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A patient has come to the clinic to discuss the stress she is experiencing because of failing two exams at school. Initially, she described her failures as the worst thing that has ever happened to me, and she stated, 'There is absolutely nothing I can do to pass this course now.' In response to the nurse?s questions, the nurse finds out there are three more equally weighted exams scheduled for the course in question. The nurse and patient collaborate and decide to use interventions to facilitate emotion-focused coping. Which additional comment from the patient would the nurse identify as providing support for this decision?
- A. You?ve got to figure out something for me to do to get me out of this situation!
- B. This is a waste of time because absolutely nothing you or I can do will make it any better.
- C. I overreacted; surely together we can figure out something for me to do.
- D. This is the worst thing that could ever happen to me. I?m nothing but a failure.
Correct Answer: C
Rationale: The comment 'I overreacted; surely together we can figure out something' supports emotion-focused coping by acknowledging exaggerated emotions and openness to collaboration, aligning with managing feelings. Other comments reflect helplessness or problem-focused demands.
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A nurse is performing an assessment interview with a patient. The patient tells the nurse that he has a type A personality. Based on the nurse?s interpretation, the nurse would expect which behavior by the patient?
- A. Appearing relaxed and easygoing throughout the interview
- B. Wanting the interview to be over as quickly as possible
- C. Being pleased with the overall pace of the interview
- D. Speaking slowly, requiring time to consider his answers
Correct Answer: B
Rationale: Type A personality is characterized by impatience, competitiveness, and urgency, so the patient would likely want the interview to end quickly. Relaxed behavior, satisfaction with pace, or slow responses are more typical of Type B personalities.
The nurse is caring for a patient with chronic stress for the past month because of job loss and financial difficulties. When evaluating the patient?s assessment findings, the nurse would anticipate finding an elevated antibody titer to which of the following?
- A. Herpes simplex viruses
- B. Herpes zoster viruses
- C. Acquired immune deficiency viruses
- D. Influenza viruses
Correct Answer: A
Rationale: Chronic stress suppresses immunity, increasing reactivation of latent herpes simplex viruses, leading to elevated antibody titers. Herpes zoster may reactivate, but HSV is more common. AIDS and influenza are not directly linked to stress-induced immune changes.
During an interview, a patient states, 'I feel so guilty, and I?m so ashamed of what I did.' The nurse interprets this as which of the following?
- A. Negative emotion
- B. Positive emotion
- C. Borderline emotion
- D. Nonemotion
Correct Answer: A
Rationale: Guilt and shame are negative emotions, reflecting distress or self-criticism. Positive emotions involve joy or pride, borderline emotion is not a standard term, and nonemotion implies no emotional response, which does not apply.
A group of nursing students is reviewing information about emotional responses to stress and the themes associated with them. The students demonstrate understanding of the information when they identify which emotion as associated with being moved by another?s suffering and wanting to help?
- A. Relief
- B. Hope
- C. Compassion
- D. Love
Correct Answer: C
Rationale: Compassion is the emotion associated with being moved by another?s suffering and desiring to help. Relief involves stress reduction, hope anticipates positive outcomes, and love is a broader emotional bond, not specific to suffering.
A nurse is conducting an assessment of a patient?s social network. Which of the following would the nurse assess? Select all that apply.
- A. How big is your network of contacts?
- B. What benefits do you receive from these people?
- C. Who is responsible for providing the support?
- D. Do any of the members know one another?
- E. What services do you think might be helpful?
Correct Answer: A,B,C,D,E
Rationale: Assessing a social network includes size (A), benefits (B), support providers (C), interconnectedness (D), and potential service needs (E), as these provide a comprehensive view of the network?s structure and function.