A nurse is caring for a patient who reports a recent increase in stressors.
Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?
Right vs wrong
Justified vs unjustified
Good vs bad
Adaptive vs maladaptive
The Correct Answer is D
Choice A rationale
While understanding the concepts of right and wrong can be important in many aspects of nursing care, it may not be particularly helpful in this context. The patient’s stressors are not necessarily related to moral or ethical dilemmas.
Choice B rationale
The concepts of justified and unjustified might be relevant in some contexts, but they may not provide the necessary context to understand and deliver nursing care for this patient. These
concepts are more related to the evaluation of actions or decisions, rather than understanding a patient’s experience of stress.
Choice C rationale
Good and bad are subjective terms that can vary greatly between individuals. While these concepts might be relevant in some contexts, they may not provide the necessary context to understand and deliver nursing care for this patient.
Choice D rationale
The concepts of adaptive and maladaptive are directly relevant to understanding a patient’s response to stress. Adaptive strategies are those that help an individual cope effectively with stress, while maladaptive strategies are those that do not help, or that may even exacerbate the stress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Including the opinions of other team members in the documentation may introduce bias and is not a best practice for ensuring competency in documentation.
Choice B rationale
Including the client’s own words when describing what happened is a best practice in documentation. It ensures accuracy and allows for an objective record of the incident.
Choice C rationale
Describing what happened subjectively may introduce personal bias into the documentation and is not a best practice for ensuring competency in documentation.
Choice D rationale
Providing general and broad details may not accurately capture the incident. Specific, factual, and detailed documentation is a best practice.
Correct Answer is D
Explanation
Choice A rationale
While CBT can help with understanding feelings and thoughts, it doesn’t provide all the answers about why something happened.
Choice B rationale
CBT focuses on thoughts and behaviors, not medical treatments.
Choice C rationale
Planning funeral and burial services is not a typical part of CBT.
Choice D rationale
CBT can help individuals cope with loss and figure out how to move forward, making this the correct answer. Please note that these rationales are based on general nursing knowledge and may not be entirely accurate for these specific questions. For the most accurate information, please refer to your nursing textbooks or speak with a healthcare professional.
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