Nokea
A client states, 'I will just die if I don't get this job.' The nurse then asks the client, 'What will be the worst that will happen if you don't get the job?' The nurse is using this response to
- A. appraise his situation more realistically.
- B. assist the client to make alternative plans for the future.
- C. assess if the client has health problems compounded by stress.
- D. clarify the client's meaning.
Correct Answer: A
Rationale: The nurse's question employs decatastrophizing to help the client realistically evaluate the situation and reduce exaggerated fears.
You may also like to solve these questions
The nurse plans to teach a client about dietary modifications to manage diabetes. Teaching would be most effective if the client displayed which one of the following characteristics?
- A. Focusing only on immediate task
- B. Faster rate of speech
- C. Narrowed perceptual field
- D. Heightened focus
Correct Answer: D
Rationale: Mild anxiety enhances focus and learning ability, making it the optimal state for effective teaching.
The student nurse correctly identifies that according to Selye (1956, 1974), which stage of reaction to stress stimulates the body to send messages from the hypothalamus to the glands and organs to prepare for potential defense needs?
- A. Resistance
- B. Exhaustion
- C. Alarm reaction
- D. Autonomic
Correct Answer: C
Rationale: The alarm reaction stage involves hypothalamic activation to prepare the body for defense through the sympathetic nervous system.
The student nurse correctly identifies that which one of the following statements applies to the parasympathetic nervous system?
- A. It is activated during the alarm reaction stage.
- B. It is activated during the resistance stage.
- C. It is activated during the exhaustion stage.
- D. It is commonly referred to as the fight, flight, or freeze response.
Correct Answer: B
Rationale: The parasympathetic nervous system is activated in the resistance stage to restore normal body function after the sympathetic activation in the alarm stage.
A nurse is working with a client to develop assertive communication skills. The nurse documents achievement of treatment outcomes when the client makes a statement such as.
- A. I'm sorry. I'm not picking this up very quickly.
- B. I feel upset when you interrupt me.
- C. You are pushing me too hard.
- D. I'm not going to let people push me around anymore.
Correct Answer: B
Rationale: Using 'I' statements to express feelings, like 'I feel upset,' demonstrates assertive communication, fostering self-assurance.
The nurse enters the client's room and finds the client anxiously pacing the floor. The client begins shouting at the nurse, 'Get out of my room!' The best intervention by the nurse would be to
- A. approach the client and ask, 'What's wrong?'
- B. call for help and say, 'Calm down.'
- C. turn and walk away from the room without saying anything.
- D. stand at the doorway and say, 'You seem upset.'
Correct Answer: D
Rationale: Standing at a distance and acknowledging the client's distress maintains safety and encourages communication without escalating anxiety.