Fundamentals of Nursing, 2nd Edition – Active Learning for
Collaborative Practice by Yoost & Crawford
Chapter 32: Stress and Coping
Multiple Choice Questions
1. The nurse knows the one theory explaining the variation in response to stress among
individuals is identified by which term?
A. Stress appraisal.
B. Sense of coherence.
C. Allostasis.
D. Homeostasis.
Answer: B
Explanation: Sense of coherence (SOC) explains individual differences in stress response by
assessing one's perception of life as comprehensible, meaningful, and manageable.
Why Other Options Are Wrong: A refers to initial stress evaluation, C describes the stress
response itself, and D relates to physiological balance.
2. The nurse is caring for a patient with a new diagnosis of diabetes type 2. Which
statement indicates a negative coping response?
A. "I will look up information on the Internet about diabetes."
B. "I will join a support group."
C. "I will only focus on learning to manage my medication first."
D. "I will make changes slowly so I can adapt to each change."
Answer: C
Explanation: Limiting learning to medication reflects avoidance, a maladaptive coping strategy.
Why Other Options Are Wrong: A, B, and D demonstrate proactive, adaptive approaches to
managing stress.
3. The nurse is caring for a patient undergoing a major cardiac procedure who
complains of a racing heart and nausea. The nurse recognizes these as part of what
hormone response?
A. Sense of coherence.
B. Stress appraisal.
, C. Fight or flight.
D. Sympathoadrenal response.
Answer: C
Explanation: "Fight or flight" involves CRH and ACTH release, causing tachycardia and GI
slowing.
Why Other Options Are Wrong: A and B are cognitive processes. D involves adrenal medulla
hormones.
4. When measuring a patient's blood glucose after an acute MI, the nurse knows this is
based on which rationale?
A. Damaged muscle tissue releases glucose.
B. Corticosteroids increase glucose.
C. MIs are often seen in diabetics.
D. All patients should have glucose checked.
Answer: B
Explanation: Stress hormones like corticosteroids elevate blood glucose during physiological
stress.
Why Other Options Are Wrong: A is unrelated to glucose release. C and D are incorrect
generalizations.
5. The nurse is teaching about mild vs. moderate anxiety. Which patient statement
indicates a need for further education?
A. "Mild anxiety can help me remember things."
B. "Moderate anxiety will narrow my focus."
C. "Mild anxiety will help me be creative."
D. "Moderate anxiety will increase my perception."
Answer: D
Explanation: Moderate anxiety narrows focus and dulls perception, contrary to the patient's
statement.
Why Other Options Are Wrong: A, B, and C accurately describe anxiety effects.
6. Which discharge instruction for a multiple sclerosis patient aims to prevent future
exacerbations?
Collaborative Practice by Yoost & Crawford
Chapter 32: Stress and Coping
Multiple Choice Questions
1. The nurse knows the one theory explaining the variation in response to stress among
individuals is identified by which term?
A. Stress appraisal.
B. Sense of coherence.
C. Allostasis.
D. Homeostasis.
Answer: B
Explanation: Sense of coherence (SOC) explains individual differences in stress response by
assessing one's perception of life as comprehensible, meaningful, and manageable.
Why Other Options Are Wrong: A refers to initial stress evaluation, C describes the stress
response itself, and D relates to physiological balance.
2. The nurse is caring for a patient with a new diagnosis of diabetes type 2. Which
statement indicates a negative coping response?
A. "I will look up information on the Internet about diabetes."
B. "I will join a support group."
C. "I will only focus on learning to manage my medication first."
D. "I will make changes slowly so I can adapt to each change."
Answer: C
Explanation: Limiting learning to medication reflects avoidance, a maladaptive coping strategy.
Why Other Options Are Wrong: A, B, and D demonstrate proactive, adaptive approaches to
managing stress.
3. The nurse is caring for a patient undergoing a major cardiac procedure who
complains of a racing heart and nausea. The nurse recognizes these as part of what
hormone response?
A. Sense of coherence.
B. Stress appraisal.
, C. Fight or flight.
D. Sympathoadrenal response.
Answer: C
Explanation: "Fight or flight" involves CRH and ACTH release, causing tachycardia and GI
slowing.
Why Other Options Are Wrong: A and B are cognitive processes. D involves adrenal medulla
hormones.
4. When measuring a patient's blood glucose after an acute MI, the nurse knows this is
based on which rationale?
A. Damaged muscle tissue releases glucose.
B. Corticosteroids increase glucose.
C. MIs are often seen in diabetics.
D. All patients should have glucose checked.
Answer: B
Explanation: Stress hormones like corticosteroids elevate blood glucose during physiological
stress.
Why Other Options Are Wrong: A is unrelated to glucose release. C and D are incorrect
generalizations.
5. The nurse is teaching about mild vs. moderate anxiety. Which patient statement
indicates a need for further education?
A. "Mild anxiety can help me remember things."
B. "Moderate anxiety will narrow my focus."
C. "Mild anxiety will help me be creative."
D. "Moderate anxiety will increase my perception."
Answer: D
Explanation: Moderate anxiety narrows focus and dulls perception, contrary to the patient's
statement.
Why Other Options Are Wrong: A, B, and C accurately describe anxiety effects.
6. Which discharge instruction for a multiple sclerosis patient aims to prevent future
exacerbations?
