d.
e.
12.List four personal factors that affect stress.
a.
b.
c.
d.
13.Give three examples of how a family can help
a patient manage stress.
a.
b.
c.APPLYING YOUR KNOWLEDGE
CRITICAL THINKING QUESTIONS1.Describe the nursing interventions you would
use to relieve the stress of the following
patients:
a.A 42-year-old man with a wife and three
children is being treated for an ulcer. He
recently lost his job and is having a hard
time finding a new one. He doesn’t know
if he can make his mortgage and school
payments.
b.A 16-year-old boy is admitted to a unit for
drug rehabilitation. He put pressure on
himself to be “the best” in sports and
schoolwork and says he couldn’t handle
the stress without getting high.
How would you use your knowledge of the
patients to individualize the plan of care?
2.Think of a period in your life when you were
under a considerable amount of stress, such as
during exams, following a death, or during an
illness. How did the stress affect you physically?
Did it alter your health state? What did you do
to compensate for the effects of stress on your
body? How can you use this information in car-
ing for patients?REFLECTIVE PRACTICE USING CRITICAL
THINKING SKILLS
Use the following expanded scenario from
Chapter 42 in your textbook to answer the
questions below.
Scenario:Joan Rogerrio is a middle-aged
woman with a history of inflammatory bowel
disease. She comes to the outpatient clinic
with complaints of increasing episodes of diar-
rhea. She says, “I think my bowel disease is
flaring up again.” Further assessment reveals
that she started a new job 1 month ago after
being out of the workforce for the past 15
years. She tells the nurse, “Since the children
are in school most of the day, my husband
and I decided it was time for me to go back
to work to help out financially.” She says her
skills are rusty and she is having a difficult
time adapting to her new work schedule.
1.What might be the cause of the flare-up of Ms.
Rogerrios’s inflammatory bowel disease? What
nursing interventions would be beneficial for
this patient?2.What would be a successful outcome for this
patient?3.What intellectual, technical, interpersonal,
and/or ethical/legal competencies are most
likely to bring about the desired outcome?4.What resources might be helpful for
Ms. Rogerrio?CHAPTER 42 STRESS AND ADAPTATION 295
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