Deck 12: Stress, Adaptation, and Anxiety

Question 1

A client is using confrontations with a stepchild as opportunities to teach the child,rather than allowing discussions to become personally disturbing.This situation is an example of which process?

A)adaptation
B)cognitive reframing
C)conditioning
D)maladaptive measures

Answer 1

cognitive reframing

Question 2

Which of the following statements about stressors is TRUE?

A)Stressors reduce the need to adapt.
B)External stressors are more difficult for the individual than internal stressors.
C)Pleasant events reduce stress.
D)Stressors in themselves are neutral.

Answer 2

Stressors in themselves are neutral.

Question 3

When stressors evoke an ineffective response in a person,what is the result?

A)anxiety
B)catharsis
C)distress
D)eustress

Answer 3

distress

Question 4

What happens when a person uses all of his or her adaptive energy?

A)The body defends itself through the fight-or-flight response.
B)Stress-avoidance measures are evoked.
C)Illness,disease,or even death may occur.
D)Unconscious operations begin to defend the mind from anxiety.

Question 5

The holistic response by which individuals adjust stressors and change is known as:

A)adaptation
B)catharsis
C)cognitive reframing
D)crisis intervention

Question 6

Which of these processes allows some individuals to handle a great deal of stress while others find it difficult to handle even a small amount of stress?

A)adaptive measures
B)cognitive reframing
C)conditioning
D)crisis intervention

Question 7

Defense mechanisms are considered to be maladaptive when they:

A)are evoked in nonstressful situations
B)are unconscious decisions
C)become the only way of responding to a threat
D)do not protect the mind from stressors

Question 8

Which of these physiologic changes occur during the first stage of the general adaptation syndrome (GAS)?

A)cool,pale skin;shivering;and perspiration of the hands and soles of the feet
B)loss of equilibrium,tinnitus,and hypertension
C)physical exhaustion,tachypnea,and shortness of breath
D)tachycardia,hyperventilation,and nausea and vomiting

Question 9

Health problems considered to be stress-related include conditions such as asthma,psoriasis,headache,and:

A)gastritis
B)arthritis
C)urinary tract infection
D)cholecystitis

Question 10

When an individual is taught a behavior,what is the process known as before the behavior becomes an automatic response?

A)adaptive reflection
B)cognitive reframing
C)conditioning
D)crisis intervention

Question 11

When faced with the sudden loss of a partner,a client appears to be in an acute state of disorganization and is unable to function in activities of daily living.This client is experiencing:

A)anxiety
B)crisis
C)distress
D)eustress

Question 12

Which of the following are examples of maladaptive measures?

A)excessive eating
B)goal development
C)future-oriented planning
D)daydreaming

Question 13

A client has a nonspecific response to a situation,which places an added demand on the body.This is BEST described as:

A)anxiety
B)crisis
C)distress
D)stress

Question 14

Which of these occur during the second stage of the general adaptation syndrome?

A)anxiety coupled with physical manifestations of stress such as nausea and vomiting
B)exhaustion due to total depletion of adaptive energy
C)fight-or-flight response
D)local adaptation syndrome

Question 15

When a nurse consistently refers to clients as "the gallbladder in 20" or "the noncompliant diabetic in 62," rather than by their names,what process is at work in this nurse?

A)depersonalization
B)burnout
C)maintaining client privacy
D)exhaustion

Question 16

The student nurse has a test scheduled for next week and is anxious to do well.Thus the student nurse spends many hours studying for the test.Which of these terms BEST describes this situation?

A)catharsis
B)distress
C)eustress
D)internal stress

Question 17

A client is diagnosed with cancer and uses denial to protect the mind from the anxiety of the condition.The client has used which process to deal with the situation?

A)adaptive measures
B)crisis interventions
C)defense mechanisms
D)maladaptive measures

Question 18

A student nurse can cope with the stressors of test anxiety by using relaxation,behavioral changes,and support networks.Which of these processes is a work in this situation?

A)adaptive measures
B)defense mechanisms
C)denial
D)maladaptive measures

Question 19

The student nurse has an emotional response to the stress of an upcoming examination.This is an example of:

A)anxiety
B)crisis
C)distress
D)eustress

Question 20

The body is exposed to stressors and attempts to maintain balance or equilibrium among all of the needs of the body.This is BEST described as:

A)homeostasis
B)catharsis
C)general adaptation syndrome
D)adaptation

Question 21

Which of these strategies would be MOST effective in helping a nurse manage professional stress?

A)Work extra shifts to gain management skills.
B)Ask a health care provider for an antianxiety prescription.
C)Recognize personal limits.
D)Drink only decaffeinated beverages.

Question 22

Which of these nursing diagnoses would be appropriate for a client who is experiencing moderate anxiety?

A)hopelessness
B)post-trauma syndrome
C)ineffective coping
D)spiritual distress

Question 23

At the end of a difficult week,the nurse is experiencing physical and emotional exhaustion.This is an example of:

A)burnout
B)crisis
C)distress
D)stress

Question 24

The process by which individuals adapt is called:

A)maintenance
B)change
C)homeostasis
D)stress

Question 25

Which of these questions,if asked by a nurse,would BEST help to identify a client's coping mechanisms?

A)"What are your stressors?"
B)"How have you handled stress in the past?"
C)"Do you often have anxiety attacks?"
D)"Tell me how your family handles stress."

Question 26

A nurse recognizes that a client has a very serious eating disorder and needs immediate counseling and nutritional assistance.Referring the client to health care workers for counseling and nutritional assistance is an example of which process?

A)crisis intervention
B)defense mechanisms
C)depersonalization
D)local adaptation

Question 27

Common approaches for managing stress include relaxation techniques and:

A)learning to play chess
B)joining a church group
C)attending college sports events
D)exercising

Question 28

When the nurse intentionally creates and implements changes to assist the client,the nurse is acting in which role?

A)leader
B)instigator
C)change agent
D)stress manager

Question 29

The client is experiencing physiologic signs and symptoms of stress,including which of the following? (Select all that apply. )

A)irritability
B)nausea
C)increased breathing
D)confusion
E)insomnia
F)headache

Question 30

Which of the following interventions would be MOST appropriate in assisting a client deal with stress? (Select all that apply. )

A)teach relaxation exercises
B)plan care for client
C)minimize environmental stimuli
D)encourage verbalization of feelings
E)encourage increase in workload
F)establish a trusting relationship