Psychiatric Mental Health Nursing 5th Edition By Fortinash
Psychiatric Mental Health Nursing 5th Edition By Fortinash
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Chapter 05: Adaptation to Stress
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Eustress is likely to result in short term stress. |
| b. | Chronic distress can take a toll on the individual. |
| c. | Stress usually manifests in physical symptoms first. |
| d. | Distress generally results in more effective coping skills. |
ANS: B
Distress is damaging to an individual whether it is a result of either positive or negative stress. This stressor can become chronic if the conflict is not resolved. Distress can take a toll on an individual’s body as well as on his or her emotional state. Eustress occurs as a result of a positive stress such as from anticipation of a child’s birth but such stress is not necessarily short term and can result in the same symptoms as distress. Distress is less likely to occur if previous stress has brought about good coping skills.
DIF: Cognitive Level: Application REF: Pages 89-90
TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity, Physiological Integrity
| a. | Minimize the secretion of cortisol. |
| b. | Facilitate the conservation of energy. |
| c. | Secrete adrenocorticotropic hormone. |
| d. | Encourage fleeing from the stressor. |
ANS: C
The pituitary gland secretes adrenocorticotropic hormone, which stimulates the adrenal cortex to release cortisol. Cortisol is involved in helping the entire body to react to the stress by mobilizing the energy reserves so that the body can rapidly respond to the stressors by either fighting or fleeing.
DIF: Cognitive Level: Comprehension REF: Page 90
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity, Physiological Integrity
| a. | “I’ll need to manage my money better in order to get out of debt.” |
| b. | “The economy has really caused my finances to be in a real mess.” |
| c. | “I don’t think I’ll ever be able to save enough to pay off my bills.” |
| d. | “Having a family makes being able to stay out of debt really difficult.” |
ANS: A
Individuals who demonstrate an internal locus of control view their capability to have personal success or failure as having to do with their own efforts and their ability to complete a task. An individual with an external locus of control views task completion as having to do with circumstances beyond his or her control. The options involving the economy, never being able to pay off the bills, and having a family exhibit external control locus.
DIF: Cognitive Level: Application REF: Page 91
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Scheduling so that all staff gets two weekends off a month |
| b. | Arranging for extra staff when patient activity is above the unit average |
| c. | Offering a paid vacation day to anyone who has no absents for six months |
| d. | Assuring that no staff will be mandated overtime more than twice monthly |
ANS: C
Workplaces with positive social interactions involve less stress, even when the job demands are high. When there is competition among workers, negative interactions among staff members, and no assistance when the workload becomes overwhelming, job dissatisfaction and stress is evident. The nurse manager will best impact the stress and resulting dissatisfaction by arranging for help with patient care when the need exists. Although the other options are not inappropriate, they do not address the issue research has identified as the primary cause of stress in the workplace.
DIF: Cognitive Level: Application REF: Page 92
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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