Nokea
The nurse is caring for a client who consistently presents to the emergency department with symptoms of varied illnesses. Family members correlate the symptoms to illnesses seen on television or in other family members. When viewing past documentation of client history, which would the nurse anticipate?
- A. An autoimmune disorder
- B. Hypochondriasis
- C. Paranoid schizophrenia
- D. Physical abuse
Correct Answer: B
Rationale: Hypochondriasis is an abnormal fixation about the status of one's health. Some would propose that the disorder occurs when a person receives excessive attention and concern from others during childhood illnesses, which were unconsciously perceived as rewarding. The other disorders are not related.
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The nurse is consulting with a client who verbalizes extreme stress. When the nurse asks the client how life is, which response represents hardiness in character?
- A. I am making it through and just barely holding on.
- B. Life is challenging, I take it as it comes.
- C. I am not able to juggle all of the balls of life.
- D. What can you do, it is what it is.
Correct Answer: B
Rationale: The nurse would be correct to select the response that represents the effective coping style of hardiness as the client that identifies life as a challenge but coping with life situations as they arise. Clients who respond negatively with a sense of helplessness or indifference are not representing hardiness.
What intervention should a nurse recommend for fostering effective coping skills and a sense of hardiness?
- A. Balanced diet
- B. Periodic checkup
- C. Nonprescribed sedative drug
- D. Daily exercise
Correct Answer: D
Rationale: A nurse should recommend a daily exercise program to reduce stimulating neurotransmitters and release endorphins and enkephalins. Diet and periodic checkups are not essential to foster effective coping skills and a sense of hardiness. It is essential for the client to avoid a nonprescribed sedative drug for self-treatment because it does not foster effective coping skills and a sense of hardiness.
The nurse is instructing a client in a physician's office. Which instruction is most accurate when advising the client on the feelings of anger?
- A. Suppressing anger and excessively expressing anger can negatively affect the body.
- B. Let your feelings of anger out so you can resolve the issues before they cause illness.
- C. Use physical exercise to channel your anger in another direction.
- D. Eliminate the sources of stress causing anger from your lifestyle.
Correct Answer: A
Rationale: It is most accurate to understand that suppressing anger and excessively expressing anger can both lead to physical symptoms including death. The nurse must continue to follow the client's actions and emotions. Expressing anger in an appropriate manner helps to prevent neurochemical changes in the brain. Using exercise is an appropriate manner to relieve stress. Eliminating sources of stress is not appropriate.
The nurse is caring for a client and family member who are distressed about not having a concrete medical diagnosis. The client states, 'I have been through a lot of tests, and I still know nothing.' When confirming a psychobiologic diagnosis, the nurse is most accurate to state which of the following?
- A. We should have the conclusion of the tests soon. Hang in there.
- B. Diagnosis takes time to consult the specialist and to get those reports.
- C. Confirmation is achieved by ruling out other diseases that manifest similar symptoms.
- D. Psychotherapy will provide the best data to make a diagnosis.
Correct Answer: C
Rationale: Unfortunately, it has time to obtain a definitive diagnosis for a psychobiologic disorder. Diagnosis is frequently achieved by ruling out other diseases which manifest similar signs and symptoms. Stating the circumstances in the delay in diagnosis is the best and most accurate explanation. Simply saying that the tests will conclude soon and that it takes time to receive reports from specialists is general and does not assist the client in understanding why waiting for the reports is necessary. Psychotherapy provides a component of assessment data but not the best data.
The nurse is instructing a community education class on stress. The nurse asks the participants, 'Is all stress bad for you?' Which answer by the participants indicates that teaching has been effective?
- A. No, all stress has negative effects on the body systems.
- B. Yes, all stress is bad but in varying degrees depending on the nature.
- C. No, not all stress is bad, but all stress can make a person sick.
- D. No, the right amount of stress can be motivating to accomplish goals.
Correct Answer: D
Rationale: Teaching has been effective if participants state that not all stress is bad because the right amount of stress can be motivating. Just the right amount of stress, called eustress, is what maintains a healthy balance in life. The other statements are not accurate.