NURS 205 EXAM 4 TEST NEWEST ACTUAL EXAM COMPLETE 166 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
MODULE 11 - correct answer MODULE 11
stress - correct answer A demand from the internal or external environment that exceeds the person's
immediately available resources or ability to respond
chronic illness
suppressed immune system - correct answer frequent and chronic stress can result in what?
homeostasis - correct answer The body's regulation of systems to maintain a steady state
Flight or fight response
stressor
can be actual or imagined - correct answer Is an event or stimulus that disrupts the persons sense of
equilibrium
stress appraisal - correct answer Is the process by which the person interprets a stressor as either a
threat or a challenge
increased heart rate
sweating
increased pulse
increases blood pressure - correct answer physiological response to stress...
General Adaptation Syndrome (GAS) - correct answer what is the physical response to stress called
the stimulation or stressor is strong enough to activate the autonomic nervous branch on the central
nervous system, eliciting an adaptive response - correct answer GAS is evoked when....
alarm reaction
resistance
exhaustion - correct answer there are 3 stages of GAS... what are they?
sense of coherence - correct answer a characteristic of personality that references one's perception of
the world as comprehensible, manageable, and meaningful
coping strategies - correct answer Work to ease the emotional distress associated with a stressful
condition
problem-focused (information gathering, direct action)
, 2
emotion-focused (avoidance) - correct answer 2 types of coping strategies...
time management
anger management
nutrition
support groups - correct answer what are some examples of coping strategies
-use good communication, consider culture and lifespan. Recognize that stressors are appraised
differently by people (threats or challenges). Assess physical and psychological symptoms
-A trusting relationship permits the nurse to pursue assessment of personal and sensitive information
regarding stress and the coping skills used by patients
-Use of open-ended questions
-identify the ability of the patient to use problem focused or emotion focused coping skills assists in
planning appropriate interventions
-Cultural competence
-Appropriate questions to address physical and psychological stress
-Observe verbal and nonverbal behaviors
-Lack of congruence
-Observe caregivers and strength of patient support systems
-Identify stressors (stressors for one person are not necessarily the stressors for another person)
-Asses for cardiovascular, respiratory, neurological, musculoskeletal, gastrointestinal, urinary, cognitive
an - correct answer assessment step related to stress and coping
Holmes-Rahe Social Readjustment Rating Scale - correct answer what is the stress assessment tool
-ineffective coping
-anxiety
-caregiver role strain
-readiness for enhanced coping
-stress overload
-impaired comfort
-readiness for enhanced comfort
-readiness for enhanced self-care
, 3
*disturbed energy fields - correct answer different examples of nursing diagnosis' related to stress and
coping
anxiety - correct answer Related to change in health status as evidenced by fatigue and difficulty
concentrating
ineffective coping - correct answer Related to lack of confidence in ability to cope as evidenced by
reported of fatigue, lack of sleep, and anxiety and negative attitude toward recovery
caregiver role strain - correct answer Related to complexity of activities as evidenced by fatigue,
gastrointestinal upset, and weight change
readiness for enhanced coping - correct answer As evidenced by defining stressors as manageable and
verbalizing the need to social support
stress overload - correct answer Related to family violence as evidenced by report of increased feelings
of anger and difficulty making decisions
-Once the assessment are analyzed, nursing diagnosis' are identified and ranked in order of priority
-Highest priority nursing diagnoses are those of life-threatening nature
-Collaboration is incorporated into plan of care
-Encouragement - correct answer planning step of the nursing process related to stress and coping
-Patient will discuss possible coping strategies during weekly office visits
-Patient will report increased ability to concentrate on care instructions before discharge
-caregiver will use respite care for his loved one once a week for the next month
-Patient will attend a support group on a weekly basis
-Patient will discuss strategies for coping with family violence with a social worker within 24 hours -
correct answer examples of planning patient goals
-focuses on decreasing stressors and improving or mobilizing coping strategies. What support is needed?
-Focus on decreasing stressors and improving mobilizing coping strategies
-Need to be agreed on by the patient
-Social and emotional support from family, friends, or significant others have been found to reduce
stress - correct answer implementation step related to stress and coping
-does the patient find that symptoms of stress decreased? Have there been adaptations to coping? Is
the patient's stress being managed better?
-Many people turn to self-care and the use of complementary and alternative modalities for stress
management
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