A nurse is collecting data from a client who is experiencing stress. Which of the following findings should indicate to the nurse ineffective coping?

The client takes a 20-min nap each afternoon.

The client has gained 4.5 kg (10 lb) in the past month.

The client takes a walk for 1 hr each day.

The client is taking a poetry class.

Answer and Explanation

The Correct Answer is B

A. The client takes a 20-min nap each afternoon. Taking a short nap is a healthy coping mechanism and does not indicate ineffective coping.

B. The client has gained 4.5 kg (10 lb) in the past month. Sudden weight gain can indicate emotional eating or stress-related metabolic changes, which are signs of ineffective coping.

C. The client takes a walk for 1 hr each day. Walking is a positive coping strategy that helps manage stress.

D. The client is taking a poetry class. Engaging in creative activities is a healthy coping mechanism that can reduce stress.

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Correct Answer is ["B","C","D"]

Explanation

A. "I isolate myself in my room for a few hours when things get overwhelming." Social isolation can contribute to emotional distress rather than alleviate stress effectively.

B. "I think about being on my favorite beach vacation." This is an example of visualization or guided imagery, a healthy coping mechanism to reduce stress.

C. "I call a friend who makes me smile and laugh." Social support is a well-known strategy for managing stress in a positive manner.

D. "I tense and release my muscles, starting with my feet." This describes progressive muscle relaxation, a recognized technique to relieve stress and anxiety.

E. "I sleep in in the mornings." While rest is important, excessive sleeping may indicate avoidance rather than healthy stress management.

A. Press the skin over the client's ankle bone. B. Observe for non blanching, pinpoint-size, red or purple spots on the skin of the abdomen. C. Lightly palpate the skin using the fingertips. D. Grasp a fold of skin on the client's forearm or near the sternum.

Correct Answer is D

Explanation

A. Press the skin over the client's ankle bone. Skin over the bony prominences is not ideal for assessing turgor, as it may not accurately reflect dehydration.

B. Observe for non-blanching, pinpoint-size, red or purple spots on the skin of the abdomen. This describes petechiae, which is a sign of bleeding disorders, not hydration status.

C. Lightly palpate the skin using the fingertips. Palpation does not assess elasticity.

D. Grasp a fold of skin on the client's forearm or near the sternum. The best way to check for dehydration is by pinching the skin on the sternum or forearm and observing how quickly it returns to normal.

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A nurse is collecting data from a client who is experiencing stress. Which of the following findings should indicate to the nurse ineffective coping?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse facilitating a group therapy session is listening to clients discuss their coping strategies when feeling stressed. Which of the following statements indicate adaptive coping? (Select all that apply.)

Correct Answer is ["B","C","D"]

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Correct Answer is D

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