NURS 3812 Exam 1: Stress & Coping and
Sexuality Questions and Correct Answers
What are the different types of stress?
- positive stress
- tolerable stress
- toxic stress
What is positive stress?
- normal part of healthy development
- brief few minor changes in emotions, hormonal response or heart rate change
What are some examples of positive stress?
interview, trying something new
What is tolerable stress?
- more intense stress experience
- adaptation with support
- has defined time frame that has an end
What are some examples of tolerable stress?
death of a family member, accident
What is toxic stress?
,- stressor is severe, intense and sustained
- leads to prolonged stress response (immune system, digestive system, cardiovascular system,
actual physiological changes)
What are examples of toxic stress?
ACEs
abuse, neglect, home dysfunction
What are risk factors of stress for infants/toddlers?
- permanent effects on developing brain (toxic stress - ACEs)
- regression (potty training, baby talk)
- less coping mechanisms (have not learned yet)
- SEPARATION ANXIETY
When is separation anxiety the highest?
between 6-30 months
What are the three distinct phases of separation anxiety?
- protest
- despair
- detachment
What is the protest phase of separation anxiety?
screaming, clinging to parents, verbal and physical aggression toward strangers ("go away")
, What is the despair phase of separation anxiety?
withdrawal from others, depression, decreased communication, developmental regression
What is the detachment phase of separation anxiety?
if they are separated too long they start interacting with strangers, form new relationships, happy
appearance, they start to not care anymore
RARE in hospitalization --> takes a long time to occur
What are the stress risk factors for pre-school/children?
- learning coping skills as they mature
- may not learn effective coping skills if in a dysfunctional home
- difficult temperament (how they present themselves can affect ability to deal with stress)
- multiple/frequent hospitalizations (what have they experienced before)
What are the stress risk factors for adolescents?
- hard time coping with body changes
- brain not fully developed = high risk ineffective coping skills can lead to high risk choices in
times of stress (speeding, substance abuse)
- many sources of stress (school, peers, parents/caregivers, bullying, social media)
- loss of control can cause stress in hospitalized setting
What are stress risk factors for older adults?
- loss of social support (at risk for social isolation and can impact coping)
- mobility issues
- hearing and vision loss (sensory loss)
Sexuality Questions and Correct Answers
What are the different types of stress?
- positive stress
- tolerable stress
- toxic stress
What is positive stress?
- normal part of healthy development
- brief few minor changes in emotions, hormonal response or heart rate change
What are some examples of positive stress?
interview, trying something new
What is tolerable stress?
- more intense stress experience
- adaptation with support
- has defined time frame that has an end
What are some examples of tolerable stress?
death of a family member, accident
What is toxic stress?
,- stressor is severe, intense and sustained
- leads to prolonged stress response (immune system, digestive system, cardiovascular system,
actual physiological changes)
What are examples of toxic stress?
ACEs
abuse, neglect, home dysfunction
What are risk factors of stress for infants/toddlers?
- permanent effects on developing brain (toxic stress - ACEs)
- regression (potty training, baby talk)
- less coping mechanisms (have not learned yet)
- SEPARATION ANXIETY
When is separation anxiety the highest?
between 6-30 months
What are the three distinct phases of separation anxiety?
- protest
- despair
- detachment
What is the protest phase of separation anxiety?
screaming, clinging to parents, verbal and physical aggression toward strangers ("go away")
, What is the despair phase of separation anxiety?
withdrawal from others, depression, decreased communication, developmental regression
What is the detachment phase of separation anxiety?
if they are separated too long they start interacting with strangers, form new relationships, happy
appearance, they start to not care anymore
RARE in hospitalization --> takes a long time to occur
What are the stress risk factors for pre-school/children?
- learning coping skills as they mature
- may not learn effective coping skills if in a dysfunctional home
- difficult temperament (how they present themselves can affect ability to deal with stress)
- multiple/frequent hospitalizations (what have they experienced before)
What are the stress risk factors for adolescents?
- hard time coping with body changes
- brain not fully developed = high risk ineffective coping skills can lead to high risk choices in
times of stress (speeding, substance abuse)
- many sources of stress (school, peers, parents/caregivers, bullying, social media)
- loss of control can cause stress in hospitalized setting
What are stress risk factors for older adults?
- loss of social support (at risk for social isolation and can impact coping)
- mobility issues
- hearing and vision loss (sensory loss)
