NUR1021 1211C PASCO-HERNANDO STATE COLLEGE
QUESTIONS AND ANSWERS | STUDY GUIDE &
PRACTICE TEST 2026/2027
Chapter 37: Stress & Coping
When teaching a patient about the negative feedback response to stress, the nurse includes
which of the following to describe the benefits of this stress response?
A. Results in neurophysiological response.
B. Reduces body temperature.
C. Causes a person to be hypervigilant.
D. Reduces level of consciousness conserve energy.
A. Results in neurophysiological response.
Negative feedback senses an abnormal state such as lowered body temperature and makes an
adaptive response such as shivering to generate body heat to return the body to hormonal
homeostasis.
A nurse observes that a patient whose home life is chaotic with intermittent homelessness, a
child with spina bifida, and an abuse spouse appears to be experiencing an allostatic load.
As a result, the nurse expects to detect which of the following while assessing the patient?
A. Posttraumatic stress disorder.
B. Rising hormone levels.
C. Chronic illness.
D. Return of vital signs to normal.
C. Chronic illness.
An increased allopathic load can result in long-term physiological problems and chronic illness.
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.
A patient who is having difficulty managing his diabetes mellitus response to the news that
his hemoglobin A1C, a measure of blood sugar control over the past 90 days, has increased
by saying, "The hemoglobin A1C is wrong. My blood sugar levels have been excellent for
the last 6 months." The patient is using the defense mechanism.
A. Denial.
B. Conversion.
C. Dissociation.
D. Displacement.
,A. Denial.
, 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.
When doing an assessment of a young woman who was in an automobile accident 6
months before, the nurse learns that the woman has vivid images of the crash whenever
she hears a loud, sudden noise. The nurse recognizes this as:
Posttraumatic stress disorder (PTSD)
PTSD originates with a person's experiencing or witnessing a traumatic event and responding
with intense fear or helplessness. The car accident is the traumatic event.
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.
C. An adventitious crisis.
An adventitious crisis is a type of crisis resulting from a natural disaster such as a tsunami.
During the assessment interview of an older woman experiencing a developmental crisis,
the nurse asks which of the following questions?
A. How is this flood affecting your life?
B. Since your husband has died, what have you been doing in the evening 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.
B. Since your husband has died, what have you been doing in the evening when you feel lonely?
A developmental crisis occurs as a person moves through life's stages, including widowhood.
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 separating from family.
QUESTIONS AND ANSWERS | STUDY GUIDE &
PRACTICE TEST 2026/2027
Chapter 37: Stress & Coping
When teaching a patient about the negative feedback response to stress, the nurse includes
which of the following to describe the benefits of this stress response?
A. Results in neurophysiological response.
B. Reduces body temperature.
C. Causes a person to be hypervigilant.
D. Reduces level of consciousness conserve energy.
A. Results in neurophysiological response.
Negative feedback senses an abnormal state such as lowered body temperature and makes an
adaptive response such as shivering to generate body heat to return the body to hormonal
homeostasis.
A nurse observes that a patient whose home life is chaotic with intermittent homelessness, a
child with spina bifida, and an abuse spouse appears to be experiencing an allostatic load.
As a result, the nurse expects to detect which of the following while assessing the patient?
A. Posttraumatic stress disorder.
B. Rising hormone levels.
C. Chronic illness.
D. Return of vital signs to normal.
C. Chronic illness.
An increased allopathic load can result in long-term physiological problems and chronic illness.
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.
A patient who is having difficulty managing his diabetes mellitus response to the news that
his hemoglobin A1C, a measure of blood sugar control over the past 90 days, has increased
by saying, "The hemoglobin A1C is wrong. My blood sugar levels have been excellent for
the last 6 months." The patient is using the defense mechanism.
A. Denial.
B. Conversion.
C. Dissociation.
D. Displacement.
,A. Denial.
, 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.
When doing an assessment of a young woman who was in an automobile accident 6
months before, the nurse learns that the woman has vivid images of the crash whenever
she hears a loud, sudden noise. The nurse recognizes this as:
Posttraumatic stress disorder (PTSD)
PTSD originates with a person's experiencing or witnessing a traumatic event and responding
with intense fear or helplessness. The car accident is the traumatic event.
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.
C. An adventitious crisis.
An adventitious crisis is a type of crisis resulting from a natural disaster such as a tsunami.
During the assessment interview of an older woman experiencing a developmental crisis,
the nurse asks which of the following questions?
A. How is this flood affecting your life?
B. Since your husband has died, what have you been doing in the evening 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.
B. Since your husband has died, what have you been doing in the evening when you feel lonely?
A developmental crisis occurs as a person moves through life's stages, including widowhood.
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 separating from family.
