C HAPTER 37: S TRESS AND C OPING
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. 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 st ressors and responses
C. Focus on immediate stress reduction
D. Recommend ongoing therapy
ANS: C
The nurses focus for a client experiencing a crisis is immediate stress
reduction.
The client experiencing a crisis is unable to work through independent
problem solving. Completing an in -depth evaluation of stressors and
responses to the situation would be inappropriate for the client who is
experiencing a crisis. A person who has experienced a crisis has
changed, and the effects may last for years or for the rest of the
persons life. If a person has successfull y coped with a crisis and its
consequences, he or she becomes a more mature and healthy person,
and ongoing therapy may not be necessary.
DIF: A REF: 498 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Psychosocial Integrity/Coping Mechanisms/Stress Management
,2. What priorit y assessment area has been noticed by a nurse while working
with clients who are experiencing a significant degree of stress?
A. The clients primary physical needs
B. What else is happening in the clients life
C. How the stress has influenced the clients activities of dail y living
D. Determining whether the client is thinking about harming self or
others
ANS: D
A priorit y assessment is to determine if the person is suicidal or
homicidal by asking directl y. The priorit y assessment for the client
who is experiencing a significant degree of stress is not the clients
physical needs. The nurse should first determine if the client is a
danger to self or others. After d etermining if the client is suicidal or
homicidal, the nurse can begin the problem -solving process and assess
what else is happening in the clients life. The nurse should first
determine if the client is a danger to self or others. Then the nurse can
examine the degree of disruption in the persons life, such as in
activities of dail y living.
DIF: A REF: 494 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Psychosocial Integrity/Coping Mechanisms/Stress Management
3. The response to stress for older adults may be manifested differentl y than
in younger adults. The nurse recognizes that. For the older adult client,
the nurse is aware that:
A. Losses are more stress -provoking
, B. Anxiet y disorders are most prevalent
C. Psychosocial fa ctors are the greatest threats
D. Timing of stress -inducing events is not significant
ANS: B
Anxiet y disorders are the most prevalent disorders in later life and are
continuations of life -long illnesses. Losses in later life may be less
stress provoking tha n generall y assumed, partl y because certain life
transitions are anticipated and people prepare by coping in advance.
The effect of psychosocial factors on health status is not altered by
age. The timing of stress -inducing events can significantl y influenc e
older adults abilit y to cope. The fact that older adults may have several
stressful events (e.g., loss of a spouse and new medical diagnosis)
occur with a short period of time can result in detrimental effects on
coping.
DIF: A REF: 491 OBJ: Comprehensi on TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Psychosocial Integrity/Coping Mechanisms/Stress Management
4. A client who has experienced massive soft tissue trauma is handling both
the physical and emotional stressors via the genera lized adaptation
s yndrome (GAS). The major benefit of this defense mechanism is through
the:
A. Identification of foreign antigens on invading bacteria
B. Production of endorphins that decrease awareness of pain
C. Increased epinephrine, resulting in improved cardi ac output
D. Increased norepinephrine directed towards sustaining blood pressure
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. 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 st ressors and responses
C. Focus on immediate stress reduction
D. Recommend ongoing therapy
ANS: C
The nurses focus for a client experiencing a crisis is immediate stress
reduction.
The client experiencing a crisis is unable to work through independent
problem solving. Completing an in -depth evaluation of stressors and
responses to the situation would be inappropriate for the client who is
experiencing a crisis. A person who has experienced a crisis has
changed, and the effects may last for years or for the rest of the
persons life. If a person has successfull y coped with a crisis and its
consequences, he or she becomes a more mature and healthy person,
and ongoing therapy may not be necessary.
DIF: A REF: 498 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Psychosocial Integrity/Coping Mechanisms/Stress Management
,2. What priorit y assessment area has been noticed by a nurse while working
with clients who are experiencing a significant degree of stress?
A. The clients primary physical needs
B. What else is happening in the clients life
C. How the stress has influenced the clients activities of dail y living
D. Determining whether the client is thinking about harming self or
others
ANS: D
A priorit y assessment is to determine if the person is suicidal or
homicidal by asking directl y. The priorit y assessment for the client
who is experiencing a significant degree of stress is not the clients
physical needs. The nurse should first determine if the client is a
danger to self or others. After d etermining if the client is suicidal or
homicidal, the nurse can begin the problem -solving process and assess
what else is happening in the clients life. The nurse should first
determine if the client is a danger to self or others. Then the nurse can
examine the degree of disruption in the persons life, such as in
activities of dail y living.
DIF: A REF: 494 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Psychosocial Integrity/Coping Mechanisms/Stress Management
3. The response to stress for older adults may be manifested differentl y than
in younger adults. The nurse recognizes that. For the older adult client,
the nurse is aware that:
A. Losses are more stress -provoking
, B. Anxiet y disorders are most prevalent
C. Psychosocial fa ctors are the greatest threats
D. Timing of stress -inducing events is not significant
ANS: B
Anxiet y disorders are the most prevalent disorders in later life and are
continuations of life -long illnesses. Losses in later life may be less
stress provoking tha n generall y assumed, partl y because certain life
transitions are anticipated and people prepare by coping in advance.
The effect of psychosocial factors on health status is not altered by
age. The timing of stress -inducing events can significantl y influenc e
older adults abilit y to cope. The fact that older adults may have several
stressful events (e.g., loss of a spouse and new medical diagnosis)
occur with a short period of time can result in detrimental effects on
coping.
DIF: A REF: 491 OBJ: Comprehensi on TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Psychosocial Integrity/Coping Mechanisms/Stress Management
4. A client who has experienced massive soft tissue trauma is handling both
the physical and emotional stressors via the genera lized adaptation
s yndrome (GAS). The major benefit of this defense mechanism is through
the:
A. Identification of foreign antigens on invading bacteria
B. Production of endorphins that decrease awareness of pain
C. Increased epinephrine, resulting in improved cardi ac output
D. Increased norepinephrine directed towards sustaining blood pressure
