Stress & Adaptation
What are the stages of GAS?
A. Alarm, Resistance (adaptation), Recovery/Exhaustion
B. Sympathy, focusing, Restating, Empathy
C. Situational, Anticipatory, Time
D. Distress, Eustress, Developmental
A. Alarm, Resistance (adaptation), Recovery/Exhaustion
Which physical assessment is most concerning?
A. Muscle tension
B. HR 74
C. +4 pupils
D. BP 130/80
C. +4 pupils
Rationale: The Sympathetic Nervous System responds to stress as a part of the fight or flight (alarm phase) of the GAS.
What kind of stress is related to a financial concern?
A. Eustress
B. Developmental
C. Anticipatory
D. Psychosocial
D. Psychosocial
Which statement is most concerning that would be made by a client after recently having an MI?
A. "I find it easy to adjust my diet"
B. "I feel fine"
C. "I often have nightmares about death and dying since I had my heart attack"
D. "I walk everyday with my grandchildren"
C. "I often have nightmares about death and dying since I had my heart attack"
What response by the nurse assists in developing a therapeutic relationship with the patient?
A. I can relate to what you are going through
B. You are going to be fine
C. You have a good provider
D. Hello my name is Pam and I am your nurse and I will be caring for you today
D. Hello my name is Pam and I am your nurse and I will be caring for you today
What is the best response to a family member that is talking loud on the phone over a patient with high anxiety?
A. Yell at the family member and demand that they end the call
B. Call security
C. Ask the family to step into the waiting room
D. Take to phone from the family
C. Ask the family to step into the waiting room
In assessing clients who may be experiencing a depressive disorder, what should the nurse determine as a priority?
A. Severity of Symptoms
B. Risk for self harm
C. PMH of depression
D. Support system
B. Risk for self harm
Which Nursing assessment tool for stress is most appropriate in an urgent care?
A. Assessment of the patients support system
B. Assessment of the PMH
C. Assessment of V/S
D. The Holmes-Rahe Social Readjustment Scale
C. Assessment of V/S
What type of communication does the nurse perform when she repeats the patients concerns back?
A. Focusing
B. Empathetic
C. Restating
D. Sympathetic
C Restating
What is the priority assessment of an unharmed patient who's home was destroyed in a natural disaster?
A. Payment for the visit
B. Transportation
C. Does the patient have a support system
D. Does the patient have home owners insurance
C. Does the patient have a support system
What is the most appropriate response to a patient that has anxiety about an upcoming procedure?
A. Reassure that they will be fine
B. "I can relate, I had a lot of anxiety when I had this done"
C. "Don't worry, you will be totally out because of the medicine and won't feel a thing"
D. "Tell me your concerns"
D. "Tell me your concerns"
Your patient admits to being under extrene stress at work every day. Which factor indicates a need for further evaluation?
A. Receiving 7-10 hrs of rested sleep
B. No illnesses for the past year
C. Recent weight gain of 20 lbs over the past year
D. BM daily
C. Recent weight gain of 20 lbs over the past year
The patient receiving an MRI yells "I have to get out, I can't take it!" What is the best response from the nurse?
A. Stop the test
B. Instruct the patient to take deep breaths
C. Give sedation
D. Continue with the test
B. Instruct the patient to take deep breaths
How should a nurse respond to a co-worker that states that they are unable to stop thinking about work after their shift is over?
A. How much OT are you doing
B. How's your home life
C. Has anything traumatic happened on your shift
D. If you are having trouble finding balance, maybe you should seek counseling
D. If you are having trouble finding balance, maybe you should seek counseling
What statement made by a patient would be indicative of maladaptive coping mechanisms for stress?
A. I do yoga when I am stressed
B. I engage in physical activity at least 30 min a day 3 x a wk
C. I eat a well balanced diet
D. I polish off at least one bottle of red wine to help me sleep
D. I polish off at least one bottle of red wine to help me sleep
The nurse is giving d/c instructions to a patient with anxiety, what action by the nurse would be most important?
A. Be reassuring and tell the patient that it's going to be ok
B. Reassure about the expertise and qualifications of the physician
C. Spend a few minutes with the patient and ask about any concerns
D. Explain everything to the next of kin
C. Spend a few minutes with the patient and ask about any concerns
What is an alternative for stress management that is safe and an inexpensive complimentary therapy?
A. Herbal Supplements
B. Yoga
C. Chiropractor visit
D. Full body message
B. Yoga
What type of referral should a nurse make when a patient rates stress level 8/10 in every category of their life?
A. Gym membership
B. Smoking cessation
C. Don't feed into the stressor and it will eventually go away
D. Social worker for thorough assessment of support system
D. Social worker for thorough assessment of support system
Your patient suffered minor injuries during a natural disaster that completely destroyed their home. She begins to cry when you walk into the room. Which type of stress is she experiencing?
A. Eustress
B. The patient in not stressed out she is just in pain
C. Developmental
D. Situational
D. Situational