Chapter 13: Coping and Stress
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. An 80-year-old patient recently became widowed, moved into a long-term care facility,
and had to quit driving. The patient reports fatigue and is irritable when questioned about
current health conditions. The nurse will take which appropriate action?
a. Suggest a daytime nap and going to bed early.
b. Report the symptoms as expected adjustments to relocation.
c. Approach the patient to talk about perceptions related to his relocation.
d. Suggest that the patient find some quiet time in the facility’s library and read a
book.
ANS: C
Stress can cause fatigue and irritability. The approach from the nurse can initiate
dialogue relative to his situation and his reaction to it.
PTS: 1 DIF: 5 REF: P.246 OBJ: 8
TOP: Emotional Signs of Stress KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation NOT:
Applying
2. The nurse assesses a behavior as a sign of depression in the newly admitted resident to a
long-term care facility when the resident exhibits disorganization and displays which
behavior?
a. Frequently comes to breakfast only partially dressed.
b. Discussing beliefs that the FBI and CIA are plotting.
, c. Socializes with only three or four other residents.
d. Arranges daily activities in order to watch Jeopardy at 4:30.
ANS: A
Depressive behaviors are signaled by disorganization, making frequent errors, and
leaving tasks incomplete because of preoccupation with depression.
PTS: 1 DIF: 6 REF: p. 244 | Box 13.1
OBJ: 2 TOP: Depression KEY: Nursing Process Step: Data
Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation NOT:
Applying
3. In which manner does physical illness increase stress in the older adult?
a. It is an acceptable reason to request assistance.
b. It takes away energy to cope with new stressors.
c. It stimulates the family to be more attentive.
d. It causes additional medications to be ordered.
ANS: B
Physical illness drains energy that might otherwise be mobilized to cope with stress.
Many older adults think that it is acceptable to request assistance with a physical
illness, the family is more attentive with the presence of a physical illness, and
physical illnesses can have pharmaceutical relief, but none of those facts explain the
reduced ability to cope with stress.
PTS: 1 DIF: 7 REF: p. 244 OBJ: 2
TOP: Illness and Stress KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation NOT:
Analyzing
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. An 80-year-old patient recently became widowed, moved into a long-term care facility,
and had to quit driving. The patient reports fatigue and is irritable when questioned about
current health conditions. The nurse will take which appropriate action?
a. Suggest a daytime nap and going to bed early.
b. Report the symptoms as expected adjustments to relocation.
c. Approach the patient to talk about perceptions related to his relocation.
d. Suggest that the patient find some quiet time in the facility’s library and read a
book.
ANS: C
Stress can cause fatigue and irritability. The approach from the nurse can initiate
dialogue relative to his situation and his reaction to it.
PTS: 1 DIF: 5 REF: P.246 OBJ: 8
TOP: Emotional Signs of Stress KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation NOT:
Applying
2. The nurse assesses a behavior as a sign of depression in the newly admitted resident to a
long-term care facility when the resident exhibits disorganization and displays which
behavior?
a. Frequently comes to breakfast only partially dressed.
b. Discussing beliefs that the FBI and CIA are plotting.
, c. Socializes with only three or four other residents.
d. Arranges daily activities in order to watch Jeopardy at 4:30.
ANS: A
Depressive behaviors are signaled by disorganization, making frequent errors, and
leaving tasks incomplete because of preoccupation with depression.
PTS: 1 DIF: 6 REF: p. 244 | Box 13.1
OBJ: 2 TOP: Depression KEY: Nursing Process Step: Data
Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation NOT:
Applying
3. In which manner does physical illness increase stress in the older adult?
a. It is an acceptable reason to request assistance.
b. It takes away energy to cope with new stressors.
c. It stimulates the family to be more attentive.
d. It causes additional medications to be ordered.
ANS: B
Physical illness drains energy that might otherwise be mobilized to cope with stress.
Many older adults think that it is acceptable to request assistance with a physical
illness, the family is more attentive with the presence of a physical illness, and
physical illnesses can have pharmaceutical relief, but none of those facts explain the
reduced ability to cope with stress.
PTS: 1 DIF: 7 REF: p. 244 OBJ: 2
TOP: Illness and Stress KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation NOT:
Analyzing
