The nurse is working with patients in an outpatient health care ...

[dbose]

The nurse is working with patients in an outpatient health care setting. One of the patients is experiencing job-related stress. Which of the following factors may indicate chronic stress?
 
  a. Avoiding discussion of job problems
  b. Saying negative things about other colleagues
  c. Experiencing chronic pain and irritable bowel syndrome
  d. Blaming the boss for being unreasonably demanding

Question 2

The nurse is caring for a patient on the medical-surgical unit who is experiencing an exacerbation of asthma. Which of the following interventions would be most appropriate to help the patient sleep?
 
  a. Bed placed in semi-Fowler's position
  b. Increased BNC oxygen to 5 L a minute
  c. A snack provided before bedtime
  d. Encouraging the patient to read

[ebe]

Answer to Question 1

C

Feedback
A A patient's avoiding discussion of the problem may not be related to chronic stress.
B The patient's negative comments about his or her colleagues may not be related to chronic stress.
C Chronic pain disorders, irritable bowel syndrome, somatization disorder, and clinical depression have all been linked to chronic stress.
D The patient's blaming of the boss may not be related to chronic stress.

Answer to Question 2

A
For patients with a physical illness, the nurse helps control symptoms that disrupt sleep. Placing the patient in an upright position eases the work of breathing. Increasing the oxygen provided would require a reason to do so, and a physician's order is required. Providing a snack and encouraging the patient to read may be good interventions for patients, but the most appropriate would be raising the head of the bed.