N126 Exam 3 With Questions and Answers
For a lifestyle stress indicator and reduction in the incidence of heart disease a
recommended intervention would be:
A. Regular physical exercise
B. Attendance at a support group
C. Self-awareness skill development
D. Effective time management techniques - ANSWER ANS: A
A regular exercise program reduces tension, promotes relaxation, increases one's
resistance to stress, and reduces the risk of cardiovascular disease.
An adolescent child who is having behavioral problems has had added
responsibilities put upon her because the father has just lost his job and is
experiencing periods of depression and the mother has a chronic debilitation
illness. The nurse is involved in crises intervention and intervenes to specifically
focus the family on their feelings by:
A. Pointing out the connection between the situation and their responses
B. Encouraging the use of the family's usual coping skills
C. Working on time management skills
D. Discussing past experiences - ANSWER ANS: A
When using a crisis intervention approach, pointing out the connections between
situation and responses, the nurse helps the client make the mental connection
between the stressful event and the client's reaction to it. Because an individual's
or family's usual coping strategies are ineffective in managing the stress of the
precipitating event in a crisis situation, the use of new coping mechanisms are
required.
A mother and her child sit in a playroom on the pediatric unit. The boy wants to
play with a toy that another child has but the mother says no. The child cries,
throws a block, and runs over to kick the door. This child is using a mechanism
known as:
,A. Displacement
B. Compensation
C. Conversion
D. Denial - ANSWER ANS: A
Displacement is transferring emotions, ideas, or wishes from a stressful situation
to a less anxiety-producing substitute.
Clients undergoing stress may have periods of regression. The nurse assesses this
regressive behavior in the situation where:
A. An adult client exercises to the point of fatigue
B. An 8 year old child sucks his thumb and wets the bed
C. An adult client avoids speaking about health concerns
D. An 11 year old child experiences stomach cramps and headaches - ANSWER
ANS: B
Regression is coping with a stressor through actions and behaviors associated with
an earlier developmental period, such as an 8 year child sucking his thumb and
wetting the bed.
During the end of shift report the nurse notes that a client has been very nervous
and preoccupied during the evening and that no family visited. To determine the
amount of anxiety that the client is experiencing, the nurse should respond:
A. "Would you like for me to call a family member to come support you?"
B. "Would you like to talk with another client who had the same surgery?"
C. "How serious do you think the illness you are experiencing really is?"
D. "You seem worried about something. Would it help to talk about it?" - ANSWER
ANS: D
The nurse learned from the client both by asking questions and by making
observations of nonverbal behavior and the client's environment. To determine
the amount of anxiety the client is experiencing, the nurse gathers information
from the client's perspective. Noting that he seems worried and offering to discuss
it is the correct response.
,Clients experiencing PTSD following the World Trade Tower bombing work with
nurses in the medical center. An approach that is appropriate and should be
incorporated into the plan of care is:
A. Suppression of anxiety-producing memories
B. Reinforcement that the PTSD is short term
C. Promotion of relaxation strategies
D. Focus on physical needs - ANSWER ANS: C
Teaching the client relaxation strategies can help reduce the stress of
anxiety-provoking thoughts and events, as seen in PTSD, and reinforces an
adaptive coping strategy.
A client is experiencing job-related stress. The nurse is working with the client in
an outpatient health care setting. The nurse believes this client is dissociated as a
result of observing the client:
A. Avoid discussion of job problems
B. Act like another colleague on the job
C. Experience chronic headaches and stomach aches
D. Sit quietly and not interact with any of the staff - ANSWER ANS: D
Dissociation is experiencing a subjective sense of numbing and a reduced
awareness of one's surrounding. The client who is sitting quietly and not
interacting with any of the staff may be displaying dissociation.
A 72 year old client is in a long term care facility after having had a cerebrovascular
accident. The client is non-communicative, enteral feedings are not being
absorbed, and respirations are becoming labored. Which of the stages of the GAS
is the client experiencing?
A. Alarm reaction
B. Resistance stage
C. Exhaustion stage
D. Reflex pain response - ANSWER ANS: C
The exhaustion stage occurs when the body can no longer resist the effects of the
, stressor and when the energy necessary to maintain adaptation is depleted.
During the alarm reaction, rising hormone levels result in increased blood
volume, NE and E amounts, heart rate, blood flow to muscles, oxygen intake, and
mental alertness. During the resistance stage, the body stabilizes. Reflex pain
response is not a stages of GAS.
A client recently lost a child in a severe case of poisoning. The client tells the
nurse, "I don't want to make any new friends right now." This is an example of
which of the following indicators of stress?
A. Spiritual indicator
B. Emotional indicator
C. Intellectual indicator
D. Sociocultural indicator - ANSWER ANS: D
The client who recently experienced a loss and does not want to meet new people
is an example of a sociocultural indicator of stress.
A corporate executive works 60 to 80 hours/week. The client is experiencing some
physical signs of stress. The practitioner teaches the client to "include 15 minutes
of biofeedback." This is an example of which of the following health promotion
intervention?
A. Guided imagery
B. Regular exercise
C. Time management
D. Relaxation technique - ANSWER ANS: D
Biofeedback is a training program designed to develop one's ability to control the
autonomic nervous system. Clients learn to monitor their functioning such as
heart rate, blood pressure, skin temperature, or muscle tension, and learn to relax
in response in order to create desired changes.
It appears to the nurse the client is experiencing a crisis. The nurse plans to:
A. Allow the client to work through independent problem-solving
B. Complete an in-depth evaluation of stressors and responses
C. Focus on immediate stress reduction
For a lifestyle stress indicator and reduction in the incidence of heart disease a
recommended intervention would be:
A. Regular physical exercise
B. Attendance at a support group
C. Self-awareness skill development
D. Effective time management techniques - ANSWER ANS: A
A regular exercise program reduces tension, promotes relaxation, increases one's
resistance to stress, and reduces the risk of cardiovascular disease.
An adolescent child who is having behavioral problems has had added
responsibilities put upon her because the father has just lost his job and is
experiencing periods of depression and the mother has a chronic debilitation
illness. The nurse is involved in crises intervention and intervenes to specifically
focus the family on their feelings by:
A. Pointing out the connection between the situation and their responses
B. Encouraging the use of the family's usual coping skills
C. Working on time management skills
D. Discussing past experiences - ANSWER ANS: A
When using a crisis intervention approach, pointing out the connections between
situation and responses, the nurse helps the client make the mental connection
between the stressful event and the client's reaction to it. Because an individual's
or family's usual coping strategies are ineffective in managing the stress of the
precipitating event in a crisis situation, the use of new coping mechanisms are
required.
A mother and her child sit in a playroom on the pediatric unit. The boy wants to
play with a toy that another child has but the mother says no. The child cries,
throws a block, and runs over to kick the door. This child is using a mechanism
known as:
,A. Displacement
B. Compensation
C. Conversion
D. Denial - ANSWER ANS: A
Displacement is transferring emotions, ideas, or wishes from a stressful situation
to a less anxiety-producing substitute.
Clients undergoing stress may have periods of regression. The nurse assesses this
regressive behavior in the situation where:
A. An adult client exercises to the point of fatigue
B. An 8 year old child sucks his thumb and wets the bed
C. An adult client avoids speaking about health concerns
D. An 11 year old child experiences stomach cramps and headaches - ANSWER
ANS: B
Regression is coping with a stressor through actions and behaviors associated with
an earlier developmental period, such as an 8 year child sucking his thumb and
wetting the bed.
During the end of shift report the nurse notes that a client has been very nervous
and preoccupied during the evening and that no family visited. To determine the
amount of anxiety that the client is experiencing, the nurse should respond:
A. "Would you like for me to call a family member to come support you?"
B. "Would you like to talk with another client who had the same surgery?"
C. "How serious do you think the illness you are experiencing really is?"
D. "You seem worried about something. Would it help to talk about it?" - ANSWER
ANS: D
The nurse learned from the client both by asking questions and by making
observations of nonverbal behavior and the client's environment. To determine
the amount of anxiety the client is experiencing, the nurse gathers information
from the client's perspective. Noting that he seems worried and offering to discuss
it is the correct response.
,Clients experiencing PTSD following the World Trade Tower bombing work with
nurses in the medical center. An approach that is appropriate and should be
incorporated into the plan of care is:
A. Suppression of anxiety-producing memories
B. Reinforcement that the PTSD is short term
C. Promotion of relaxation strategies
D. Focus on physical needs - ANSWER ANS: C
Teaching the client relaxation strategies can help reduce the stress of
anxiety-provoking thoughts and events, as seen in PTSD, and reinforces an
adaptive coping strategy.
A client is experiencing job-related stress. The nurse is working with the client in
an outpatient health care setting. The nurse believes this client is dissociated as a
result of observing the client:
A. Avoid discussion of job problems
B. Act like another colleague on the job
C. Experience chronic headaches and stomach aches
D. Sit quietly and not interact with any of the staff - ANSWER ANS: D
Dissociation is experiencing a subjective sense of numbing and a reduced
awareness of one's surrounding. The client who is sitting quietly and not
interacting with any of the staff may be displaying dissociation.
A 72 year old client is in a long term care facility after having had a cerebrovascular
accident. The client is non-communicative, enteral feedings are not being
absorbed, and respirations are becoming labored. Which of the stages of the GAS
is the client experiencing?
A. Alarm reaction
B. Resistance stage
C. Exhaustion stage
D. Reflex pain response - ANSWER ANS: C
The exhaustion stage occurs when the body can no longer resist the effects of the
, stressor and when the energy necessary to maintain adaptation is depleted.
During the alarm reaction, rising hormone levels result in increased blood
volume, NE and E amounts, heart rate, blood flow to muscles, oxygen intake, and
mental alertness. During the resistance stage, the body stabilizes. Reflex pain
response is not a stages of GAS.
A client recently lost a child in a severe case of poisoning. The client tells the
nurse, "I don't want to make any new friends right now." This is an example of
which of the following indicators of stress?
A. Spiritual indicator
B. Emotional indicator
C. Intellectual indicator
D. Sociocultural indicator - ANSWER ANS: D
The client who recently experienced a loss and does not want to meet new people
is an example of a sociocultural indicator of stress.
A corporate executive works 60 to 80 hours/week. The client is experiencing some
physical signs of stress. The practitioner teaches the client to "include 15 minutes
of biofeedback." This is an example of which of the following health promotion
intervention?
A. Guided imagery
B. Regular exercise
C. Time management
D. Relaxation technique - ANSWER ANS: D
Biofeedback is a training program designed to develop one's ability to control the
autonomic nervous system. Clients learn to monitor their functioning such as
heart rate, blood pressure, skin temperature, or muscle tension, and learn to relax
in response in order to create desired changes.
It appears to the nurse the client is experiencing a crisis. The nurse plans to:
A. Allow the client to work through independent problem-solving
B. Complete an in-depth evaluation of stressors and responses
C. Focus on immediate stress reduction
