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Practice Question

The nurse understands that which of the following individuals are most likely to have increased levels of stress?

Answer Choices:

Correct Answer:

A 52-year-old with symptoms of advancing rheumatoid arthritis who experiences difficulty doing daily activities. These symptoms relate more and more to their diagnosis and interferes with work and their ADL's.

Rationale:

🌟 Chronic illnesses such as rheumatoid arthritis (RA) cause continuous physical pain, mobility limitations, and functional decline—all of which significantly increase stress levels.

🌟 When RA begins affecting work performance and activities of daily living (ADLs), clients often experience heightened emotional strain, frustration, and decreased coping abilities.

🌟 Chronic pain is one of the most potent triggers of long-term psychological stress because it is persistent and difficult to escape.

🌟 Declining physical capability forces clients to make lifestyle changes, which may contribute to role strain, anxiety, and depression.

🌟 The combination of chronic disease and interference with daily living creates a high stress burden compared to clients with adequate coping resources.

🌟 This client has the greatest mismatch between demands vs. coping ability, which is the core of stress theory.

🌟 The situation is also progressive, meaning stress is likely increasing over time.

Incorrect options (brief)

36-year-old teacher: Has many resources and manageable tasks → lower stress risk.

60-year-old retired pilot: Has purposeful activity and hobbies → not high stress.

24-year-old nursing student: Has normal student stress but shows success indicators.

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This question is from 106 Mock exam which contains 99 questions.

More Questions from This Exam
Your client requires intensive nutrition support. The health care provider has prescribed centrally administered total parenteral nutrition (TPN). The nurse understands what to be true about TPN.

Answer Choices:

A. Clients receiving parenteral nutrition are at a low risk for fluid imbalance.
B. TPN therapy provides calories and spares body proteins from catabolism for energy requirements.
C. TPN contains lower concentrations of dextrose and proteins and a high concentration of insulin.
D. TPN solutions are not administered on an infusion pump.
Which nursing action is appropriate for a client with sensory overload?

Answer Choices:

A. Clustering care as much as possible
B. Leaving the client's room door open
C. Rushing to complete tasks with the client
D. Calling the client's family to visit with the client
From Exam
106 Mock exam

99 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: Medical-surgical📚
  • Answer Choices: 4
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