The nurse is assessing the patient's use of coping skills in ...

[joe]

The nurse is assessing the patient's use of coping skills in response to stressful situations. Which of the following questions is the most useful?
 
  a. Have you been evaluated for stress?
  b. Do you have someone you can go to for help when you are stressed?
  c. How have you managed stressful situations in the past?
  d. Does stress cause you to experience muscle tension or headaches?

Question 2

The nurse is providing discharge instructions for a patient with multiple sclerosis (an autoimmune disease). Which discharge instruction is aimed at preventing a future exacerbation?
 
  a. Engage in some form of exercise as tolerated.
  b. Avoid highly stressful situations.
  c. Check your skin regularly for pressure sores.
  d. Eat a diet with lots of fiber.

[mirabriestensky]

Answer to Question 1

ANS: C
The use of open-ended questions assists in obtaining accurate information regarding the patient's stressors and coping skills. Questions that elicit yes/no answers will not allow the patient to provide as much information. Asking the patient about headaches and tension is asking about physical symptoms, not coping skills.

Answer to Question 2

ANS: B
High stress levels are known to exacerbate multiple sclerosis and other autoimmune diseases. Exercise helps keep muscles loose and helps with balance, and assessing skin for pressure sores and eating a diet with high fiber prevents complications from multiple sclerosis.

[joe]

Thanks

[mirabriestensky]

Welcome