Chapter 13 Coping and Stress

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Chapter 13  Coping and Stress

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1.

When are stress-related physical, behavioral, and cognitive changes more likely to occur?

  1. When the stress has a sudden onset
  2. When stress is low level but constant
  3. When stress is varied and cumulative
  4. When stress is suppressed or denied

ANS: C
An accumulation of a variety of stressors is most likely to cause physical, behavioral, or cognitive changes.

2.

3.

ANS: B
The body’s response to stress is to increase heart rate and glucose levels, increase the blood pressure, and decrease production of digestive enzymes.

DIF: Cognitive Level: Comprehension REF: Table 13-2, p. 226 OBJ: 2 TOP: General Adaptation Syndrome
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

A woman is in the emergency department after a car wreck. She is breathing rapidly and complains of dizziness and tingling in her extremities. She says, “I think I’m having a heart attack!” The nurse is aware that the symptoms may be related to which of the following?

  1. A transient ischemic attack
  2. Hyperventilation
  3. Hypotension
  4. Asthma

ANS: B
An increased respiratory rate associated with stress can lead to hyperventilation, with symptoms of tingling in the extremities and dizziness.

DIF: Cognitive Level: Application REF: Table 13-2, p. 226 OBJ: 2 TOP: Hyperventilation
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

DIF: Cognitive Level: Comprehension REF: p. 224
TOP: Stressors KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

How does the body respond physically to stress?

  1. Decreased heart rate
  2. Decreased production of digestive enzymes
  3. Decreased blood glucose levels
  4. Decreased blood pressure

OBJ: 1

4. The student sitting in class waiting for the final examination develops nausea and excessive gas. What is a probable cause of these symptoms?

  1. Increase in the blood glucose level
  2. Increase in heart rate
  3. Reduction of peristalsis
  4. Decrease in adrenalin

ANS: C
The stress response of decreased peristalsis will cause abdominal distention, nausea, and gas. The continued response can result in constipation.

DIF: Cognitive Level: Application REF: Table 13-2, p. 226 OBJ: 2 TOP: Gastrointestinal Stress Response
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

5. Which statement by a patient could be related to symptoms of stress?

  1. “I have to urinate every 10 minutes, and there are only a few drops.”
  2. “I haven’t had to urinate for the past 8 hours.”
  3. “I void large amounts of urine every 2 hours.”
  4. “My urine has absolutely no color. It looks like water.”

ANS: A
Frequent voiding of only a small amount of urine is an indicator of stress.

DIF: Cognitive Level: Application REF: Table 13-2, p. 226 OBJ: 2 TOP: Urinary Stress Response
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

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