NFDN Final Comprehensive
Questions (Frequently Most
Tested) with Verified Answers
What is the concept of transaction stress - Answer: the relationship between the person and the
environment that is appraised as exceeding the person's resources and endangering his or her well-
being
What is the physiologic response to stress - Answer: fight or flight
- begins in CNS
- sympathetic response
- immune system function negatively affected
What are some psychological stress-related symptoms - Answer: depression, anxiety, pain, sleep
problems, autoimmune diseases, heart disease, weight problems, reproductive issues etc
What is social support - Answer: resources provided to us by others
Which of the following is a physiologic outcome to stress
A. Emotions
B. Intense emotions—disturbance in intellectual functioning
C. Feeling challenged or threatened
D. Sympathetic response - Answer: D
What is coping - Answer: an individual's constantly changing cognitive and behavioural efforts to
manage specific external or internal demands that are appraised as taxing or exceeding the individual's
resources
,What is problem-focused coping? - Answer: attempting to alleviate stress directly by changing the
stressor or the way we interact with that stressor
changes the relationship between the environment and person
What is emotion-focused coping? - Answer: attempting to alleviate stress by avoiding or ignoring a
stressor and attending to emotional needs related to our stress reaction
changing person-environment relationship
What is inner directed coping - Answer: reminding or telling self that what they are presently doing to
relieve the stress is beneficial for them
What is outer directed coping - Answer: when someone does something about what is stressing them
ex. dog barking go to neighbor and ask them to please quiet the dog
What is self awareness - Answer: the ability to recognize their feelings and manage their anger
ex. parents divorce, the child must learn that it is not their fault
What is one very important skill necessary for coping - Answer: self awareness
What are trauma and stressor-related disorders - Answer: diagnosis specify's exposure to a traumatic or
extremely stressful event
What is a traumatic stressor - Answer: any event(s) that may case or threaten death, serious injury, or
sexual violence to an individual, a close family member, or a close friend
, If you suspect your client/patient is being abused by someone what would be the most appropriate
approach - Answer: Straight forward asking outright i.e. are you being/ever threatened or abused by
your husband?
What is PTSD avoidance - Answer: Persistent *avoidance* of stimuli associated with the traumatic event
(one or both):
Goal is to avoid: distressing memories, thoughts, or feelings and external reminders such as people,
places, and conversations
What is acute stress disorder - Answer: PTSD symptoms that appear for a month or less
What is posttraumatic stress disorder (PTSD) - Answer: delayed stress reaction in which an individual
involuntarily re-experiences emotional, cognitive, and behavioral aspects of past trauma
What are the goals of care for PTSD (3) - Answer: - eliminate or moderate the stressor (if possible)
- reduce untoward effects of the stress response
- facilitate the maintenance or development of positive coping skills
What are the factors of social network and support - Answer: size, functions, reciprocity,
interconnectedness
What is a crisis - Answer: acute and time limited stressful experience for which coping mechanisms fail
ex. bereavement, grief or mourning
What is a situational crisis - Answer: any event that overwhelms and individual's coping resources and
upsets his or her equilibrium
What is a developmental crisis - Answer: assumes that psychosocial development progresses in an
orderly, easily identifiable process
Questions (Frequently Most
Tested) with Verified Answers
What is the concept of transaction stress - Answer: the relationship between the person and the
environment that is appraised as exceeding the person's resources and endangering his or her well-
being
What is the physiologic response to stress - Answer: fight or flight
- begins in CNS
- sympathetic response
- immune system function negatively affected
What are some psychological stress-related symptoms - Answer: depression, anxiety, pain, sleep
problems, autoimmune diseases, heart disease, weight problems, reproductive issues etc
What is social support - Answer: resources provided to us by others
Which of the following is a physiologic outcome to stress
A. Emotions
B. Intense emotions—disturbance in intellectual functioning
C. Feeling challenged or threatened
D. Sympathetic response - Answer: D
What is coping - Answer: an individual's constantly changing cognitive and behavioural efforts to
manage specific external or internal demands that are appraised as taxing or exceeding the individual's
resources
,What is problem-focused coping? - Answer: attempting to alleviate stress directly by changing the
stressor or the way we interact with that stressor
changes the relationship between the environment and person
What is emotion-focused coping? - Answer: attempting to alleviate stress by avoiding or ignoring a
stressor and attending to emotional needs related to our stress reaction
changing person-environment relationship
What is inner directed coping - Answer: reminding or telling self that what they are presently doing to
relieve the stress is beneficial for them
What is outer directed coping - Answer: when someone does something about what is stressing them
ex. dog barking go to neighbor and ask them to please quiet the dog
What is self awareness - Answer: the ability to recognize their feelings and manage their anger
ex. parents divorce, the child must learn that it is not their fault
What is one very important skill necessary for coping - Answer: self awareness
What are trauma and stressor-related disorders - Answer: diagnosis specify's exposure to a traumatic or
extremely stressful event
What is a traumatic stressor - Answer: any event(s) that may case or threaten death, serious injury, or
sexual violence to an individual, a close family member, or a close friend
, If you suspect your client/patient is being abused by someone what would be the most appropriate
approach - Answer: Straight forward asking outright i.e. are you being/ever threatened or abused by
your husband?
What is PTSD avoidance - Answer: Persistent *avoidance* of stimuli associated with the traumatic event
(one or both):
Goal is to avoid: distressing memories, thoughts, or feelings and external reminders such as people,
places, and conversations
What is acute stress disorder - Answer: PTSD symptoms that appear for a month or less
What is posttraumatic stress disorder (PTSD) - Answer: delayed stress reaction in which an individual
involuntarily re-experiences emotional, cognitive, and behavioral aspects of past trauma
What are the goals of care for PTSD (3) - Answer: - eliminate or moderate the stressor (if possible)
- reduce untoward effects of the stress response
- facilitate the maintenance or development of positive coping skills
What are the factors of social network and support - Answer: size, functions, reciprocity,
interconnectedness
What is a crisis - Answer: acute and time limited stressful experience for which coping mechanisms fail
ex. bereavement, grief or mourning
What is a situational crisis - Answer: any event that overwhelms and individual's coping resources and
upsets his or her equilibrium
What is a developmental crisis - Answer: assumes that psychosocial development progresses in an
orderly, easily identifiable process
