Nokea
Which of the following personal characteristics influence a client's response to stressors? Select all that apply.
- A. Self-efficacy
- B. Sense of belonging
- C. Spirituality
- D. Hardiness
- E. Resilience
- F. Resourcefulness
Correct Answer: A,C,D,E,F
Rationale: Self-efficacy, spirituality, hardiness, resilience, and resourcefulness influence a client's response to stressors.
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A nurse is working with a Middle-Eastern client being treated for major depression. The client is expressing feelings of guilt for not being able to 'snap out of it.' A therapeutic response by the nurse would be.
- A. You have to keep trying to feel better
- B. What do you think could have caused your depression?
- C. Clinical depression is not something you have brought on yourself
- D. It will take several weeks for your medicine to start to help you feel better
Correct Answer: C
Rationale: Educating the client that depression is not self-induced addresses cultural beliefs about control over mental illness.
The client says to the nurse, 'I know I can learn to cope with my family situation. By getting help here at the clinic, I'll be able to deal with them more effectively, and I won't be so stressed out all the time.' This client is demonstrating a high level of
- A. hardiness.
- B. resilience.
- C. sense of belonging.
- D. self-efficacy.
Correct Answer: D
Rationale: Self-efficacy reflects a belief in one's ability to affect life events, as demonstrated by the client's proactive attitude.
A client reports feeling like he belongs among his peers with whom he shares a group home. The nurse incorporates this sense of belonging when formulating discharge plans because the nurse understands which of the following?
- A. Living with a peer group often increases anxiety.
- B. Peers may alienate the client from daily living activities.
- C. The client will likely feel needed by his peers.
- D. Peer groups often do too much for each other causing dependency.
Correct Answer: C
Rationale: A sense of belonging reduces anxiety and fosters a sense of purpose and social productivity.
The nurse is making a cultural assessment of a client. The most important data about a client's cultural beliefs are
- A. objective data about the culture.
- B. subjective data from the client.
- C. subjective data from the family.
- D. subjective data from society.
Correct Answer: B
Rationale: The client's own perception and description of their cultural beliefs are the most important for accurate assessment.
The nurse is preparing to administer PRN medication to a client of Japanese descent who is anxious. The prescription reads, 'Alprazolam (Xanax) 0.25 to 1.0 mg PO PRN.' The best dose for the nurse to give initially is
- A. 0.25 mg.
- B. 0.5 mg.
- C. 0.75 mg.
- D. 1.0 mg.
Correct Answer: A
Rationale: Persons of Asian descent often metabolize drugs more slowly, requiring lower doses to produce therapeutic effects and minimize side effects.