Which individual would a nurse consider to be at the highest risk for the onset of stress-related problems?
a. A patient whose beloved parent died 3 months ago and who has lost a job because of corporate restructuring. The patient states, "Living with loss and the threat of loss makes me feel helpless.".
b. A patient who was passed over for promotion and quit to start a new business. The patient states, "This is just one of a series of challenges I've faced in my life.".
c. A patient who is graduating from college and will be married in one month. The patient states, "I'm anticipating the changes these events will make in my life.".
d. A married patient whose new business is growing slowly and who plans to adopt a child. The patient says, "I think I'm in control of my destiny.".
A
The patient who has lost a parent and a job is dealing with two stressful life events that are socially undesirable. The patient's cognitive appraisal of the stressors is that of loss and threat of loss. The patient gives no indication of psychological hardiness. The other people described are dealing with change they perceive as challenging but to which they are committed and over which they have some control. These factors indicate psychological hardiness.
You might also like to view...
Patients with anxiety frequently complain of:
A. Chest pain B. Dizziness C. Shortness of breath D. A and B
According to Peters (2002), which of the following are considered stages of policy development? Select all that apply
1. Recognition of a problem or issue 2. Agenda setting 3. Policy formation 4. Brain storming 5. Budgeting
The nurse assesses a client who has just been brought to the postanesthesia care unit (PACU). In the operating room, the client's blood pressure was 136/80 mm Hg; it is now 110/80 mm Hg. Urine output was 40 mL/hr and is now 10 mL/hr
Which action by the nurse is best? a. Awaken the client and encourage oral fluids. b. Increase the IV of 0.9 NS as ordered to 100 mL/hr. c. Put the client in Trendelenburg position. d. Assess the client's levels of consciousness and pain.
Ten hours after a client with 50% burns is admitted, her blood glucose level is 152 mg/dL. What action by the nurse is most appropriate?
a. Document the finding. b. Obtain a family history for diabetes. c. Repeat the glucose measurement. d. Stop IV fluids containing dextrose.