Chapter 8: Stress and Stress Management

Chapter 8: Stress and Stress Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. A 22-year-old patient arrives in the emergency department (ED) with multiple abrasions
after a motor vehicle accident and has an initial blood pressure (BP) of 180/98. The nurse
will plan to
a. discuss the need for hospital admission to control blood pressure.
b. treat the abrasions and discuss the risks associated with hypertension.
c. recheck the blood pressure before the patient’s discharge from the ED.
d. start an intravenous (IV) line to administer antihypertensive medications.
ANS: C
Because hypertension is expected when a patient has experienced an acute stressor, the
nurse should plan to check the BP before discharge, which will provide a more accurate
idea of the patient’s usual blood pressure. Hypertension that occurs in response to acute
stress does not increase risk for health problems such as stroke, indicate a need for
hospitalization, or indicate a need for IV antihypertensive medications.
DIF: Cognitive Level: Application REF: 100 TOP: Nursing Process:
Planning
MSC: NCLEX: Physiological Integrity
2. A hospitalized patient who is usually well organized and calm is receiving diabetic
teaching after being newly diagnosed with diabetes. The patient is forgetful, irritable, and
has poor concentration. Which action should the nurse take?
a. Ask the health care provider for a psychiatric referral.
b. Administer the PRN sedative medication every 4 hours.
c. Suggest the use of a home caregiver to the patient’s family.
d. Plan to reinforce and repeat teaching about diabetes management.
ANS: D
Since behavioral responses to stress include temporary changes such as irritability,
changes in memory, and poor concentration, patient teaching will need to be repeated.
Psychiatric referral or home caregiver referral will not be needed for these expected
short-term cognitive changes. Sedation will decrease the patient’s ability to learn the
necessary information for self-management.
DIF: Cognitive Level: Application REF: 103
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. A patient who has been hospitalized for a heart attack tells the nurse, “I didn’t sleep last
night because I worried about missing work and losing my insurance coverage.” Which
nursing diagnosis is appropriate to include in the plan of care?
Test Bank 8-2
a. Anxiety
b. Defensive coping
c. Ineffective denial
d. Risk prone health behavior
ANS: A
The information about the patient indicates that anxiety is an appropriate nursing
diagnosis. The patient data do not support defensive coping, ineffective denial, or risk
prone health behavior as problems for this patient.
DIF: Cognitive Level: Application REF: 108 TOP: Nursing Process:
Diagnosis
MSC: NCLEX: Psychosocial Integrity
4. The nurse is assisting with a breast biopsy for an alert patient who has a lump in the right
breast. Which relaxation technique will be best to use at this time?
a. Massage
b. Meditation
c. Guided imagery
d. Relaxation breathing
ANS: D
Relaxation breathing is the easiest of the relaxation techniques to use. It will be difficult
for the nurse to provide massage while assisting with the biopsy. Meditation and guided
imagery require more time to practice and learn.
DIF: Cognitive Level: Application REF: 105-106 | 109
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity