The nurse cares for a successful chemical engineer, age 29 years, ...

[jlmhmf]

The nurse cares for a successful chemical engineer, age 29 years, who is admitted with a respiratory infection. The client reports feeling more stress than ever since a job promotion six months ago and asks,
 
  Why would something so positive and wonderful cause so much stress for me? Which is an appropriate response by the nurse? Select all that apply.
 
  A) All major life events can cause stress for us.
  B) People vary greatly in their perception of what constitutes a crisis or stressor.
  C) Your job promotion probably has nothing to do with the stress you feel.
  D) Positive life events do not cause stress or illness.
  E) Even positive life events can affect us in negative ways.

Question 2

The nurse is caring for a man client, age 47 years, who suffers from myasthenia gravis. He has periods of great weakness and is unable to do the things for his family that he would like to. He tells the nurse that he is not worth much these days
 
  Knowing that sometimes clients focus on things they cannot do, which of the following statements by the nurse might be helpful?
 
  A) I'm sure that things will be better soon.
  B) Some days are like that.
  C) Does your family pitch in and help you?
  D) What are some of the things you do well?

[momtoalll]

Answer to Question 1

Ans: A, B, E
People vary greatly in their perception of what constitutes a crisis or stressor, as well as the degree to which such experiences might disrupt or diminish self-concept. Major stressors place anyone at relative risk for maladaptive responses such as withdrawal, isolation, depression, extreme anxiety, substance abuse, or exacerbation of physical illness. It is true that even positive events, such as marriage, a new baby, or a job promotion can place us at risk for great stress and all that goes with us. The client's promotion probably has a great deal to do with her stress level.

Answer to Question 2

Ans: D
Many clients focus naturally on their deficiencies; asking pointed questions about personal strengths can help a client identify positive factors. Telling this client that things will be better soon is untruthful; his disease is not curable. Asking if his family is helpful will make him feel even more worthless. Saying, Some days are like that tells the client that you agree with his opinion that he is worthless.

[jlmhmf]

TYSM

[upturnedfurball]

Gracias!