The nurse is assessing a group of clients for psychosocial stressors. Which of the following client's should the nurse identify as having this type of stressor?
The client with breast cancer who had a mastectomy.
The client with chronic obstructive pulmonary disease who requires oxygen therapy.
The client with colon cancer who has a colostomy.
The client with a left upper arm fracture who was a victim of a crime.
The Correct Answer is D
A. The client with breast cancer who had a mastectomy. This client is facing a significant life change and physical alteration that may lead to psychosocial stressors such as body image issues and emotional distress.
B. The client with chronic obstructive pulmonary disease who requires oxygen therapy. Although this condition is challenging, the primary stressors are often physical and related to the management of the disease rather than psychosocial stressors.
C. The client with colon cancer who has a colostomy. A colostomy can affect body image and self-esteem, potentially leading to psychosocial stressors such as anxiety or social isolation.
D. The client with a left upper arm fracture who was a victim of a crime. The fracture and the trauma of being a crime victim are significant psychosocial stressors. The emotional and psychological impact of the crime can affect the client’s overall mental health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Obstructive sleep apnea: Obstructive sleep apnea is characterized by loud snoring, daytime drowsiness, and periods of waking up due to blocked airways. The client’s symptoms are consistent with this condition and warrant further assessment for it.
B. Circadian rhythm disorder: Circadian rhythm disorders involve disruptions in the sleep-wake cycle, but they are less likely to present with loud snoring and daytime drowsiness as primary symptoms.
C. Narcolepsy: Narcolepsy is characterized by excessive daytime sleepiness and sudden sleep attacks but does not typically include loud snoring or waking up from snoring.
D. Insomnia: Insomnia involves difficulty falling or staying asleep and would not typically cause daytime drowsiness from loud snoring or the described waking up issues.
Correct Answer is D
Explanation
A. "Are you usually anxious about unknown situations?" This question may help understand the client's general anxiety but does not directly address the specific concern related to their current hospital admission.
B. "Do you have any questions about this admission?" This response is practical and offers the client an opportunity to clarify any doubts about the current admission, which might help reduce anxiety.
C. "Are you here for the same reason?" This question is specific to the reason for the admission but may not fully address the anxiety related to the hospital environment.
D. "Can you tell me more about that experience?" This response encourages the client to discuss their previous negative experience, which can help in understanding their anxiety and providing targeted support.
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