Stress Management

A client presents to the clinic following a sudden, traumatic workplace incident. The client is pacing rapidly, wringing their hands, and states, "I cannot think straight. I am going to lose my mind!" The client's respiratory rate is 32 breaths per minute. Which of the following is the priority nursing intervention?

A client on a medical-surgical unit has just been informed by the healthcare provider that a lower extremity amputation is required due to severe vascular complications. The client is tachycardic, pacing the room rapidly, crying loudly, and states, "My life is over. I cannot do this." Which of the following nursing interventions are appropriate for managing the client's acute stress? Select all that apply.

A client is admitted to the observation unit with atypical chest pain. Following a negative cardiac workup, the client remains visibly tense, exhibits rapid and shallow breathing, and tells the nurse, "I just cannot catch my breath when I think about all the debt I owe." What is the priority nursing action for this client?

A client in the pre-operative holding area is informed that a scheduled tissue biopsy has been postponed due to an unexpected laboratory issue. The client begins pacing rapidly, clenching their fists, and loudly states, 'I cannot handle this! The waiting is agonizing!' Which responses by the nurse utilize appropriate stress management and de-escalation techniques? Select all that apply.

A nurse is teaching a client experiencing acute stress how to perform diaphragmatic breathing. Arrange the steps of this stress management technique in the correct chronological order.

A client waiting for a biopsy procedure is wringing their hands, pacing the hallway, and tells the nurse, "I am so stressed and terrified about what they might find today." Which initial nursing action is the priority to help the client manage their acute stress?

A triage nurse at a disaster relief center encounters a client who recently lost their home to a wildfire. The client is pacing erratically, hyperventilating, and shouting, 'I can't think! Everything is gone!' Arrange the following stress management and crisis interventions in the priority chronological sequence the nurse should implement them, from first to last.

A client on an inpatient psychiatric unit receives a phone call regarding the sudden death of a family member. The client drops the phone, begins pacing the hallway rapidly, hyperventilating, and shouting, "I can't breathe, I'm going to die!" Arrange the following nursing interventions in the correct order of priority. All options must be used.

A pediatric intensive care nurse is caring for a child who sustained a severe head injury three weeks ago. The child's parent, who has remained continuously at the bedside, suddenly stands up, forcefully knocks a chair over, and shouts, "You are all doing nothing! I cannot take another second of watching my child like this!" The parent is visibly trembling and pacing rapidly near the client's life-sustaining equipment. Which of the following is the priority nursing action?

A home health nurse evaluates a client who provides full-time care for a spouse with advanced Alzheimer's disease. The client exhibits unintended weight loss, a flat affect, and reports chronic insomnia. The client states, "I am completely exhausted, but I cannot let anyone else help. If I don't do every single task myself, my spouse will suffer." Which action should the nurse take first to facilitate effective stress management?

A community health clinic nurse is working with a client who presents in a state of acute situational crisis following a sudden, unexpected job loss. The client appears highly distressed and overwhelmed. Arrange the following nursing interventions in the correct chronological order according to standard crisis intervention principles.

An occupational health nurse is evaluating an employee who reports chronic headaches, recent-onset insomnia, and frequent irritability. The employee states, 'My workload has doubled over the last three months, and I feel like I am completely failing at my job and my life.' Which action should the nurse take first?

A clinic nurse is developing a plan of care for a young adult client who was recently diagnosed with multiple sclerosis. The client reports feeling overwhelmed, experiencing difficulty sleeping, and states, 'I feel like I have absolutely no control over my life or my future anymore.' Which of the following nursing interventions are appropriate to promote effective stress management? Select all that apply.

A public health nurse is conducting a home visit for a newly relocated client who reports severe insomnia, daily fatigue, and overwhelming stress related to adapting to the new cultural environment. The client tearfully states, "Everything here is too difficult, and I feel like I will never belong." Which of the following is the priority nursing action?

A mental health nurse is guiding a client through cognitive restructuring to manage chronic stress related to a major life transition. Arrange the nursing actions in the appropriate sequential order for this intervention. (Place the first action at the top and the final action at the bottom.)