Question 1

What is the role of endorphins in the stress response?&#10;A) Control appetite&#10;B) Regulate electrolyte balance&#10;C) Produce a sense of well-being and reduce pain&#10;D) Play a major role in sleep regulation and mood states

Accepted Answer

Endorphins are peptides secreted by the brain that can act like natural painkillers, reducing the sensation of pain and producing a sense of well-being. Endorphins are released during times of stress and can help to mitigate stress responses.

Question 2

Which of the following terms reflects stress that protects health?&#10;A) Distress&#10;B) Eustress&#10;C) Good stress&#10;D) Response stress

Accepted Answer

Eustress is a term used to describe stress that has a positive effect on an individual's overall health and wellbeing by motivating them to perform at their best. It is often referred to as "good stress" and can help individuals cope with challenging situations and improve their resilience.

Question 3

The nurse is involved in crisis intervention with a family in which the father has just lost his job and is experiencing periods of depression.The mother has a chronic debilitating illness that has put added responsibilities on the adolescent child,who is having behavioural problems.How does the nurse help the family focus on their feelings?

A) Pointing out the connection between the situation and their responses
B) Encouraging the use of the family's usual coping skills
C) Working on time management skills
D) Discussing past experiences

A

Accepted Answer

Pointing out the connection between the situation and their responses helps the family recognize the impact of the situation on their feelings and behavior, and facilitates a better understanding of their reactions. This can lead to a more effective coping mechanism in dealing with the crisis. Encouraging the use of the family's usual coping skills is also helpful, but it is not directly related to focusing on their feelings in the crisis situation. Working on time management skills and discussing past experiences may be helpful in the overall management of the crisis, but they do not specifically address the need to focus on the family's feelings.

Question 4

A 23-year-old patient who recently had a head injury from a motor vehicle accident is unconscious.Which of the following physiological adaptations is primarily responsible for the patient's level of consciousness?

A) Medulla oblongata
B) Reticular formation
C) Pituitary gland
D) External stress response

Accepted Answer

The reticular formation is responsible for regulating a person's level of consciousness. Injuries to this area can result in loss of consciousness or coma. The other options (medulla oblongata, pituitary gland, external stress response) are not directly responsible for regulating consciousness.

Question 5

The husband of a patient with terminal cancer has expressed a high degree of stress over his role as caregiver.When asked whether he has suicidal or homicidal thoughts,he answers,"Sometimes." Which of the following statements by the nurse is most therapeutic initially?

A) "What is the hardest part about your wife's impending death?"
B) "Can you describe your plan for killing yourself and your wife?"
C) "What can I do to help make caring for your wife less stressful?"
D) "Can you tell me how caring for your wife has affected you personally?"

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Accepted Answer

The nurse needs to assess the immediacy and seriousness of the suicidal or homicidal thoughts to ensure the safety of the patient and others.

Question 6

PTSD is diagnosed when symptoms have lasted for at least how long?&#10;A) One week&#10;B) One month&#10;C) Six months&#10;D) One year

Accepted Answer

PTSD is diagnosed when symptoms have lasted for at least one month, according to the DSM-5 criteria.

Question 7

The nurse is working with patients in an outpatient health care setting.One of the patients is experiencing job-related stress.Which of the following factors may indicate chronic stress?&#10;A) Avoiding discussion of job problems&#10;B) Saying negative things about other colleagues&#10;C) Experiencing chronic pain and irritable bowel syndrome&#10;D) Blaming the boss for being unreasonably demanding

Accepted Answer

Chronic pain and irritable bowel syndrome are physical symptoms that may indicate chronic stress. A is a common coping mechanism, while B and D do not necessarily indicate chronic stress.

Question 8

Which of the following is an example of a situational factor that affects the types of potential stressors and coping mechanisms?&#10;A) Divorce&#10;B) Death of a parent&#10;C) Employment promotion&#10;D) Living with continued violence

Accepted Answer

The answer of Which of the following is an example...

Question 9

During the end-of-shift report,the nurse notes that the patient had been very nervous and preoccupied during the evening and that no family visited.To determine the amount of anxiety that the patient is experiencing,how should the nurse respond to the patient?

A) "Would you like to have me call a family member to come and support you?"
B) "Would you like to go down the hall and talk with another patient who had the same surgery?"
C) "How serious do you think your illness is?"
D) "You seem worried about something. Would it help to talk about it?"

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Accepted Answer

Asking open-ended questions like "You seem worried about something. Would it help to talk about it?" can allow the patient to express their concerns and provide a better understanding of their anxiety levels. Option A assumes that the patient has family members available, while option B involves introducing the patient to another person, which may not be appropriate depending on the patient's condition. Option C does not address the patient's anxiety and may not provide helpful information.

Question 10

Nurses in the medical centre are working with patients experiencing post-traumatic stress disorder (PTSD)after losing family members from severe acute respiratory syndrome.Which of the following approaches would be appropriate to incorporate into the plan of care?

A) Suppression of anxiety-producing memories
B) Reinforcement that the PTSD is short term
C) Promotion of relaxation strategies
D) Focusing on physical needs

Accepted Answer

Promotion of relaxation strategies would be appropriate in the plan of care for patients with PTSD. This can include techniques like deep breathing, progressive muscle relaxation, and mindfulness meditation, which can help reduce symptoms of anxiety and stress. Suppression of anxiety-producing memories is not recommended as it can lead to avoidance behavior and worsen symptoms. Reinforcement that the PTSD is short term is not appropriate as PTSD can be a chronic disorder. Focusing on physical needs alone would not address the psychological and emotional aspects of PTSD.

Question 11

Which of the following is part of the fight-or-flight response?&#10;A) Decreased heart rate&#10;B) Increased respiratory rate&#10;C) Decreased blood pressure&#10;D) Elevated temperature

Accepted Answer

The answer of Which of the following is part of...

Question 12

A 72-year-old patient is in a long-term care facility after having had a cerebrovascular accident.The patient is noncommunicative,enteral feedings are not being absorbed,and respirations are becoming laboured.Which of the stages of the general adaptation syndrome is the patient experiencing?

A) Resistance stage
B) Exhaustion stage
C) Reflex pain response
D) Alarm reaction

Accepted Answer

The answer of A 72-year-old patient is in a long-term...

Question 13

Which of the following is a recommended intervention for reducing the incidence of heart disease?&#10;A) Regular physical exercise&#10;B) Attendance at a support group&#10;C) Self-awareness skill development&#10;D) Time management

Accepted Answer

The answer of Which of the following is a recommended...

Question 14

Which of the following statements made by the nurse shows the best understanding of the therapeutic value of a support system for the patient experiencing stress?&#10;A) &#34;They will be there when you need them and make sure you will have your needs met.&#34;&#10;B) &#34;They will provide you with someone to talk with about your problems and support your decisions.&#34;&#10;C) &#34;When you are experiencing stress, it is always comforting to have people who care about you nearby.&#34;&#10;D) &#34;These individuals have experienced what you are going through and can offer you effective suggestions.&#34;

Accepted Answer

The answer of Which of the following statements made by...

Question 15

In the general adaptation syndrome theory,which of the following decreases?&#10;A) Heart rate&#10;B) Mental acuity&#10;C) Urine output&#10;D) Arterial blood pressure

Accepted Answer

The answer of In the general adaptation syndrome theory,which of...

Deck 29: Stress and Adaptation