Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis
Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis
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Chapter 10: Stress and Stress-Related Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | loses a beloved family pet. |
| b. | prepares to take a 1 week vacation to a tropical island with a group of close friends. |
| c. | receives a bank notice there were insufficient funds in their account for a recent rent payment. |
| d. | receives notification that their current employer is experiencing financial problems and some workers will be terminated. |
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
| a. | Physical |
| b. | Spiritual |
| c. | Financial |
| d. | Psychological |
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
| a. | Thalamus |
| b. | Parietal lobe |
| c. | Hypothalamus |
| d. | Pituitary gland |
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
| a. | Limbic system |
| b. | Peripheral nervous system |
| c. | Sympathetic nervous system |
| d. | Parasympathetic nervous system |
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
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