N 3130 Exam 1 Latest Update
Determination of whether an event is a stressor is based upon a person's
a. tolerance
b. perception
c. adaptation
d. stubbornness - ANSWER b. perception
The nurse would expect which finding in a patient because of the physiologic effect of
stress on the reticular formation?
a. an episode of diarrhea while awaiting painful dressing changes
b. refusal to communicate with nurses while awaiting a cardiac catheterization
c. inability to sleep the night before beginning to self-administer insulin injections
d. - ANSWER c. inability to sleep the night before beginning to self-administer insulin
injections
The nurse uses knowledge of the effects of stress on the immune system by
encouraging patients to
a. sleep for 10 to 12 hours per day.
b. avoid exposure to upper respiratory tract infections.
c. receive regular immunizations when they are stressed.
d. use emotion-focused rather than problem-focused coping strategies. - ANSWER b.
avoid exposure to upper respiratory tract infections.
The nurse recognizes that a person who has chronic stress could be at higher risk for
(SATA):
a. osteoporosis
b. fibromyalgia
c. colds and flu
d. high blood pressure
e. high serum cholesterol - ANSWER b. fibromyalgia
,c. colds and flu
d. high blood pressure
The nurse recognizes that a patient with newly diagnosed breast cancer is using an
emotion-focused coping process when she...
a. joins a support group for women with breast cancer
b. considers the pros and cons of the various treatment options
c. delays treatment until her family can take a weekend trip together
d. tells the nurse that she has a good prognosis because the tumor is small - ANSWER a.
joins a support group for women with breast cancer
During a stressful circumstance that is unchangeable, which type of coping strategy is
the most effective?
a. avoidance
b. coping flexibility
c. emotion-focused coping
d. problem-focused coping - ANSWER c. emotion-focused coping
An appropriate nursing intervention for a hospitalized patient who says she cannot cope
with her illness is...
a. controlling the environment to prevent sensory overload and promote sleep
b. encouraging the patient's family to offer emotional support by frequent visiting
c. arranging for the patient to phone family and friends to maintain emotional bonds
d. asking the patient to describe previous stressful situations and how she managed to
resolve them - ANSWER d. asking the patient to describe previous stressful situations
and how she managed to resolve them
Sleep is best described as a...
a. loosely organized state similar to a coma
b. quiet state in which there is little brain activity
c. state in which a person has reduced sensitivity to pain
d. state in which a person lacks conscious awareness of the environment - ANSWER d.
state in which a person lacks conscious awareness of the environment
Which statements are true about REM sleep (SATA)?
, a. The EEG pattern is quiescent
b. muscle tone is greatly reduced
c. it occurs only once in the night
d. it is physiologically similar to NREM sleep
e. The most vivid dreaming occurs during this phase - ANSWER b. muscle tone is greatly
reduced
e. The most vivid dreaming occurs during this phase
Insufficient sleep is associated by (SATA)...
a. increased BMI
b. increased insulin resistance
c. impaired cognitive functioning
d. improved immune responsiveness
e. increased daytime body temperature - ANSWER a. increased BMI
b. increased insulin resistance
c. impaired cognitive functioning
When teaching the patient with primary insomnia about sleep hygiene, the nurse should
emphasize...
a. the importance of daytime naps
b. the need for long-term use hypnotics
c. the need to exercise about 1 hour before bedtime
d. the importance of avoiding caffeine 6-9 hours before bedtime - ANSWER d. the
importance of avoiding caffeine 6-9 hours before bedtime
An overweight patient with sleep apnea would like to avoid using nasal CPAP device. To
help him reach his goal, the nurse suggest that the patient should...
a. lose excess weight
b. take a nap during the day
c. eat a high protein snack at bedtime
d. use mild sedatives or alcohol at bedtime - ANSWER a. lose excess weight
While caring for a patient with a history of narcolepsy with cataplexy, the nurse can
Determination of whether an event is a stressor is based upon a person's
a. tolerance
b. perception
c. adaptation
d. stubbornness - ANSWER b. perception
The nurse would expect which finding in a patient because of the physiologic effect of
stress on the reticular formation?
a. an episode of diarrhea while awaiting painful dressing changes
b. refusal to communicate with nurses while awaiting a cardiac catheterization
c. inability to sleep the night before beginning to self-administer insulin injections
d. - ANSWER c. inability to sleep the night before beginning to self-administer insulin
injections
The nurse uses knowledge of the effects of stress on the immune system by
encouraging patients to
a. sleep for 10 to 12 hours per day.
b. avoid exposure to upper respiratory tract infections.
c. receive regular immunizations when they are stressed.
d. use emotion-focused rather than problem-focused coping strategies. - ANSWER b.
avoid exposure to upper respiratory tract infections.
The nurse recognizes that a person who has chronic stress could be at higher risk for
(SATA):
a. osteoporosis
b. fibromyalgia
c. colds and flu
d. high blood pressure
e. high serum cholesterol - ANSWER b. fibromyalgia
,c. colds and flu
d. high blood pressure
The nurse recognizes that a patient with newly diagnosed breast cancer is using an
emotion-focused coping process when she...
a. joins a support group for women with breast cancer
b. considers the pros and cons of the various treatment options
c. delays treatment until her family can take a weekend trip together
d. tells the nurse that she has a good prognosis because the tumor is small - ANSWER a.
joins a support group for women with breast cancer
During a stressful circumstance that is unchangeable, which type of coping strategy is
the most effective?
a. avoidance
b. coping flexibility
c. emotion-focused coping
d. problem-focused coping - ANSWER c. emotion-focused coping
An appropriate nursing intervention for a hospitalized patient who says she cannot cope
with her illness is...
a. controlling the environment to prevent sensory overload and promote sleep
b. encouraging the patient's family to offer emotional support by frequent visiting
c. arranging for the patient to phone family and friends to maintain emotional bonds
d. asking the patient to describe previous stressful situations and how she managed to
resolve them - ANSWER d. asking the patient to describe previous stressful situations
and how she managed to resolve them
Sleep is best described as a...
a. loosely organized state similar to a coma
b. quiet state in which there is little brain activity
c. state in which a person has reduced sensitivity to pain
d. state in which a person lacks conscious awareness of the environment - ANSWER d.
state in which a person lacks conscious awareness of the environment
Which statements are true about REM sleep (SATA)?
, a. The EEG pattern is quiescent
b. muscle tone is greatly reduced
c. it occurs only once in the night
d. it is physiologically similar to NREM sleep
e. The most vivid dreaming occurs during this phase - ANSWER b. muscle tone is greatly
reduced
e. The most vivid dreaming occurs during this phase
Insufficient sleep is associated by (SATA)...
a. increased BMI
b. increased insulin resistance
c. impaired cognitive functioning
d. improved immune responsiveness
e. increased daytime body temperature - ANSWER a. increased BMI
b. increased insulin resistance
c. impaired cognitive functioning
When teaching the patient with primary insomnia about sleep hygiene, the nurse should
emphasize...
a. the importance of daytime naps
b. the need for long-term use hypnotics
c. the need to exercise about 1 hour before bedtime
d. the importance of avoiding caffeine 6-9 hours before bedtime - ANSWER d. the
importance of avoiding caffeine 6-9 hours before bedtime
An overweight patient with sleep apnea would like to avoid using nasal CPAP device. To
help him reach his goal, the nurse suggest that the patient should...
a. lose excess weight
b. take a nap during the day
c. eat a high protein snack at bedtime
d. use mild sedatives or alcohol at bedtime - ANSWER a. lose excess weight
While caring for a patient with a history of narcolepsy with cataplexy, the nurse can
