Author Question: The nurse is caring for a patient with anxiety and depression who tells the nurse, I am always ... (Read 66 times)

rosent76 · **on:** Jul 19, 2018

The nurse is caring for a patient with anxiety and depression who tells the nurse, I am always stressed out. Which factors inform the nurse's understanding of stress? Select all that apply.

1. It relates to an individual's perception of demands being made on him or her.
2. It relates to the individual's perception of his or her ability to meet the demands being made on him or her.
3. It is often a precipitant of anxiety.
4. It is often caused by anxiety.
5. It relates to an individual's perception of others.

Question 2

A 14-year-old female patient tells the school nurse that she frequently cuts herself. The nurse is very upset by this information. What is the best action by the nurse?

1. Report the problem to the principal.
2. Call the girl's parents and suggest a psychiatric evaluation.
3. Reflect on her own reactions and focus on responding to the patient's needs.
4. Shift the conversation to the girl's academic performance.

b614102004 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 1, 2, 3
Explanation: Stress relates to an individual's perception of demands being made on him or her, as well as the individual's perception of his or her ability to meet those demands. Stress may be described in numerous ways, including as a precipitant of anxiety. Stress is not caused by anxiety; rather, anxiety is the result of stress. Stress is not related to the individual's perception of others.

Answer to Question 2

Answer: 3
Explanation: Because the patient is not in imminent danger, the desire to involve others, whether it is the principle or the girl's parents, must be guided by the patient's choices and the need to respect confidentiality. While developing the nurse-patient relationship, the nurse must learn to respond to the patient rather than react to the patient. Ignoring the issue does not address the patient's needs.