Chapter 13: Coping and Stress

Chapter 13: Coping and Stress

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is aware that stress-related physical, behavioral, and cognitive changes are more likely to occur when the stress:

ANS:   C

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

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

TOP:    Stressors          KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Psychosocial Integrity: Psychosocial Adaptation

2. The nurse is aware that in the first stage of the general adaptation syndrome (GAS), the body responds by:

ANS:   B

The body’s response during the alarm phase of the GAS is to increase heart rate and glucose levels, constrict peripheral vessels to increase the blood pressure, and supply more blood to the brain to ready the body to be in the fight-or-flight mode.

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

OBJ:    2          TOP:    General Adaptation Syndrome

KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Psychosocial Integrity: Psychosocial Adaptation

3. An extremely stressed 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 recognizes these complaints as being related to:

ANS:   B

An increased respiratory rate associated with stress can lead to hyperventilation, with its attendant distressing symptoms.

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

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. The nursing instructor is aware that these symptoms are caused by a stress-related:

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:    226, Table 13-2

OBJ:    2          TOP:    Gastrointestinal Stress Response

KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation