N response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which response by the nurse is most appropriate?
a. "This has been a difficult year for you."
b. "I don't know how anyone could handle that much stress in 1 year!"
c. "What did you do to cope with the loss of both your husband and mother?"
d. "That is a lot of stress; now let's go on to the next section of your history."
ANS: C
Questions about coping and stress management include questions regarding the kinds of stresses in one's life, especially in the last year, any changes in lifestyle or any current stress, methods tried to relieve stress, and whether these methods have been helpful.
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After an acute onset of confusion, a 90-year-old female resident of an apartment was admitted to hospital for treatment of a urinary tract infection, and the care team is suggesting that she be discharged home to complete her recovery with oral
antibiotics and her urinary catheter still in place. Which of the following aspects of the woman's situation would be the nurse's priority in predischarge planning and assessment? A) The quality and quantity of assistance that the woman has at home. B) The woman's cognitive status and the resolution of her infection-induced delirium. C) The woman's understanding of the function and care of her catheter. D) The woman's fluid balance in the 24 hours prior to discharge.
The nurse recommends the influenza vaccination to a 72-year-old woman who is the primary caregiver of her elderly mother who has Alzheimer's disease. Which instruction should the nurse include in the teaching plan for this vaccine?
A) The vaccine is not needed because chronic stress boosts the immune response. B) Older adult caregivers have an accentuated immune response to influenza vaccine. C) Chronic stress may blunt the efficacy of the influenza vaccine in older adults. D) The effects of chronic stress on the immune system improve immediately when the stress is removed.
The nurses are meeting to discuss their individual progress on a unit-based project. Which of the following statements indicate the nurse has a logical behavioral preference regarding time styles? Select all that apply
1. "I can't get past how the nurse manager added in the extra piece to our original assignments." 2. "I think I've been doing a good job of managing my time because I am ahead of schedule." 3. "I'm not really worried about the tasks related to our project because it will all come together. I'm just happy to be a part of this team." 4. "I want to talk to all of you about adding in this poster that I want to make. I've got some great ideas for artwork that will help illustrate our points." 5. "I didn't know that first part of my project was going to take so long. Maybe our nurse manager will move the due date back a few weeks."
When reporting a patient's behavior, avoid labeling the patient based on your opinion.
Answer the following statement true (T) or false (F)