Which nursing comments are likely to help a patient to cope by addressing the mediators of stress? Select all that apply
a. "A divorce, while stressful, can be the beginning of a new, better phase of life."
b. "You said you used to jog; getting back to aerobic exercise could be helpful."
c. "Journaling often promotes awareness of how experiences have affected people."
d. "Slowing your breathing by counting to three between breaths will calm you."
e. "Would a short-term loan make your finances less stressful?"
f. "There is a support group for newly divorced persons in your neighborhood."
ANS: A, C, E, F
Stress mediators are factors that can help persons cope by influencing how they perceive and respond to stressors; they include personality, social support, perceptions, and culture. Suggesting that a divorce may have positive as well as negative aspects helps the patient to alter perceptions of the stressor. Journaling increases self-awareness regarding how life experiences may have shaped how we perceive and respond to stress (or how our personality affects how we respond to stressors). A loan could help the patient by reducing the financial pressures. Participation in support groups is an excellent way to expand one's support network relative to specific issues. However, neither aerobic exercise nor breathing-control exercises, while helpful in other ways, affect stress mediators.
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