The nurse is reviewing the care plan for a patient experiencing ...

[jc611]

The nurse is reviewing the care plan for a patient experiencing difficulty coping with stress. The nurse recognizes that an example of initiating a cognitive restructuring intervention to enhance coping abilities is known as which of the following?
 
  a. Identifying the cause of fear
  b. Accessing a community support group
  c. Identifying relaxation methods
  d. Reviewing an educational pamphlet

Question 2

The nurse is working with a patient who recently lost her spouse after a lengthy illness. The patient shares that she would like to sell her home and move to another state now that her spouse has passed away.
 
  Which of the following interventions would be considered a priority for this patient? (Select all that apply.)
  a. Notify the provider to evaluate for antidepressant therapy.
  b. Suggest that the patient consider a support group for widows.
  c. Suggest that the patient learn stress reduction breathing exercises.
  d. Suggest that the patient take prescribed antianxiety medications.
  e. Assist the patient in identifying support systems.
  f. Notify the provider to evaluate the need for antianxiety medications.

[vboyd24]

Answer to Question 1

ANS: A
Identifying the cause of a negative perception is the first step in restructuring how a patient perceives a stressor, also called cognitive restructuring. Accessing a community support group is an example of accessing resources to enhance coping. Identifying relaxation methods is an example of developing an action plan. Reviewing an educational pamphlet is an example of using education to enhance coping.

Answer to Question 2

ANS: B, C, E
Stress prevention management involves counseling, education, and implementation of techniques to manage problem-oriented and emotion-oriented stress. To prevent physical symptoms, relaxation and deep breathing are effective and individuals can learn to prevent the stress response through cognitive behavioral strategies. Medications are not indicated for patients with known stressors unless the stress is prolonged or the patient has ineffective coping mechanisms.

[jc611]

Excellent

[milbourne11]

TYSM