A client has experienced the death of a close family member and at the same time becomes unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should the nurse evaluate this client data?
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of stress-related illness.
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of coping resources and available supports.
D. The client may view these losses as challenges and perceive them as opportunities.
ANS: C
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500 or more, indicates high stress in a client's life. However, positive coping mechanisms and strong social support can limit susceptibility to stress-related illnesses.
You might also like to view...
Adolescents who become chemically dependent progress through four stages. Place these stages in order of occurrence. (Separate letters by a comma and space as follows: A, B, C, D.)
A. Burnout B. Active seeking C. Preoccupation D. Experimentation
A nurse is caring for a patient with osteoarthritis. What is the best recommendation by the nurse to this patient to control chronic pain?
a. Administer analgesics only when needed. b. Administer analgesics as prescribed on a routine basis. c. Plan activities with no rest periods to complete the activities quickly. d. Wear high-heeled shoes to keep the body in alignment.
A nurse working in the emergency department is seeing an older patient who does not speak English well
The nurse calls for an interpreter. The student wants to know why the patient's minor child, who speaks English, cannot interpret. What response by the nurse is best? (Select all that apply.) a. The child may not accurately translate. b. The child and older adult may be embar-rassed. c. The patient has the right to interpretation. d. Having a child interpret takes too much time. e. Privacy laws prohibit this practice.
A client visits the clinic and tells the nurse about being under a great deal of stress on the job for the last month. Using Lazarus's model to evaluate the client's stress experience, the nurse should ask the client:
A) "What effect is the stress having on your job performance?" B) "How would you describe the social support network within your family?" C) "What is the specific event that you find most stressful?" D) "When did you first become aware of experiencing this stress?"