Chapter 24 Stress and Coping

Chapter 24  Stress and Coping

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Kelly is a nursing student who has been assigned to care for a 67-year-old postoperative patient who is very demanding. She was late for clinical rounds because she had to change the tire on her car. Kelly is in the process of preparing pain medication for her patient when her nursing instructor asks her to identify the drug classification of the pain medication she is preparing. Kelly finds the she is very frustrated and becomes tearful. Kelly’s reaction to her instructor is most likely due to what ego-defense mechanism?
A.
Compensation
B.
Conversion
C.
Denial
D.
Dissociation

ANS: B
Conversion is unconsciously repressing an anxiety-producing emotional conflict and transforming it into nonorganic symptoms (e.g., difficulty sleeping, loss of appetite).

PTS: 1 DIF: Cognitive Level: Application REF: 640
OBJ: Describe stress management techniques beneficial for coping with stress
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

2. Michael is a 44-year-old nurse who works in a small clinic with two other nurses and a nurse practitioner. Recently Michael has been staying at work longer than he usually does. Michael’s neighbor, a patient at the clinic, asked one of the other nurses at the clinic how Michael was coping since his wife left him. Michael had not shared this information with his co-workers. The nurse is concerned that Michael may be coping with his loss with which of the following?
A.
Compensation
B.
Conversion
C.
Denial
D.
Dissociation

ANS: C
Denial is avoiding emotional conflicts by refusing to consciously acknowledge anything that causes intolerable emotional pain.

PTS: 1 DIF: Cognitive Level: Application REF: 640
OBJ: Describe stress management techniques beneficial for coping with stress
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

3. Monty is a 4-year-old boy who has been admitted to the hospital with pneumonia. He has been in the hospital for 3 days and has suddenly started to become incontinent of urine. This is most likely a result of what ego-defense mechanism?
A.
Compensation
B.
Conversion
C.
Denial
D.
Regression

ANS: D
Regression is coping with a stressor through actions and behaviors associated with an earlier developmental period.

PTS: 1 DIF: Cognitive Level: Application REF: 640
OBJ: Describe stress management techniques beneficial for coping with stress
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

4. Daniel is a 48-year-old patient who was involved in a motor vehicle accident. He was driving home from a wedding with his family when he was hit by a drunk driver. Daniel’s 23-year-old daughter and his wife were killed in the accident. Daniel is in the trauma unit with internal injuries. He had to have his left leg amputated above the knee. How is the crisis that Daniel is facing best described?
A.
Situational
B.
Developmental
C.
Existential
D.
Ecosystemic

ANS: A
A patient with stress so severe that the patient is unable to cope using previous stress reduction strategies often experiences a crisis. A crisis devastates a person and requires use of all resources available. Unlike stress, which ends when the stressor disappears, the effects of a crisis sometimes last for years. Developmental crises often arise during the normal flow of human growth, such as with the birth of a child, graduation from college, or a midlife career change. Situational crises emerge from the occurrence of extraordinary events such as terrorist attacks, car crashes, rapes, or job loss. Existential crises refer to inner conflicts and anxieties arising from concerns about life’s purpose, responsibilities, independence, or commitment. Finally, ecosystemic crises occur following a natural or human-caused disaster, such as a hurricane.

PTS: 1 DIF: Cognitive Level: Application REF: 641
OBJ: Discuss the process of crisis intervention
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

5. Sally is a registered nurse who works in a mental health clinic. She is admitting 17-year-old Elliott who has been referred to the clinic by his pediatrician. Elliott has recently been doing poorly in school, his girlfriend broke up with him, and his best friend was killed in a motor vehicle accident. Elliott tells Sally that he is missing classes because he does not have any motivation to get up in the morning. This assessment finding is from what psychological domain?
A.
Cognitive
B.
Emotional
C.
Behavior
D.
Lifestyle

ANS: B
Cognitive assessment findings include forgetfulness/preoccupation, denial, and poor concentration. Emotional assessment findings include the lack of motivation to get up in the morning. Behavioral/lifestyle assessment findings include increased or decreased food intake.

PTS: 1 DIF: Cognitive Level: Analysis REF: 639
OBJ: Discuss the integration of stress theory with nursing theories
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity