NUR 114 BASIC CONCEPTS PRACTICE
QUESTIONS AND ANSWERS GRADED A+
1. When assessing whether a client is exhibiting adaptive responses to stres-
sors, the nurse must recognize which of the following?
a. Adaptive responses are those that preserve the integrity of the individual.
b. Adaptive responses eliminate all stressors.
c. Adaptive responses can only be achieved through intensive therapy.
d. Adaptive responses are whatever the client perceives them to be.: a. Adaptive
responses are those that preserve the integrity of the individual.
2. Why is stress management so important in one's overall health?
a. Stress-related disorders strengthen the immune system.
b. Sustained response to stress can increase vulnerability to a variety of
diseases and maladaptive coping responses.
c. Relaxation exercises are effective in preventing disorders such as depres-
sion and suicide.
d. All of the above.: b. Sustained response to stress can increase vulnerability to a variety of diseases and
maladaptive coping responses.
3. Elena has just received a promotion on her job. She is very happy and excited
about moving up in her company, but she has been experiencing anxiety since
receiving the news. The nurse accurately assesses her primary appraisal of
the situation as which of the following?
a. Benign-positive
b. Irrelevant
,c. Challenging
d. Threatening: c. Challenging
4. Which of the following statements by a client are examples of adaptive
coping mechanisms?
a. "I like to take the edge off by having a few drinks."
b. "I need to pay more attention to my calorie intake because I gained 10
pounds in the last month."
c. "When the stress gets to be too much, I feel better after I kick the dog."
d. "I try to stay away from people because it's less stressful than arguing with
everybody.": b. "I need to pay more attention to my calorie intake because I gained 10 pounds in the last
month."
, 5. A client reports hearing on last night's evening news that 25 people were
killed in a tornado in south Texas, but appears to express no anxiety in
response to this stressful situation. Which of these actions by the nurse is a
priority?
a. Ask where the client lives.
b. Assess the client's perception about the relevance of this event.
c. Encourage the client to use adaptive coping skills to help others through
this tragedy.
d. Ask where the client grew up.: b. Assess the client's perception about the relevance of this event.
6. A client regularly develops nausea and vomiting when she is faced with
a stressful situation. Which of the following should be considered when at-
tempting to identify predisposing factors associated with Cindy's response?
(Select all that apply.)
a. Identify what happened right before she had the most recent episode of
nausea and vomiting.
b. Consider genetic influences.
c. Identify any existing physical conditions that might make the client more
vulnerable to respond in this way.
d. Explore past experiences that may have resulted in this becoming a learned
response.: b. Consider genetic influences.
c. Identify any existing physical conditions that might make the client more vulnerable to respond in this way.
d. Explore past experiences that may have resulted in this becoming a learned response.
7. A client comes to the mental health clinic with reports of anxiety and depres-
sion. Regarding the transactional model of stress and adaptation, which of
the following are important nursing actions when assessing his complaints?
(Select all that apply.)
a. Evaluate the client's perception of precipitating events.
b. Ask the client about past stressors and degree of positive coping abilities.
c. Assess the client's existing social supports.
d. Evaluate the client's physical strength.
e. Monitor the client's temperature.: a. Evaluate the client's perception of precipitating events.
QUESTIONS AND ANSWERS GRADED A+
1. When assessing whether a client is exhibiting adaptive responses to stres-
sors, the nurse must recognize which of the following?
a. Adaptive responses are those that preserve the integrity of the individual.
b. Adaptive responses eliminate all stressors.
c. Adaptive responses can only be achieved through intensive therapy.
d. Adaptive responses are whatever the client perceives them to be.: a. Adaptive
responses are those that preserve the integrity of the individual.
2. Why is stress management so important in one's overall health?
a. Stress-related disorders strengthen the immune system.
b. Sustained response to stress can increase vulnerability to a variety of
diseases and maladaptive coping responses.
c. Relaxation exercises are effective in preventing disorders such as depres-
sion and suicide.
d. All of the above.: b. Sustained response to stress can increase vulnerability to a variety of diseases and
maladaptive coping responses.
3. Elena has just received a promotion on her job. She is very happy and excited
about moving up in her company, but she has been experiencing anxiety since
receiving the news. The nurse accurately assesses her primary appraisal of
the situation as which of the following?
a. Benign-positive
b. Irrelevant
,c. Challenging
d. Threatening: c. Challenging
4. Which of the following statements by a client are examples of adaptive
coping mechanisms?
a. "I like to take the edge off by having a few drinks."
b. "I need to pay more attention to my calorie intake because I gained 10
pounds in the last month."
c. "When the stress gets to be too much, I feel better after I kick the dog."
d. "I try to stay away from people because it's less stressful than arguing with
everybody.": b. "I need to pay more attention to my calorie intake because I gained 10 pounds in the last
month."
, 5. A client reports hearing on last night's evening news that 25 people were
killed in a tornado in south Texas, but appears to express no anxiety in
response to this stressful situation. Which of these actions by the nurse is a
priority?
a. Ask where the client lives.
b. Assess the client's perception about the relevance of this event.
c. Encourage the client to use adaptive coping skills to help others through
this tragedy.
d. Ask where the client grew up.: b. Assess the client's perception about the relevance of this event.
6. A client regularly develops nausea and vomiting when she is faced with
a stressful situation. Which of the following should be considered when at-
tempting to identify predisposing factors associated with Cindy's response?
(Select all that apply.)
a. Identify what happened right before she had the most recent episode of
nausea and vomiting.
b. Consider genetic influences.
c. Identify any existing physical conditions that might make the client more
vulnerable to respond in this way.
d. Explore past experiences that may have resulted in this becoming a learned
response.: b. Consider genetic influences.
c. Identify any existing physical conditions that might make the client more vulnerable to respond in this way.
d. Explore past experiences that may have resulted in this becoming a learned response.
7. A client comes to the mental health clinic with reports of anxiety and depres-
sion. Regarding the transactional model of stress and adaptation, which of
the following are important nursing actions when assessing his complaints?
(Select all that apply.)
a. Evaluate the client's perception of precipitating events.
b. Ask the client about past stressors and degree of positive coping abilities.
c. Assess the client's existing social supports.
d. Evaluate the client's physical strength.
e. Monitor the client's temperature.: a. Evaluate the client's perception of precipitating events.
