With Correct Answers/Graded A+
1. Question 1 of 4 Fight-or-flight re-
A patient with numerous medical bills experiences a sponse
physical reaction when the bills come due, including The fight-or-flight
a "racing heart" and an "upset stomach." Which term response is a phys-
describes this physiologic response? iologic response to
Stressor stress. It causes an
Homeostasis increase in heart
Stress appraisal rate, blood pres-
Fight-or-flight response sure, and respira-
tions.
2. Question 2 of 4 Eustress
A patient received a highly desired promotion and Eustress is motiva-
reports feeling anxious when thinking about begin- tional stress asso-
ning the new job. Which type of stress is the patient ciated with effective
experiencing? coping and adapta-
Distress tion as would occur
Eustress with a new job pro-
Sociocultural stress motion.
Psychological stress
3. Question 3 of 4 Performing social
A patient whose child died of a brain tumor several role functions
years ago initiates a fundraiser to raise money for Initiating a fundrais-
cancer research. According to Roy's Adaptation Mod- er indicates that the
el, in which way is this patient adapting to stress? patient is adapting
Meeting physiologic needs to stress by per-
Developing a positive identity forming social role
Performing social role functions functions.
Balancing dependence and independence
4. Question 4 of 4 Stress appraisal
Which term is used to refer to the process of eval- Stress appraisal in-
uating a threat by interpreting it as a threat or a volves determining
challenge? what is at stake
Stress appraisal and then evaluating
Stressor coping options.
Allostasis
Fight-or-flight response
, BSN 225 Stress
5. Question 1 of 3 Increase in blood
Which physiologic response to stress is an example flow to the muscles
of why a patient might experience gastrointestinal During a stress-
distress during stressful situations? ful situation, there
Increase in food digestion is an increase in
Increase in blood flow to the muscles the flow of blood
Increase in kidney function to the muscles at
Increase in digestive tract activity the expense of
the digestive sys-
tem and other sys-
tems not imme-
diately needed in
the fight-or-flight re-
sponse.
6. Question 2 of 3 Impairs lymphocyte
Which phrases describe how stress increases a pa- activity
tient's susceptibility to disease? Stress decreases
Select all that apply. the activity of some
Increases sleep lymphocytes, de-
Impairs lymphocyte activity creasing the body's
Increases reactivation of viruses ability to fight infec-
Decreases response to antibiotics tion.
Accelerates progression of HIV to AIDS
Increases reactiva-
tion of viruses
Periodic reactiva-
tion of herpes in-
fections, especial-
ly herpes simplex
virus type 1 and
type 2 (HSV-1and
HSV-2) infections,
commonly occurs
with stress.
Accelerates pro-
gression of HIV to
AIDS
, BSN 225 Stress
Stress accelerates
the progression of
HIV infection to-
ward active AIDS.
7. Question 3 of 3 Depression
The nurse is caring for a patient who reports a lack of People experienc-
energy and insomnia caused by stress. Which other ing depression
assessment finding would the nurse anticipate? may feel worthless,
Panic guilty, or hopeless,
Depression and may expe-
Anxiety rience physiologic
symptoms such as
lack of energy.
8. Question 1 of 3 Creating a daily
Which coping mechanisms are healthy for a study schedule
12-year-old who is stressed about school grades? Talking with a
Select all that apply. teacher about how
Creating a daily study schedule to improve grades
Talking with a teacher about how to improve grades Making an appoint-
Making an appointment with the guidance counselor ment with the guid-
Giving up video games for an hour a day to study ance counselor
Telling parents, "There's nothing I can do to im- Giving up video
prove." games for an hour
a day to study
9. Question 2 of 3 Refusing to discuss
Which reactions to stress are considered unhealthy the stress
coping mechanisms? Chronically using
Select all that apply. pain medication
Refusing to discuss the stress Refusing to ac-
Exercising to relieve the stress knowledge the
Keeping a journal about the stress stress
Chronically using pain medication
Refusing to acknowledge the stress
10. Question 3 of 3 "The way I cope
Which patient statement regarding coping indicates may change over
that teaching by the nurse has been effective? time."