BNS (VNSG 1323) CH. 5 STUDY QUESTIONS || with 100% Accurate Solutions.
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Course
BNS CH. 5 ST
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BNS CH. 5 ST
While conducting the physical assessment of a client, the nurse notes an increase in the blood glucose levels. Upon inquiry, the client discloses that lately he has been under a lot of stress at work. Which stage of stress is the client experiencing?
A) Tertiary Stage
B) Exhaustion Stage
C) Re...
BNS (VNSG 1323) CH. 5 STUDY QUESTIONS || with 100%
Accurate Solutions.
While conducting the physical assessment of a client, the nurse notes an increase in the blood
glucose levels. Upon inquiry, the client discloses that lately he has been under a lot of stress at
work. Which stage of stress is the client experiencing?
A) Tertiary Stage
B) Exhaustion Stage
C) Resistance Stage
D) Alarm Stage Correct Answer: D
The client is most likely in the alarm stage of stress if the blood glucose level is increasing
rapidly. This occurs when the body is responding to a stressor by raising the blood glucose as a
reserve for meeting increased energy requirements. The stage of resistance is characterized by
restoration of normalcy. Physiologic exhaustion occurs when one or more adaptive/resistive
mechanisms can no longer protect the person experiencing a stressor. There is no tertiary stage;
however, tertiary prevention minimizes the consequences of a disorder through aggressive
rehabilitation or appropriate management of the disease.
A nurse is caring for a client with decreased secretory immunoglobulin A (sIgA). Which health
problem can the client face because of this condition?
A) The client's immune system is damaged.
B) The client is at a risk for severe infections or cancer.
C) The client is at risk of allergic eruptions on the body.
D) The client is in the final stages of cancer. Correct Answer: B
Decreased secretory immunoglobulin A (sIgA), an antibody involved in immune defense, puts
the client at a risk for frequent or severe infections or cancer. Other risks to the client's health
include reduced beneficial bowel microorganisms and increased bowel pathogens. As resistance
dwindles, there is physical and mental deterioration, illness, and death. The client will not have
any allergic eruptions, and it does not mean the client is in the final stages of cancer. Also, the
decreased level of sIgA does not mean that the immune system is damaged.
The nurse is caring for a client who is experiencing stress while weighing two good job offers.
The nurse suggests that the client use therapeutic coping strategies. What does the suggestion of
the nurse imply?
A) It means that the client should reject both of the offers that are causing stress.
B) It means the client is asked to resort to mood-altering substances.
C) It means the client is asked to seek professional assistance.
D) It means that the client needs to defer the decision as long as possible. Correct Answer: C
, When a client seeks professional assistance in a crisis, it means that the client is using
therapeutic coping strategies. Other coping strategies include problem-solving techniques,
demonstrating assertive behavior, practicing progressive relaxation, and turning to a comforting
other or higher power. Nontherapeutic coping strategies refers to when a client is using mind-
and mood-altering substances, hostility and aggression, excessive sleep, avoidance of conflict,
and abandonment of social activities.
A nurse has been caring for a client who experienced a physical assault a year ago. The client
now describes being "totally recovered from it." Which stage of stress is the client currently
experiencing?
A) Resistance stage
B) Primary stage
C) Exhaustion stage
D) Alarm stage Correct Answer: A
The client is in the resistance stage, where the body returned to the homeostasis state. The mind
or brain is normal again, so the incident does not affect the client anymore. In the alarm stage,
the stimulating neurotransmitters and neurohormones, prepare the client for a fight-or-flight
response. When one or more adaptive/resistive mechanisms can no longer protect the client
experiencing a stressor, exhaustion occurs. The body loses its capability to fight stress. The
primary stage is not related to stages of stress and is applicable for stress prevention.
A physician, while treating a client, asks the nurse to use a social readjustment rating scale tool.
What does this tool predict?
A) Potential diagnosis to treat the stressor.
B) Potential ways to assess the type of stressor.
C) Potential for developing a stress-related disorder.
D) Potential ways to assess the level of stress. Correct Answer: C
Holmes and Rahe (1967) developed the Social Readjustment Rating Scale tool to predict a
person's potential for developing a stress-related disorder. The rating scale is based on the
number and significance of social stressors a person has experienced within the previous 6
months. This scale does not assess the type or the level of stressor. It also does not treast the
stressor.
A client who has been working with an organization for several years did not get a promotion.
As a result, the client has gone into depression. Which suggestion should the nurse make in order
to help the client with his stress?
A) Change the job.
B) Accept the changes.
C) Take a break from the job.
D) Seek professional help. Correct Answer: D
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