Chapter 06: Stress and Stress Management

MULTIPLE CHOICE

1. Question: An adult patient arrived in the emergency department (ED) with minor facial lacerations after a motor vehicle accident and has an initial blood pressure (BP) of 182/94. Which action by the nurse is most appropriate?
2. Question: A female patient who initially came to the clinic with incontinence was recently diagnosed with endometrial cancer. She is usually well organized and calm but the nurse who is giving her preoperative instructions observes that she is irritable, has difficulty concentrating, and yells at her husband. Which action should the nurse take?
3. Question: An adult patient who is hospitalized following a motorcycle accident when a car ran a red light tells the nurse, I didnt sleep last night because I worried about missing work at my new job and losing my insurance coverage. Which nursing diagnosis is appropriate to include in the plan of care?
4. Question: A patient is extremely anxious about having a biopsy on a femoral lymph node in the groin area. Which relaxation technique would be best for the nurse to use at this time?
5. Question: A patient who suffers from frequent migraines tells the nurse, My life feels chaotic and out of my control. I will not be able to manage if anything else happens. Which response should the nurse make initially?
6. Question: A nurse prepares an adult patient with a severe burn injury for a dressing change. The nurse knows that this is a painful procedure and wants to provide music to help the patient relax. Which action is best for the nurse to take?
7. Question: The nurse teaches a patient who is experiencing stress at work how to use imagery as a relaxation technique. Which statement by the nurse would be most appropriate?
8. Question: An overweight female patient who had enjoyed active outdoor activities is stressed because she is limited in what she can do because she has osteoarthritis in her hips. Which action by the nurse will best assist the patient to cope with this situation?
9. Question: A hospitalized patient with diabetes tells the nurse, I dont understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up. This is so frustrating. Which response by the nurse is most appropriate?
10. Question: A middle-aged male patient with usually well-controlled hypertension and diabetes visits the clinic. Today he has a blood pressure of 174/94 and a blood glucose level of 190 mg/dL. What additional patient information may indicate that an intervention by the nurse is needed?
11. Question: A patient who is taking antiretroviral medication to control human immunodeficiency virus (HIV) infection tells the nurse about feeling mild depression and anxiety. Which additional information about the patient is mostimportant to communicate to the health care provider?