Author Question: Which nursing interventions are likely to help the patient to cope by addressing the mediators of ... (Read 64 times)

geoffrey · **on:** Jul 19, 2018

Which nursing interventions are likely to help the patient to cope by addressing the mediators of stress? Select all that apply.

a. A divorce, while stressful, can be the beginning of a new, better phase of life..
b. You said you used to jog; getting back to aerobic exercise could be helpful..
c. Journaling gives one more awareness of how experiences have affected them..
d. Perhaps a short-term loan from your father will make your layoff less stressful..
e. Slowing your breathing by counting to three between breaths will calm you..
f. I have found a support group for newly divorced persons in your neighborhood..

Question 2

An instructor is teaching nursing students about Worden's grief process. According to Worden, which of the following client behaviors would delay or prolong the grieving process? (Select all that apply.)

1. Refusing to allow oneself to think painful thoughts
2. Indulging in the pain of loss
3. Using alcohol and drugs
4. Idealizing the object of loss
5. Recognizing that time will heal

amcvicar · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, C, D, F
Stress mediators are factors that can help persons cope by influencing how they perceive and respond to stressors; they include personality, social support, perceptions, and culture. Suggesting that a divorce may have positive as well as negative aspects helps the patient to alter his perceptions of the stressor. Journaling increases self-awareness regarding how life experiences may have shaped how we perceive and respond to stress (or how our personality affects how we respond to stressors). A loan could help the patient perceive the layoff differently by reducing the financial pressures that accompany it. Participation in support groups is an excellent way to expand one's support network relative to specific issues. However, neither aerobic exercise nor breathing-control exercises, while helpful in other ways, affect stress mediators.

Answer to Question 2

1, 3, 4
Rationale: The nurse should identify that refusing to allow oneself to think painful thoughts, using alcohol and drugs, and idealizing the object of loss will delay or prolong the grieving process. Task II of Worden's grief process is working through the pain or grief. Pain must be acknowledged and processed in order to move on.