34.7.0: Review Questions

Review Questions

1 .

Starting a final exam for which the student has not fully prepared will likely elicit which aspect of stress for the student?

1. allostatic load
2. distress
3. maladaptation
4. eustress

2 .

After being terminated from employment, a person stops for a drink and yells at the bartender. The nurse recognizes this behavior as representing what defense mechanism?

1. repression
2. projection
3. displacement
4. intellectualization

3 .

The nursing preceptor corrects the student when what chemical is described as a catecholamine?

1. dopamine
2. norepinephrine
3. epinephrine
4. cortisol

4 .

Allostatic overload describes which circumstance?

1. a level of physiological equilibrium
2. more stress than the person is able to cope with
3. stress that contributes to normal development
4. an incapacitating feeling of unease

5 .

A patient who is admitted to the hospital experiencing an exacerbation of chronic obstructive pulmonary disease is very anxious. The nurse is aware of which likely cause of the patient’s anxiety?

1. extreme pain
2. elevated blood pressure
3. air hunger
4. gastrointestinal upset

6 .

Stress is initially recognized in which part of the brain?

1. limbic system
2. cerebellum
3. Wernicke area
4. brainstem

7 .

A 32-year-old patient who has been laid off from work has frequent episodes of anxiety, particularly in the evenings. This scenario shows that which of the patient’s basic needs is not being met?

1. physiological needs
2. safety and security
3. self-esteem
4. self-actualization

8 .

A nursing student is caring for a patient who has been prescribed a glucocorticoid drug to treat inflammation. The student recognizes this type of drug has which additional result?

1. frequent hypotension
2. severe hives
3. reduced immune response
4. critical weight loss

9 .

A patient has not only lost their home, but the entire city has been demolished by a hurricane. Which type of crisis has the patient experienced?

1. maturational
2. situational
3. development
4. adventitious

10 .

An anxious patient has employed coping strategies that have worked to reduce anxiety in the past, but this time these are not effective. The patient is in which crisis phase?

1. crisis phase 1
2. crisis phase 2
3. crisis phase 3
4. crisis phase 4

11 .

Effective adaptation during the resistance phase of the general adaptation syndrome is anticipated to have what result?

1. homeostasis
2. alarm
3. exhaustion
4. allostatic overload

12 .

Exposure to maternal stressors affects which fetal hormone?

1. calcitonin
2. growth hormone
3. cortisol
4. oxytocin

13 .

Which patient typifies experiencing the developmental milestones of establishing intimacy and independence?

1. an 11-month-old, starting to walk
2. a 6-year-old, starting first grade
3. a 22-year-old, getting married
4. a 64-year-old, retiring

14 .

To counteract the negative effects of a dysfunctional and abusive family, the nurse will recommend a 12-year-old patient try what action?

1. participate in an after-school indoor soccer group
2. bring brochures for counseling home for the parents
3. stay outside with friends to avoid family arguments
4. dissociate from family to prevent conflicts

15 .

What is a frequent stressor faced by the older adult?

1. facing a promotion at work
2. having multiple health problems
3. searching for a new job
4. raising a defiant teenager

16 .

A patient with a long history of bipolar disorder may have difficulty coping with stressful situations for what reason?

1. the complexity of treating the disorder
2. a lack of financial resources
3. established maladaptive techniques
4. a natural tendency toward resilience

17 .

What description characterizes the stress-response theory?

1. a specific reaction to a threat
2. an adaptive response
3. nonspecific responses to a stressor
4. underdeveloped coping

18 .

What theory related to stress and reactions to stress is represented by the following stages: acute, resistance, and exhaustion?

1. allostasis and allostatic load theory
2. stress-response theory
3. psychophysiological stress model
4. general adaptation syndrome

19 .

Roy’s adaptation model includes which concept?

1. the goal of nursing
2. resistance
3. specific diagnoses
4. alarm

20 .

Which action would be constructive for a patient who is adapting to limited mobility after several falls?

1. Encourage the patient’s frequent independent walking.
2. Provide a raised seat for the toilet.
3. Restrict fluid intake.
4. Teach the patient use of a walker.

21 .

During the resistance phase of the general adaptation syndrome, the action of the sympathetic nervous system is opposed by which system?

1. immune system
2. vascular system
3. parasympathetic system
4. endocrine system