Chapter 10: Stress and Stress-Related Disorders

Chapter 10: Stress and Stress-Related Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which scenario best demonstrates an example of eustress? An individual:

ANS:  B

Eustress is beneficial stress; it motivates people to develop skills they need to solve problems and meet personal goals. Positive life experiences produce eustress. Going on a tropical vacation is an exciting, relaxing experience and an example of eustress. Losing the family pet, worrying about employment security, and having financial problems are examples of distress, a negative experience that drains energy and can lead to significant emotional problems.

DIF:    Cognitive Level: Application           REF:   Page: 155

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

2. A patient with liver failure has been on the transplant waiting list for 8 months. The patient says to the nurse, “Why is it taking so long to have the surgery? Maybe I’m meant to die for all the bad things I’ve done.” The nurse should document the patient’s comment in which section of the assessment?

ANS:  B

Stress can be evident in a person’s spirituality. This patient’s comment indicates questioning of one’s place in the universe and consequences for wrongdoing, both of which are elements of spirituality. Stress can be related to psychologic, physical, or psychosocial well-being, but spirituality is the best answer.

DIF:    Cognitive Level: Application           REF:   Page: 155

TOP:   Nursing Process: Analysis| Nursing Process: Diagnosis

MSC:  NCLEX: Psychosocial Integrity

3. A person with a fear of heights drives across a high bridge. Which structure will stimulate a response from the autonomic nervous system?

ANS:  C

The individual will find this experience stressful. The hypothalamus functions as the command-and-control center when receiving stressful signals. The hypothalamus responds to signals of stress by engaging the autonomic nervous system. The parietal lobe is responsible for the interpretation of other sensations. The thalamus processes messages associated with pain and wakefulness. The pituitary gland may be involved in other aspects of the person’s response but would not stimulate the autonomic nervous system.

DIF:    Cognitive Level: Application           REF:   Page: 155

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Physiological Integrity

4. A person with a fear of heights drives across a high bridge. Which division of the autonomic nervous system is stimulated in response to this experience?

ANS:  C

The autonomic nervous system is made up of the sympathetic (fight or flight response) and parasympathetic (relaxation response) nervous systems. In times of stress the sympathetic nervous system is stimulated. A person fearful of heights would experience stress associated with the experience of driving across a high bridge. The peripheral nervous system responds to messages from the sympathetic nervous system. The limbic system processes emotional responses but is not specifically part of the autonomic nervous system.

DIF:    Cognitive Level: Application           REF:   Page: 155

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Physiological Integrity