Nokea
The nurse is reviewing ways to foster effective coping skills with a client who has an anxiety disorder. What should the nurse include in the teaching? Select all that apply.
- A. Re-establish priorities and strike a healthy balance between work and play.
- B. Engage in a daily exercise program.
- C. Learn about stress management education and join a support group.
- D. Avoid verbalizing or writing about feelings of anxiety.
- E. Delay stressful tasks as desired.
Correct Answer: A,B,C
Rationale: The nurse should suggest re-establishing priorities and striking a healthy balance between work and play, engaging in a daily exercise program, pursuing stress management education, and joining a support group as ways to foster effective coping skills. The client should be encouraged to clearly state feelings or write about them in a diary if verbalizing dramatic or angry thoughts is difficult. The nurse should also discuss time management techniques such as avoiding procrastination; therefore, delaying stressful tasks as desired would not be included in the teaching.
You may also like to solve these questions
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.
What is the result of the appropriate use of coping mechanisms?
- A. Maintenance of psychobologic equilibrium
- B. Psychological growth
- C. Altered body functions or symptoms
- D. Restored biologic functions
Correct Answer: B
Rationale: When used appropriately and in moderation, coping mechanisms allow maintenance of psychological equilibrium and lead to psychological growth. Appropriate use of coping mechanisms does not alter body functions or symptoms or restore biologic functions.
The nurse is using a theory which includes positive reinforcement with rewarding client behavior in group participation activities. From which theorist is the nurse deriving these strategies?
- A. Sigmund Freud
- B. Erik Erikson
- C. Harry Sullivan
- D. B.F. Skinner
Correct Answer: D
Rationale: B.F. Skinner proposed the theory that adaptive and maladaptive behavior are learned and repeated because of rewarding reinforcement. The other theorists listed did not propose such a theory.
What condition triggers the general adaptation syndrome?
- A. Distress
- B. Eustress
- C. Placebo effect
- D. Helplessness
Correct Answer: A
Rationale: Excessive, ill-timed, or unrelieved stress is called distress. It triggers the general adaptation syndrome, a nonspecific physiologic response. Eustress means the right amount of stress and maintains a healthy balance in life. It cannot trigger general adaptation syndrome. The placebo effect refers to healing or improvement that takes place because the person believes a treatment method will be more effective. Helplessness is a psychological factor that makes a client with stress disease prone. It is not a condition that triggers the general adaptation syndrome.
The nurse is caring for a client who has recently lost a spouse. Which question asked by the nurse is essential in guarding the client's immune system?
- A. Do you have friends and family to support you?
- B. Do you live alone in a one-story house?
- C. Are you able to prepare nutritious meals?
- D. Are your neighbors able to check on you?
Correct Answer: A
Rationale: When a client has very intense stress, such as the loss of a spouse, stress can lower the number of white blood cells impacting the immune system. There is also a connection between poorer immune function and loneliness. Asking the client about friends and family who are available to provide support is most helpful. Friends and family allow the client to share emotions and immune function improves. The other questions provide helpful data but not as pertinent to the immune system.