At the completion of a patient assessment, the nurse reviews a list of the patient's stated and observed behaviors
Which behaviors would indicate to the nurse that the patient is experiencing stress? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The patient stated an inability to sleep more than 2 hours per night.
2. The patient asked for water for a dry throat.
3. The patient commented on recent pleasant weather.
4. The patient sat quietly in the chair, hands resting in the lap.
5. The patient's rate and depth of respirations are increased.
1,2,5
Rationale 1: Inability to sleep is a common unhealthy response to stress.
Rationale 2: Dryness of the throat or mouth can be associated with stress.
Rationale 3: The patient who is stressed is more likely to be apathetic than to be interested in surroundings such as weather.
Rationale 4: The patient who is stressed is more likely to be irritable and unable to sit still.
Rationale 5: The rate and depth of respirations increase due to dilation of bronchioles. This can be a physiological indicator of stress.
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