NFDN 2007 FINAL QUESTIONS AND
ANSWERS
What is the concept of transaction stress - correct 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 - correct answer-
fight or flight
- begins in CNS
- sympathetic response
- immune system function negatively affected
What are some psychological stress-related symptoms - correct
answer- depression, anxiety, pain, sleep problems,
autoimmune diseases, heart disease, weight problems,
reproductive issues etc
What is social support - correct answer- resources provided to
us by others
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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 - correct answer- D
What is coping - correct 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? - correct 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? - correct 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
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What is inner directed coping - correct answer- reminding or
telling self that what they are presently doing to relieve the
stress is beneficial for them
What is outer directed coping - correct 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 - correct 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 - correct
answer- self awareness
What are trauma and stressor-related disorders - correct
answer- diagnosis specify's exposure to a traumatic or
extremely stressful event
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What is a traumatic stressor - correct 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 - correct answer-
Straight forward asking outright i.e. are you being/ever
threatened or abused by your husband?
What is PTSD avoidance - correct 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 - correct answer- PTSD
symptoms that appear for a month or less
What is posttraumatic stress disorder (PTSD) - correct answer-
delayed stress reaction in which an individual involuntarily re-
experiences emotional, cognitive, and behavioral aspects of
past trauma