A nurse is caring for a patient who reports stress related to homelessness.
The nurse should identify that the patient is experiencing which of the following types of stressors?
Socioeconomic
Adventitious
Developmental
Cultural
Cultural
The Correct Answer is A
Choice A rationale
Socioeconomic stressors are related to a person’s social and economic status. Homelessness is a clear example of a socioeconomic stressor, as it is often caused by factors such as unemployment, poverty, and lack of affordable housing.
Choice B rationale
Adventitious stressors are unexpected and often traumatic events that occur outside of the normal course of life. These could include natural disasters, accidents, or violent crimes. While homelessness can be traumatic, it is not considered an adventitious stressor because it is related to the individual’s social and economic circumstances.
Choice C rationale
Developmental stressors are those that occur as a result of going through the normal stages of life, such as starting school, getting a job, getting married, having children, and retiring. Homelessness is not a developmental stressor because it is not a normal or expected part of life.
Choice D rationale
Cultural stressors are related to a person’s cultural background and experiences. While culture can influence a person’s socioeconomic status, homelessness itself is not a cultural stressor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Regression is a defense mechanism where an individual reverts to an earlier stage of development or a less mature behavior when faced with stress or anxiety. This does not fit the scenario provided. Choice B rationale
Projection involves attributing one’s own unacceptable feelings or thoughts to others. This is not the case in the scenario provided.
Choice C rationale
Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario, the patient is rationalizing their failure to take their medication by blaming their partner’s forgetfulness.
Choice D rationale
Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This does not fit the scenario provided.
Question 14.
Correct Answer is B
Explanation
Choice A rationale
Increasing attendance at community social activities may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. The patient’s physical condition and energy levels may limit their ability to participate in such activities.
Choice B rationale
Receiving medication to minimize episodes of breakthrough pain is a realistic and important goal for a patient in hospice care. Effective pain management is a key aspect of end-of-life care.
Choice C rationale
Experiencing a weight gain of one to two pounds per week may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. Patients at this stage of illness often experience weight loss, not gain.
Choice D rationale
Verbalizing an understanding of the mode of disease transmission may not be a relevant goal for a patient in hospice care with Stage 4 breast cancer. The focus of care at this stage is typically on comfort and quality of life, rather than disease education.
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