Chapter 37: Stress and Coping Study Guide Exam And All Actual Answers.
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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 ...
Chapter 37: Stress and Coping Study
Guide Exam And All Actual Answers.
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 conserve energy. - Answer A. Results in neurophysiological response.
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 nurse observes that a patient whose home life is chaotic with intermittent homelessness, a child with
spina bifida, and an abuse spouse appears to be experiencing an allostatic load. As a result, the nurse
expects to detect which of the following while assessing the patient?
A. Posttraumatic stress disorder.
B. Rising hormone levels.
C. Chronic illness.
D. Return of vital signs to normal. - Answer C. Chronic illness.
An increased allopathic load can result in long-term physiological problems and chronic illness.
Posttraumatic stress disorder results from a single traumatic event. Hormone levels rise in the alarm
stage. Vital signs return to normal in the resistance stage.
A patient who is having difficulty managing his diabetes mellitus response 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." The patient
is using the defense mechanism.
A. Denial.
B. Conversion.
C. Dissociation.
D. Displacement. - Answer A. Denial.
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.
When doing an assessment of a young woman who was in an automobile accident 6 months before, the
nurse learns that the woman has vivid images of the crash whenever she hears a loud, sudden noise. The
nurse recognizes this as: - Answer Posttraumatic stress disorder (PTSD)
PTSD originates with a person's experiencing or witnessing a traumatic event and responding with
intense fear or helplessness. The car accident is the traumatic event.
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.
An adventitious crisis is a type of crisis resulting from a natural disaster such as a tsunami.
During the assessment interview of an older woman experiencing a developmental crisis, the nurse asks
which of the following questions?
, A. How is this flood affecting your life?
B. Since your husband has died, what have you been doing in the evening when you feel lonely?
C. How is having diabetes affecting your life?
D. I know this must be hard for you. Let me tell you what might help. - Answer B. Since your husband
has died, what have you been doing in the evening when you feel lonely?
A developmental crisis occurs as a person moves through life's stages, including widowhood.
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 separating from family. - Answer D. Search for identity with
peer groups and separating from family.
Search for identity with peer groups and separating from family are stressors most commonly
experienced by adolescents. Loss of autonomy caused by health problems applies to the older adult.
Physical appearance, family, friends, and school apply to children. Self-esteem issues and a changing
family structure apply to preadolescents.
A child who has been in a house fire comes to the emergency department with her parents. The child
and parents are upset and tearful. During the nurse's first assessment for stress the nurse says:
A. " Tel me who I can call to help you."
B. "Tell me what bothers you the most about this experience."
C. "I'll contact someone who can help you get temporary housing."
D. "I'll sit with you until other family members can come help you get settled." - Answer B. "Tell me
what bothers you the most about this experience."
The patients' appraisal of the crisis is the most important area to address first.
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