Author Question: A 35-year-old client is stressed because he is having problems with his superiors at work. The ... (Read 45 times)

PhilipSeeMore · **on:** Jul 22, 2018

A 35-year-old client is stressed because he is having problems with his superiors at work. The client says that he had an argument about his salary. He has become very anxious and has started consuming large amounts of caffeine very frequently.

He also suffers from insomnia and gets angry quickly. Which of the following techniques should the nurse promote to help the client? A) Nontherapeutic coping strategy
B) Negative coping strategy
C) Therapeutic coping strategy
D) Sensory manipulation strategy

Question 2

A child is receiving care ongoing stress, a problem that has been causing her to avoid going to school. How should the nurse first attempt to treat the child?

A) Teach the child the importance of being happy and unstressed.
B) Administer therapy that alters the child's mood and feelings.
C) Administer antidepressants to counter stress.
D) Find the factors that have caused stress in the child.

jackie · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Feedback:
Therapeutic coping strategies usually help the person to acquire insight, gain confidence to confront reality, and develop emotional maturity. Maladaptation results when people use nontherapeutic coping strategies such as mind- and mood-altering substances, hostility and aggression, excessive sleep, avoidance of conflict, and abandonment of social activities. Sensory manipulation involves altering moods, feelings, and physiologic responses by stimulating pleasure centers in the brain using sensory stimuli. Negative coping strategies may provide immediate temporary relief from a stressor, but they eventually cause problems.

Answer to Question 2

D
Feedback:
The nurse in this case should try to find the factors that have caused stress and depression in the child. The nurse should calmly talk to the child and find the reason for her avoiding going to school. The child will not likely understand the importance of being happy and unstressed, and this approach is simplistic and usually ineffective. Administering therapies or antidepressants is premature and likely beyond the nurse's scope of practice.