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Brunner-Suddarth-s-Textbook-of-Medical-Surgical-Nursing-13th-13e-Edition-A nurse is meeting with a young woman who has recently lost her job after moving with her husband to a new city. She describes herself as being “anxious and pretty depressed.” What principle of stress and adaptation should be integrated intothe nurse’s plan of care for this patient?

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Brunner & Suddarth’s Textbook of Medical-
Surgical Nursing 13th 13e edition-Test Bank

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Sample Test

Chapter 6


A nurse is meeting with a young woman who has recently lost her job after m
1. herself as being “anxious and pretty depressed.” What principle of stress and
plan of care for this patient?
A) Adaptation often fails during stressful events and results in homeo
B) Stress is a part of all lives, and, eventually, this young woman will
C) Acute anxiety and depression can be adaptations that alleviate st

, D) An accumulation of stressors can disrupt homeostasis and result
Ans: D
Feedback:
Four concepts—constancy, homeostasis, stress, and adaptation—are key to
maintained through emotional, neurologic, and hormonal measures; stressor
many stressors disrupt homeostasis, and, if adaptation fails, the result is dise
may never adapt. Acute anxiety and depression are frequently associated w




You are the nurse caring for an adult patient who has just received a diagnos
2. “never be able to cope with this situation.” How should you best understand
patient’s needs?
A) Coping is a physiologic measure used to deal with change, and h
B) Coping is composed of the physiologic and psychological process
C) Coping is the human need for faith and hope, both of which create
D) Coping is a social strategy that is used to deal with change and lo
Ans: B
Feedback:
Indicators of stress and the stress response include both subjective and obje
or behavioral and reflect social behaviors and thought processes. The physio
adapt to stress are the essence of the coping process. Coping is both a phys
change. Coping is a personal process used to adapt to change.




The nurse is with a patient who has learned that he has glioblastoma multifo
3. poor prognosis. His heart rate increases, his eyes dilate, and his blood press
as being attributable to what response?
A) Part of the limbic system response
B) Sympathetic nervous response
C) Hypothalamic-pituitary response

, D) Local adaptation syndrome
Ans: B
Feedback:
The sympathetic nervous system responds rapidly to stress; norepinephrine
respond (i.e., heart rate increases, eyes dilate, and blood pressure increases
behavior that are critical to survival during times of stress. The hypothalamic
metabolic effect that results in elevated blood sugars during stressful situatio
inflammatory reaction.




You are the nurse caring for a 72-year-old woman who is recovering from a h
4. was very stressful and prolonged, and you note on the chart that her blood s
her previous medical history. To what do you attribute this elevation in blood
A) It is a temporary result of increased secretion of antidiuretic hormo
B) She must have had diabetes prior to surgery that was undiagnose
C) She has suffered pancreatic trauma during her abdominal surgery
D) The blood sugars are probably a result of the “fight-or-flight” react
Ans: D
Feedback:
During stressful situations, ACTH stimulates the release of cortisol from the a
releasing amino acids and stimulating the liver to convert amino acids to gluc
hormone is released during stressful situations and stimulates reabsorption o
kidney. Assuming the patient had diabetes prior to surgery demonstrates a la
hyperglycemia. No evidence presented in the question other than elevated b




A patient tells the nurse that she does not like to “go to the doctor” and is fee
nurse checks her blood pressure, it is elevated along with her heart rate. The
5.
minutes later and it is normal. The patient asks the nurse if she should be co
statement should guide the nurse’s response?
A) She should not worry; it was stress related and her regular blood

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