Stress (1)

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Understanding and Managing Stress

Take our quiz to explore the various factors contributing to stress and discover effective management techniques. Whether you're a healthcare professional, a caregiver, or someone seeking to understand stress better, this quiz will guide you through the intricacies of stress management.

10 engaging questions
Multiple choice and checkbox options
Focus on real-life scenarios and practical interventions

10 Questions2 MinutesCreated by CalmingBreeze42

An older patient presents to the outpatient clinic with a chief complaint of headache and insomnia. In gathering the history, the nurse notes which factors as contributing to this patient's chief complaint?

The patient is responsible for caring for two school-age grandchildren.

The patient’s daughter works to support the family.

The patient is being treated for hypertension and is overweight.

The patient has recently lost her spouse and needed to move in with her daughter.

A patient who was recently diagnosed with diabetes is having trouble concentrating. This patient is usually very organized and laid back. Which action should the nurse take?

Ask the health care provider for a psychiatric referral.

Administer the PRN sedative medication every 4 hours.

Suggest the use of a home caregiver to the patient's family.

Plan to reinforce and repeat teaching about diabetes management.

A diabetic patient who is hospitalized tells the nurse, “I don’t understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up.” Which response by the nurse is appropriate?

�It is probably just coincidental that your blood sugar is high when you are ill.”

�Stressors such as illness cause the release of hormones that increase blood sugar.”

�Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times.”

�Your diet is different here in the hospital than at home, and that is the most likely cause of the increased glucose level.”

A patient has not been sleeping well because he is worried about losing his job and not being able to support his family. The nurse takes the patient's vital signs and notes a pulse rate of 112 beats/min, respirations are 26 breaths/min, and his blood pressure is 166/88 instead his usual 110-120/76-84 range. Which nursing intervention or recommendation should be used first?

Go to sleep 30 to 60 minutes earlier each night to increase rest.

Relax by spending more time playing with his pet dog.

Slow and deepen breathing via use of a positive, repeated word.

Consider that a new job might be better than his present one.

The nurse is planning to teach a patient how to use relaxation techniques to prevent elevation of blood pressure and heart rate. The nurse is teaching the patient to control which physiological function?

Switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode.

Alter the internal state by modifying electronic signals related to physiologic processes.

Replace stress-producing thoughts and activities with daily stress-reducing thoughts and activities.

Reduce catecholamine production and promote the production of additional beta-endorphins.

A patient tells the nurse, “I'm told that I should reduce the stress in my life, but I have no idea where to start.” Which would be the best initial nursing response?

�Why not start by learning to meditate? That technique will cover everything.”

�In cases like yours, physical exercise works to elevate mood and reduce anxiety.”

�Reading about stress and how to manage it might be a good place to start.”

�Let’s talk about what is going on in your life and then look at possible options.”

A patient tells the nurse “My doctor thinks my problems with stress relate to the negative way I think about things, and he wants me to learn a new way of thinking.” Which response would be in keeping with the doctor's recommendations?

Teaching the patient to recognize, reconsider, and reframe irrational thoughts

Encouraging the patient to imagine being in calming circumstances

Teaching the patient to use instruments that give feedback about bodily functions

Provide the patient with a blank journal and guidance about journaling

A patient who had been complaining of intolerable stress at work has demonstrated the ability to use progressive muscle relaxation and deep breathing techniques. He will return to the clinic for follow-up evaluation in 2 weeks. Which data will best suggest that the patient is successfully using these techniques to cope more effectively with stress?

The patient's wife reports that he spends more time sitting quietly at home.

He reports that his appetite, mood, and energy levels are all good.

His systolic blood pressure has gone from the 140s to the 120s (mm Hg).

He reports that he feels better and that things are not bothering him as much.

Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (Select all that apply.)

Assess for bradycardia.

Ask about epigastric pain.

Observe for increased appetite.

Check for elevated blood glucose levels.

Monitor for a decrease in respiratory rate.

The nurse is working with a patient who recently lost her spouse after a lengthy illness. The patient shares that she would like to sell her home and move to another state now that her spouse has passed away. Which of the following interventions would be considered a priority for this patient? (Select all that apply.)

Notify the provider to evaluate for antidepressant therapy.

Suggest that the patient consider a support group for widows.

Suggest that the patient learn stress reduction breathing exercises.

Suggest that the patient take prescribed antianxiety medications.

Assist the patient in identifying support systems.

Notify the provider to evaluate the need for antianxiety medications.

Stress (1)

Understanding and Managing Stress

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