A nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse expect?

Hypotension

Viral infection

Increased cognitive awareness

Increased energy

Answer and Explanation

The Correct Answer is B

Chronic stress can weaken the immune system, making individuals more susceptible to infections, including viral infections. This is because stress hormones such as cortisol can suppress the immune response, making it harder for the body to fight off pathogens. As a result, individuals experiencing chronic stress may be more prone to illnesses such as the common cold or flu.

Incorrect:

A- Hypotension: Hypotension, or low blood pressure, is not typically associated with chronic stress. In fact, chronic stress often leads to increased sympathetic nervous system activity, which can result in elevated blood pressure.

C-Increased cognitive awareness: Chronic stress affects cognitive function. You might find it challenging to concentrate, make decisions, or stay mentally sharp.

D- Increased energy: Chronic stress typically leads to a state of exhaustion and fatigue rather than increased energy. Prolonged stress can drain a person's physical and mental energy, resulting in feelings of fatigue, lethargy, and a lack of motivation.

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Correct Answer is C

Explanation

Secondary interventions are aimed at reducing the harm or preventing further complications in individuals who have already engaged in suicidal behavior. In this case, performing life-saving measures after a suicide attempt, such as cardiopulmonary resuscitation (CPR) or administering first aid, falls under the category of secondary intervention.

The other options are examples of primary and tertiary interventions:

A- Recognizing the warning signs of suicide: This is an example of primary intervention, which focuses on preventing suicidal behavior before it occurs by raising awareness, promoting mental health, and identifying risk factors and warning signs.

B- Identifying individuals who are at higher risk for attempting suicide: This is also an example of primary intervention, as it involves assessing and identifying individuals who may be at greater risk for suicidal behavior and implementing preventive measures.

D- Providing support for family and friends following a suicide: This is an example of tertiary intervention, which aims to provide support and care to those who have been affected by a suicide, including family and friends. Tertiary interventions focus on postvention, addressing the aftermath and providing support for survivors.

A. "Most clients with anxiety issues benefit from lying down." B. "An antianxiety pill works best for situations like this." C. "Providers usually recommend relaxation exercises for clients who are as upset as you are." D. "Come with me to an area where we can talk without interruption."

Correct Answer is D

Explanation

This response demonstrates a therapeutic and empathetic approach to the client's distress. By offering to talk in a private area without interruption, the nurse provides the client with a safe space to express their feelings and concerns. It also allows the nurse to conduct a more in-depth assessment of the client's current emotional state and any specific triggers contributing to their anxiety.

A- Encouraging the client to lie down assumes that all clients with anxiety benefit from this approach, which may not be the case for everyone.

B- Simply suggesting medication may not address the underlying concerns or provide an opportunity for the client to express themselves.

C- While relaxation exercises can be beneficial for managing anxiety, suggesting them right away may not be the best response when the client is in a heightened state of distress.

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A nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A charge nurse is discussing suicide interventions with nursing staff. Which of the following should the nurse identify as an example of secondary intervention?

Correct Answer is C

Explanation

A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling As the nurse approaches the client, he states, "I am at the end of my rope. I don't think I can take any more bad news." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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