Portage Learning
2 MAXE · 132 SRUN
★ ★
NURS 231 — Exam 2: Stress, Communication, Safety & Education
P
TO TRANSFORM LIVES AND COMMUNITIES BY PROVIDING LEARNING
EST. 1972
OPPORTUNITIES FOR ALL WHO ASPIRE TO THRIVE.
Portage Learning NURS 231 Exam 2 — Stress,
Communication, Safety & Education
CO M P L E T E Q U E ST I O N S & CO R R E CT D E TA I L E D A N S W E RS
INSTITUTION Portage Learning PROGRAM Bachelor of Science in Nursing
COURSE CODE NURS 231 COURSE TITLE Fundamentals of Nursing
ACADEMIC YEAR EXAM TITLE Portage Learning NURS 231 Exam
2
TOTAL QUESTIONS 100 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Stress theory, communication, QSEN competencies, patient safety, interprofessional collaboration, and
patient education are all testable content.
▸ General Adaptation Syndrome, ISBARR, and the nursing role in education are emphasized.
▸ Correct answers and clinical rationales appear below each question.
▸ All content reflects current nursing practice standards.
, SECTION I — STRESS, COMMUNICATION, SAFETY &
Questions 1 – 100
EDUCATION: COMPREHENSIVE REVIEW
1. What is stress?
A. A state of mental, emotional, or physiological strain or tension resulting from a
demanding circumstance (actual or perceived) whether positive or negative
B. Only a negative emotional response
C. Only a physical response
D. A rare occurrence in healthcare
CORRECT ANSWER A — A state of mental, emotional, or physiological strain or tension
resulting from a demanding circumstance (actual or perceived) whether
positive or negative
RATIONALE Stress is a state of mental, emotional, or physiological strain or tension resulting
from a demanding circumstance, whether actual or perceived, and whether
positive or negative. It is a universal experience that can have both beneficial and
harmful effects.
2. What is homeostasis?
A. Imbalance in the body
B. Balance
C. The stress response
D. A state of disease
CORRECT ANSWER B — Balance
RATIONALE Homeostasis is the body's state of balance or equilibrium. It is the dynamic steady
state marked by appropriate regulatory responses that maintain internal balance.
Stress disrupts homeostasis, and the body works to restore it.
,3. Who is Hans Selye and what is his contribution to stress theory?
A. The father of stress theory, known for eustress and distress and the General Adaptation
Syndrome
B. A nursing theorist who developed the adaptation model
C. A psychologist who studied personality
D. A physician who developed the first stress medication
CORRECT ANSWER A — The father of stress theory, known for eustress and distress and the
General Adaptation Syndrome
RATIONALE Hans Selye is known as the father of stress theory. He identified two kinds of
stress (eustress and distress) and developed the General Adaptation Syndrome
(GAS), which describes the body's three-stage response to stress.
4. What are the two kinds of stress Hans Selye is known for?
A. Acute and Chronic
B. Eustress and Distress
C. Physical and Emotional
D. Internal and External
CORRECT ANSWER B — Eustress and Distress
RATIONALE Hans Selye identified two kinds of stress: Eustress ("good stress") which is a
positive response that can be beneficial, and Distress ("bad stress") which is
negative, overwhelming, and can lead to harmful health effects.
, 5. What is eustress?
A. "Good stress" — positive response, although still a stressor, the reaction depends on the
person's perception
B. "Bad stress" — negative and overwhelming
C. A type of stress that only occurs in healthcare
D. A rare type of stress
CORRECT ANSWER A — "Good stress" — positive response, although still a stressor, the
reaction depends on the person's perception
RATIONALE Eustress is "good stress" that is interpreted as beneficial. Although it is still a
stressor, the body cannot tell the difference, but the reaction depends on the
person's perception. Eustress can be motivating and energizing.
6. What is distress?
A. "Good stress" — positive response
B. "Bad stress" — negative and overwhelming, might lead to PTSD
C. A type of stress that only occurs in patients
D. A beneficial type of stress
CORRECT ANSWER B — "Bad stress" — negative and overwhelming, might lead to PTSD
RATIONALE Distress is "bad stress" that is negative and overwhelming. It can lead to harmful
health effects and, in severe cases, may contribute to conditions such as post-
traumatic stress disorder (PTSD).
2 MAXE · 132 SRUN
★ ★
NURS 231 — Exam 2: Stress, Communication, Safety & Education
P
TO TRANSFORM LIVES AND COMMUNITIES BY PROVIDING LEARNING
EST. 1972
OPPORTUNITIES FOR ALL WHO ASPIRE TO THRIVE.
Portage Learning NURS 231 Exam 2 — Stress,
Communication, Safety & Education
CO M P L E T E Q U E ST I O N S & CO R R E CT D E TA I L E D A N S W E RS
INSTITUTION Portage Learning PROGRAM Bachelor of Science in Nursing
COURSE CODE NURS 231 COURSE TITLE Fundamentals of Nursing
ACADEMIC YEAR EXAM TITLE Portage Learning NURS 231 Exam
2
TOTAL QUESTIONS 100 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Stress theory, communication, QSEN competencies, patient safety, interprofessional collaboration, and
patient education are all testable content.
▸ General Adaptation Syndrome, ISBARR, and the nursing role in education are emphasized.
▸ Correct answers and clinical rationales appear below each question.
▸ All content reflects current nursing practice standards.
, SECTION I — STRESS, COMMUNICATION, SAFETY &
Questions 1 – 100
EDUCATION: COMPREHENSIVE REVIEW
1. What is stress?
A. A state of mental, emotional, or physiological strain or tension resulting from a
demanding circumstance (actual or perceived) whether positive or negative
B. Only a negative emotional response
C. Only a physical response
D. A rare occurrence in healthcare
CORRECT ANSWER A — A state of mental, emotional, or physiological strain or tension
resulting from a demanding circumstance (actual or perceived) whether
positive or negative
RATIONALE Stress is a state of mental, emotional, or physiological strain or tension resulting
from a demanding circumstance, whether actual or perceived, and whether
positive or negative. It is a universal experience that can have both beneficial and
harmful effects.
2. What is homeostasis?
A. Imbalance in the body
B. Balance
C. The stress response
D. A state of disease
CORRECT ANSWER B — Balance
RATIONALE Homeostasis is the body's state of balance or equilibrium. It is the dynamic steady
state marked by appropriate regulatory responses that maintain internal balance.
Stress disrupts homeostasis, and the body works to restore it.
,3. Who is Hans Selye and what is his contribution to stress theory?
A. The father of stress theory, known for eustress and distress and the General Adaptation
Syndrome
B. A nursing theorist who developed the adaptation model
C. A psychologist who studied personality
D. A physician who developed the first stress medication
CORRECT ANSWER A — The father of stress theory, known for eustress and distress and the
General Adaptation Syndrome
RATIONALE Hans Selye is known as the father of stress theory. He identified two kinds of
stress (eustress and distress) and developed the General Adaptation Syndrome
(GAS), which describes the body's three-stage response to stress.
4. What are the two kinds of stress Hans Selye is known for?
A. Acute and Chronic
B. Eustress and Distress
C. Physical and Emotional
D. Internal and External
CORRECT ANSWER B — Eustress and Distress
RATIONALE Hans Selye identified two kinds of stress: Eustress ("good stress") which is a
positive response that can be beneficial, and Distress ("bad stress") which is
negative, overwhelming, and can lead to harmful health effects.
, 5. What is eustress?
A. "Good stress" — positive response, although still a stressor, the reaction depends on the
person's perception
B. "Bad stress" — negative and overwhelming
C. A type of stress that only occurs in healthcare
D. A rare type of stress
CORRECT ANSWER A — "Good stress" — positive response, although still a stressor, the
reaction depends on the person's perception
RATIONALE Eustress is "good stress" that is interpreted as beneficial. Although it is still a
stressor, the body cannot tell the difference, but the reaction depends on the
person's perception. Eustress can be motivating and energizing.
6. What is distress?
A. "Good stress" — positive response
B. "Bad stress" — negative and overwhelming, might lead to PTSD
C. A type of stress that only occurs in patients
D. A beneficial type of stress
CORRECT ANSWER B — "Bad stress" — negative and overwhelming, might lead to PTSD
RATIONALE Distress is "bad stress" that is negative and overwhelming. It can lead to harmful
health effects and, in severe cases, may contribute to conditions such as post-
traumatic stress disorder (PTSD).
