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Chapter 8. Integrative Management of Disordered Mood
MULTIPLE CHOICE
1. Although stress may result from either a positive or a negative event, the physical effects
are similar. Which statement best describes the long term effects of stress?
a. Eustress is likely to result in short term stress.
b. Chronic distress can take a toll on the individual.
c. Stress usually manifests in physical symptoms first.
d. Distress generally results in more effective coping skills. ANS: B
Distress is damaging to an individual whether it is a result of either positive or negative
stress.
This stressor can become chronic if the conflict is not resolved. Distress can take a toll on an
individuals body as well as on his or her emotional state. Eustress occurs as a result of a
positive stress such as from anticipation of a childs birth but such stress is not necessarily
short term and can result in the same symptoms as distress. Distress is less likely to occur if
previous stress has brought about good coping skills.
2. When explaining the fight-or-flight response to stress, the nurse identifies that the role of
the pituitary gland is to:
a. Minimize the secretion of cortisol.
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b. Facilitate the conservation of energy. c. Secrete adrenocorticotropic hormone. d.
Encourage fleeing from the stressor.
ANS: C
The pituitary gland secretes adrenocorticotropic hormone, which stimulates the adrenal cortex
to release cortisol. Cortisol is involved in helping the entire body to react to the stress by
mobilizing the energy reserves so that the body can rapidly respond to the stressors by either
fighting or fleeing.
3. It is believed that an individuals locus of control has a major role to play in how stress will
be handled. Which statement characterizes an internal locus of control?
a. Ill need to manage my money better in order to get out of debt.
b. The economy has really caused my finances to be in a real mess. c. I dont think Ill ever
be able to save enough to pay off my bills.
d. Having a family makes being able to stay out of debt really difficult. ANS: A
Individuals who demonstrate an internal locus of control view their capability to have
personal
success or failure as having to do with their own efforts and their ability to complete a task.
An individual with an external locus of control views task completion as having to do with
circumstances beyond his or her control. The options involving the economy, never being
able to pay off the bills, and having a family exhibit external control locus.
4. A nurse manager is attempting to address issues of work-related stress and dissatisfaction
on the unit. Which administrative intervention has been identified through research as
providing the most positive impact on staff morale even when job demands are high?
a. Scheduling so that all staff gets two weekends off a month
b. Arranging for extra staff when patient activity is above the unit average
c. Offering a paid vacation day to anyone who has no absents for six months
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edistbrib
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mismdyo(cculamreeknetm
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Chapter 8. Integrative Management of Disordered Mood
MULTIPLE CHOICE
1. Although stress may result from either a positive or a negative event, the physical effects
are similar. Which statement best describes the long term effects of stress?
a. Eustress is likely to result in short term stress.
b. Chronic distress can take a toll on the individual.
c. Stress usually manifests in physical symptoms first.
d. Distress generally results in more effective coping skills. ANS: B
Distress is damaging to an individual whether it is a result of either positive or negative
stress.
This stressor can become chronic if the conflict is not resolved. Distress can take a toll on an
individuals body as well as on his or her emotional state. Eustress occurs as a result of a
positive stress such as from anticipation of a childs birth but such stress is not necessarily
short term and can result in the same symptoms as distress. Distress is less likely to occur if
previous stress has brought about good coping skills.
2. When explaining the fight-or-flight response to stress, the nurse identifies that the role of
the pituitary gland is to:
a. Minimize the secretion of cortisol.
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DownloadD
edistbrib
y ut
Cliaorne oKfeth
mismdyo(cculamreeknetm
ismillye@
gaglmail.com) extra per year?
, lOMoAR cPSD| 14985576
b. Facilitate the conservation of energy. c. Secrete adrenocorticotropic hormone. d.
Encourage fleeing from the stressor.
ANS: C
The pituitary gland secretes adrenocorticotropic hormone, which stimulates the adrenal cortex
to release cortisol. Cortisol is involved in helping the entire body to react to the stress by
mobilizing the energy reserves so that the body can rapidly respond to the stressors by either
fighting or fleeing.
3. It is believed that an individuals locus of control has a major role to play in how stress will
be handled. Which statement characterizes an internal locus of control?
a. Ill need to manage my money better in order to get out of debt.
b. The economy has really caused my finances to be in a real mess. c. I dont think Ill ever
be able to save enough to pay off my bills.
d. Having a family makes being able to stay out of debt really difficult. ANS: A
Individuals who demonstrate an internal locus of control view their capability to have
personal
success or failure as having to do with their own efforts and their ability to complete a task.
An individual with an external locus of control views task completion as having to do with
circumstances beyond his or her control. The options involving the economy, never being
able to pay off the bills, and having a family exhibit external control locus.
4. A nurse manager is attempting to address issues of work-related stress and dissatisfaction
on the unit. Which administrative intervention has been identified through research as
providing the most positive impact on staff morale even when job demands are high?
a. Scheduling so that all staff gets two weekends off a month
b. Arranging for extra staff when patient activity is above the unit average
c. Offering a paid vacation day to anyone who has no absents for six months
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DownloadD
edistbrib
y ut
Cliaorne oKfeth
mismdyo(cculamreeknetm
ismillye@
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