BSN 225 Stress Update questions with
complete solutions.
A patient with numerous medical bills experiences a physical reaction when the bills come due,
including a "racing heart" and an "upset stomach." Which term describes this physiologic
response?
Stressor
Homeostasis
Stress appraisal
Fight-or-flight response - ANSWER>>Fight-or-flight response
The fight-or-flight response is a physiologic response to stress. It causes an increase in heart
rate, blood pressure, and respirations.
A patient received a highly desired promotion and reports feeling anxious when thinking about
beginning the new job. Which type of stress is the patient experiencing?
Distress
Eustress
Sociocultural stress
Psychological stress - ANSWER>>Eustress
Eustress is motivational stress associated with effective coping and adaptation as would occur
with a new job promotion.
A patient whose child died of a brain tumor several years ago initiates a fundraiser to raise
money for cancer research. According to Roy's Adaptation Model, in which way is this patient
adapting to stress?
Meeting physiologic needs
Developing a positive identity
Performing social role functions
Balancing dependence and independence - ANSWER>>Performing social role functions
Initiating a fundraiser indicates that the patient is adapting to stress by performing social role
functions.
Which term is used to refer to the process of evaluating a threat by interpreting it as a threat or
a challenge?
Stress appraisal
Stressor
,Allostasis
Fight-or-flight response - ANSWER>>Stress appraisal
Stress appraisal involves determining what is at stake and then evaluating coping options.
Which physiologic response to stress is an example of why a patient might experience
gastrointestinal distress during stressful situations?
Increase in food digestion
Increase in blood flow to the muscles
Increase in kidney function
Increase in digestive tract activity - ANSWER>>Increase in blood flow to the muscles
During a stressful situation, there is an increase in the flow of blood to the muscles at the
expense of the digestive system and other systems not immediately needed in the fight-or-
flight response.
Which phrases describe how stress increases a patient's susceptibility to disease?
Select all that apply.
Increases sleep
Impairs lymphocyte activity
Increases reactivation of viruses
Decreases response to antibiotics
Accelerates progression of HIV to AIDS - ANSWER>>Impairs lymphocyte activity
Stress decreases the activity of some lymphocytes, decreasing the body's ability to fight
infection.
Increases reactivation of viruses
Periodic reactivation of herpes infections, especially herpes simplex virus type 1 and type 2
(HSV-1and HSV-2) infections, commonly occurs with stress.
Accelerates progression of HIV to AIDS
Stress accelerates the progression of HIV infection toward active AIDS.
The nurse is caring for a patient who reports a lack of energy and insomnia caused by stress.
Which other assessment finding would the nurse anticipate?
Panic
Depression
Anxiety - ANSWER>>Depression
People experiencing depression may feel worthless, guilty, or hopeless, and may experience
physiologic symptoms such as lack of energy.
, Which coping mechanisms are healthy for a 12-year-old who is stressed about school grades?
Select all that apply.
Creating a daily study schedule
Talking with a teacher about how to improve grades
Making an appointment with the guidance counselor
Giving up video games for an hour a day to study
Telling parents, "There's nothing I can do to improve." - ANSWER>>Creating a daily study
schedule
Talking with a teacher about how to improve grades
Making an appointment with the guidance counselor
Giving up video games for an hour a day to study
Which reactions to stress are considered unhealthy coping mechanisms?
Select all that apply.
Refusing to discuss the stress
Exercising to relieve the stress
Keeping a journal about the stress
Chronically using pain medication
Refusing to acknowledge the stress - ANSWER>>Refusing to discuss the stress
Chronically using pain medication
Refusing to acknowledge the stress
Which patient statement regarding coping indicates that teaching by the nurse has been
effective?
"The way I cope may change over time."
"All coping styles are healthy responses to stress."
"Coping ensures that I will resolve my problems."
"Everyone copes in the same basic way." - ANSWER>>"The way I cope may change over time."
Coping is a dynamic process and may change with the stressor or over time.
When dealing with stressors, to which group will a 17-year-old patient most readily relate?
Younger siblings who live in the same home with the patient
Peers that go to school with the patient
Mother and father of the patient
Teachers and counselors that the patient trusts - ANSWER>>Peers that go to school with the
patient
Teenagers relate to their own peer group most closely and readily.
complete solutions.
A patient with numerous medical bills experiences a physical reaction when the bills come due,
including a "racing heart" and an "upset stomach." Which term describes this physiologic
response?
Stressor
Homeostasis
Stress appraisal
Fight-or-flight response - ANSWER>>Fight-or-flight response
The fight-or-flight response is a physiologic response to stress. It causes an increase in heart
rate, blood pressure, and respirations.
A patient received a highly desired promotion and reports feeling anxious when thinking about
beginning the new job. Which type of stress is the patient experiencing?
Distress
Eustress
Sociocultural stress
Psychological stress - ANSWER>>Eustress
Eustress is motivational stress associated with effective coping and adaptation as would occur
with a new job promotion.
A patient whose child died of a brain tumor several years ago initiates a fundraiser to raise
money for cancer research. According to Roy's Adaptation Model, in which way is this patient
adapting to stress?
Meeting physiologic needs
Developing a positive identity
Performing social role functions
Balancing dependence and independence - ANSWER>>Performing social role functions
Initiating a fundraiser indicates that the patient is adapting to stress by performing social role
functions.
Which term is used to refer to the process of evaluating a threat by interpreting it as a threat or
a challenge?
Stress appraisal
Stressor
,Allostasis
Fight-or-flight response - ANSWER>>Stress appraisal
Stress appraisal involves determining what is at stake and then evaluating coping options.
Which physiologic response to stress is an example of why a patient might experience
gastrointestinal distress during stressful situations?
Increase in food digestion
Increase in blood flow to the muscles
Increase in kidney function
Increase in digestive tract activity - ANSWER>>Increase in blood flow to the muscles
During a stressful situation, there is an increase in the flow of blood to the muscles at the
expense of the digestive system and other systems not immediately needed in the fight-or-
flight response.
Which phrases describe how stress increases a patient's susceptibility to disease?
Select all that apply.
Increases sleep
Impairs lymphocyte activity
Increases reactivation of viruses
Decreases response to antibiotics
Accelerates progression of HIV to AIDS - ANSWER>>Impairs lymphocyte activity
Stress decreases the activity of some lymphocytes, decreasing the body's ability to fight
infection.
Increases reactivation of viruses
Periodic reactivation of herpes infections, especially herpes simplex virus type 1 and type 2
(HSV-1and HSV-2) infections, commonly occurs with stress.
Accelerates progression of HIV to AIDS
Stress accelerates the progression of HIV infection toward active AIDS.
The nurse is caring for a patient who reports a lack of energy and insomnia caused by stress.
Which other assessment finding would the nurse anticipate?
Panic
Depression
Anxiety - ANSWER>>Depression
People experiencing depression may feel worthless, guilty, or hopeless, and may experience
physiologic symptoms such as lack of energy.
, Which coping mechanisms are healthy for a 12-year-old who is stressed about school grades?
Select all that apply.
Creating a daily study schedule
Talking with a teacher about how to improve grades
Making an appointment with the guidance counselor
Giving up video games for an hour a day to study
Telling parents, "There's nothing I can do to improve." - ANSWER>>Creating a daily study
schedule
Talking with a teacher about how to improve grades
Making an appointment with the guidance counselor
Giving up video games for an hour a day to study
Which reactions to stress are considered unhealthy coping mechanisms?
Select all that apply.
Refusing to discuss the stress
Exercising to relieve the stress
Keeping a journal about the stress
Chronically using pain medication
Refusing to acknowledge the stress - ANSWER>>Refusing to discuss the stress
Chronically using pain medication
Refusing to acknowledge the stress
Which patient statement regarding coping indicates that teaching by the nurse has been
effective?
"The way I cope may change over time."
"All coping styles are healthy responses to stress."
"Coping ensures that I will resolve my problems."
"Everyone copes in the same basic way." - ANSWER>>"The way I cope may change over time."
Coping is a dynamic process and may change with the stressor or over time.
When dealing with stressors, to which group will a 17-year-old patient most readily relate?
Younger siblings who live in the same home with the patient
Peers that go to school with the patient
Mother and father of the patient
Teachers and counselors that the patient trusts - ANSWER>>Peers that go to school with the
patient
Teenagers relate to their own peer group most closely and readily.
