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_____________Quiz____________? Which of the following is NOT an accurate statement regarding stress? a. Stress can be an internal or external event b. Stress is experienced by the individual that is perceived and appraised for c. Stress is objective d. Stress can be a demand of life -
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C (Stress is subjective. Not everyone feels stress the same way. One thing that may be stressful to you may not be stressful to someone else.) _____________Quiz____________? Which of the following definitions accurately describes the key term of cognitive appraisal? a. Describes the body's short-term and long-term reactions to stress b. Condition in which all competing elements are in balance c. Individual's perception regarding how stressful an event is or will be d. Cognitive and behavioral efforts to manage stress -
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C
_____________Quiz____________? Which of the following definitions accurately describes the key term of general adaptation syndrome? a. Describes the body's short-term and long-term reactions to stress b. Condition in which all competing elements are in balance c. Individual's perception regarding how stressful an event is or will be d. Cognitive and behavioral efforts to manage stress -
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A
_____________Quiz____________? Chronic stress may lead to: a. Hypoglycemia b. Loss of homeostasis c. Positive psychological manifestations d. Positive social manifestations -
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B
_____________Quiz____________? Which of the following definitions accurately describes the key term of equilibrium? a. Describes the body's short-term and long-term reactions to stress b. Condition in which all competing elements are in balance c. Individual's perception regarding how stressful an event is or will be d. Cognitive and behavioral efforts to manage stress -
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B
_____________Quiz____________? A broken bone would be an example of which source of stress? a. Psychological b. Physiological c. Emotional d. Episodic -
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B
_____________Quiz____________? A patient being diagnosed with dementia would be an example of which source of stress?
a. Psychological b. Physiological c. Emotional d. Episodic -
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B
_____________Quiz____________? The loss of a loved one would be an example of which source of stress? a. Psychological b. Physiological c. Emotional d. Episodic -
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C
_____________Quiz____________? A stressful event that doesn't happen often and is unique would be which type of stress? a. Acute b. Episodic
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C
_____________Quiz____________? Which of the following qualify as individual factors that would put a someone at risk for developing stress? (Select all that apply.) a. Dementia b. Moving to a different state or country c. Depression d. Chronic pain e. Being a caregiver f. Winning the lottery -
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A B C D E
_____________Quiz____________? Which of the following is an example of a primary preventative measure taken to reduce stress? a. Taking a screening test to identify stress b. Taking antidepressants c. Maintaining positive relationships and overall health d. Taking muscle relaxants -
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C
_____________Quiz____________? After the loss of a loved one, you decide to go to counseling sessions to reduce the amount of stress in your life. Which level of prevention does this situation represent? a. Primary b. Secondary c. Tertiary d. Quaternary -
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A
_____________Quiz____________? You decide to schedule an appointment for a screening for stress after your divorce. Which level of prevention does this situation represent? a. Primary b. Secondary c. Tertiary d. Quaternary -
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d. Displacement. -
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A (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.) _____________Quiz____________? 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. -
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C (An adventitious crisis is a type of crisis resulting from a natural disaster such as a tsunami.) _____________Quiz____________? 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 separation from family -
Answer ✓✓
D (Stressors that apply to preadolescents are self-esteem issues and a changing family structure. A loss of autonomy caused by health problems applies to the older adult. Stressors that apply to children are physical appearance, family, friends, and school.) _____________Quiz____________? When assessing an older adult who is showing symptoms of anxiety, insomnia, anorexia, and mild confusion, one of the first assessments includes which of the following? a. The amount of family support b. A 3-day diet recall c. A thorough physical assessment d. Threats to safety in her home -
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C (Stress often causes symptoms similar to physical illnesses. Physical causes for problems need to be investigated and treated before treatment for stress-related symptoms can be initiated.) _____________Quiz____________? A 34-year-old single father who is anxious, tearful, and tired from caring for his three young children tells the nurse that he feels depressed and doesn't see how he can go on much longer. Which of the following would be the nurse's best response?
b. Rising hormone levels c. Chronic illness d. Return of vital signs to normal e. Depression -
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C E (An increased allopathic load can result in long-term physiological and psychological problems such as chronic illness and depression. 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.) _____________Quiz____________? During the assessment interview of an older woman who is recently widowed, the nurse suspects that this woman is experiencing a developmental crisis. Which of the following questions provide information about the impact of this crisis? (Select all that apply.) a. With whom do you talk on a routine basis? b. What do you do 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. e. Do you have any changes in lifestyle habits: sleeping, eating, smoking, and drinking? -
Answer ✓✓
A B E (A developmental crisis occurs as a person moves through the stages of life, including widowhood. It is important to gather information about how this crisis affects her interactions,
coping with loneliness, and any changes in lifestyle habits. Although stress can affect diabetes, there is nothing in this situation that states that the woman has diabetes. Saying, "I know this must be hard for you. Let me tell you what might help" is unacceptable, because the whole purpose of assessment is to gather data and let the patient tell his or her story.) _____________Quiz____________? After a health care provider has informed a patient that he has colon cancer, the nurse enters the room to find the patient gazing out the window in thought. Which of the following are appropriate responses or actions of the nurse? (Select all that apply.) a. "I know another patient whose colon cancer was cured by surgery." b. Straighten the patient's bed and room c. "Have you thought about how you are going to tell your family?" d. "Would you like for me to sit down with you for a few minutes so you can talk about this?" e. Sit quietly with the patient -
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D E (Sitting quietly or asking the patient if he would like you to sit down for a few minutes so he can talk are both effective. This provides the patient some quiet time, knowing that someone is there. Allowing the patient to talk allows the nurse to assess the patient's fears, knowledge, and perception of the situation, which is of utmost importance. The other responses are telling the patient what to do or giving reassurance, and the situation does not call for either of these.) _____________Quiz____________?
a. Increases in antidiuretic hormone (ADH) b. Increases in cortisol c. Increases in aldosterone d. Increases in adrenocorticotropic hormone (ACTH) e. Increases in epinephrine -
Answer ✓✓
B D E (An increased allopathic load can result in long-term physiological and psychological problems such as chronic illness and depression. 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.) _____________Quiz____________? A crisis intervention nurse is working with a mother whose Down syndrome child has been hospitalized with pneumonia and who has lost her child's disability payment while the child is hospitalized. The mother worries that her daughter will fall behind in special-school classes during hospitalization. Which strategies are effective in helping this mother cope with these stressors? (Select all that apply.) a. Referral to social service process reestablishing the child's disability payment b. Sending the child home in 72 hours and having the child return to school c. Coordinating hospital-based and home-based schooling with the child's teacher d. Teaching the mother signs and symptoms of a respiratory tract infection
e. Telling the mother that the stress will decrease in 6 weeks when everything is back to normal -
Answer ✓✓
A C D (The stressors for this parent are her child's illness, missing school, and loss of disability payments. Obtaining resources to resolve these stressors will reduce the mother's stress load and allow her to focus on helping her child improve and preventing another respiratory tract infection. Discharging the child in 72 hours with a return to school may not be best for the child's physical condition and may make the situation worse. Giving the mom a 6-week time frame is unrealistic because everyone's time frame is different. The mom may also need to adjust to a "new normal.") _____________Quiz____________? A staff nurse is talking with the nursing supervisor about the stress that she feels on the job. Which of the following are true about work-related stress? (Select all that apply.) a. Job-related stress can affect the quality of patient care. b. Stress can affect nurses' efficiency and decision making. c. Nurses who talk about feeling stress are unprofessional and should calm down. d. Nurses frequently experience stress with the rapid changes in health care technology. e. Nurses cannot resolve job-related stress. -
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A B D (Nurses frequently experience stress with the rapid changes in health care and when the situation seems out of their personal control. When job stress remains unresolved, patient care
B
_____________Quiz____________? The nurse should document which physiologic stressor after performing a screening assessment on a patient? a. Dementia b. Caregiving of parent c. Divorce d. Death of friend -
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A (Physiologic stressors have physical causes. Dementia is an example of a physiological stressor. Caregiving, divorce, and death of a friend are examples of psychological or emotional stressors.) _____________Quiz____________? A patient has begun smoking again and drinks six alcoholic beverages per day since experiencing the loss of his job. The nurse recognizes that the patient is exhibiting symptoms of which type of stress? a. Psychological b. Emotional c. Physiological
d. Behavioral -
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D (Signs and symptoms of behavioral stress include smoking, overeating, and substance abuse.) _____________Quiz____________? The nurse is creating the plan of care for a patient who was recently hospitalized for the treatment of anxiety and depression related to a diagnosis of cervical cancer 1 month ago. In planning tertiary prevention strategies for this patient, the nurse knows to add which tertiary interventions to the patient's plan of care: a. Counseling b. Screening for stress-related diseases c. A rehabilitation program focused on stress management d. A daily exercise program -
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C (In planning tertiary prevention care for a patient undergoing treatment related to stress, the nurse knows that including recommendations for a rehabilitation program focused on stress management is part of creating tertiary care. The purpose of tertiary care is focused on prevention and rehabilitation of the patient. Option A is incorrect. Counseling is a primary prevention strategy focused on health promotion and protection. Option B is incorrect; screening for stress-related diseases is part of secondary prevention, which focuses on early diagnosis and screening of diseases. Option D is incorrect. Planning a daily exercise program is part of secondary prevention strategies, which focuses on early diagnosis and treatment.)
