The nurse is seeing a patient during a follow-up visit after discharge in which the patient had a nursing diagnosis of Ineffective coping. Which statement by the patient would be a cause for concern?

a. "I am sleeping better most nights."
b. "I feel less anxious."
c. "I do not need to do the relaxation exercises anymore."
d. "I am continuing my exercises every day."


ANS: C
Patients should continue using the stress-reduction techniques to maintain a feeling of well-being. Once stress decreases, patients typically report feeling better, sleeping more soundly, and feeling less anxious. Continuing their positive activities such as exercising is good.

Nursing

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A woman is attending a nurse-facilitated grief support group. The woman's son was killed in Iraq 18 months earlier

She confides that while at the gravesite yesterday, she broke down and the feelings of hurt were as deep as the day she found out about the death. She states, "I will never get over this feeling of intense grief." The nurse discovers that yesterday would have been her son's 21st birthday. What is the nurse's best response? a. "That kind of reaction is very rare after so long a time. It would be best to avoid the cemetery on dates that might trigger this type of reaction." b. "What happened to you yesterday is un-derstandable and common in people who have lost loved ones." c. "I find that hard to believe. We all grieve basically the same way, and I know that I would not react that way after such a long time." d. "The fact that you reacted so strongly is concerning to me. This could be the be-ginning of some bigger issues."

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