Chapter 13 Coping and Stress

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Chapter 13  Coping and Stress

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The nurse is aware that stress-related physical, behavioral, and cognitive changes are more likely to occur when the stress:

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

ANS: C
An accumulation of a variety of stressors is most likely to cause physical, behavioral, or cognitive changes.
DIF: Cognitive Level: Comprehension REF: 224 OBJ: 1
TOP: Stressors KEY: Nursing Process Step: Assessment
MSC: NCLEX:PsychosocialIntegrity:PsychosocialAdaptation

2. The nurse is aware that in the first stage of the general adaptation syndrome (GAS), the body responds by:

  1. decreasing the heart rate.
  2. constricting peripheral vessels.
  3. decreasing blood glucose levels.
  4. decreasing blood pressure.

ANS: B
The body’s response during the alarm phase of the GAS is to increase heart rate and glucose levels, constrict peripheral vessels to increase the blood pressure, and supply more blood to the brain to ready the body to be in the fight-or-flight mode.
DIF: Cognitive Level: Comprehension REF: 226, Table 13-2
OBJ: 2 TOP: General Adaptation Syndrome
KEY: Nursing Process Step: Assessment
MSC: NCLEX:PsychosocialIntegrity:PsychosocialAdaptation

3. An extremely stressed 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 recognizes these complaints as being related to:

  1. a transient ischemic attack.
  2. hyperventilation.
  3. hypotension.
  4. asthma.

Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.

ANS: B
An increased respiratory rate associated with stress can lead to hyperventilation, with its attendant distressing symptoms.
DIF: Cognitive Level: Application REF: 226, Table 13-2
OBJ: 2 TOP: Hyperventilation
KEY: Nursing Process Step: Assessment
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

4. The student sitting in class waiting for the final examination develops nausea and excessive gas. The nursing instructor is aware that these symptoms are caused by a stress-related:

  1. increase in the blood glucose level.
  2. release of hormones.
  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: 226, Table 13-2
OBJ: 2 TOP: Gastrointestinal Stress Response
KEY: Nursing Process Step: Assessment
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

5. The nurse recognizes a stress-related urinary symptom when the patient complains:

  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: 226, Table 13-2
OBJ: 2 TOP: Urinary Stress Response
KEY: Nursing Process Step: Assessment
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

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