Therapeutic Communications For Health Care 3rd Edition By Tamparo - Test Bank

Therapeutic Communications For Health Care 3rd Edition By Tamparo – Test Bank

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Sample Questions Posted Below

 

Chapter 5: The Therapeutic Response to Stressed and Anxious Clients

MODIFIED TRUE/FALSE

1.Men and women react differently to stress. _________________________

ANS: T PTS: 1

2.Stress is always described as negative and unhealthy. _________________________

ANS: F, sometimes

PTS: 1

3.During the exhaustion phase of the stress cycle, health professionals need to give written instructions to clients. _________________________

ANS: T PTS: 1

4.Fear and anxiety are reactions to known and usually external threats. _________________________

ANS: F, fear (not anxiety)

PTS: 1

5.If clients experience severe anxiety, health professionals should focus on giving clients one detail at a time, and say, “You seem very anxious today.” _________________________

ANS: F, moderate anxiety

PTS: 1

6.To help decrease stress in toddlers, provide consistency and praise for accomplishments and talk at their level of understanding. _________________________

ANS: T PTS: 1

MULTIPLE CHOICE

1.Stressors are

a. always of short duration
b. a nonspecific response that requires a person to make some type of change
c. internal perceptions or external events causing the body to respond
d. a danger and an opportunity

ANS: C PTS: 1

2.Men react to stress in the following way(s)

a. internalize their stress
b. become physically or verbally aggressive
c. use denial as a defense mechanism
d. mull it over and over in their minds

ANS: B PTS: 1

3.The alarm stage of stress is

a. designed to sound a warning when something is perceived to create stress
b. when the pupils dilate, mouth becomes dry
c. when the heart rate, pulse, and respirations increase
d. one that includes no pain

ANS: A PTS: 1

4.During the fight-or-flight stage of stress, clients may react in the following way(s).

a. blood vessels in the skin constrict
b. blood vessels in the heart and brain dilate
c. may become angry and frustrated
d. a and b only
e. a, b, and c

ANS: E PTS: 1

5.Exhaustion in the stress cycle is when

a. the blood vessels dilate and contract for repeated periods of time
b. a person experiences only mental fatigue
c. a person stays in the fight-or-flight stage too long
d. a and c only
e. a, b, and c

ANS: D PTS: 1

6.In the stress cycle when the parasympathetic nervous system becomes active, the following occurs.

a. The body returns to normal.
b. The gastrointestinal and genitourinary tracts begin to function.
c. The salivary glands decrease their function.
d. a and b only
e. a, b, and c

ANS: A PTS: 1

7.Defense mechanisms are

a. always healthy to use in stress situations
b. used to protect the ego from guilt, anxiety, or loss of esteem
c. used subconsciously and consciously
d. generally easy for the health professional to analyze

ANS: B PTS: 1

8.The primary concern for adolescents coming into the medical clinic is 

a. their upcoming career choices including what college, technical, or private school to attend
b. their burnout in school
c. how this medical procedure will affect their appearance or level of activity
d. whether or not all their questions will be answered

ANS: C PTS: 1

MATCHING

Match each item with the correct statement below.

a. Walter B. Cannon c. Claude Bernard
b. Hans Selye

1.Theory that the body’s internal milieu changes constantly to meet the daily demands of life

2.Theory is named General Adaptation Syndromes

3.Theory that the body adjusts when change threatens to be too great

1.ANS:CPTS:1

2.ANS:BPTS:1

3.ANS:APTS:1

Match each item with the correct statement below.

a. Regression e. Denial
b. Compensation f. Rationalization
c. Displacement g. Repression
d. Projection h. Sublimation

4.The mind’s way of justifying behavior by offering an explanation other than a truthful response

5.Shifting the emotional element of a situation from a threatening object to a nonthreatening one

6.Unconscious refusal to acknowledge painful realities, feelings, or expressions

7.Consciously or unconsciously overemphasizing a characteristic to compensate for a real or imagined deficiency

8.Redirecting a socially unacceptable impulse into socially acceptable behavior

9.An attempt to go back to an earlier stage of development

10.Attributing one’s own thoughts or impulses to another individual as if they had originated with the other person

4.ANS:FPTS:1

5.ANS:CPTS:1

6.ANS:EPTS:1

7.ANS:BPTS:1

8.ANS:HPTS:1

9.ANS:APTS:1

10.ANS:DPTS:1

SHORT ANSWER

1.Give a specific example of stress that depicts chronic stress.

ANS:

Answers will vary but may include:

1. A person caring around the clock for an elderly parent with Alzheimer’s.
2. A person who works in an environment that is extremely stressful every day yet provides no outlets.
3. A person who lives in an abusive relationship where he/she sees no escape.

PTS: 1

2.Explain the specific actions of a health professional when a client is returning to normal after a stress incident.

ANS:

Answers may vary but may include:

1. Respond in a calm, soft voice

2. Use eye contact

3. Use active listening skills

4. Encourage the client to talk about what helps him/her cope with stress

PTS: 1

3.List at least three therapeutic ways health professionals can help clients manage their stress.

ANS:

Answers will vary and include the following:

1. Be honest with clients by responding to their questions truthfully.
2. Offer educational materials to empower clients to understand their illness and be better prepared to handle any outcomes.
3. Encourage emotional support from family, friends, spiritual groups, and community services.
4. Be a teacher for clients and their caregivers so that they can learn the medical skills necessary to treat their illnesses.

PTS: 1

4.Differentiate between moderate anxiety and severe anxiety in clients.

ANS:

Answers may vary and include the following

1. In moderate anxiety clients have

a decreased perception,
selective inattention,
irritability,
inability to concentrate,
insomnia,
pacing,
increased heart and respiratory rates,
muscle tension,
frequent urination and/or diarrhea.

2. In severe anxiety, clients will

be unable to focus on details,
lack abstract thinking and some concrete directions,
be very indecisive.
experience dry mouth,
profuse sweating, 
rapid, shallow pulse and respiration,
increased blood pressure, and
speech impairment.

PTS: 1

5.Explain actions health professionals should take with clients going through the panic anxiety stage.

ANS:

Answers will vary and include the following:

1. Do not allow clients to leave the clinic until recovery has taken place or until someone can drive them home.
2. Give detailed instructions to family or in writing to the client.
3. Give brochures or pamphlets to read over later.
4. Telephone clients later in the day to see how they are doing.

PTS: 1

6.Do infants experience stress? Explain.

ANS:

Yes, infants do experience stress and they usually cry to indicate stress and/or that their physical needs are unmet.

Sometimes health professionals can help educate families about infant stress; other times, a community referral may be needed.

PTS: 1

7.What can health professionals do to help parents address stress in their school-age children?

ANS:

Suggest that parents discuss going to school well in advance. For example, parents may take their children to the school, meet with teachers, ride the bus, and show children where parents will meet them after school.

Continue such practices each school year as some degree of anxiety and stress occur with each passing year.

PTS: 1

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