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Geri - Chapter 13: Copin and Stress Complete Questions and Answers

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Geri - Chapter 13: Copin and Stress
Complete Questions and Answers
1. The nurse is aware that stress-related physical, behavioral, and cognitive changes are more
likely to occur when the stress:
a. has a sudden onset.
b. is low level but constant.
c. is varied and cumulative.
d. is suppressed or denied. - ANSWER - ANS: C
An accumulation of a variety of stressors is most likely to cause physical, behavioral, or
cognitive changes.
DIF: Cognitive Level: Comprehension REF: 224


2. The nurse is aware that in the first stage of the general adaptation syndrome (GAS), the body
responds by:
a. decreasing the heart rate.
b. constricting peripheral vessels.
c. decreasing blood glucose levels.
d. decreasing blood pressure. - ANSWER - ANS: B
The body's response during the alarm phase of the GAS is to increase heart rate and glucose
levels, constrict peripheral vessels to increase the blood pressure, and supply more blood to the
brain to ready the body to be in the fight-or-flight mode.
DIF: Cognitive Level: Comprehension REF: 226, Table 13-2


3. An extremely stressed woman is in the emergency department after a car wreck. She is
breathing rapidly and complains of dizziness and tingling in her extremities. She says, "I think
I'm having a heart attack!" The nurse recognizes these complaints as being related to:
a. a transient ischemic attack.
b. hyperventilation.
c. hypotension.
d. asthma. - ANSWER - ANS: B

, An increased respiratory rate associated with stress can lead to hyperventilation, with its
attendant distressing symptoms.
DIF: Cognitive Level: Application REF: 226, Table 13-2


4. The student sitting in class waiting for the final examination develops nausea and excessive
gas. The nursing instructor is aware that these symptoms are caused by a stress-related:
a. increase in the blood glucose level.
b. release of hormones.
c. reduction of peristalsis.
d. decrease in adrenalin. - ANSWER - ANS: C
The stress response of decreased peristalsis will cause abdominal distention, nausea, and gas.
The continued response can result in constipation.
DIF: Cognitive Level: Application REF: 226, Table 13-2


5. The nurse recognizes a stress-related urinary symptom when the patient complains:
a. "I have to urinate every 10 minutes, and there are only a few drops."
b. "I haven't had to urinate for the past 8 hours."
c. "I void large amounts of urine every 2 hours."
d. "My urine has absolutely no color. It looks like water." - ANSWER - ANS: A
Frequent voiding of only a small amount of urine is an indicator of stress.
DIF: Cognitive Level: Application REF: 226, Table 13-2


6. The nurse explains that mild stress can cause a person to be:
a. indecisive.
b. excessively alert.
c. unable to focus.
d. ineffective in problem solving. - ANSWER - ANS: B
Mild stress allows the person to be hyperalert, focused, and able to learn and solve problems.
As stress increases, these abilities deteriorate.
DIF: Cognitive Level: Application REF: 225 OBJ: 2

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