Chapter 67, Interaction of Body and Mind.

1.Which of the following interventions should a nurse recommend for fostering effective coping skills and a sense of hardiness? A) Balanced diet B) Periodic checkup C) Nonprescribed sedative drug D) Daily exercise Ans: D Feedback: A nurse should recommend a daily exercise program to reduce stimulating neurotransmitters and release endorphins and enkephalins. Diet and periodic checkups are not essential to foster effective coping skills and a sense of hardiness. It is essential for the client to avoid a nonprescribed sedative drug for self-treatment because it does not foster effective coping skills and a sense of hardiness. 2.Which of the following conditions triggers the general adaptation syndrome? A) Distress B) Eustress C) Placebo effect D) Helplessness Ans: A Feedback: Excessive, ill-timed, or unrelieved stress is called distress. It triggers the general adaptation syndrome, a nonspecific physiologic response. Eustress means the right amount of stress and maintains a healthy balance in life. It cannot trigger a general adaptation syndrome. The placebo effect refers to healing or improvement that takes place because the person believes a treatment method will be more effective. Helplessness is a psychological factor that makes a client with stress disease prone. It is not a condition that triggers the general adaptation syndrome. 3.Which of the following is the result of the appropriate use of coping mechanisms? A) Maintenance of psychobiologic equilibrium B) Psychological growth C) Altered body functions or symptoms D) Restored biologic functions Ans: B Feedback: When used appropriately and in moderation, coping mechanisms allow maintenance of psychological equilibrium and lead to psychological growth. Appropriate use of coping mechanisms does not alter body functions or symptoms or restore biologic functions. 4.Which of the following treatments for a client with stress is considered symptomatic rather than curative?