Chapter 10--Stress, Coping, and Adaptation

Chapter 10–Stress, Coping, and Adaptation

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client tells the nurse that he feels “stressed out.” The nurse realizes which of the following regarding stress?

1.	Stress can be caused by a variety of situations.
2.	Stressors do not cause a need for change.
3.	Positive events do not increase stress.
4.	All events are regarded as threatening to self.

 

 

ANS:  1

Stress can be caused by both positive and negative situations. These situations produce changes in the individual. Not all situations (e.g., positive stress) are regarded as threatening to the self. A certain level of stress produces changes that are needed for growth and survival.

 

PTS:   1                    DIF:    Analyze         REF:   Stress Stimulus-Response Theory

 

2. A client’s symptoms are consistent with those seen in the first stage of the general adaptation syndrome (GAS). Which of the following symptoms did the nurse most likely assess in this client?

1.	Mental exhaustion, cool skin, and decreased senses
2.	Elevation of blood pressure, dilated pupils, and tachycardia
3.	Hyperventilation, nausea, and vomiting
4.	Physical illness, hypertension, and shortness of breath

 

 

ANS:  2

The first stage of the GAS is characterized by elevated blood pressure, tachycardia, constriction of blood vessels, and diversion of blood from nonessential organs, increased muscle tone, increased blood sugar levels, dilated pupils, and increased alertness. Mental exhaustion, cool skin, decreased senses, hyperventilation, nausea, vomiting, hypertension, and shortness of breath occur in different stages of the general adaptation syndrome.

 

PTS:   1                    DIF:    Analyze         REF:   Table 10-1 Fight or Flight Responses to Stress

 

3. The nurse is concerned that a client is in the third stage of the general adaptation syndrome (GAS) when which of the following is assessed?

1.	Increased energy
2.	Fluid retention
3.	Prolonged stress
4.	Numbing effect

 

 

ANS:  4

A numbing effect is part of the third stage of GAS, the stage of exhaustion. Increased energy, fluid retention, and prolonged stress are part of the second stage of GAS.

 

PTS:   1                    DIF:    Analyze         REF:   Stress Stimulus-Response Theory

 

4. The nurse determines that a client is utilizing a maladaptive method to cope with a new illness. Which of the following is the client most likely demonstrating?

1.	Crying
2.	Exercising
3.	Reading
4.	Sleeping

 

 

ANS:  4

Maladaptive techniques include sleeping, withdrawal from social contacts, overeating, smoking, drug and alcohol abuse, and excessive involvement in any activity. Adaptive methods of coping include exercising, social support, reading, writing in a journal, crying, relaxation techniques, and meditation or prayer.

 

PTS:   1                    DIF:    Analyze         REF:   Coping

 

5. A client diagnosed with heart failure is experiencing feeling of helplessness and is uncertain about how her heart failure has been progressing. These feelings are referred to as:

1.	dysfunctional.
2.	dysphagia.
3.	dysrhythmia.
4.	dysthymia.

 

 

ANS:  4

Dysthymia is a low-level depression that can last at least 2 years and can lead to more severe depression. Dysphagia is difficulty in swallowing and/or speech. Dysrhythmia is an irregular heart rate and/or rhythm. Dysfunctional is to fail to function as normally expected.

 

PTS:   1                    DIF:    Analyze         REF:   Stress of Chronic Illness