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The nurse is preparing to care for a patient under severe stress resulting from caring for her elderly aunt diagnosed with leukemia. When assessing the patient?s psychological domain, which question would the nurse ask first?
- A. Let?s talk about what you have been feeling.
- B. Tell me about your depressed moods.
- C. How long have you been caring for your aunt?
- D. Are you feeling overwhelmed by caring for your aunt?
Correct Answer: A
Rationale: Starting with an open-ended question like 'Let?s talk about what you have been feeling' allows exploration of the patient?s psychological state broadly, establishing rapport. Specific questions about depression, duration, or feeling overwhelmed are more focused and better suited for later.
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A nurse is reviewing the assessment findings of several patients. Which patient would the nurse identify as having a type D personality?
- A. A man who threatens the receptionist in the emergency department with bodily harm if a doctor does not see him right away
- B. A woman who sits quietly reading in a waiting room before seeing her doctor for her annual physical examination
- C. A quiet teen who drinks a six pack of beer against his better judgment because of peer pressure
- D. A man who reacts negatively to almost everything but never discusses his feelings with anyone
Correct Answer: D
Rationale: Type D personality is characterized by negative affectivity and social inhibition, as seen in the man who reacts negatively but suppresses feelings. Threatening behavior, quiet reading, or succumbing to peer pressure do not align with Type D traits.
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 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 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.