the accident. What should the nurse do in order to calm the agitated client? | |
| A) | Administer sedatives to calm the nerves. | |
| B) | Ask family members to take him for a vacation. | |
| C) | Help him identify ways that the outcome could have been worse. | |
| D) | Advise him to file a claim on his accident insurance. | |
| Ans: | C | |
| Feedback: | ||
| The nurse, using alternative thinking techniques, should explain to the client that the situation could have been worse. Alternative thinking techniques are those that facilitate a change in a person’s perceptions from negative to positive. Sedatives have a temporary effect in calming a person, but reframing the mind is a better way of coping with the stress. Advising the client to claim insurance would be inappropriate in this case and would not alleviate the client’s agitation and stress. | ||
| 4. | A client visits a health care facility with complaints of work-related stress that alters her mood when she comes home. At the nurse’s suggestion, the client states that she is open making changes to her home décor to include vibrant colors and bright lighting, and listen to soothing music when she returns home. Which stress-reducing technique is the nurse following in this case? | |
| A) | Sensory manipulation technique | |
| B) | Alternative thinking technique | |
| C) | Nontherapeutic technique | |
| D) | Alternative behavior technique | |
| Ans: | A | |
| Feedback: | ||
| The nurse is using a sensory manipulation technique. Sensory manipulation involves altering moods, feelings, and physiologic responses by stimulating pleasure centers in the brain using sensory stimuli. For example, certain colors, full-spectrum lighting in the home and workplace, music, and food help change a person’s mood. Alternative thinking techniques are those that facilitate a change in a person’s perceptions from negative to positive. A behavioral technique for modifying stress is to take control rather than become immobilized by stress. Nontherapeutic techniques would involve using mind- and mood-altering substances, which are not appropriate in this case. | ||
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $25.00.$15.00Current price is: $15.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $35.00.$25.00Current price is: $25.00.
Original price was: $40.00.$20.00Current price is: $20.00.