Chapter 07: Stress Management : Lewis’s Medical-Surgical Nursing, 12th Edition

Test Bank For Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter 07: Stress Management : Lewis’s Medical-Surgical Nursing, 12th Edition 1. An adult patient who arrived at the triage desk in the emergency department (ED) with minor facial lacerations after a motor vehicle accident has a blood pressure (BP) of 182/94. Which action would the nurse take? A. Start an IV line to administer antihypertensive medications. B. Check the blood pressure after the patient has been assessed. C. Discuss the need for hospital admission to control blood pressure. D. Teach the patient about the stroke risk associated with hypertension. ANS: B 2. A female patient who initially came to the clinic with incontinence was recently diagnosed with endometrial cancer. She is usually calm and focused, but today during her preoperative instructions the patient seems irritable, has difficulty concentrating, and yells at her husband. Which action would the nurse take? A. Ask the health care provider for a psychiatric referral. B. Focus teaching on preventing postoperative complications. C. Try to calm the patient before repeating information about the surgical process. D. Encourage the patient to combine the hysterectomy surgery with bladder repair. ANS: C 3. An adult patient who is hospitalized after a motorcycle crash tells the nurse, “I didn‘t sleep last night because I worried about missing work at my new job and losing my insurance coverage.” Which clinical problem would the nurse include in the plan of care? A. Anxiety B. Difficulty coping C. Negative self-image D. Deficient knowledge ANS: A 4. A patient is extremely anxious a few minutes before having a biopsy on a femoral lymph node. Which technique would the nurse recommend that the patient use during the procedure? A. Yoga stretching B. Guided imagery C. Relaxation breathing D. Mindfulness meditation ANS: C 5. A patient who has frequent migraines tells the nurse, “My life feels chaotic and out of control. I could not manage if anything else happens.” Which response should the nurse make initially? A. “Regular exercise may get your mind off the pain.” B. “Guided imagery can be helpful in regaining control.” C. “Tell me more about how your life has been recently.” D. “Your previous coping resources can be helpful to you now.” ANS: C 6. The nurse is caring for an adult patient with a severe burn injury. The nurse plans to try providing music to help the patient relax during a dressing change. Which action would be best for the nurse to take? A. Use music composed by Mozart. B. Play music that does not have words. C. Ask the patient about music preferences. D. Select music that has 60 to 80 beats/minute. ANS: C 7. Which statement would the nurse use when teaching a patient how to use imagery as a relaxation technique for a mental retreat from workplace stress? A. “Think of a place where you feel peaceful and comfortable.” B. “Place the stress in your life into an image that you can destroy.” C. “Repeatedly visualize yourself experiencing the distress at your workplace.” D. “Bring what you hear and sense in your work environment into your image.” ANS: A 8. A patient who had enjoyed active outdoor activities is stressed because obesity now limits the patient‘s activity. Which action by the nurse demonstrates a problemfocused coping strategy? A. Have the patient practice frequent relaxation breathing. B. Encourage the patient to lose weight to improve symptoms. C. Ask the patient what outdoor activities are missed the most. D. Teach the patient to use imagery for reducing pain and stress. ANS: B 9. A hospitalized patient with diabetes tells the nurse, “I don‘t understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up. This is so frustrating.” Which response by the nurse is accurate? A. “The liver is not able to metabolize glucose as well during stressful times.” B. “Your diet at the hospital is the most likely cause of the increased glucose.” C. “The stress of illness causes release of hormones that increase blood glucose.” D. “It is probably coincidental that your blood glucose is higher when you are ill.” ANS: C 10. A middle-aged male patient with usually well-controlled hypertension and diabetes visits the clinic. Today he has a blood pressure of 174/94 mm Hg and a blood glucose level of 190mg/dL. Which patient information may indicate that additional intervention by the nurse is needed? A. The patient indicates that he monitors his blood glucose several times each day. B. The patient states that he takes his prescribed antihypertensive medications daily. C. The patient reveals that both of his parents have high blood pressure and diabetes. D. The patient reports that he and his wife are disputing custody of their 8-yr-old son. ANS: D