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NUR 2755 MULTIDIMENSIONAL
CARE IV TEST 2 EXAMPREP 2026
SOLVED QUESTIONS FULL
SOLUTION SET
◉ Define general adaption syndrome.
Answer: Describes the bodys short term and long term reactions to stress


◉ Define coping.
Answer: Cognitive and behavioral efforts to manage stress


◉ Cortisol decreases the effectiveness of what hormone?.
Answer: Insulin


◉ T/F - cortisol suppresses the immune system.
Answer: T


◉ List examples of physiological stressors.
Answer: Autoimmune disorders, cancer, COPD, dementia, diabetes,
organ failure, MI, acute/chronic pain, traumatic injury


◉ Describe acute stress.
Answer: - most common type

,- occurs in reaction to a real/perceived demand/threat/pressure and once
threat is resolved it goes away


◉ Describe episodic stress.
Answer: - self inflicted
- common amongst individuals with type A personalities [overachievers]
- takes on unrealistic assignments
- always in a hurry, irritable


◉ List maladaptive coping behaviors.
Answer: Avoidance, compartmentalizing, denial, dependency,
displacement, emotional outbursts, excessive eating, regression,
rationalization, sexualization


◉ Describe insomnia.
Answer: - trouble falling asleep, staying asleep, or getting a good quality
sleep
- can happen even if its the right time and environment to sleep well


◉ List treatments for insomnia.
Answer: - make bedroom sleep friendly [cooler temp, clutter free]
- reduce screen time
- have a routine
- avoid stimuli

, - medications
- stress management


◉ Define the difference between chronic disease and chronic illness.
Answer: Chronic disease - medical or health problem with associated
symptoms


Chronic illness - the experience of living with a chronic disease


◉ List examples of the parental impact on pediatric chronic illnesses.
Answer: - grieve loss of "normal" child
- added demands on time, energy, and finances
- mother/father differences
- single parents experience greater stress
- may respond by over protecting the child
- parents become experts in childs health


◉ List some parental stress points with pediatric chronic illness.
Answer: - developmental milestones [lack of]
- start of school
- ultimate attainment
- job
- will they get married

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