Nclex Questions Stress and coping
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1. The mother of a 38yr/old female recently died due C. Intellectualiza-
to complications from a surgery which required an tion
unexpected colostomy. After her mothers death, the
daughter states "My mother would have never wanted
to live with a colostomy." The daughter is exhibiting
which defense mechanism?
A. Denial
B. Substitution
C. Intellectualization
D. Rationalization
2. A mother of two goes in for her yearly checkup. Com- c Severe
plains to her doctor she has been unable to sleep
lately. She has also been suffering from diarrhea, nau-
sea, and heart palpitations. As she is describing her
symptoms the doctor realizes she is trembling and
seems disoriented. What level of severity of anxiety is
this patient experiencing?
A) Mild
B) Moderate
C) Severe
D) Panic
3. During a community visit, volunteer nurses teach 2. Control over
stress management to the participants. The nurses one's response to
will most likely advocate which belief as a method of stress is possible
coping with stressful life events?
1. Avoidance of stress is an important goal for living
2. Control over one's response to stress is possible
3. Most people have no control over their level of
stress
4. Significant others are important to provide care and
concern
4. 4. A college student presents to the counseling cen- C. If my instruc-
ter because they are having difficulty dealing with tor had let me
having been informed that, due to continued poor make up the exam
grades, they are being dismissed from the college. I missed, I wouldn't
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Which statement by the student to the nurse coun- be in this situa-
selor should indicate the use of the ego defense tion."
mechanism projection?
A. "While I'm very upset and my parents will be angry, I
can just transfer to another college to get my degree."
B. "It's really not all my fault. The major I was in and
all the credit hours I was taking would make it difficult
for anyone to be successful."
C. If my instructor had let me make up the exam I
missed, I wouldn't be in this situation."
D. "I don't think all of the grades are right. If they aren't,
I can stay in school."
5. 5. A client expresses to the nurse that she constantly b) Caregiver role
feels irritated and loses her temper. During the course strain
of the interview, the nurse finds that the client takes
care of her mother who was confined to bed following
a stroke. The client struggles to balance caring for her
family and her mother. Which nursing diagnosis would
the nurse most likely identify for this client?
a) Compromised family adjustment
b) Caregiver role strain
c) Ineffective coping
d) Anxiety
6. 6. Which defense mechanism allows an individual to C) Regression
return to a point in development when nurturing and
dependency were needed and accepted with comfort?
A) Displacement
B) Compensation
C) Regression
D) Rationalization
7. 7. The nurse is teaching a patient about therapies Cognitive-behav-
for Obsessive Compulsive Disorder. What therapies ioral therapy
would the nurse discuss with the patient? (CBT) and
Antidepressants
8.
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8. A nurse is observing a 32-year-old client who is ex- Answer: tremors,
periencing alcohol withdrawal. What symptoms might disorientation, fast
the nurse see? heart rate and agi-
tation
9. 9. A mother of two goes in for her yearly checkup. Severe
Complains to her doctor she has been unable to sleep
lately. She has also been suffering from diarrhea, nau-
sea, and heart palpitations. As she is describing her
symptoms the doctor realizes she is trembling and
seems disoriented. What level of severity of anxiety is
this patient experiencing?
Mild
Moderate
Severe
Panic
10. 10. A nurse at Nurseslabs Medical Center is develop- Encourage the
ing a care plan for a female client with post-traumatic client to verbal-
stress disorder. Which of the following would she do ize thoughts and
initially? feelings about the
Instruct the client to use distraction techniques to trauma.
cope with flashbacks
Encourage the client to put the past in proper perspec-
tive.
Encourage the client to verbalize thoughts and feel-
ings about the trauma.
Avoid discussing the traumatic event with client.
11. 11. The nurse is conducting an initial assessment of a "What leads you to
client in crisis. When assessing the client perception seek help now?"
of the precipitating event that led to the crisis, which
is the most appropriate question?
"With whom do you live?"
"Who is available to help you?"
"What leads you to seek help now?"
"What do you usually do to feel better?"
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12. What are some developmental stressors for older b) Retirement
adults? Select All That Apply c) Children
a) Aging d) Death of spouse
b) Retirement or friends
c) Children
d) Death of spouse or friends
13. 13 After a health care provider has informed a patient
C. "Would you like
that he has colon cancer, the nurse enters the room to
for me to sit down
find the patient gazing out the window in thought. The
with you for a
nurse's first response is which of the following? few minutes so
you can talk about
A. "Don't be sad. People live with cancer every day." this?"
B. "Have you thought about how you are going to tell
your family?"
C. "Would you like for me to sit down with you for a
few minutes so you can talk about this?"
D. "I know another patient whose colon cancer was
cured by surgery."
14. 14. The nurse is interviewing a client with complaints d) Gardening
of chronic fatigue. The nurse understands that the
client has a sedentary lifestyle and suggests that the
client start low-intensity exercise. Which of the follow-
ing exercises would be appropriate for the nurse to
suggest the client engage in initially?
a) Brisk walking
b) Running
c) Cycling
d) Gardening
15. 15. A woman who was sexually assaulted a month post-traumatic
ago presents to the emergency department with com- stress disorder
plaints of recurrent nightmares, fear of going to sleep,
repeated vivid memories of the sexual assault, and
inability to feel much emotion. The nurse recognizes
the signs and symptoms of which medical problem?
1. A) Trauma
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2. B) Fight or flight response
3. C) Posttraumatic stress disorder
4. D) Alarm reaction
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