Quiz 28: Coping

Concepts For Nursing Practice

Nursing
7
Questions
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True/False
6
Choices
1
Essay
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Questions

Q1
Free

The nurse is reviewing the care plan for a patient experiencing difficulty coping with stress. The nurse recognizes that an example of initiating a cognitive restructuring intervention to enhance coping abilities is which of the following?

Multiple Choice
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A) Identifying the cause of fear
B) Accessing a community support group
C) Identifying relaxation methods
D) Reviewing an educational pamphlet
Answer:
A) Identifying the cause of fear

Explanation:
Identifying the cause of a negative perception is the first step in restructuring how a patient perceives a stressor, also called cognitive restructuring. Accessing a community support group is an example of accessing resources to enhance coping. Identifying relaxation methods is an example of developing an action plan. Reviewing an educational pamphlet is an example of using education to enhance coping.
Q2
Free

The nurse is developing a care plan for a patient with ineffective coping skills. Which intervention would be an example of a problem-focused coping strategy?

Multiple Choice
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A) Scheduling a regular exercise program
B) Attending a seminar on treatment options
C) Identifying a confidant to share feelings
D) Attending a support group for families
Answer:
C) Identifying a confidant to share feelings

Explanation:
Problem-focused strategies are used to find solutions or improvement to the underlying stressor, such as accessing community resources or attending educational seminars. Exercise, emotional support, and support groups are emotion-based strategies that create a feeling of well-being.
Q3
Free

The school nurse is assessing coping skills of high school students who attend an alternative school for students at high risk to not graduate. What is the priority concern that the nurse has for this student population?

Multiple Choice
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A) Altered vital sign readings
B) Inaccurate perceptions of stressors
C) Increased risk for suicide
D) Decreased access to alcoholic beverages
Answer:
C) Increased risk for suicide

Explanation:
Adolescents with poor coping have increased risk for drug and alcohol use, risky sexual behaviors, and suicide. Pulse, respiratory rate, and blood pressure may change during stress, but patient safety is the priority concern. Adolescents may have inaccurate perceptions of stressors, and this actually increases the risk for unsafe behaviors. Adolescents under stress are more at risk for increasing their access to alcohol and illegal drugs.
Q4

A patient is the primary caregiver for a disabled family member at home, and has now been unexpectedly hospitalized for surgery. What action can the nurse take to enhance the coping ability of the patient?

Multiple Choice
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A) Ask if there is another family member who can help at home while the patient is in the hospital.
B) Plan to transfer the patient to a rehabilitation unit after surgery to allow uninterrupted time to recover.
C) Coordinate an ambulance transfer of the family member to an alternate family members home.
D) Ask social services to assess what the patients needs will be after discharge to home.
Answer:

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Q5

After a management decision to admit terminal care patients to a medical unit, the nursing manager notes that nursing staff on the unit appear tired and anxious. Staff absences from work are increasing. The nurse manager is concerned that staff may be experiencing stress and burnout at work. What action would be best for the manager to take that will help the staff?

Multiple Choice
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A) Ask administration to require staff to meditate daily for at least 30 minutes.
B) Have a staff psychologist available on the unit once a week for required counseling.
C) Have training sessions to help the staff understand their new responsibilities.
D) Ask support staff from other disciplines to complete some nursing tasks to provide help.
Answer:

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Q6

The nurse has been asked to administer a coping measurement instrument to a patient. What education would the nurse present to the patient related to this tool?

Multiple Choice
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A) This tool will let us compare your stress to other patients in the hospital.
B) This tool is short because it only measures the negative stressors you are experiencing.
C) You will need to ask your parents about stressors you had as a child to complete this tool.
D) This tool will help assess recent positive and negative events you are experiencing.
Answer:

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Q7

[Multiple Response] The nurse is assessing the coping patterns of a newly admitted patient. What will the nurse include in this assessment? (Select all that apply.)
a. Current stressors as perceived by the patient
b. Use of drugs or alcohol
c. Recent weight changes
d. Age and height
e. Temperature

Essay
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