Author Question: During an assessment, the nurse learns that a client has been having periodic upper respiratory ... (Read 65 times)

lak · **on:** Jul 23, 2018

During an assessment, the nurse learns that a client has been having periodic upper respiratory infections since experiencing the death of a close family member. The nurse identifies this client's reaction to stress as being a:

1. Stimulus.
2. Response.
3. Transaction.
4. Negotiation.

Question 2

A 2 year old client, who has had multiple hospitalizations for treatment of a congenital disorder, is lying curled in bed holding a stuffed animal and will not interact with the parents. The nurse interprets this client's behavior as being caused by:

1. The parents may have been abusing this child.
2. The child is probably developmentally delayed secondary to multiple hospitalizations.
3. The child is reacting as a normal 2-year-old.
4. The child could be suffering from a clinical depression.

ashely1112 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Stress is defined as a stimulus, a life event, or a set of circumstances that arouses physiological and/or psychological reactions that can increase the individual's vulnerability to illness.
Rationale 2: Stress that is considered as a response is defined as the nonspecific response of the body to any kind of demand made upon it.
Rationale 3: Stress that is a transaction refers to any event in which environmental demands, internal demands, or both tax or exceed the adaptive resources of an individual, social system, or tissue system. The individual responds to perceived environmental changes with adaptive or coping responses.
Rationale 4: Negotiation is not a type of stress reaction.

Answer to Question 2

Correct Answer: 3
Rationale 1: There is no evidence of parental abuse.
Rationale 2: There is no evidence that the client is developmentally delayed.
Rationale 3: Toddlers and preschool children often react to anxiety by either withdrawing or acting out. This child is behaving in a normal manner.
Rationale 4: There is no evidence that the client is depressed.