Stress and Coping Practice Exam Questions Solved Correctly.
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Course
Stress and Coping
Institution
Stress And Coping
When teaching a patient about the negative feedback response to stress, the nurse includes which of the following to describe the benefits of this stress response?
A. Results in neurophysiological response
B. Reduces body temperature
C. Causes a person to be hypervigilant
D. Reduces level of ...
Stress and Coping Practice Exam
Questions Solved Correctly.
When teaching a patient about the negative feedback response to stress, the nurse includes which of the
following to describe the benefits of this stress response?
A. Results in neurophysiological response
B. Reduces body temperature
C. Causes a person to be hypervigilant
D. Reduces level of consciousness to conserve energy - Answer A
Negative feedback senses an abnormal state such as lowered body temperature and makes an adaptive
response such as shivering to generate body heat to return the body to hormonal homeostasis.
A patient who is having difficulty managing his diabetes mellitus responds to the news that his
hemoglobin A1C, a measure of blood sugar control over the past 90 days, has increased by saying, "The
hemoglobin A1C is wrong. My blood sugar levels have been excellent for the last 6 months." Which
defense mechanism is the patient using?
A. Denial.
B. Conversion.
C. Dissociation.
D. Displacement. - Answer A
Denial is avoiding emotional stress by refusing to consciously acknowledge anything that causes
intolerable anxiety. This patient's statements reflect denial about poorly controlled blood sugars.
A grandfather living in Japan worries about his two young grandsons who disappeared after a tsunami.
This is an example of:
A. A situational crisis.
,B. A maturational crisis.
C. An adventitious crisis.
D. A developmental crisis. - Answer C
An adventitious crisis is a type of crisis resulting from a natural disaster such as a tsunami.
The nurse plans care for a 16-year-old male, taking into consideration that stressors experienced most
commonly by adolescents include which of the following?
A. Loss of autonomy caused by health problems
B. Physical appearance, family, friends, and school
C. Self-esteem issues, changing family structure
D. Search for identity with peer groups and separation from family - Answer D
Stressors that apply to preadolescents are self-esteem issues and a changing family structure. A loss of
autonomy caused by health problems applies to the older adult. Stressors that apply to children are
physical appearance, family, friends, and school.
A 10-year-old girl was playing on a slide at a playground during a summer camp. She fell and broke her
arm. The camp notified the parents and took the child to the emergency department according to the
camp protocol for injuries. The parents arrive at the emergency department and are stressed and frantic.
The 10-year-old is happy in the treatment room, eating a Popsicle and picking out the color of her cast.
What is the correct order for the nurse's discussion with the parents?
1. "Can I contact someone to help you?"
2. "Your daughter is happy in the treatment room, eating a Popsicle and picking out the color of her
cast."
3. "I'll have the doctor come out and talk to you as soon as possible."
4. "Let me help you two calm down a bit so I can take you to your daughter."
A. 2, 4, 3, 1
B. 4, 2, 1, 3
, C. 3, 1, 4, 2
D. 2, 3, 4, 1 - Answer A
First and most important the parents need to know the immediate status of their daughter. Letting them
know the situation will help to relieve their immediate stress. Second, helping the parents calm down
and reduce their stress will allow them to see their daughter without increasing the 10-year-old's
anxiety. Third, let the parents know you recognize their need to talk to the doctor as soon as possible
and you will act as their advocate to get that accomplished. Last, but important, you want to ask if there
is anyone you can call to help. There may be children who need to be picked up from camp/day care, and
a neighbor or grandparent may be able to assist.
When assessing an older adult who is showing symptoms of anxiety, insomnia, anorexia, and mild
confusion, one of the first assessments includes which of the following?
A. The amount of family support
B. A 3-day diet recall
C. A thorough physical assessment
D. Threats to safety in her home - Answer C
Stress often causes symptoms similar to physical illnesses. Physical causes for problems need to be
investigated and treated before treatment for stress-related symptoms can be initiated.
A 34-year-old single father who is anxious, tearful, and tired from caring for his three young children tells
the nurse that he feels depressed and doesn't see how he can go on much longer. Which of the following
would be the nurse's best response?
A. "Are you thinking of suicide?"
B. "You've been doing a good job raising your children. You can do it!"
C. "Is there someone who can help you during the evenings and weekends?"
D. "What do you mean when you say you can't go on any longer?" - Answer D
You need to get information about what the gentleman means when he says he can't go on any longer.
He might be thinking of turning his children over to a grandparent or seeking other child-care
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