Chamberlain University NR 222 Exam 4 (docx) |
2026/2027 | Stress Management & Mental Wellness
Q&A | Nursing
1. When recognizing a short-term threat, what principle about acute stress response should guide
nursing care?
A) Sympathetic activation raises heart rate and alertness
B) It immediately suppresses all autonomic activity
C) Apply acute stress response without considering individual needs or circumstances
D) Delay assessment of acute stress response until all stressors have resolved
Correct Answer: Sympathetic activation raises heart rate and alertness
Rationale: Sympathetic activation raises heart rate and alertness. This is the relevant principle of
acute stress response when recognizing a short-term threat, and it supports individualized health
promotion. The alternative suggesting that it immediately suppresses all autonomic activity is
inconsistent with the concept or overgeneralizes its effects. Nursing care should assess the person’s
circumstances, preferences, available resources, and safety rather than rely on a rigid or delayed
response.
2. In a discussion of hpa axis, which statement is most accurate?
A) The adrenal medulla is the sole source of cortisol
B) The hypothalamus initiates signaling that culminates in cortisol release
C) Apply hpa axis without considering individual needs or circumstances
D) Delay assessment of hpa axis until all stressors have resolved
,Correct Answer: The hypothalamus initiates signaling that culminates in cortisol release
Rationale: The hypothalamus initiates signaling that culminates in cortisol release. This is the
relevant principle of hpa axis when explaining prolonged stress physiology, and it supports
individualized health promotion. The alternative suggesting that the adrenal medulla is the sole
source of cortisol is inconsistent with the concept or overgeneralizes its effects. Nursing care should
assess the person’s circumstances, preferences, available resources, and safety rather than rely on
a rigid or delayed response.
3. A nurse is evaluating sustained stress; which interpretation of cortisol is appropriate?
A) It always improves immune defenses with chronic exposure
B) Apply cortisol without considering individual needs or circumstances
C) Persistent elevation can impair sleep and immune regulation
D) Delay assessment of cortisol until all stressors have resolved
Correct Answer: Persistent elevation can impair sleep and immune regulation
Rationale: Persistent elevation can impair sleep and immune regulation. This is the relevant principle
of cortisol when evaluating sustained stress, and it supports individualized health promotion. The
alternative suggesting that it always improves immune defenses with chronic exposure is
inconsistent with the concept or overgeneralizes its effects. Nursing care should assess the person’s
circumstances, preferences, available resources, and safety rather than rely on a rigid or delayed
response.
4. For supporting a student before a presentation, what response best reflects eustress?
A) All stress is necessarily harmful
B) Apply eustress without considering individual needs or circumstances
C) Delay assessment of eustress until all stressors have resolved
,D) Manageable challenge can motivate adaptive performance
Correct Answer: Manageable challenge can motivate adaptive performance
Rationale: Manageable challenge can motivate adaptive performance. This is the relevant principle
of eustress when supporting a student before a presentation, and it supports individualized health
promotion. The alternative suggesting that all stress is necessarily harmful is inconsistent with the
concept or overgeneralizes its effects. Nursing care should assess the person’s circumstances,
preferences, available resources, and safety rather than rely on a rigid or delayed response.
5. Consider distress while assessing overwhelming demands; which explanation is supported?
A) Demands exceed perceived coping resources and disrupt function
B) Any challenging task is automatically distress
C) Apply distress without considering individual needs or circumstances
D) Delay assessment of distress until all stressors have resolved
Correct Answer: Demands exceed perceived coping resources and disrupt function
Rationale: Demands exceed perceived coping resources and disrupt function. This is the relevant
principle of distress when assessing overwhelming demands, and it supports individualized health
promotion. The alternative suggesting that any challenging task is automatically distress is
inconsistent with the concept or overgeneralizes its effects. Nursing care should assess the person’s
circumstances, preferences, available resources, and safety rather than rely on a rigid or delayed
response.
6. During education about general adaptation syndrome, which point should the nurse emphasize?
A) Adaptation always prevents eventual exhaustion
, B) Alarm, resistance, and exhaustion describe prolonged stress responses
C) Apply general adaptation syndrome without considering individual needs or circumstances
D) Delay assessment of general adaptation syndrome until all stressors have resolved
Correct Answer: Alarm, resistance, and exhaustion describe prolonged stress responses
Rationale: Alarm, resistance, and exhaustion describe prolonged stress responses. This is the
relevant principle of general adaptation syndrome when teaching Selye's framework, and it supports
individualized health promotion. The alternative suggesting that adaptation always prevents eventual
exhaustion is inconsistent with the concept or overgeneralizes its effects. Nursing care should
assess the person’s circumstances, preferences, available resources, and safety rather than rely on
a rigid or delayed response.
7. How should a nurse apply alarm stage when interpreting sudden danger?
A) Long-term depletion is the first physiological response
B) Apply alarm stage without considering individual needs or circumstances
C) Immediate fight-or-flight changes prepare the body for action
D) Delay assessment of alarm stage until all stressors have resolved
Correct Answer: Immediate fight-or-flight changes prepare the body for action
Rationale: Immediate fight-or-flight changes prepare the body for action. This is the relevant principle
of alarm stage when interpreting sudden danger, and it supports individualized health promotion. The
alternative suggesting that long-term depletion is the first physiological response is inconsistent with
the concept or overgeneralizes its effects. Nursing care should assess the person’s circumstances,
preferences, available resources, and safety rather than rely on a rigid or delayed response.
2026/2027 | Stress Management & Mental Wellness
Q&A | Nursing
1. When recognizing a short-term threat, what principle about acute stress response should guide
nursing care?
A) Sympathetic activation raises heart rate and alertness
B) It immediately suppresses all autonomic activity
C) Apply acute stress response without considering individual needs or circumstances
D) Delay assessment of acute stress response until all stressors have resolved
Correct Answer: Sympathetic activation raises heart rate and alertness
Rationale: Sympathetic activation raises heart rate and alertness. This is the relevant principle of
acute stress response when recognizing a short-term threat, and it supports individualized health
promotion. The alternative suggesting that it immediately suppresses all autonomic activity is
inconsistent with the concept or overgeneralizes its effects. Nursing care should assess the person’s
circumstances, preferences, available resources, and safety rather than rely on a rigid or delayed
response.
2. In a discussion of hpa axis, which statement is most accurate?
A) The adrenal medulla is the sole source of cortisol
B) The hypothalamus initiates signaling that culminates in cortisol release
C) Apply hpa axis without considering individual needs or circumstances
D) Delay assessment of hpa axis until all stressors have resolved
,Correct Answer: The hypothalamus initiates signaling that culminates in cortisol release
Rationale: The hypothalamus initiates signaling that culminates in cortisol release. This is the
relevant principle of hpa axis when explaining prolonged stress physiology, and it supports
individualized health promotion. The alternative suggesting that the adrenal medulla is the sole
source of cortisol is inconsistent with the concept or overgeneralizes its effects. Nursing care should
assess the person’s circumstances, preferences, available resources, and safety rather than rely on
a rigid or delayed response.
3. A nurse is evaluating sustained stress; which interpretation of cortisol is appropriate?
A) It always improves immune defenses with chronic exposure
B) Apply cortisol without considering individual needs or circumstances
C) Persistent elevation can impair sleep and immune regulation
D) Delay assessment of cortisol until all stressors have resolved
Correct Answer: Persistent elevation can impair sleep and immune regulation
Rationale: Persistent elevation can impair sleep and immune regulation. This is the relevant principle
of cortisol when evaluating sustained stress, and it supports individualized health promotion. The
alternative suggesting that it always improves immune defenses with chronic exposure is
inconsistent with the concept or overgeneralizes its effects. Nursing care should assess the person’s
circumstances, preferences, available resources, and safety rather than rely on a rigid or delayed
response.
4. For supporting a student before a presentation, what response best reflects eustress?
A) All stress is necessarily harmful
B) Apply eustress without considering individual needs or circumstances
C) Delay assessment of eustress until all stressors have resolved
,D) Manageable challenge can motivate adaptive performance
Correct Answer: Manageable challenge can motivate adaptive performance
Rationale: Manageable challenge can motivate adaptive performance. This is the relevant principle
of eustress when supporting a student before a presentation, and it supports individualized health
promotion. The alternative suggesting that all stress is necessarily harmful is inconsistent with the
concept or overgeneralizes its effects. Nursing care should assess the person’s circumstances,
preferences, available resources, and safety rather than rely on a rigid or delayed response.
5. Consider distress while assessing overwhelming demands; which explanation is supported?
A) Demands exceed perceived coping resources and disrupt function
B) Any challenging task is automatically distress
C) Apply distress without considering individual needs or circumstances
D) Delay assessment of distress until all stressors have resolved
Correct Answer: Demands exceed perceived coping resources and disrupt function
Rationale: Demands exceed perceived coping resources and disrupt function. This is the relevant
principle of distress when assessing overwhelming demands, and it supports individualized health
promotion. The alternative suggesting that any challenging task is automatically distress is
inconsistent with the concept or overgeneralizes its effects. Nursing care should assess the person’s
circumstances, preferences, available resources, and safety rather than rely on a rigid or delayed
response.
6. During education about general adaptation syndrome, which point should the nurse emphasize?
A) Adaptation always prevents eventual exhaustion
, B) Alarm, resistance, and exhaustion describe prolonged stress responses
C) Apply general adaptation syndrome without considering individual needs or circumstances
D) Delay assessment of general adaptation syndrome until all stressors have resolved
Correct Answer: Alarm, resistance, and exhaustion describe prolonged stress responses
Rationale: Alarm, resistance, and exhaustion describe prolonged stress responses. This is the
relevant principle of general adaptation syndrome when teaching Selye's framework, and it supports
individualized health promotion. The alternative suggesting that adaptation always prevents eventual
exhaustion is inconsistent with the concept or overgeneralizes its effects. Nursing care should
assess the person’s circumstances, preferences, available resources, and safety rather than rely on
a rigid or delayed response.
7. How should a nurse apply alarm stage when interpreting sudden danger?
A) Long-term depletion is the first physiological response
B) Apply alarm stage without considering individual needs or circumstances
C) Immediate fight-or-flight changes prepare the body for action
D) Delay assessment of alarm stage until all stressors have resolved
Correct Answer: Immediate fight-or-flight changes prepare the body for action
Rationale: Immediate fight-or-flight changes prepare the body for action. This is the relevant principle
of alarm stage when interpreting sudden danger, and it supports individualized health promotion. The
alternative suggesting that long-term depletion is the first physiological response is inconsistent with
the concept or overgeneralizes its effects. Nursing care should assess the person’s circumstances,
preferences, available resources, and safety rather than rely on a rigid or delayed response.
