Nursing Chapter 42 Competencies Context And Environment Practice Conduct

1. The parents may have been abusing this child.

2. The child is probably developmentally delayed secondary to multiple hospitalizations.

3. The child is reacting as a normal 2-year-old.

4. The child could be suffering from a clinical depression.

Question 21

Type: MCSA

During an assessment, the nurse learns that a client has been having periodic upper respiratory infections since

experiencing the death of a close family member. The nurse identifies this client’s reaction to stress as being a

1. stimulus.

2. response.

3. transaction.

4. negotiation.

Question 22

Type: MCSA

After hearing the diagnosis of cancer, a client becomes withdrawn and refuses to talk with friends or family. The

nurse realizes this client is demonstrating which type of reaction to stress?

1. Stimulus

2. Response

3. Combination

4. Transaction

Question 23

Type: MCSA

The nurse identifies that a client is experiencing the resistance stage of the general adaption syndrome. What did

the nurse assess to make this clinical decision?

1. The client is unable to focus on activities and events.

2. The client is exhausted, and spends time sleeping.

3. There is localized swelling and inflammation of the client’s leg wound.

4. The client’s capillary blood glucose level is 180 mg/dL.

Question 24

Type: MCMA

A client is experiencing the shock phase within the general adaption syndrome. The nurse realizes that this phase

affects which hormones?

Standard Text: Select all that apply.

1. Epinephrine

2. Estrogen

3. Norepinephrine

4. Corticotropin-releasing

5. Progesterone

Question 25

Type: MCSA

A client newly diagnosed with colon cancer finishes dinner and turns on the nightly news. The nurse suspects the

client is experiencing which cognitive indicator of stress?

1. Problem solving

2. Self-control

3. Structuring

4. Daydreaming.

Question 26

Type: MCMA

A client is informed of the need for surgery to correct a potentially life-threatening health problem. Afterward, the

nurse determines that the client is experiencing physiological indicators of stress. What did the nurse assess to

make this determination?

Standard Text: Select all that apply.

1. Dilated pupils

2. Diaphoretic

3. Tachycardia

4. Flaccid muscle tone

5. Excessive oral secretions

Question 27

Type: MCMA

The nurse is concerned that a client diagnosed with a chronic illness is experiencing depression. What did the

nurse assess in this client?

Standard Text: Select all that apply.

1. Weight gain

2. Irritability

3. No appetite

4. Constipation

5. Complaints of headache and dizziness

Question 28

Type: MCSA

While assessing a client’s ability to cope after being diagnosed with a chronic illness, the client admits to an

increase in drinking and smoking. The nurse recognizes the client is utilizing which type of coping strategy?

1. Short term

2. Long term

3. Adaptive

4. Effective

Question 29

Type: MCSA

The adult daughter of an older client, who provides and pays for the client’s care and needs, tells the nurse that

her time is limited because of work responsibilities. The client complains that all the daughter ever does is work.

What basic need is being affected by the daughter’s stress?

1. Love and belonging

2. Self-actualization

3. Physiological

4. Self-esteem

Question 30

Type: MCMA

The nurse asks a client what strategies he uses to cope with stress. The client does not respond. What should the

nurse do?

Standard Text: Select all that apply.

1. Document that the client has no stress.

2. Move on with the assessment.

3. Ask the client whether crying occurs.

4. Suggest that the client use humor or exercise.

5. Question the use of anger.

Question 31

Type: MCMA

During a health interview, the nurse decides to focus the assessment questions on the middle-aged client’s amount

of stress. What information did the nurse use to make this clinical decision?

Standard Text: Select all that apply.

1. Caring for aging parents

2. Needing to wear glasses to read

3. Newly married

4. Choosing a career

5. Not having the same amount of stamina and energy

Question 32

Type: MCMA

The nurse is preparing to assess a client’s stress and coping patterns. What will be included in this assessment?

Standard Text: Select all that apply.

1. Client’s perception of stressors

2. Manifestations of stress

3. Employment status

4. Coping strategies

5. Weight changes

Question 33

Type: MCSA

A client diagnosed with a chronic illness tells the nurse that the spouse is not helping the client with household

activities, which is causing stress. Which diagnosis should the nurse identify as being appropriate for the client at

this time?

1. Defensive Coping

2. Disabled Family Coping

3. Compromised Family Coping

4. Ineffective Coping

Question 34

Type: MCSA

A client repeatedly tells the nurse that “all will be well” and “I’m fine” in response to learning of a health problem

that requires immediate surgery. The nurse realizes that which diagnosis is appropriate for the client at this time?

1. Compromised Family Coping

2. Ineffective Coping

3. Disabled Family Coping

4. Defensive Coping

Question 35

Type: MCMA

A client asks what changes can be made to dietary intake to reduce the effects of stress. What changes should the

nurse encourage the client to make?

Standard Text: Select all that apply.

1. Reduce sugar intake.

2. Eliminate excess salt.

3. Reduce caffeine intake.

4. Avoid vitamin supplements.

5. Follow a low-fat eating plan.

Question 36

Type: MCMA

After dealing with a variety of physical stressors, a client is entering the stage of exhaustion. The nurse should

recognize that the end of this stage will depend upon which factors?

Standard Text: Select all that apply.

1. Release of hormones

2. Severity of the stressor

3. Reversal of body changes

4. External resources provided

5. Energy resources of the client