A client who is employed as the president of a well-known bank has been having intermittent chest pain and has been concerned she is at risk for heart disease. The client asked the nurse to help decrease her risk factors for cardiovascular disease
The nurse determines that the client holds a high-stress job and is a Type A personality. What is the best explanation for the nurse to give to the client regarding decreasing her risk factors? 1. The exposure to chronic stress causes increased workload for the heart. Managing stress will help decrease the risk factors for cardiovascular disease.
2. Some stress is healthy for the heart. If constant chest pain develops, the client needs to have it investigated.
3. Stress is an everyday occurrence, but should be managed by resting frequently.
4. Type A personalities tend to seek out higher-stress jobs. Advise the client to seek different employment.
The exposure to chronic stress causes increased workload for the heart. Managing stress will help decrease the risk factors for cardiovascular disease.
Rationale: Current and previous job stress can contribute to an increased risk for cardiovascular disease by increasing the workload on the heart. Intermittent chest pain can be an early indication of upcoming problems. The advice to the client should be to lower stress by utilizing stress reduction techniques. Resting often encourages decreased exercise, while the client should be encouraged to increase her activity. Type A personalities may tend to seek out higher-stress jobs, but instead of advising the client to change jobs, a better choice would be to employ stress reduction techniques first.
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