BSN 225 Stress Exam Questions and Answers

BSN 225 Stress Exam Questions and Answers 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. Question 2 of 4 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. Question 3 of 4 A patient whose child died of a brain tumor several years ago initiates a fundraiser to raise money for cancer re search. 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 fu nctions Initiating a fundraiser indicates that the patient is adapting to stress by performing social role functions. Question 4 of 4 Which term is used to refer to the process of evaluating a threat by interpreting it as a threat or a challenge? Stress a ppraisal Stressor Allostasis Fight -or-flight response - Answer -Stress appraisal Stress appraisal involves determining what is at stake and then evaluating coping options. Question 1 of 3 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. Question 2 of 3 Which phrases describe how stress incre ases 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. Question 3 of 3 The nurse is caring for a patient who reports a lack of energy and insomnia caused by stress. Wh ich 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. Question 1 of 3 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 ga mes for an hour a day to study Question 2 of 3 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 usin g pain medication Refusing to acknowledge the stress - Answer -Refusing to discuss the stress Chronically using pain medication Refusing to acknowledge the stress Question 3 of 3 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. Question 1 of 3 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 g o 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. Question 2 of 3 Which situat ions can significantly affect the level of stress in a 50 -year-old patient? Select all that apply. Divorce Physical illness Maternal stress New job promotion Upcoming presidential election - Answer -Divorce