Brunner And Suddarth's Textbook Of Medical Surgical Nursing 11th Edition By Suzanne C. Smeltzer
Brunner And Suddarth's Textbook Of Medical Surgical Nursing 11th Edition By Suzanne C. Smeltzer
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Chapter 6- Homeostasis, Stress, and Adaptation
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is meeting with a young woman who has recently lost her mother, her job, and moved with her husband to a new city. She is complaining of acute anxiety and depression. The nurse knows: | |
| A) | Adaptation often fails during stressful events and results in homeostasis. | |
| B) | Stress is a part of our lives and eventually this young woman will adapt. | |
| C) | Acute anxiety and depression are seldom associated with stress. | |
| D) | Sometimes too many stressors disrupt homeostasis; if adaptation fails, the result is disease. | |
| 2. | A patient has just been diagnosed with cancer and states that he will “never be able to cope with this situation.” The nurse is aware that coping is: | |
| A) | A physiologic measure used to deal with change and he will physically adapt | |
| B) | The physiologic and psychological processes that people use to adapt to change | |
| C) | The human need for faith and hope, which create change | |
| D) | A social measure used to deal with change and loss | |
| 3. | The nurse is with a patient who has just been informed of his terminal illness. His heart rate increases, his eyes dilate, and his blood pressure increases. The nurse recognizes this response as a: | |||
| A) | Part of the limbic system response | C) | Hypothalamic-pituitary response | |
| B) | Sympathetic nervous response | D) | Local adaptation syndrome | |
| 4. | A 72-year-old female is recovering from abdominal surgery on the medical-surgical unit. The surgery was very stressful and prolonged; the nurse notes on the chart that her blood sugars are elevated yet she has not been diagnosed with diabetes. The nurse realizes: | |
| A) | It is a result of antidiuretic hormone. | |
| B) | She must have had diabetes prior to surgery. | |
| C) | She has become a diabetic from the abdominal surgery. | |
| D) | The blood sugars are probably a result of the “fight or flight” reaction. | |
| 5. | A young female science teacher arrives at the health center with a respiratory infection; she feels anxiety about seeing the doctor. When the nurse checks her blood pressure, it is elevated along with her heart rate. The nurse rechecks her blood pressure about 10 minutes later and it is normal. She is concerned that she may have hypertension. The nurse explains to the patient that: | |
| A) | She should not worry; it was stress related and her regular blood pressure is good. | |
| B) | The first blood pressure was part of a simple stress response; our long-term blood pressure is controlled by negative feedback systems. | |
| C) | Blood pressure is only one measure of hypertension; she should review this with the doctor and plan to recheck it on a regular basis. | |
| D) | The respiratory infection is probably the cause of the elevated blood pressure and, with treatment, her blood pressure should remain normal. | |
Answer Key
| 1. | D |
| 2. | B |
| 3. | B |
| 4. | D |
| 5. | B |
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