Nokea
The nurse is caring for a patient who has been under severe stress while caring for her elderly mother who is in the advanced stages of Alzheimer?s disease. The nurse explains that the patient is adapting to the stress is she is experiencing because of which of the following?
- A. Ability to survive in the midst of severe stress
- B. Acceptance of others? help in caring for her mother
- C. Success at being able to solve problems
- D. Capability in setting reasonable personal goals
Correct Answer: B
Rationale: Accepting others? help indicates adaptive coping by leveraging social support to manage stress. Survival, problem-solving, and goal-setting are aspects of coping, but accepting help directly reflects adaptation in this caregiving context.
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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.
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.
A nurse is providing an in-service presentation on coping and adaptation. Which of the following would the nurse most likely include? Select all that apply.
- A. Most coping strategies are similar in their approach.
- B. Coping when effective leads to adaptation.
- C. Reappraisal occurs simultaneously with coping.
- D. The same coping strategy is used in each situation.
- E. Coping is a deliberate and planned effort to manage stress.
Correct Answer: B,C,E
Rationale: Effective coping leads to adaptation (B), reappraisal occurs with coping (C) as part of ongoing stress evaluation, and coping is deliberate and planned (E). Coping strategies vary (A is false), and different strategies are used per situation (D is false).
After teaching a group of students about appraisal and the stress response, the instructor determines that additional teaching is needed when the students identify which of the following as part of the primary appraisal?
- A. Relevance of the goal
- B. Consistency of goal with values
- C. Personal commitment
- D. Outcome explanation
Correct Answer: D
Rationale: Primary appraisal involves evaluating the relevance (A), consistency with values (B), and personal commitment (C) to a stressor. Outcome explanation (D) is part of secondary appraisal, assessing coping options, indicating a need for further teaching.
A nurse is assessing a patient and uses the Recent Life Changes Questionnaire as part of the assessment. The nurse determines that the patient has experienced major life crisis with which score on the questionnaire?
- A. 150
- B. 250
- C. 350
- D. 450
Correct Answer: D
Rationale: The Recent Life Changes Questionnaire (based on the Holmes-Rahe Stress Scale) indicates a major life crisis with a score of 300 or higher, with 450 reflecting significant stress. Lower scores (150, 250) suggest moderate stress, and 350 is borderline but not definitive.