NUR 131 Exam 4 Nursing and Healthcare (Galen) | Latest
Update 2026–2027 | Complete Exam Prep | Verified
Questions & Answers | Graded A+
1. ____ is a long-term or continuous state of nervous arousal where an individual
perceives that demands are greater than the ability to meet them.
Acute stress
Oblique stress
Chronic stress
Acculturative stress
2. In a scenario where a patient is nearing the end of life and expressing fear,
what assessment should you prioritize?
Emotional and psychological assessment
Vital signs monitoring
Nutritional assessment
Physical mobility assessment
3. Anticipatory Grief is best described as:
A normal response to loss
Experiencing grief before the actual loss
Grief that has additional aspects derived from 'making the decision'
Prolonged grief: the process appears to have become stuck - can
continue for months or years
4. Describe how physical loss differs from psychological loss in the context of
patient care.
, Psychological loss is only related to mental health issues.
Physical loss is always more severe than psychological loss.
Physical loss can be easily replaced, while psychological loss cannot.
Physical loss refers to the loss of a tangible entity, while
psychological loss involves the emotional impact of losing
something significant.
5. In a nursing scenario, if a patient is experiencing distress due to
overwhelming life demands, what approach should the nurse take to provide
support?
Offer emotional support and coping strategies.
Suggest that the patient take on more responsibilities.
Advise the patient to avoid discussing their stressors.
Encourage the patient to ignore their feelings.
6. Which type of stress response is the result of prolonged exposure to stress,
resulting in permanent changes in brain structure and brain functioning?
Toxic stress
Organic stress
Tolerable stress
Positive stress
7. What is the definition of hypochondriasis within somatoform disorders?
Hypochondriasis is a psychological disorder characterized by the
belief that one has a serious disease.
Hypochondriasis is a type of anxiety disorder that leads to physical
symptoms.
, Hypochondriasis is a condition where a person is excessively
worried about having a serious illness despite having little or no
medical evidence.
Hypochondriasis is a condition where individuals experience pain
without any identifiable medical cause.
8. What is the first action a nurse should take if a patient is not adhering to their
medication schedule?
investigate why
evaluate the medication schedule
explain the effects of missing dosages
reprimand the patient for being noncompliant
9. What term is used to describe the process of expressing grief after a loss?
Loss
Bereavement
Mourning
Grieving
10. Which of the following care facilities have a goal of therapy of supporting
terminally ill patients?
nursing homes
hospice care facilities
skilled nursing facilities
assisted living facilities
, 11. Why is it important for nurses to avoid wrapping dressings tightly around
extremities?
To keep the dressing clean and dry.
To prevent impaired circulation and ensure proper blood flow.
To reduce the risk of infection at the wound site.
To minimize the patient's discomfort during dressing changes.
12. What are the categories of loss that individuals may experience?
Emotional loss, financial loss, and spiritual loss.
Psychological loss, environmental loss, and cultural loss.
Physical loss, psychological loss, and social loss.
Social loss, economic loss, and relational loss.
13. What does the term 'no religious preference' imply about a patient's beliefs?
does not follow the tenets of a specific faith
will not want to pray or visit with the chaplain
doesn't believe in God or a 'higher power'
is in denial about his religious beliefs
14. A client who is taking the drug atenolol (Tenormin) may not exhibit the
expected increase in ________________ and _____________during the alarm stage of the
general adaptation syndrome.
blood pressure and pulse
fear and distress
anxiety and stress
Update 2026–2027 | Complete Exam Prep | Verified
Questions & Answers | Graded A+
1. ____ is a long-term or continuous state of nervous arousal where an individual
perceives that demands are greater than the ability to meet them.
Acute stress
Oblique stress
Chronic stress
Acculturative stress
2. In a scenario where a patient is nearing the end of life and expressing fear,
what assessment should you prioritize?
Emotional and psychological assessment
Vital signs monitoring
Nutritional assessment
Physical mobility assessment
3. Anticipatory Grief is best described as:
A normal response to loss
Experiencing grief before the actual loss
Grief that has additional aspects derived from 'making the decision'
Prolonged grief: the process appears to have become stuck - can
continue for months or years
4. Describe how physical loss differs from psychological loss in the context of
patient care.
, Psychological loss is only related to mental health issues.
Physical loss is always more severe than psychological loss.
Physical loss can be easily replaced, while psychological loss cannot.
Physical loss refers to the loss of a tangible entity, while
psychological loss involves the emotional impact of losing
something significant.
5. In a nursing scenario, if a patient is experiencing distress due to
overwhelming life demands, what approach should the nurse take to provide
support?
Offer emotional support and coping strategies.
Suggest that the patient take on more responsibilities.
Advise the patient to avoid discussing their stressors.
Encourage the patient to ignore their feelings.
6. Which type of stress response is the result of prolonged exposure to stress,
resulting in permanent changes in brain structure and brain functioning?
Toxic stress
Organic stress
Tolerable stress
Positive stress
7. What is the definition of hypochondriasis within somatoform disorders?
Hypochondriasis is a psychological disorder characterized by the
belief that one has a serious disease.
Hypochondriasis is a type of anxiety disorder that leads to physical
symptoms.
, Hypochondriasis is a condition where a person is excessively
worried about having a serious illness despite having little or no
medical evidence.
Hypochondriasis is a condition where individuals experience pain
without any identifiable medical cause.
8. What is the first action a nurse should take if a patient is not adhering to their
medication schedule?
investigate why
evaluate the medication schedule
explain the effects of missing dosages
reprimand the patient for being noncompliant
9. What term is used to describe the process of expressing grief after a loss?
Loss
Bereavement
Mourning
Grieving
10. Which of the following care facilities have a goal of therapy of supporting
terminally ill patients?
nursing homes
hospice care facilities
skilled nursing facilities
assisted living facilities
, 11. Why is it important for nurses to avoid wrapping dressings tightly around
extremities?
To keep the dressing clean and dry.
To prevent impaired circulation and ensure proper blood flow.
To reduce the risk of infection at the wound site.
To minimize the patient's discomfort during dressing changes.
12. What are the categories of loss that individuals may experience?
Emotional loss, financial loss, and spiritual loss.
Psychological loss, environmental loss, and cultural loss.
Physical loss, psychological loss, and social loss.
Social loss, economic loss, and relational loss.
13. What does the term 'no religious preference' imply about a patient's beliefs?
does not follow the tenets of a specific faith
will not want to pray or visit with the chaplain
doesn't believe in God or a 'higher power'
is in denial about his religious beliefs
14. A client who is taking the drug atenolol (Tenormin) may not exhibit the
expected increase in ________________ and _____________during the alarm stage of the
general adaptation syndrome.
blood pressure and pulse
fear and distress
anxiety and stress
