Question 1

A client is experiencing anxiety related to hospitalization.When assessing this client,the nurse anticipates which assessment finding?&#10;A) Increased socialization&#10;B) Improved sleep&#10;C) Greater recall ability&#10;D) Disengagement from the stressor

Accepted Answer

Stress doesn't always look like a "stressor response." Some people internalize stress.They withdraw or seem disengaged from an obvious stressor,when stressed.

Question 2

Which of the following is true in relation to stress?&#10;A) Men and women respond to stress in the same fashion.&#10;B) Culture does not affect the stress experience.&#10;C) Stress is always a negative experience.&#10;D) Stress can have protective and adaptive functions.

Accepted Answer

Hans Selye used the term eustress to describe a short-term mild level of stress.It acts as a positive stress response with protective and adaptive functions and is perceived as being within the person's ability to manage.Current research suggests that men and women respond to stress differently.The nurse should pay attention to cultural values.What is a small stressor in one culture can be huge in another,and normal coping strategies can be quite different.Stress results from positive as well as negative forces,for example,a job promotion,impending wedding,or birth of a child.

Question 3

A short-term mild level of stress that acts as a positive stress response with protective and adaptive functions and is perceived as being within the person's ability to manage is known as&#10;A) stress.&#10;B) eustress.&#10;C) stressor.&#10;D) distress.

Accepted Answer

Hans Selye used the term eustress to describe a short-term mild level of stress.It acts as a positive stress response with protective and adaptive functions and is perceived as being within the person's ability to manage.Stress represents a natural physiologic,psychological,and spiritual response to the presence of a stressor.A stressor is defined as a demand,situation,internal stimulus,or circumstance that threatens a person's personal security or self-integrity.Distress is defined as a negative stress that causes a higher level of anxiety and is perceived as exceeding the person's coping abilities.It is experienced as being unpleasant and diminishes performance.

Question 4

Current research suggests that men and women respond to stress in which of the following ways?&#10;A) Men use nurturing activities to reduce stress.&#10;B) Women use a &#34;tend and befriend&#34; approach to stress.&#10;C) Men and women respond to stress in a similar manner.&#10;D) Women respond to stress with patterns of &#34;fight or flight.&#34;

Accepted Answer

Current research suggests that men and women respond to stress differently.Men respond with patterns of "fight or flight" while women use a "tend and befriend" approach.Women use nurturing activities to reduce stress and promote safety for self and others.They seek social support from others,particularly from other women.

Question 5

A three-stage progressive pattern of nonspecific physiologic responses known as alarm,resistance,and exhaustion is based on&#10;A) Cannon's scientific physiologic response theory.&#10;B) Selye's General Adaptation Syndrome.&#10;C) Holmes and Rahe's stimuli stress model.&#10;D) Lazarus and Folkman's transactional model of stress.

Accepted Answer

Hans Selye's General Adaptation Syndrome describes responses to longer-term stress exposure.Selye described a three-stage progressive pattern of nonspecific physiologic responses,which he branded as alarm,resistance,and exhaustion.Walter Cannon was the first to describe a scientific physiological basis for an acute stress response.Cannon believed that when people feel physically well,emotionally centered,and personally secure,they are in a state of dynamic equilibrium or homeostasis.Stress disturbs homeostasis.Thomas Holmes and Richard Rahe developed a stress model that considered stressful life events such as marriage,divorce,death,and losing a job as stimuli that threaten or disrupt homeostasis.Lazarus and Folkman's transactional model of stress is one of the most widely used to explain stress responses.It is based on the premise of a dynamic relationship between a situation or circumstance in the environment (stressor)and the individual experiencing the stressor that accounts for its impact on a person.

Question 6

The nurse is conducting a family assessment in which alcoholism by the parents is suspected.When assessing the children within this family for symptoms of stress,the nurse recognizes that&#10;A) the children will most likely verbalize their feelings about the stressor.&#10;B) the children will demonstrate the ability to sort out the meaning of the illness.&#10;C) signs of distress can include academic decline, gastric distress, and headaches.&#10;D) physical complaints by the children can only be related to a physiological etiology.

Accepted Answer

Signs of distress such as academic decline,gastric distress,and headaches can alert the nurse to unvoiced stress.Children express stress through behavior.Health disruptions create special problems for children because they lack the words and life experience to sort out the meaning of illness,either their own or that of a significant family member.

Question 7

A client's spouse becomes anxious and demonstrates hostility toward the nurse.The best response by the nurse is to&#10;A) recognize the spouse feels a sense of control.&#10;B) view the hostility as a personal attack.&#10;C) become stoic and refrain from listening to the spouse.&#10;D) respond empathetically to contributory themes and feelings.

Accepted Answer

What a hostile anxious client or family needs most at that moment-despite their behavior-is understanding,comforting,and human caring.The nurse should listen,ask,and respond empathetically to contributory themes and feelings.Anger and hostility are the most common stress emotions associated with feeling helpless or psychologically threatened.Recognizing hostility as a cry for help in coping with escalating stress makes it easier to respond empathetically.Most outbursts have little to do with the nurse personally other than that the nurse is available,is the one most involved with the care of the loved one,and is least likely to retaliate.

Question 8

Which of the following interventions would be classified as secondary prevention for stress?&#10;A) Classify stressor&#10;B) Mobilize resources&#10;C) Educate client and family&#10;D) Coordinate resources

Accepted Answer

Mobilizing resources is classified as a secondary prevention intervention.A primary intervention is to classify the stressor.Educating client and family is a primary intervention.Coordinating resources is a tertiary intervention.

Question 9

A client tells the nurse,&#34;I think I'm losing my mind.&#34; The best response by the nurse is&#10;A) &#34;Tell me what you are experiencing right now.&#34;&#10;B) &#34;You should take a nap now; it will help you to feel better.&#34;&#10;C) &#34;If you say that you're losing mind, you really will lose your mind.&#34;&#10;D) &#34;I don't think you really feel that you are losing your mind.&#34;

Accepted Answer

The nurse should listen carefully and ask gentle,probing questions.A helpful statement can include,"Can you tell me what you are experiencing right now?" This listening response allows the client to put concerns into words.The nurse should allow clients to be in charge of areas and issues that are not at odds with a treatment protocol,and helping clients discover the real causes of their frustration can reduce stress through direct action.Clients experiencing stress should be given the opportunity to express their feelings,thoughts,and worries.Crying,anger,and magical thinking are normal reactions to situations that one cannot control.Acknowledging the legitimacy of feelings as a normal response to an abnormal situation reinforces the client's self-integrity and helps the client put boundaries on their anxiety.

Question 10

The nurse is caring for a client who works as a boxer.The client states,"I was picked on a lot when I was little,so I got really angry and now I work through the anger by boxing." The nurse recognizes the client is demonstrating which ego defense mechanism?

A) Denial
B) Intellectualization
C) Sublimation
D) Repression

Accepted Answer

Sublimation is redirecting socially unacceptable unconscious thoughts and feelings into socially approved outlets.Sublimation is used to channel extreme anger impulses into acceptable behaviors-for example by becoming a butcher or boxer.Denial is the unconscious refusal to allow painful facts,feelings,or perceptions into awareness.Intellectualization is the unconscious focusing on only the intellectual and not the emotional aspects of a situation or circumstance.Repression is unconscious forgetting of parts or all of an experience.

Question 11

A client who has been diagnosed with cancer asks the nurse,&#34;If I take the chemotherapy,will I be cured,or am I going to die anyway?&#34; The nurse's best response is&#10;A) &#34;Tell me what prompted your question.&#34;&#10;B) &#34;I don't think you should have chemotherapy; it will harm you more than help you.&#34;&#10;C) &#34;Let's not talk about dying; I'm sure you will be cured.&#34;&#10;D) &#34;I really don't think you should worry about such things; it isn't something you can control.&#34;

Accepted Answer

The answer of A client who has been diagnosed with...

Question 12

A nurse consistently works extra shifts in the hope of earning a promotion.The nurse is becoming increasingly fatigued and frustrated because the promotion has not occurred.The nurse is experiencing&#10;A) distress.&#10;B) burnout.&#10;C) eustress.&#10;D) primary appraisal.

Accepted Answer

The answer of A nurse consistently works extra shifts in...

Deck 16: Empowerment-Oriented Communication Strategies to Reduce Stress