At the completion of an assessment, the nurse reviews the list of a patient's stated and observed behaviors. Which of the following would indicate to the nurse that the patient is experiencing stress? Select all that apply
1. Patient stated inability to sleep more than 2 hours per night.
2. Observed patient's hands trembling.
3. Patient asked for water for a dry throat.
4. Patient sat quietly in chair, hands resting in lap.
5. Patient commented on recent pleasant weather.
Correct
1. Patient stated inability to sleep more than 2 hours per night.
2. Observed patient's hands trembling.
3. Patient asked for water for a dry throat.
Rationale:
Patient stated inability to sleep more than 2 hours per night. Insomnia and other sleep disturbances are signs of stress. Observed patient's hands trembling. Trembling and nervous tics are signs of stress. Patient asked for water for a dry throat. Dryness of the throat and mouth are signs of stress. Patient sat quietly in chair, hands resting in lap. A sign of stress is the inability to sit still. Patient commented on recent pleasant weather. Irritability and excitation are signs of stress.
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