TEST BANK FOR
MODULE 1 QUESTIONS
AND WELL DEFINED
ANSWERS COVERED
DIFFERENT CHAPTERS
COVERED LATEST
UPDATE 2026/2027
LEWIS CHAPTER 8 - STRESS
1. A young adult arrives in the emergency department (ED) with multiple abrasions
after a motor vehicle accident and has an initial blood pressure (BP) of 180/98. Which
of the following interventions should the nurse implement?
A. Discuss the need for hospital admission to control blood pressure.
B. Change the dressing on the abrasions and discuss the risks associated with hypertension.
C. Recheck the blood pressure before the client’s discharge from the ED.
D. Start an intravenous (IV) line to administer antihypertensive medications.
ANS: C
Because hypertension is expected when a client has experienced an acute stressor, the nurse
should plan to check the BP before discharge, which will provide a more accurate idea of the
,client’s usual blood pressure. Hypertension that occurs in response to acute stress does not
increase risk for health problems such as stroke, indicate a need for hospitalization, or indicate a
need for IV antihypertensive medications.
2. A hospitalized client who is usually well organized and calm is receiving diabetic
teaching after being newly diagnosed with diabetes. The client is forgetful,
irritable, and has poor concentration. Which action should the nurse take?
A. Ask the health care provider for a psychiatric referral.
B. Administer the PRN sedative medication every 4 hours.
C. Suggest the use of a home caregiver to the client’s family.
D. Plan to reinforce and repeat teaching about diabetes management.
ANS: D
Since behavioural responses to stress include temporary changes such as irritability, changes in
memory, and poor concentration, client teaching will need to be repeated. Psychiatric referral or
home caregiver referral will not be needed for these expected short-term cognitive changes.
Sedation will decrease the client’s ability to learn the necessary information for self-
management.
3. The nurse is caring for a client who has been hospitalized following a heart attack
and tells the nurse, “I didn’t sleep last night because I worried about missing work
and
LATEST
, losing my insurance coverage.” Which nursing diagnosis is appropriate to include in the
plan of care?
A. Anxiety
B. Defensive coping
C. Ineffective denial
D. Risk prone-health behaviour
ANS: A
The information about the client indicates that anxiety is an appropriate nursing diagnosis. The
client data do not support defensive coping, ineffective denial, or risk-prone health behaviour as
problems for this client.
4. The nurse is assisting with a breast biopsy for an alert client who has a lump in
the right breast. Which relaxation technique will be best to use at this time?
A. Massage
B. Meditation
C. Guided imagery
D. Relaxation breathing
ANS: D
Relaxation breathing is the easiest of the relaxation techniques to use. It will be difficult for the
nurse to provide massage while assisting with the biopsy. Meditation and guided imagery require
more time to practise and learn.
5. The nurse is preparing a health-promotion session on meditation for older adults at
a community centre. Which of the following points should the nurse include in the
session?
A. Have clients bring earphones to the session.
B. Breathing pattern to slowly increase speed.
C. Allow a 10–20 minute time frame for meditation.
D. Practise two to three times per week.
, ANS: C
Guidelines for basic mediation include continuing it for 10–20 minutes, although even 5 minutes
can be helpful. Clients won’t bring earphones as the guideline is to find a quiet place with no
distractions. The breathing pattern is to breathe slowly and consistently, relaxation breathing,
not to speed up the rate. Meditation guidelines suggest that this be done once or twice a day.
6. When choosing music to help relax a client who is having a painful dressing
change, which action is best for the nurse to take?
A. Use music composed by Mozart.
B. Ask the client about music preferences.
C. Select music that has 60–80 beats/minute.
D. Encourage the client to use music without words.
ANS: B
Although music with 60–80 beats/minute, music without words, and music composed by Mozart
are frequently recommended to reduce stress, each client responds individually to music and
personal preferences are important.
7. The nurse is teaching a hospitalized client to use imagery as a relaxation technique.
Which statement by the nurse is appropriate?
A. “Place your stress in the image of a form you can destroy.”
B. “Think of a place where you feel peaceful and comfortable.”
C. “Bring what you hear and sense in your present environment into your image of the scene.”
D. “If your scene is stressful to you, continue visualizing until you can overcome the distress.”
ANS: B
When using imagery for relaxation, the client should visualize a comfortable and peaceful place.
The goal is to offer a relaxing retreat from the actual client environment. Imagery may be used
to target a disease or pathology, but this type of imagery will not lead to relaxation.
8. An overweight client who enjoys active outdoor activities develops arthritis in the
knees. Which action by the nurse is most appropriate to assist the client in coping
with the diagnosis?
A. Ask the client to discuss feelings about the diagnosis.
B. Have the client practise frequent relaxation breathing.
MODULE 1 QUESTIONS
AND WELL DEFINED
ANSWERS COVERED
DIFFERENT CHAPTERS
COVERED LATEST
UPDATE 2026/2027
LEWIS CHAPTER 8 - STRESS
1. A young adult arrives in the emergency department (ED) with multiple abrasions
after a motor vehicle accident and has an initial blood pressure (BP) of 180/98. Which
of the following interventions should the nurse implement?
A. Discuss the need for hospital admission to control blood pressure.
B. Change the dressing on the abrasions and discuss the risks associated with hypertension.
C. Recheck the blood pressure before the client’s discharge from the ED.
D. Start an intravenous (IV) line to administer antihypertensive medications.
ANS: C
Because hypertension is expected when a client has experienced an acute stressor, the nurse
should plan to check the BP before discharge, which will provide a more accurate idea of the
,client’s usual blood pressure. Hypertension that occurs in response to acute stress does not
increase risk for health problems such as stroke, indicate a need for hospitalization, or indicate a
need for IV antihypertensive medications.
2. A hospitalized client who is usually well organized and calm is receiving diabetic
teaching after being newly diagnosed with diabetes. The client is forgetful,
irritable, and has poor concentration. Which action should the nurse take?
A. Ask the health care provider for a psychiatric referral.
B. Administer the PRN sedative medication every 4 hours.
C. Suggest the use of a home caregiver to the client’s family.
D. Plan to reinforce and repeat teaching about diabetes management.
ANS: D
Since behavioural responses to stress include temporary changes such as irritability, changes in
memory, and poor concentration, client teaching will need to be repeated. Psychiatric referral or
home caregiver referral will not be needed for these expected short-term cognitive changes.
Sedation will decrease the client’s ability to learn the necessary information for self-
management.
3. The nurse is caring for a client who has been hospitalized following a heart attack
and tells the nurse, “I didn’t sleep last night because I worried about missing work
and
LATEST
, losing my insurance coverage.” Which nursing diagnosis is appropriate to include in the
plan of care?
A. Anxiety
B. Defensive coping
C. Ineffective denial
D. Risk prone-health behaviour
ANS: A
The information about the client indicates that anxiety is an appropriate nursing diagnosis. The
client data do not support defensive coping, ineffective denial, or risk-prone health behaviour as
problems for this client.
4. The nurse is assisting with a breast biopsy for an alert client who has a lump in
the right breast. Which relaxation technique will be best to use at this time?
A. Massage
B. Meditation
C. Guided imagery
D. Relaxation breathing
ANS: D
Relaxation breathing is the easiest of the relaxation techniques to use. It will be difficult for the
nurse to provide massage while assisting with the biopsy. Meditation and guided imagery require
more time to practise and learn.
5. The nurse is preparing a health-promotion session on meditation for older adults at
a community centre. Which of the following points should the nurse include in the
session?
A. Have clients bring earphones to the session.
B. Breathing pattern to slowly increase speed.
C. Allow a 10–20 minute time frame for meditation.
D. Practise two to three times per week.
, ANS: C
Guidelines for basic mediation include continuing it for 10–20 minutes, although even 5 minutes
can be helpful. Clients won’t bring earphones as the guideline is to find a quiet place with no
distractions. The breathing pattern is to breathe slowly and consistently, relaxation breathing,
not to speed up the rate. Meditation guidelines suggest that this be done once or twice a day.
6. When choosing music to help relax a client who is having a painful dressing
change, which action is best for the nurse to take?
A. Use music composed by Mozart.
B. Ask the client about music preferences.
C. Select music that has 60–80 beats/minute.
D. Encourage the client to use music without words.
ANS: B
Although music with 60–80 beats/minute, music without words, and music composed by Mozart
are frequently recommended to reduce stress, each client responds individually to music and
personal preferences are important.
7. The nurse is teaching a hospitalized client to use imagery as a relaxation technique.
Which statement by the nurse is appropriate?
A. “Place your stress in the image of a form you can destroy.”
B. “Think of a place where you feel peaceful and comfortable.”
C. “Bring what you hear and sense in your present environment into your image of the scene.”
D. “If your scene is stressful to you, continue visualizing until you can overcome the distress.”
ANS: B
When using imagery for relaxation, the client should visualize a comfortable and peaceful place.
The goal is to offer a relaxing retreat from the actual client environment. Imagery may be used
to target a disease or pathology, but this type of imagery will not lead to relaxation.
8. An overweight client who enjoys active outdoor activities develops arthritis in the
knees. Which action by the nurse is most appropriate to assist the client in coping
with the diagnosis?
A. Ask the client to discuss feelings about the diagnosis.
B. Have the client practise frequent relaxation breathing.
