Chapter 13: Coping and Stress

Chapter 13: Coping and Stress

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. When are stress-related physical, behavioral, and cognitive changes more likely to occur?

ANS:  C

An accumulation of a variety of stressors is most likely to cause physical, behavioral, or cognitive changes.

DIF:    Cognitive Level: Comprehension     REF:   p. 224             OBJ:   1

TOP:   Stressors         KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity: Psychosocial Adaptation

2. How does the body respond physically to stress?

ANS:  B

The body’s response to stress is to increase heart rate and glucose levels, increase the blood pressure, and decrease production of digestive enzymes.

DIF:    Cognitive Level: Comprehension     REF:   Table 13-2, p. 226

OBJ:   2                    TOP:   General Adaptation Syndrome

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity: Psychosocial Adaptation

3. A woman is in the emergency department after a car wreck. She is breathing rapidly and complains of dizziness and tingling in her extremities. She says, “I think I’m having a heart attack!” The nurse is aware that the symptoms may be related to which of the following?

ANS:  B

An increased respiratory rate associated with stress can lead to hyperventilation, with symptoms of tingling in the extremities and dizziness.

DIF:    Cognitive Level: Application           REF:   Table 13-2, p. 226

OBJ:   2                    TOP:   Hyperventilation

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

4. The student sitting in class waiting for the final examination develops nausea and excessive gas. What is a probable cause of these symptoms?

ANS:  C

The stress response of decreased peristalsis will cause abdominal distention, nausea, and gas. The continued response can result in constipation.

DIF:    Cognitive Level: Application           REF:   Table 13-2, p. 226

OBJ:   2                    TOP:   Gastrointestinal Stress Response

KEY:  Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation