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A nurse is caring for a client who smokes and has lung cancer. The client reports, "I am coughing
because I have that cold that everyone has been getting". The nurse should identify that the
client is using which of the following defense mechanisms?
A. reaction formation
B. denial
C. displacement
D. sublimation
B. Denial
A nurse is providing preoperative teaching for a client who was informed of the need for
emergency surgery. The client has a respiratory rate of 30/min, and says "This is difficult to
comprehend. I feel shaky and nervous". The nurse should identify that the client is experiencing
which of the following levels of anxiety?
A. mild
B. moderate
C. severe
D. panic
B. moderate
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following
actions should the nurse take when trying to give necessary information to the client? Select all
that apply.
,A. reassure the client that everything will be okay
B. discuss prior use of coping mechanisms with the client
C. ignore the client's anxiety so that she will not be embarassed
D. demonstrate a calm manner while using simple and clear directions
E. gather info from the client using closed ended questions
B. discuss prior use of coping mechanisms with the client
D. demonstrate a calm manner while using simple and clear directions
A nurse is preparing an educational seminar on stress for other nursing staff. Which of the
following info should the nurse include in the discussion?
A. Excessive stressors cause the client to experience distress
B. The body's initial adaptive response to stress is denial
C. Absence of stressors result in homeostasis
D. Negative, rather than positive, stressors produce and biological response
A. Excessive stressors cause the client to experience distress
A nurse is discussing acute vs prolonged stress with a client. Which of the following effects
should the nurse identify as an acute stress response? Select all that apply.
A. Chronic pain
B. Decreased immune system
C. Increased blood
pressure
D. Panic attacks
E. Unhappiness
B. Decreased immune system
, C. Increased blood
pressure
E. Unhappiness
A nurse is teaching a client about stress reduction techniques. Which of the following client
statements indicates understanding of the teaching?
A. "cognitive reframing will help me change my irrational thoughts to something positive"
B. "progressive muscle relaxation uses a mechanical device to help me gain control over my
pulse rate"
C. "biofeedback causes my body to release endorphins so that I feel less stress and anxiety"
D. "mindfulness allows me to prioritize the stressors that I have in my life so that I have less
anxiety"
A. "cognitive reframing will help me change my irrational thoughts to something positive"
A nurse is talking with a client who reports experiencing increased stress because a new partner
is "pressuring me and my kids to go live with him. I love him, but I am not ready to do that".
Which of the following recommendations should the nurse make to promote a change in the
client's situation?
A. learn to practice mindfulness
B. use assertiveness techniques
C. exercise regularly
D. rely on the support of a close friend
B. use assertiveness techniques