NFDN 2007 FINAL / COMPREHENSIVE STUDY GUIDE
– EXPERT STRATEGIES, REVIEW OF KEY QUIZZES,
AND PRACTICE QUESTIONS FOR GUARANTEED
SUCCESS
What is the concept of transaction stress - ...(ANSWERS)....the relationship
between the person and the environment that is appraised as exceeding the
person's resources and endangering his or her well-being
What is the physiologic response to stress - ...(ANSWERS)....fight or flight
- begins in CNS
- sympathetic response
- immune system function negatively affected
What are some psychological stress-related symptoms -
...(ANSWERS)....depression, anxiety, pain, sleep problems, autoimmune diseases,
heart disease, weight problems, reproductive issues etc
What is social support - ...(ANSWERS)....resources provided to us by others
Which of the following is a physiologic outcome to stress
A. Emotions
B. Intense emotions—disturbance in intellectual functioning
,C. Feeling challenged or threatened
D. Sympathetic response - ...(ANSWERS)....D
What is coping - ...(ANSWERS)....an individual's constantly changing cognitive and
behavioural efforts to manage specific external or internal demands that are
appraised as taxing or exceeding the individual's resources
What is problem-focused coping? - ...(ANSWERS)....attempting to alleviate stress
directly by changing the stressor or the way we interact with that stressor
changes the relationship between the environment and person
What is emotion-focused coping? - ...(ANSWERS)....attempting to alleviate stress
by avoiding or ignoring a stressor and attending to emotional needs related to our
stress reaction
changing person-environment relationship
What is inner directed coping - ...(ANSWERS)....reminding or telling self that what
they are presently doing to relieve the stress is beneficial for them
What is outer directed coping - ...(ANSWERS)....when someone does something
about what is stressing them
,ex. dog barking go to neighbor and ask them to please quiet the dog
What is self awareness - ...(ANSWERS)....the ability to recognize their feelings and
manage their anger
ex. parents divorce, the child must learn that it is not their fault
What is one very important skill necessary for coping - ...(ANSWERS)....self
awareness
What are trauma and stressor-related disorders - ...(ANSWERS)....diagnosis
specify's exposure to a traumatic or extremely stressful event
What is a traumatic stressor - ...(ANSWERS)....any event(s) that may case or
threaten death, serious injury, or sexual violence to an individual, a close family
member, or a close friend
If you suspect your client/patient is being abused by someone what would be the
most appropriate approach - ...(ANSWERS)....Straight forward asking outright i.e.
are you being/ever threatened or abused by your husband?
What is PTSD avoidance - ...(ANSWERS)....Persistent *avoidance* of stimuli
associated with the traumatic event (one or both):
, Goal is to avoid: distressing memories, thoughts, or feelings and external
reminders such as people, places, and conversations
What is acute stress disorder - ...(ANSWERS)....PTSD symptoms that appear for a
month or less
What is posttraumatic stress disorder (PTSD) - ...(ANSWERS)....delayed stress
reaction in which an individual involuntarily re-experiences emotional, cognitive,
and behavioral aspects of past trauma
What are the goals of care for PTSD (3) - ...(ANSWERS)....- eliminate or moderate
the stressor (if possible)
- reduce untoward effects of the stress response
- facilitate the maintenance or development of positive coping skills
What are the factors of social network and support - ...(ANSWERS)....size,
functions, reciprocity, interconnectedness
What is a crisis - ...(ANSWERS)....acute and time limited stressful experience for
which coping mechanisms fail
ex. bereavement, grief or mourning
– EXPERT STRATEGIES, REVIEW OF KEY QUIZZES,
AND PRACTICE QUESTIONS FOR GUARANTEED
SUCCESS
What is the concept of transaction stress - ...(ANSWERS)....the relationship
between the person and the environment that is appraised as exceeding the
person's resources and endangering his or her well-being
What is the physiologic response to stress - ...(ANSWERS)....fight or flight
- begins in CNS
- sympathetic response
- immune system function negatively affected
What are some psychological stress-related symptoms -
...(ANSWERS)....depression, anxiety, pain, sleep problems, autoimmune diseases,
heart disease, weight problems, reproductive issues etc
What is social support - ...(ANSWERS)....resources provided to us by others
Which of the following is a physiologic outcome to stress
A. Emotions
B. Intense emotions—disturbance in intellectual functioning
,C. Feeling challenged or threatened
D. Sympathetic response - ...(ANSWERS)....D
What is coping - ...(ANSWERS)....an individual's constantly changing cognitive and
behavioural efforts to manage specific external or internal demands that are
appraised as taxing or exceeding the individual's resources
What is problem-focused coping? - ...(ANSWERS)....attempting to alleviate stress
directly by changing the stressor or the way we interact with that stressor
changes the relationship between the environment and person
What is emotion-focused coping? - ...(ANSWERS)....attempting to alleviate stress
by avoiding or ignoring a stressor and attending to emotional needs related to our
stress reaction
changing person-environment relationship
What is inner directed coping - ...(ANSWERS)....reminding or telling self that what
they are presently doing to relieve the stress is beneficial for them
What is outer directed coping - ...(ANSWERS)....when someone does something
about what is stressing them
,ex. dog barking go to neighbor and ask them to please quiet the dog
What is self awareness - ...(ANSWERS)....the ability to recognize their feelings and
manage their anger
ex. parents divorce, the child must learn that it is not their fault
What is one very important skill necessary for coping - ...(ANSWERS)....self
awareness
What are trauma and stressor-related disorders - ...(ANSWERS)....diagnosis
specify's exposure to a traumatic or extremely stressful event
What is a traumatic stressor - ...(ANSWERS)....any event(s) that may case or
threaten death, serious injury, or sexual violence to an individual, a close family
member, or a close friend
If you suspect your client/patient is being abused by someone what would be the
most appropriate approach - ...(ANSWERS)....Straight forward asking outright i.e.
are you being/ever threatened or abused by your husband?
What is PTSD avoidance - ...(ANSWERS)....Persistent *avoidance* of stimuli
associated with the traumatic event (one or both):
, Goal is to avoid: distressing memories, thoughts, or feelings and external
reminders such as people, places, and conversations
What is acute stress disorder - ...(ANSWERS)....PTSD symptoms that appear for a
month or less
What is posttraumatic stress disorder (PTSD) - ...(ANSWERS)....delayed stress
reaction in which an individual involuntarily re-experiences emotional, cognitive,
and behavioral aspects of past trauma
What are the goals of care for PTSD (3) - ...(ANSWERS)....- eliminate or moderate
the stressor (if possible)
- reduce untoward effects of the stress response
- facilitate the maintenance or development of positive coping skills
What are the factors of social network and support - ...(ANSWERS)....size,
functions, reciprocity, interconnectedness
What is a crisis - ...(ANSWERS)....acute and time limited stressful experience for
which coping mechanisms fail
ex. bereavement, grief or mourning
