FUNDAMENTALS OF NURSING -
CHAPTER 37: STRESS AND COPING
QUESTIONS AND CORRECT
ANSWERS
A patient who is having difficulty managing his diabetes mellitus responds to the news that his
hemoglobin A1C, a measure of blood sugar control over the past 90 days, has increased by saying,
"The hemoglobin A1C is wrong. My blood sugar levels have been excellent for the last 6 months."
The patient is using the defense mechanism:
A. Denial.
B. Conversion.
C. Dissociation.
D. Displacement. ✅✅CORRECT ANSW-A
When doing an assessment of a young woman who was in an automobile accident 6 months before,
the nurse learns that the woman has vivid images of the crash whenever she hears a loud, sudden
noise. The nurse recognizes this as:
A. Conversion.
B. Post Traumatic Stress Disorder (PTSD).
C. Dissociation.
D. Displacement. ✅✅CORRECT ANSW-B
A grandfather living in Japan worries about his two young grandsons who disappeared after a
tsunami. This is an example of:
A. A situational crisis.
B. A maturational crisis.
C. An adventitious crisis.
D. A developmental crisis. ✅✅CORRECT ANSW-C
When teaching a patient about the negative feedback response to stress, the nurse includes which
of the following to describe the benefits of this stress response?
A. Results in neurophysiological response.
B. Reduces body temperature
, C. Causes a person to be hypervigilant
D. Reduces level of consciousness to conserve energy. ✅✅CORRECT ANSW-A
A nurse observes that a patient whose home life is chaotic with intermittent homelessness, a child
with spina bifida, and an abusive spouse appears to be experiencing an allostatic load. As a result,
the nurse expects to detect which of the following while assessing the patient?
A. Posttraumatic stress disorder
B. Rising hormone levels
C. Chronic illness
D. Return of vital signs to normal ✅✅CORRECT ANSW-C
During the assessment interview of an older woman experiencing a developmental crisis, the nurse
asks which of the following questions?
A. How is this flood affecting your life?
B. Since your husband has died, what have you been doing in the evening when you feel lonely?
C. How is having diabetes affecting your life?
D. I know this must be hard for you. Let me tell you what might help. ✅✅CORRECT ANSW-B
The nurse plans care for a 16-year-old male, taking into consideration that stressors experienced
most commonly by adolescents include which of the following?
A. Loss of autonomy caused by health problems
B. Physical appearance, family, friends, and school
C. Self-esteem issues, changing family structure
D. Search for identity with peer groups and separating from family ✅✅CORRECT ANSW-D
A child who has been in a house fire comes to the emergency department with her parents. The
child and parents are upset and tearful. During the nurse's first assessment for stress the nurse says:
A. "Tell me who I can call to help you."
B. "Tell me what bothers you the most about this experience."
C. "I'll contact someone who can help get you temporary housing."
D. "I'll sit with you until other family members can come help you get settled." ✅✅CORRECT
ANSW-B
CHAPTER 37: STRESS AND COPING
QUESTIONS AND CORRECT
ANSWERS
A patient who is having difficulty managing his diabetes mellitus responds to the news that his
hemoglobin A1C, a measure of blood sugar control over the past 90 days, has increased by saying,
"The hemoglobin A1C is wrong. My blood sugar levels have been excellent for the last 6 months."
The patient is using the defense mechanism:
A. Denial.
B. Conversion.
C. Dissociation.
D. Displacement. ✅✅CORRECT ANSW-A
When doing an assessment of a young woman who was in an automobile accident 6 months before,
the nurse learns that the woman has vivid images of the crash whenever she hears a loud, sudden
noise. The nurse recognizes this as:
A. Conversion.
B. Post Traumatic Stress Disorder (PTSD).
C. Dissociation.
D. Displacement. ✅✅CORRECT ANSW-B
A grandfather living in Japan worries about his two young grandsons who disappeared after a
tsunami. This is an example of:
A. A situational crisis.
B. A maturational crisis.
C. An adventitious crisis.
D. A developmental crisis. ✅✅CORRECT ANSW-C
When teaching a patient about the negative feedback response to stress, the nurse includes which
of the following to describe the benefits of this stress response?
A. Results in neurophysiological response.
B. Reduces body temperature
, C. Causes a person to be hypervigilant
D. Reduces level of consciousness to conserve energy. ✅✅CORRECT ANSW-A
A nurse observes that a patient whose home life is chaotic with intermittent homelessness, a child
with spina bifida, and an abusive spouse appears to be experiencing an allostatic load. As a result,
the nurse expects to detect which of the following while assessing the patient?
A. Posttraumatic stress disorder
B. Rising hormone levels
C. Chronic illness
D. Return of vital signs to normal ✅✅CORRECT ANSW-C
During the assessment interview of an older woman experiencing a developmental crisis, the nurse
asks which of the following questions?
A. How is this flood affecting your life?
B. Since your husband has died, what have you been doing in the evening when you feel lonely?
C. How is having diabetes affecting your life?
D. I know this must be hard for you. Let me tell you what might help. ✅✅CORRECT ANSW-B
The nurse plans care for a 16-year-old male, taking into consideration that stressors experienced
most commonly by adolescents include which of the following?
A. Loss of autonomy caused by health problems
B. Physical appearance, family, friends, and school
C. Self-esteem issues, changing family structure
D. Search for identity with peer groups and separating from family ✅✅CORRECT ANSW-D
A child who has been in a house fire comes to the emergency department with her parents. The
child and parents are upset and tearful. During the nurse's first assessment for stress the nurse says:
A. "Tell me who I can call to help you."
B. "Tell me what bothers you the most about this experience."
C. "I'll contact someone who can help get you temporary housing."
D. "I'll sit with you until other family members can come help you get settled." ✅✅CORRECT
ANSW-B
