Which nursing intervention is most appropriate for a client exhibiting exhaustion stage symptoms due to prolonged stress?
Encourage ongoing confrontation of stressors
Educate on the fight-or-flight response
Encourage relaxation techniques such as deep breathing exercises
Advise on using additional stimulants to enhance energy
The Correct Answer is C
Choice A reason: Encouraging confrontation of stressors during exhaustion is harmful. At this stage, the client’s adaptive mechanisms are depleted, and confrontation may worsen physical and psychological strain.
Choice B reason: Educating on the fight-or-flight response is informative but not therapeutic. While knowledge is useful, it does not directly alleviate exhaustion symptoms or promote recovery.
Choice C reason: Relaxation techniques such as deep breathing are appropriate because they reduce sympathetic nervous system activation, lower blood pressure, and promote parasympathetic recovery. These techniques help restore balance and mitigate the harmful effects of prolonged stress.
Choice D reason: Advising stimulants is unsafe and counterproductive. Stimulants increase physiological strain, worsen exhaustion, and may lead to dependency or adverse health outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
limited dialogue. The parent’s statement reflects control and discouragement of questioning, hallmarks of this style.
Choice B reason: Authoritative parenting balances rules with warmth and dialogue. It encourages questioning and independence, which contradicts the parent’s statement.
Choice C reason: Uninvolved parenting is characterized by neglect and lack of engagement. The parent’s statement shows active control, not disengagement.
Choice D reason: Permissive parenting allows freedom and minimizes rules. The parent’s strict stance is the opposite of permissiveness.
Correct Answer is C
Explanation
Choice A reason: Three tablets equal 112.5 mg, which is below the prescribed dose. Administering this amount would underdose the patient, leading to subtherapeutic effects and poor symptom control.
Choice B reason: Two tablets equal 75 mg, which is half the prescribed dose. This would result in significant underdosing and ineffective management of depression.
Choice C reason: Four tablets equal exactly 150 mg, which matches the prescribed dose. This ensures therapeutic effectiveness and safety, making it the correct choice.
Step 1: Ordered dose = 150 mg.
Step 2: Tablet strength = 37.5 mg per tablet.
Step 3: (150 mg ÷ 37.5 mg) = 4 tablets.
Result = 4 tablets.
Choice D reason: Six tablets equal 225 mg, which exceeds the prescribed dose by 75 mg. This would risk overdose and adverse effects such as hypertension, serotonin syndrome, or gastrointestinal disturbances.
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