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TEST BANK FOR DAVIS ADVANTAGE FOR PEDIATRIC NURSING: CRITICAL COMPONENTS OF NURSING CARE 3RD EDITION, 10TH EDITION & 3RD EDITION BY TOWNSEND, ALL CHAPTERS, LATEST COMPLETE 3 VERSIONS 2024.
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Test Bank For Davis Advantage For Pediatric Nursing Critical Component of Nursing Care 3rd Edition
Test Bank For Davis Advantage For Pediatric Nursing Critical Components of Nursing Care 3rd Edition (Kathryn Rudd, 2024) Chapter 1-22 | Latest Complete Gui... [Show More] de A+. 1 Test Bank Ch01 Chapter 1 Issues and Trends in Pediatric Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. 1. 2. 3. 4. The nurse has provided a presentation to middle school children about nursing as a career. One of the children stated that he wanted to be a pediatric nurse, because he wants to take care of babies and little “kids.” What would be an appropriate response to this middle school–aged child? 1. “Nursing is a general practice; all nurses must know how to take care of all ages of patients.” 2. “As a pediatric nurse, you would get to care for babies and little kids as well as children through their teenage years.” 3. “What you are describing is actually a neonatal nurse. Neonatal nurses work with newborn babies, toddlers, and preschool-age children.” 4. “Being a pediatric nurse requires a master’s degree, so be sure to work hard in school!” The medical-surgical float nurse is assigned to the pediatric unit for the first time and states that the skills are “the same as general nursing since children are little adults with smaller bodies.” What component of pediatric nursing contraindicates this statement? 1. Pediatric nursing involves care based on the developmental level of the patient. 2. Pediatric nursing involves the patient’s family in the plan of care. 3. Pediatric nursing in based on prevention of infectious diseases. 4. Pediatric nursing involves cultural sensitivity in patient care. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population. Which of the following reflects the demographics of the U.S. pediatric population in 2018, based on U.S. Census Bureau data? 1. The American Indian and Alaska Native population represent one-fifth of the pediatric population. 2. About half of the children fall in the category of something other than White nonHispanic. 3. The population of Asian children decreased from 2015 to 2018. 4. There was no change in the population of Non-Hispanic children who represent two or more races between 2015 and 2018. The nurse at a family clinic is providing care to an adolescent patient diagnosed with diabetes. The patient has verbalized discomfort with the feelings of isolation when unable to drink alcohol with their friends. Which of the following would be the most appropriate response to this statement? 1. “Drinking alcohol is not only illegal but dangerous for your blood sugar control and overall well-being.” 2. “You can still drink alcohol, in moderation, if you control the sugar spike with more insulin.” 3. “Prepare for alcohol intake with more water and less carbohydrates before drinking to slow sugar spikes.” 4. “It is understandable that you want to be included, but perhaps we can work out a plan on how to work through those situations.” Rudd Davis Advantage for Pediatric Nursing 3e 2 Test Bank Ch01 5. 6. 7. 8. 9. Which statement best describes the common core concepts of the different models of pediatric nursing? 1. All models focus on the open communication between the child and nurse. 2. All models focus on importance of family relationship to the child. 3. All models focus on safeguarding the child’s dignity during care. 4. All models focus on coordination of care needs that arise during illness. Which of the following tasks is associated with the pediatric medical home care model of pediatric nursing? 1. The nurse refers the family to a childhood cancer support group prior to discharge from the hospital. 2. The nurse includes a simple explanation of the procedure to the child based on the child’s developmental level. 3. The nurse includes the family’s cultural celebrations and observations while providing care to the child. 4. The nurse develops the plan of care with the child and family as the focal point of the interventions. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of pediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented to the research, but as the nurse begins to administer the intervention, the patient refuses to cooperate. What is the appropriate response to this refusal? 1. The nurse should discuss with the family the options of performing the intervention without the child’s knowledge. 2. The nurse should explain to the child that this is necessary and promise a reward at the end of the research project. 3. The nurse should refuse to perform the intervention until the child consents to the intervention and project. 4. The nurse should discuss the pros and cons of the research project with the child and focus on the outcomes. A nurse is providing relationship-based care to a pediatric patient. Which of the following is a challenge the nurse is likely to encounter while using this model of care? 1. Maintaining a sterile field for a procedure with a restless toddler 2. Communicating with the blended family on regular basis 3. Treating children with antibiotic-resistant illnesses 4. Caring for a larger number of children with autism spectrum disorders and childhood depression The pediatric nurse desires to expand his or her career options to become the hospital’s nurse educator of pediatrics. Which of the following is necessary for this nurse to achieve this career goal? 1. The nurse is recommended to earn a minimum of a master’s degree in nursing. 2. The nurse must earn a minimum of a doctorate degree in nursing. 3. The nurse must implement and develop research in nursing practice. 4. The nurse must implement a plan to obtain certification in pediatrics. Rudd Davis Advantage for Pediatric Nursing 3e 3 Test Bank Ch01 10. The school nurse is developing a teaching session for the population of children in a middle school. The nurse has determined that the greatest need for the overall health of the children is promotion of healthy foods. Which of the following interventions is most likely to be effective? 1. Remove all unhealthy snacks from the vending machines. 2. Have a poster contest on healthy eating options. 3. Survey the student population during lunch breaks. 4. Engage the students in healthy choices with cooking lessons. 11. The nurse recognizes the needs of professional development to provide safe and effective care to the pediatric population by attending which of the following courses? 1. Procedure with rationale to administer human papilloma vaccine to the middle school population 2. Study review of the incidence of bullying and intimidation in the elementary school population 3. Demographic study of the U.S. population with regard to cultural diversity and practices 4. How to provide individual health care education for the children without parental interference 12. Which of the following continuing education courses would best enhance the pediatric nurse’s practice in relationship to current trends? 1. Evidence-based practice on improving antibiotic adherence with education to the family unit 2. Evidence-based practice on proper administration of antibiotics for children with autoimmune diseases 3. How to enhance communication with children in regards to adherence to antibiotic use 4. How to decrease instances of exacerbation of infections of children with autoimmune diseases with antibiotics 13. The pediatric nurse is developing interventions for a school-aged child based on the nursing diagnosis of imbalanced nutrition related to a body mass index (BMI) of 37 and poor food choices as evidenced by patient’s mother’s food diary for the family and child’s statements of food preferences. Which of the following would be an appropriate nursing intervention? 1. Provide the child and family with information from https://www.MyPlate.gov for healthy food options. 2. Increase the child’s activity by incorporating the child’s friends into a plan of healthy exercise options. 3. Explain the importance of balancing diet and exercise to prevent obesity to the child and family. 4. Provide information on the increased risk for potential disease processes such as diabetes and hypertension. 14. The nurse is developing interventions for a transgender adolescent based on the nursing diagnosis decreased self-esteem related to transgender identity as evidenced by statements of feeling “worthless, different, and alone.” What would be the most appropriate intervention based on the diagnosis? 1. Give positive feedback on personal choices as appropriate. Rudd Davis Advantage for Pediatric Nursing 3e 4 Test Bank Ch01 2. Provide gender-affirming care to transgender youth. 3. Provide information on support groups for patient and family. 4. Assess risk factors for depression and suicidal thoughts. 15. The pediatric nurse is providing care to an 8-year-old client who has Down’s syndrome and wants to ensure they are providing evidence-based care. Which of the following resources would best offer evidence-based practice guidelines related to the care of this patient? 1. Journal of Specialists in Pediatric Nursing 2. Journal of Child and Adolescent Psychiatric Nursing 3. National Database of Nursing Quality Indicators 4. American Journal of Maternal/Child Nursing Multiple Response Identify one or more choices that best complete the statement or answer the question. 16. The nurse must obtain data for a routine assessment of the 8-month-old patient. Which of the following are part of that assessment? Select all that apply. 1. Measure the head circumference and record results. 2. Enter length and weight in the growth chart. 3. Assess bilateral hand grasp strength and function. 4. Input the Tanner scale results in the chart. 5. List most recent immunizations in the chart. 17. Which of the following examples accurately represent the unique role of the pediatric nurse? Select all that apply. 1. The nurse developed an intervention that correlated with the patient’s particular cultural practice. 2. The nurse shared information on the progress and interventions with the family and patient. 3. The nurse engaged in one-to-one conversations with the family members as well as the patient. 4. The nurse requested the family to leave during invasive procedures to maintain privacy. 5. The nurse developed interventions based on the knowledge of human growth and development. [Show Less]
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Test Bank For Davis Advantage for Pediatric Nursing:Critical Components of Nursing Care 3rd Edition
Test Bank For Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care, 3rd Edition by Kathryn Rudd (NEWLY REVISED EDITION) Complete Gu... [Show More] ide. Chapter 1 Issues and Trends in Pediatric Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. 1. 2. 3. 4. The nurse has provided a presentation to middle school children about nursing as a career. One of the children stated that he wanted to be a pediatric nurse, because he wants to take care of babies and little “kids.” What would be an appropriate response to this middle school–aged child? 1. “Nursing is a general practice; all nurses must know how to take care of all ages of patients.” 2. “As a pediatric nurse, you would get to care for babies and little kids as well as children through their teenage years.” 3. “What you are describing is actually a neonatal nurse. Neonatal nurses work with newborn babies, toddlers, and preschool-age children.” 4. “Being a pediatric nurse requires a master’s degree, so be sure to work hard in school!” The medical-surgical float nurse is assigned to the pediatric unit for the first time and states that the skills are “the same as general nursing since children are little adults with smaller bodies.” What component of pediatric nursing contraindicates this statement? 1. Pediatric nursing involves care based on the developmental level of the patient. 2. Pediatric nursing involves the patient’s family in the plan of care. 3. Pediatric nursing in based on prevention of infectious diseases. 4. Pediatric nursing involves cultural sensitivity in patient care. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population. Which of the following reflects the demographics of the U.S. pediatric population in 2018, based on U.S. Census Bureau data? 1. The American Indian and Alaska Native population represent one-fifth of the pediatric population. 2. About half of the children fall in the category of something other than White nonHispanic. 3. The population of Asian children decreased from 2015 to 2018. 4. There was no change in the population of Non-Hispanic children who represent two or more races between 2015 and 2018. The nurse at a family clinic is providing care to an adolescent patient diagnosed with diabetes. The patient has verbalized discomfort with the feelings of isolation when unable to drink alcohol with their friends. Which of the following would be the most appropriate response to this statement? 1. “Drinking alcohol is not only illegal but dangerous for your blood sugar control and overall well-being.” 2. “You can still drink alcohol, in moderation, if you control the sugar spike with more insulin.” 3. “Prepare for alcohol intake with more water and less carbohydrates before drinking to slow sugar spikes.” 4. “It is understandable that you want to be included, but perhaps we can work out a plan on how to work through those situations.” Rudd Davis Advantage for Pediatric Nursing 3e 2 Test Bank Ch01 5. 6. 7. 8. 9. Which statement best describes the common core concepts of the different models of pediatric nursing? 1. All models focus on the open communication between the child and nurse. 2. All models focus on importance of family relationship to the child. 3. All models focus on safeguarding the child’s dignity during care. 4. All models focus on coordination of care needs that arise during illness. Which of the following tasks is associated with the pediatric medical home care model of pediatric nursing? 1. The nurse refers the family to a childhood cancer support group prior to discharge from the hospital. 2. The nurse includes a simple explanation of the procedure to the child based on the child’s developmental level. 3. The nurse includes the family’s cultural celebrations and observations while providing care to the child. 4. The nurse develops the plan of care with the child and family as the focal point of the interventions. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of pediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented to the research, but as the nurse begins to administer the intervention, the patient refuses to cooperate. What is the appropriate response to this refusal? 1. The nurse should discuss with the family the options of performing the intervention without the child’s knowledge. 2. The nurse should explain to the child that this is necessary and promise a reward at the end of the research project. 3. The nurse should refuse to perform the intervention until the child consents to the intervention and project. 4. The nurse should discuss the pros and cons of the research project with the child and focus on the outcomes. A nurse is providing relationship-based care to a pediatric patient. Which of the following is a challenge the nurse is likely to encounter while using this model of care? 1. Maintaining a sterile field for a procedure with a restless toddler 2. Communicating with the blended family on regular basis 3. Treating children with antibiotic-resistant illnesses 4. Caring for a larger number of children with autism spectrum disorders and childhood depression The pediatric nurse desires to expand his or her career options to become the hospital’s nurse educator of pediatrics. Which of the following is necessary for this nurse to achieve this career goal? 1. The nurse is recommended to earn a minimum of a master’s degree in nursing. 2. The nurse must earn a minimum of a doctorate degree in nursing. 3. The nurse must implement and develop research in nursing practice. 4. The nurse must implement a plan to obtain certification in pediatrics. Rudd Davis Advantage for Pediatric Nursing 3e 3 Test Bank Ch01 10. The school nurse is developing a teaching session for the population of children in a middle school. The nurse has determined that the greatest need for the overall health of the children is promotion of healthy foods. Which of the following interventions is most likely to be effective? 1. Remove all unhealthy snacks from the vending machines. 2. Have a poster contest on healthy eating options. 3. Survey the student population during lunch breaks. 4. Engage the students in healthy choices with cooking lessons. 11. The nurse recognizes the needs of professional development to provide safe and effective care to the pediatric population by attending which of the following courses? 1. Procedure with rationale to administer human papilloma vaccine to the middle school population 2. Study review of the incidence of bullying and intimidation in the elementary school population 3. Demographic study of the U.S. population with regard to cultural diversity and practices 4. How to provide individual health care education for the children without parental interference 12. Which of the following continuing education courses would best enhance the pediatric nurse’s practice in relationship to current trends? 1. Evidence-based practice on improving antibiotic adherence with education to the family unit 2. Evidence-based practice on proper administration of antibiotics for children with autoimmune diseases 3. How to enhance communication with children in regards to adherence to antibiotic use 4. How to decrease instances of exacerbation of infections of children with autoimmune diseases with antibiotics 13. The pediatric nurse is developing interventions for a school-aged child based on the nursing diagnosis of imbalanced nutrition related to a body mass index (BMI) of 37 and poor food choices as evidenced by patient’s mother’s food diary for the family and child’s statements of food preferences. Which of the following would be an appropriate nursing intervention? 1. Provide the child and family with information from https://www.MyPlate.gov for healthy food options. 2. Increase the child’s activity by incorporating the child’s friends into a plan of healthy exercise options. 3. Explain the importance of balancing diet and exercise to prevent obesity to the child and family. 4. Provide information on the increased risk for potential disease processes such as diabetes and hypertension. 14. The nurse is developing interventions for a transgender adolescent based on the nursing diagnosis decreased self-esteem related to transgender identity as evidenced by statements of feeling “worthless, different, and alone.” What would be the most appropriate intervention based on the diagnosis? 1. Give positive feedback on personal choices as appropriate. Rudd Davis Advantage for Pediatric Nursing 3e 4 Test Bank Ch01 2. Provide gender-affirming care to transgender youth. 3. Provide information on support groups for patient and family. 4. Assess risk factors for depression and suicidal thoughts. 15. The pediatric nurse is providing care to an 8-year-old client who has Down’s syndrome and wants to ensure they are providing evidence-based care. Which of the following resources would best offer evidence-based practice guidelines related to the care of this patient? 1. Journal of Specialists in Pediatric Nursing 2. Journal of Child and Adolescent Psychiatric Nursing 3. National Database of Nursing Quality Indicators 4. American Journal of Maternal/Child Nursing Multiple Response Identify one or more choices that best complete the statement or answer the question. 16. The nurse must obtain data for a routine assessment of the 8-month-old patient. Which of the following are part of that assessment? Select all that apply. 1. Measure the head circumference and record results. 2. Enter length and weight in the growth chart. 3. Assess bilateral hand grasp strength and function. 4. Input the Tanner scale results in the chart. 5. List most recent immunizations in the chart. 17. Which of the following examples accurately represent the unique role of the pediatric nurse? Select all that apply. 1. The nurse developed an intervention that correlated with the patient’s particular cultural practice. 2. The nurse shared information on the progress and interventions with the family and patient. 3. The nurse engaged in one-to-one conversations with the family members as well as the patient. 4. The nurse requested the family to leave during invasive procedures to maintain privacy. 5. The nurse developed interventions based on the knowledge of human growth and development. 18. The nurse is developing a health fair for children aged 5 and 6 years. Which of the following would be appropriate topics for this population based on current trends? Select all that apply. 1. How to deal with bullying on the Internet 2. How to prevent the flu with hand washing 3. How to choose and eat healthy foods 4. How to recognize suicidal thoughts 5. Ways to stay active and stay healthy Rudd Davis Advantage for Pediatric Nursing 3e 5 Test Bank Ch01 19. The school nurse is providing care to the student population in the urban elementary school. The nurse notes that the children do not feel safe playing outside during recess due to the recent violent incidents in the surrounding area. What are some disease processes that the nurse may notice due to this inactivity? Select all that apply. 1. The general population is at higher risk for obesity. 2. The students are at higher risk for increased bullying. 3. The students are at a higher risk for learning disabilities. 4. The students are at higher risk for diabetes mellitus. 5. The students are at higher risk for earlier onset of puberty. 20. The pediatric nurse is providing care to a 5-year-old patient for speech impediments that were caused by repeated incidences of otitis media. Which of the following is an example of current issues regarding this type of medical problem? Select all that apply. 1. Increased admissions based on environmental risk factors, such as smoking 2. Increased admissions based on knowledge deficits due to language barriers 3. Increased awareness of childhood health issues from social media and Internet 4. Shift in the focus of medical care from disease treatment to disease prevention 5. Deficient knowledge that has negatively impacted the adherence to the antibiotic regimen Rudd Davis Advantage for Pediatric Nursing 3e 6 Test Bank Ch01 Chapter 1 Issues and Trends in Pediatric Nursing Answer Section MULTIPLE CHOICE 1. ANS: 2 Chapter: Chapter 1 Issues and Trends in Pediatric Nursing Chapter Learning Objective: 1. Define pediatric nursing. Page: 3 Heading: Introduction to Pediatric Nursing Integrated Processes: Teaching and Learning Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Cognition Difficulty: Moderate Feedback 1 This is incorrect. Nurses can specialize in a number of areas. Pediatrics is one of these areas. 2 This is correct. Pediatric nursing care requires the nurse to use assessment and evaluation tools that are unique to infants, children, and adolescent populations, not just babies and young children. 3 This is incorrect. This is not accurate. Neonatal nurses typically provide care to infants. They would not provide care to toddlers or preschool-age children. 4 This is incorrect. A master’s degree is not required to be a pediatric nurse. However, advanced degrees and additional certification are available for pediatric nurses. PTS: 1 CON: Cognition 2. ANS: 1 Chapter: Chapter 1 Issues and Trends in Pediatric Nursing Chapter Learning Objective: 7. Describe the roles of the pediatric nurse. Page: 3 Heading: Introduction to Pediatric Nursing > Nursing Care for Children Integrated Processes: Nursing Process Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Analysis [Analyzing] Concept: Safety Difficulty: Moderate Feedback 1 This is correct. Pediatric nursing involves not only general nursing care and planning but also the developmental level of the patient. The history of pediatric nursing describes how the role has evolved into a specialty. 2 This is incorrect. Although this is a component of pediatric nurses, it does not Rudd Davis Advantage for Pediatric Nursing 3e 7 Test Bank Ch01 answer the concern regarding the “little adults” comment. 3 This is incorrect. Although this is a component of pediatric nurses, it does not answer the concern regarding the “little adults” comment. 4 This is incorrect. Although this is a component of pediatric nurses, it does not answer the concern regarding the “little adults” comment. [Show Less]
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TEST BANK FOR DAVIS ADVANTAGE FOR PSYCHIATRIC MENTAL HEALTH NURSING 10TH EDITION BY TOWNSEND
TEST BANK FOR DAVIS ADVANTAGE FOR PSYCHIATRIC MENTAL HEALTH NURSING 10TH EDITION BY TOWNSEND, COMPLETE LATEST GUIDE. Chapter 1. The Concept of Stress A... [Show More] daptation MULTIPLE CHOICE 1. A client has experienced the death of a close family member and at the same time becomes unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse: Understands the client is at risk for significant stress-related illness. Determines the client is not at risk for significant stress-related illness. Needs further assessment of the client’s coping skills to determine susceptibility to stress-related illness. Recognizes the client may view the losses as challenges and perceive them as opportunities. ANS: 3 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Explain the relationship between stress and diseases of adaptation. Page: 5 Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: Evaluation Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Stress Difficulty: Moderate Feedback 1. This is incorrect. Assessment is the first step of the nursing process. The nurse should assess the client’s coping skills and available support before determining susceptibility to stress-related physical and psychological illnesses. The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more or a year-score total of 500 or more indicates high stress in a client’s life and susceptibility to stress-related illnesses. 2. This is incorrect. Assessment is the first step in the nursing process. The nurse should assess the client’s coping skills and available support before determining the client’s perception of the current stresses. A 6-month score of 300 or more or a year- score total of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a client’s life and susceptibility to stress-related physical and psychological illnesses. 3. This is correct. Assessment is the first step in the nursing process. The nurse should assess the client’s coping skills and available support before determining susceptibility to stress-related physical and psychological illnesses. A 6-month score of 300 or more or a year-score of 500 or more indicates high stress in a client’s life and risk for significant stress-related physical and psychological illness. 4. This is incorrect. Assessment is the first step in the nursing process. The nurse should assess the client’s coping skills and available support before determining susceptibility to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a client’s life is susceptible to significant stress-related physical and psychological illness. CON: Stress 2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll consider pursuing an art degree.” The nurse determines the client perceives the stressor of his job loss as: Irrelevant Harm or loss Threatening A challenge ANS: 4 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Discuss adaptive coping strategies in the management of stress. Page: 7 Heading: Stress as a transaction between the individual and the environment >Individual’s Perception of the Event > Primary Appraisal Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Stress Difficulty: Easy Feedback 1. This is incorrect. An irrelevant perception is one where the event holds no significance for the individual. 2. This is incorrect. A harm or loss appraisal refers to damage or loss already experienced by the individual. 3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses. 4. This is correct. The client’s statement indicates he perceives the loss of his job as a challenge and an opportunity for growth, demonstrated by his statement to consider an art degree. CON: Stress 3. Which client statement alerts the nurse that the client may be maladaptively responding to stress? “Avoiding contact with others helps me cope.” “I really enjoy journaling; it’s my private time.” “I signed up for a yoga class this week.” “I made an appointment to meet with a therapist.” ANS: 1 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Discuss adaptive coping strategies in the management of stress. Page: 8 Heading: Stress Management Integrated Processes: Nursing Process: Evaluation Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Stress Difficulty: Easy Feedback 1. This is correct. Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent learning appropriate coping skills and can prevent access to needed support systems. 2. This is incorrect. Journaling is a form of adaptive coping and interpersonal communication. 3. This is incorrect. Group exercise is a form of adaptive coping, relaxation. 4. This is incorrect. Seeing a therapist is not considered a maladaptive coping method. CON: Stress 4. A nursing student comes down with a sinus infection toward the end of every semester. Which stage of stress is the student most likely experiencing when this occurs? Alarm reaction Resistance Exhaustion Fight or flight ANS: 3 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Explain the relationship between stress and diseases of adaptation. Page: 2 Heading: Stress as a Biological Response Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Comprehension [Understanding] Concept: Stress Difficulty: Easy Feedback 1. This is incorrect. At the alarm reaction stage, physiological responses of the fight-orflight syndrome are initiated. 2. This is incorrect. At the stage of resistance, the individual uses the physiological responses of the first stage as a defense in the attempt to adapt to the stressor. Physiological symptoms may disappear. 3. This is correct. At the stage of exhaustion, the student’s exposure to stress has been prolonged, and adaptive energy has been depleted. Diseases of adaptation occur more frequently in this stage. 4. This is incorrect. The fight-or-flight syndrome occurs during the alarm reaction stage. CON: Stress A school nurse is assessing a high school student who is overly concerned about her appearance. The client’s parent states, “That’s not something to be stressed about!” Which response by the nurse is best? “Teenagers don’t truly understand stress.” “Why are you so concerned about your appearance?” “You surely know that isn’t something to be concerned with.” “I understand you feel stressed about this; tell me more about your stress.” ANS: 4 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Describe the core concept of stress as an environmental event. Page: 8 Heading: Stress as a Transaction Between the Individual and the Environment Integrated Processes: Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Stress Difficulty: Moderate Feedback 1. This is incorrect. This response is judgmental and nontherapeutic. This response minimizes the student’s concerns. 2. This is incorrect. This response puts the student in a defensive position to justify her feelings. It is nontherapeutic. 3. This is incorrect. This is a nontherapeutic response that minimizes the student’s feelings. This does not allow the student to verbalize her concerns. 4. This is correct. Determination of an event as stressful depends on the individual’s cognitive appraisal of the situation, which is an individual’s evaluation of the personal significance of the event or occurrence. Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a physiological change. This response recognizes the situation and helps to explore the situation. CON: Stress 6. A student confides in the school nurse that he is feeling stress about deciding whether to go to college or work to provide needed income for his family. Which is the best approach by the nurse to assist the student? Teach the student meditation techniques. Assist the student with problem-solving strategies. Suggest relaxation methods for the student. Recommend getting a pet for the student. ANS: 2 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Discuss adaptive coping strategies in the management of stress. Page: 8 Heading: Stress Management> Adaptive coping strategies Integrated Processes: Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Stress Difficulty: Moderate Feedback 1. This is incorrect. This is not the best approach because it only addresses a means to reduce stress-related symptoms and does not address the underlying concern for the student. 2. This is correct. The student is facing a problem that needs to be viewed objectively, and the nurse can assist the student, if needed, to apply problem-solving strategies. 3. This is incorrect. While relaxation may assist the student with coping with the stressor, it does not address the student’s underlying concern. 4. This is incorrect. Getting a pet can assist with coping with life stressors; however, the student has already expressed financial concerns to which the pet will only add. CON: Stress 7. An unemployed college graduate confides in the clinic nurse that she is experiencing severe anxiety over not finding a teaching position and that she is having difficulty with independent problem-solving. Which nursing intervention is best? Encourage her to seek counseling from a therapist. Instruct her to listen to her favorite music daily. Assist her with the problem-solving process. Encourage her to keep a daily journal of feelings. ANS: 3 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Discuss adaptive coping strategies in the management of stress. Page: 8 Heading: Stress Management> Adaptive coping strategies Integrated Processes: Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Stress Difficulty: Moderate Feedback 1. This is incorrect. Counseling is not likely needed in this case due to the situational nature the student is describing. 2. This is incorrect. Listening to music may assist with the stress symptoms; however, it does not address the underlying problem. 3. This is correct. Assist the client with problem-solving. During times of high anxiety and stress, clients will need more assistance in problem-solving and decision- making. 4. This is incorrect. A daily journal may assist her with managing her symptoms but does not address the underlying concern the client is expressing. [Show Less]
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