Author Question: A nurse is caring for a patient with stress and is in the evaluation stage of the critical thinking ... (Read 90 times)

sarasara · **on:** Jul 22, 2018

A nurse is caring for a patient with stress and is in the evaluation stage of the critical thinking model. Which actions will the nurse take?

a. Select nursing interventions and promote patient's adaptation to stress.
b. Establish short- and long-term goals with the patient experiencing stress.
c. Identify stress management interventions and achieve expected outcomes.
d. Reassess patient's stress-related symptoms and compare with expected outcomes.

Question 2

A senior college student visits the college health clinic about a freshman student living on the same dormitory floor. The senior student reports that the freshman is crying and is not adjusting to college life.

The clinic nurse recognizes this as a combination of situational and maturational stress factors. Which is the best response by the nurse?
a. Let's call 911 because this freshman student is suicidal.
b. Give the freshman student this list of university and community resources.
c. I recommend that you help the freshman student start packing bags to go home.
d. You must make an appointment for the freshman student to obtain medications.

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

Answer to Question 1

ANS: D
During the evaluation stage, the nurse compares current stress-related symptoms against established measurable outcomes to evaluate the effectiveness of the intervention. Selecting appropriate interventions and establishing goals are part of the planning process.

Answer to Question 2

ANS: B
A nurse can help reduce situational stress factors for individuals. Inform the patient about potential resources. Providing the student with a list of resources is one way to begin this process, as part of secondary prevention strategies. This is not a medical or psychiatric emergency, so calling 911 is not necessary. Not everyone who has sadness needs medications; some need counseling only. Not enough information is given to know whether the student would be best suited to leave college.