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LIPPINCOTT STRESS CRISIS ANGER VIOLENCE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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LIPPINCOTT STRESS CRISIS ANGER VIOLENCE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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LIPPINCOTT STRESS CRISIS ANGERVIOLENCE QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
TESTO4:OStress,OCrisis,OAnger,OandOViolence
TheOClientOManagingOStressO1.OTheOnurseOcaresOforOaOmiddle-agedOclientOwithOaObelow-the-
kneeOamputation.OWhichOstatementOindicatesOtheOneedOforOfurtherOassessmentOofOtheOclient'sObodyOima
ge?O
1.O"WhenOIOgetOmyOprosthesis,OIOwantOtoOlearnOtoOwalkOsoOIOcanOparticipateOinOwalkathons."O
2.O"IOhopeOtoOgetOskilledOenoughOatOusingOmyOprosthesisOtoOhelpOothersOlikeOmeOadjust."O
3.O"WheneverOIOstartOtoOfeelOsorryOforOmyself,OIOrememberOthatOmyObuddyOdiedOinOthatOaccident.
""IOhopeOIOcanOhandleOhavingOaOprosthesis,ObutOI'mOreallyOwonderingOwhatOmyOwifeOwillOthink."O-
OANSWERO1.O4.OTheOclientOexpressingOdoubtsOaboutOhisOwife'sOresponseOtoOhisOamputationOasOwellOasOpos
sibleOdoubtOonOhisOpartOisOstillOstrugglingOwithObodyOimageOissues.OLookingOforwardOtoOparticipatingOinOw
alkathonsOandOhelpingOothersOindicatesOplansOforOtheOfutureOthatOimplyOanOacceptanceOofOhisOamputeeOst
atus.ORememberingOthatOhisOfriendOdiedOinOtheOaccidentOthatOcausedOhisOamputationOindicatesOthatOtheOc
lientOisOawareOthatOthereOwasOaOworseOendOresultOtoOtheOaccidentOthanOhisOamputation.
2.OAOclientOdemonstratesOmoderateOanxietyOregardingOaOpendingOmedicalOprocedure.OTheOnurseOshouldO
doOwhichOofOtheOfollowingOtoOminimizeOtheOclient'sOanxietyOaboutOtheOprocedure?
1.OAssuringOtheOclientOthatOpainOisOnotOassociatedOwithOtheOprocedure.
O 2.OProvidingOaObriefOexplanationOandOthenOdoingOtheOprocedureOquickly
.O3.OGivingOaOdemonstrationOofOwhatOisOtoObeOdone.
O4.OIndicatingOtoOtheOclientOthatOitOisOnormalOtoOfeelOanxiousOandOfearfulObeforeOsuchOaOprocedure.O-
OANSWERO2.O2.OAOshortOexplanationOfollowedObyOquickOcompletionOofOtheOprocedureOminimizesOanxietyO.
OTheOclientOmayObeOfearfulOofOpain,OandOassuringOhimOthatOthereOwillObeOnoOpainOoffersOfalseOreassurance
.OAOdemonstrationOmayOcauseOincreasedOanxietyO.OInformingOtheOclientOthatOhisOfeelingsOareOcommonOnor
malizesOanxietyOandOputsOtheOclientOmoreOatOease,ObutOitOisOnotOtheOmostOreassuringOapproach.
3.OAO75-year-
oldOclientOisOnewlyOdiagnosedOwithOdiabetes.OTheOnurseOisOinstructingOhimOaboutObloodOglucoseOtesting.O
AfterOtheOsession,OtheOclientOstates,O"IOcan'tObeOexpectedOtoOrememberOallOthisOstuff."OTheOnurseOshouldOr
ecognizeOthisOresponseOasOmostOlikelyOrelatedOtoOwhichOofOtheOfollowing?O1.OModerateOtoOsevereOanxiety.
O
,2.ODisinterestOinOtheOillness.O
3.OEarly-onsetOdementia.O
4.ONormalOreactionOtoOlearningOaOnewOskill.O-
OANSWERO3.O1.OAnxiety,OespeciallyOatOhigherOlevels,OinterferesOwithOlearningOandOmemoryOretentionO.OAft
erOtheOclient'sOanxietyOlessens,OitOwillObeOeasierOforOhimOtoOlearnOtheOstepsOofOtheObloodOglucoseOmonitori
ng.OBecauseOtheOclient'sOillnessOisOaOchronic,OlifelongOillnessOthatOseverelyOchangesOhisOlifestyle,OitOisOunlik
elyOthatOheOisOuninterestedOinOtheOillnessOorOhowOtoOtreatOit.OItOisOalsoOunlikelyOthatOdementiaOwouldObeOt
heOcauseOofOtheOclient'sfrustrationOandOlackOofOmemory.OTheOclient'sOresponseOindicatesOanxiety.OClientOr
esponsesOthatOwouldOindicateOlesseningOanxietyOwouldObeOquestionsOtoOtheOnurseOorOrequestsOtoOrepeatO
partOofOtheOinstruction.OCN:OPsychosocial
4.OAOclientOinOaOgeneralOhospitalOisOtoOundergoOsurgeryOinO2Odays.OHeOisOexperiencingOmoderateOanxietyOa
boutOtheOprocedureOandOitsOoutcome.OToOhelpOtheOclientOreduceOhisOanxiety,OtheOnurseOshould:
O 1.OTellOtheOclientOtoOdistractOhimselfOwithOgamesOandOtelevision.
O 2.OReassureOtheOclientOthatOheOwillOcomeOthroughOsurgeryOwithoutOincident.O
3.OExplainOtheOsurgicalOprocedureOtoOtheOclientOandOwhatOhappensObeforeOandOafterOsurgery.O
4.OAskOtheOsurgeonOtoOreferOtheOclientOtoOaOpsychiatristOwhoOcanOworkOwithOtheOclientOtoOdiminishOhisOan
xiety.O-
OANSWERO4.O3.OAnOexplanationOofOwhatOtoOexpectOdecreasesOanxietyOaboutOupcomingOeventsOthatOcouldO
beOseenOasOtraumaticObyOtheOclientO.ODistraction,OsuchOasOwithOgamesOorOtelevision,OonlyOdecreasesOanxie
tyOtemporarilyOandOdoesOnotOfulfillOtheOclient'sOneedOforOinformationOaboutOtheOprocedure.OReassuranceO
aboutOanOuncomplicatedOoutcomeOisOnotOappropriate;OtheOnurseOcannotOguaranteeOthatOtheOclientOwillOc
omeOthroughOsurgeryOwithoutOproblems.OReferringOtheOclientOtoOaOpsychiatristOisOnotOindicatedOforOmode
rate,OexpectedOpreoperativeOanxiety.
5.OAnxietyOoccursOinOdegrees,OfromOaOlevelOthatOstimulatesOproductiveOproblemOsolvingOtoOaOlevelOthatOisO
severelyOdebilitating.OAtOaOmild,OproductiveOlevelOofOanxiety,OtheOnurseOshouldOexpectOtoOseeOwhichOofOth
eOfollowingOasOaOcognitiveOcharacteristicofOmildOanxiety?
O 1.OSlightOmuscleOtension.O
2.OOccasionalOirritability.O
3.OAccurateOperceptions.O
4.OLossOofOcontactOwithOreality.O-
OANSWERO5.O3.OWithOmildOanxiety,OperceptionsOareOaccurate.OSlightOmuscleOtensionOreflectsOaOmotorOresp
onse.OOccasionalOirritabilityOisOanOemotionalOresponse.OLossOofOcontactOwithOrealityOisOaOcognitiveOcharact
eristicOofOsevereOanxiety.
,6.OAsOaOclient'sOlevelOofOanxietyOincreasesOtoOaOdebilitatingOdegree,OtheOnurseOshouldOexpectOwhichOofOthe
OfollowingOasOaOpsychomotorObehaviorOindicatingOaOpanicOlevelOofOanxiety?O
1.OSuicideOattemptsOorOviolence.
O 2.ODesperationOandOrage.
O 3.ODisorganizedOreasoning.O
4.OLossOofOcontactOwithOreality.O-
OANSWERO6.O1.OSuicideOattemptsOandOviolenceOareOpsychomotorOresponsesOtoOaOpanicOlevelOofOanxietyO.O
DesperationOandOrageOareOemotionalOresponsesO.ODisorganizedOreasoningOandOlossOofOcontactOwithOrealit
yOareOcognitiveOresponses.
7.ONursingOinterventionsOwithOanOanxiousOclientOchangeOasOtheOanxietyOlevelOincreases.OAtOaOlowOlevelOofO
anxiety,OtheOprimaryOfocusOofOinterventionsOisOonOwhichOofOtheOfollowing?O
1.OTakingOcontrolOofOtheOsituationOforOtheOclient.O
2.OLearningOandOproblemOsolving.O
3.OReducingOstimuliOandOpressure.O
4.OUsingOtensionOreductionOactivities.O-
OANSWERO7.O2.OMildOanxietyOmotivatesOtheOclientOtoOfocusOonOissuesOandOresolveOthemO.OTherefore,Olear
ningOandOproblemOsolvingOcanOoccurOatOaOmildOlevelOofOanxiety.OTakingOcontrolOforOtheOclientOisOreservedOf
orOaOnear-
panicOlevelOofOanxiety.OSevereOanxietyinterferesOwithOreasoningOandOfunctioning.OTherefore,OreducingOsti
muliOandOpressureOisOcrucialOatOaOsevereOlevelO.OTensionOreductionOisOappropriateOatOaOmoderateOlevelOtoO
helpOtheOclientOthinkOmoreOclearlyOandOengageOinOproblemOsolving.
8.OWhenOcopingObecomesOdysfunctionalOenoughOtoOrequireOtheOclientOtoObeOadmittedOtoOtheOhospital,Oth
eOnurseOshouldOassessOtheOclientOforOtheOabilityOtoOdemonstrateOwhichOofOtheOfollowing?
O 1.OObjectiveOandOrationalOproblemOsolving.O
2.OTensionOreductionOactivitiesOandOthenOproblemOsolving.O3.OAngerOmanagementOstrategiesOwithOnoOpro
blemOsolving.O4.OMinimalOfunctioningOwithOnewOproblemsOdeveloping.O-
OANSWERO8.O4.OMinimalOfunctioning,OcausingOnewOproblemsOtoOdevelop,OisOaOreflectionOofOdysfunctionalO
coping.OTheOabilityOtoOobjectivelyOandOrationallyOproblemOsolveOdemonstratesOadaptiveOcoping.OTensionOr
eductionOactivitiesOdemonstrateOpalliativeOcoping.OHowever,OsuchOactivitiesOaloneOdoOnotOsolveOproblems
;OtheyOmustObeOfollowedObyOproblemOsolving.OAngerOmanagementOaloneOmayOpreventOnewOproblemsO,Os
uchOasOviolenceOtowardOoneselfOorOothers,ObutOitOdoesOnotOsolveOproblemsOdirectly.OItOisOconsideredOmala
daptiveOcoping.
, 9.OInOadditionOtoOteachingOassertivenessOandOproblem-
solvingOskillsOwhenOhelpingOtheOclientOcopeOeffectivelyOwithOstressOandOanxiety,OtheOnurseOshouldOalsoOad
dressOtheOclient'sOabilityOto:
O 1.OSuppressOanger.O
2.OBalanceOaOcheckbook.
3.OFollowOstep-by-stepOdirections.O
4.OUseOconflictOresolutionOskills.O-
OANSWERO9.O4.OBecauseOrelationshipsOinherentlyOleadOtoOstressOandOanxiety,OconflictOresolutionOskillsOareO
essentialOforOsolvingOrelationshipOproblems.ODealingOwithOangerOisOmoreOeffectiveOthanOsuppressingOit.OSu
ppressionOisOaOmechanismOthatOavoidsOtheOissueOratherOthanOsolvingOit.OBalancingOaOcheckbookOinvolvesO
calculations,OnotOcopingOskillsO.OFollowingOdirectionsOisOaOpassiveOactivityOthatOreflectsOaOlackOofOproblemO
solvingObyOtheOclient.
10.OWhichOclientOstatementOindicatesOthatOtheOclientOhasOcopedOeffectivelyOwithOaOrelationshipOproblem?
O
1.O"MyOwifeOwillObeOhappyOtoOknowOthatOIOcanOspendOlessOtimeOatOworkOnow."
O 2.O"MyOwifeOandOIOareOtalkingOaboutOourOlikesOandOdislikesOinOactivities."
O 3.O"IOcanOunderstandOhowOmyOwifeOandOIOseeOthingsOdifferently."
"WeOareOreallyOlisteningOtoOeachOotherOaboutOourOdifferentOviewsOonOissues."O-
OANSWERO10.O4.OTheOclient'sOstatementOthatOheOandOhisOwifeOlistenOtoOeachOotherOreflectsOimprovedOeffo
rtsOatOcommunicatingOaboutOissues.OTheOotherOstatementsOprovideOsomeOinsightOintoOtheOneedOforObette
rOcommunication.OHowever,OtheyOareObutOstepsOalongOtheOwayOtoOcopingOeffectivelyOwithOtheOproblem.
11.OInOanOongoingOassessment,OtheOnurseOshouldOidentifyOtheOclient'sOthoughtsOandOfeelingsOaboutOaOsitu
ationOinOadditionOtoOwhichOofOtheOfollowing?O
1.OWhetherOtheOclient'sObehaviorOisOappropriateOinOtheOcontextOofOtheOcurrentOsituation.
O 2.OWhetherOtheOclientOisOmotivatedOtoOdecreaseOdysfunctionalObehaviors.O
3.OWhichOofOtheOclient'sOproblemsOhaveOtheOhighestOpriority.O4.OWhichOofOtheOclient'sObehaviorsOnecessita
tesOaOno-harmOcontract.O-
OANSWERO11.O1.OAssessmentOexaminesOtheOclient'sOthoughts,Ofeelings,OandObehaviorsOwithinOaOcontext.O
WhetherOtheOclient'sObehaviorOisOappropriateOforOtheOsituationOisOimportantOassessmentOdata.OSettingOpri
oritiesOisOpartOofOmakingOnursingOdiagnosesOandOplanning;OmotivationOtoOchangeOandOidentifyingOtheOnee
dOforOaOnoOharmOcontractOareOpartOofOtheOplanningOstage.
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