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NP test 4 chapter 12 stress and adaptation NP ASSESMENT Chamberlain College Nursing - Question and answers already passed At the end of a meditation session, which physical assessment finding would suggest that the relaxation technique was successful? a. Decreased blood pressure b. Decreased p...

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NP test 4 chapter 12 stress and
adaptation
At the end of a meditation session, which physical assessment finding would
suggest that the relaxation technique was successful?


a. Decreased blood pressure
b. Decreased peripheral skin temperature
c. increased bowel motility
d. Increased respiratory rate
a. Decreased blood pressure




An older adult is tearful, shaky, withdrawn, tachycardic, and sleepless. She
tells you that she is "worrying herself to death" about losing her aging
husband and being "all alone." Which statement can be made about this
anxiety reaction?
Select all that apply.


a. She lacks adaptive coping mechanisms.


b. It concerns anticipation of danger rather than a present danger.


c. There is a psychological rather than a physical threat.


d. Her symptoms are emotional and not physical.e. It concerns future or
anticipated events.

,a. She lacks adaptive coping mechanisms.


b. It concerns anticipation of danger rather than a present danger.


c. There is a psychological rather than a physical threat.


e. It concerns future or anticipated events.




A 44-year-old female client who was just admitted states, "I must be under too
much stress at work and home. I just do not feel well." Which physical findings
are consistent with the client's statement?


Select all that apply.


a. Mucous membranes are dry.


b. Legs are continually moving in the bed.


c. Pupils are constricted and reactive to light.


d. Palms of her hands are sweaty.Blood pressure is 178/96 mm Hg.
a. Mucous membranes are dry.


b. Legs are continually moving in the bed.


d. Palms of her hands are sweaty.Blood pressure is 178/96 mm Hg.

,An older client with a history of congestive heart failure was just admitted to
the hospital for chest pain. The patient asks a nurse, "Why did the chest pain
begin after I thought someone was trying to break into my house?" What is the
nurse's best response?


a. "The decrease in the need for oxygen during the fight-or-flight response
experienced with fear is most likely the reason that you developed chest pain."


b. "Fear causes an increase in glucose levels, which limits blood flow and
causes chest pain."


c. "Fear causes the parasympathetic system to use all available adrenaline,
leaving you so tired that you developed chest pain."


d. "Fear causes an increase of the body's heart rate and blood pressure,
which can place additional stress on your damaged heart and cause chest
pain."
d. "Fear causes an increase of the body's heart rate and blood pressure,
which can place additional stress on your damaged heart and cause chest
pain."




The nurse is presenting a workshop on stress and adaptation to a group of
teenagers. A teenager approaches the nurse and says,




a. "Sometimes I feel stressed when I have to take a test. I feel my heart is
going faster and I have a hard time focusing. I'm scared I'm going to fail.

, b. Do you think that is normal?" What is the most appropriate response by the
nurse?


c. "You may need to develop some additional stress-reducing activities."


d. "A little stress is not necessarily a bad thing. It can help you to focus."


e. "As long as you are getting through the test, I think you will be just fine."


f. "I think you should talk to your teacher about getting accommodations for
testing."
c. "You may need to develop some additional stress-reducing activities."




The nurse is working in a mental health clinic and a client states, "My
coworker did not do well on our joint presentation, and that's why I got fired!"
As the nurse documents the findings, what defense mechanism is this client
using?


Projection
Minimization
Rationalization
Intellectualization
Projection


(using projection to blame the coworker for the loss of the job)

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