The nurse recognizes that the patient who might have the most difficult time coping with a stressor is the one who:
is scheduled for a biopsy.
needs to relocate to an assisted-living facility.
researches and understands the stressor.
Is experiencing a number of stressors at the same time.
The Correct Answer is D
D. Experiencing multiple stressors simultaneously can overwhelm an individual's coping resources and make it more difficult to effectively manage stress. Coping with multiple stressors can lead to feelings of being overwhelmed, heightened anxiety, and decreased ability to cope with each stressor individually.
A. Undergoing a biopsy can be a stressful experience due to uncertainty about the results and fear of the procedure itself. However, the level of difficulty in coping with this stressor can vary among individuals depending on factors such as their coping mechanisms, social support, and previous experiences with medical procedures.
B. Relocating to an assisted-living facility can be a significant life transition, involving changes in living arrangements, loss of independence, and adjustment to a new environment. This stressor can be particularly challenging for individuals who have strong attachments to their current living situation or who are facing health-related issues that necessitate the move.
C. Understanding and researching the stressor can sometimes help individuals cope better by providing knowledge and a sense of control. However, this does not necessarily make coping with the stressor easier, especially if the stressor itself is significant or if the individual lacks adequate support or resources to manage it effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. It's essential for nurses caring for dying patients to be comfortable with their own feelings about death and dying. Being comfortable with mortality allows nurses to provide compassionate care, support families, and engage in end-of-life discussions with patients. Nurses who are comfortable with their own feelings about death are better equipped to provide holistic care and support to dying patients and their families.
B. Hospice services focus on providing comfort and support to terminally ill patients and their families during the end-of-life journey. While hospice services are often beneficial and recommended for patients approaching the end of life, preferences vary among individuals and families. Some patients may choose to receive hospice care, while others may prefer to remain at home with palliative care support or receive care in a hospital or long-term care facility.
C. While some patients may experience pain as death nears, it is not necessarily true that "most" deaths are accompanied by significant pain. With advances in palliative care and pain management, many patients can experience a comfortable and peaceful death with effective symptom management.
D. Most people are not frightened to die if they have adequate information about what is happening: While adequate information and preparation can alleviate some fears about death, attitudes and responses to death vary widely among individuals. Some people may find comfort and acceptance in understanding the dying process and what to expect, while others may still experience fear, anxiety, or uncertainty regardless of the information provided.
Correct Answer is ["B","C","D"]
Explanation
B. Increased mental acuity, or heightened alertness and cognitive function, is a characteristic response during the alarm stage of GAS. The body's stress response enhances mental focus and perception to help the individual recognize and respond to the stressor effectively.
C. During the alarm stage of GAS, the sympathetic nervous system is activated, leading to the release of adrenaline (epinephrine) and norepinephrine. These hormones stimulate the kidneys to conserve water and sodium, leading to decreased urine output and increased urine retention. Therefore, increased urine retention is an expected physiologic manifestation in the alarm stage.
D. During the alarm stage, the sympathetic nervous system activation leads to bronchodilation, allowing for increased airflow to the lungs. This facilitates improved oxygenation of the blood and enhances the individual's ability to respond to the stressor by increasing oxygen delivery to tissues.
A. During the alarm stage of GAS, the body initiates the fight-or-flight response, which leads to the release of stress hormones such as cortisol and adrenaline. These hormones increase blood glucose levels through processes like glycogenolysis and gluconeogenesis to provide energy for the body to respond to the stressor. Therefore, decreased blood glucose is not an expected manifestation in the alarm stage.
E. Decreased pupil size: During the alarm stage of GAS, the sympathetic nervous system is activated, leading to the dilation of pupils (mydriasis). This allows for improved visual acuity and peripheral vision, enhancing the individual's ability to detect potential threats or stimuli in the environment.
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