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WorksheetsStress and Adaptation Quiz
Total questions: 5
Worksheet time: 4mins
A nurse is assessing a patient’s stressors and coping methods. Identify the portions of the nurse’s documentation that indicate maladaptive coping. (Select all that apply.)
"The client was admitted to the hospital for dehydration and tachycardia. The client states she is going through a divorce and feels sad and stressed. The client has been drinking more alcohol to help her sleep and to avoid thinking about her recent divorce. She has also started smoking cigarettes again because she feels like it calms her down during the daytime. She expresses she is not sure what else to do, but she is open to recommendations. She also requests the nurse include her husband who is still in the waiting area."
A. The client was admitted to the hospital for dehydration and tachycardia.
B. The client states she is going through a divorce and feels sad and stressed.
C. The client has been drinking more alcohol to help her sleep and to avoid thinking about her recent divorce.
D. She has also started smoking cigarettes again because she feels like it calms her down during the daytime.
E. She expresses she is not sure what else to do, but she is open to recommendations.
A patient in a mental health outpatient clinic presents with multiple responses to stressful events that have occurred since a natural disaster in her area. The psychiatrist completes a thorough evaluation and recognizes the assessment findings (stress responses) of the patient are not only emotional. The mental health nurse at the clinic is aware that stress responses can be physiological, cognitive, emotional, or behavioral and understands that the patient’s distressful symptoms of nightmares, crying, hypersomnia, avoidance, and overeating are considered what type of response to stress?
A. emotional response
B. behavioral response
C. cognitive response
D. physiological response
A nurse is teaching a patient about the body’s response to prolonged stress using Selye’s General Adaptation Syndrome (GAS). Which of the following correctly describes the exhaustion stage of GAS?
A. The body’s resources are depleted and resistance is decreased, leading to potential illness.
B. The body activates the fight-or-flight response to deal with the stressor.
C. The body attempts to restore balance through adaptation and coping mechanisms.
D. The stressor is removed, and the body returns to a state of homeostasis.
A patient has been on a medical-surgical unit in a hospital for three days and is exhibiting emotional and behavioral responses to stress. These include anxiety, fear, irritability, preoccupation, and crying. The patient expresses, “I cannot stand being in the hospital with all the IV things, noises, and tests,” and “I miss being at home.” The patient’s stress responses do NOT include aggression or violence, but they are also not improving. The primary medical provider visits the patient and tells the nurse, “The patient is not a safety concern to himself or others and will be fine once he goes home.” The registered nurse should include which of the following nursing process options in caring for the patient unable to adapt to stress?
(Choose one correct answer that includes the options in the correct order.)
A. Collaborate with the patient to develop adaptive coping methods, order anxiolytic medication, and discharge the patient
B. Collaborate with the patient to develop adaptive coping methods, encourage avoiding behaviors, and evaluate intervention effectiveness
C. Assess the patient’s coping strategies, refer the patient directly to psychiatric services, and evaluate intervention effectiveness
D. Assess the patient’s coping strategies, collaborate with the patient to develop adaptive coping methods, and evaluate intervention effectiveness
E. Assess the patient’s coping strategies, instruct the patient to suppress emotional responses, and evaluate intervention effectiveness
The nurse is caring for a male patient who has been in the hospital for a few days. During the nurse’s shift, the patient expresses to the nurse he feels there have been a lot of people in and out of his room, he has had several procedures completed, but he still does not understand his diagnosis or his plan of treatment. He is starting to feel uneasy and frustrated. The nurse recognizes the patient is feeling overwhelmed and experiencing anxiety. Which of the actions listed below are priority nursing interventions.
Select all that apply.
A. Create a therapeutic relationship with your patient that is based on trust and caring
B. Discuss with the patient what he can expect for the next diagnostic procedure that is going to be done to him
C. Tell the patient the unit is busy today and someone will come back later to talk to him if there is time
D. Ask the patient if he would like to practice taking deep breaths and explain why deep breathing is helpful
E. Explain to the patient he is overreacting because everything the doctors and nurses are doing is to help him
