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Stress and coping Flashcards | StudBud
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Stress and coping
Stress and coping
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1
Woman asks the nurse why she seems to be more sensitive to stress than her husband The nurse explains the contributer is
Throid production
estrogen
adrenal glands
cortisol
2
Nurse is developing a POC to assist a pt in coping with a BKA on the right leg. Which intervention should be included?
Obtain subjective appraisal of event by client
Establish nurse-determined goals
Allow client to verbalize feelings of loss
Discourage complementary medicine
3
A 12y.o. boy taken to the ED after a soccer injury cries out, "Look, my leg is bigger now!" How will the nurse respond?
"Yes. it is supposed to. This is a good thing."
"Swelling is a normal response from your body to prepare for healing."
"Let me look at that. We may need to have the doctor examine you."
"No need to worry. Soccer is a dangerous sport."
4
A pt who is going to have surgery is nervous. What nursing intervention is most important for the nurse to perform?
distraction
provide education
progressive muscle relaxation
guided imagery
5
The general adaptation syndrome (GAS) is a physiologic response to a stressor. Which stage is not a part of the process?
resistance stage
alarm stage
stress awareness stage
exhaustion stage
6
A nurse is developing a plan of care for a patient diagnosed with PTSD. Which of the following would be the priority?
Assisting the patient to work through the traumatic experience
Establishing a trusting nurse-patient relationship
Administering prescribed drug therapy
Teaching coping skills for self-care
7
pts dad has passed away, & her mom requires help d/t disabilities. pt is married, has kids & works. these factors are:
stressors
demands
illnesses
Stimuli
8
When approaching health care holistically, which of the following would the nurse do?
Include physical, emotional, and social elements
Focus on complementary and alternative practices
Emphasize the client's strengths with passive participation
Foster the use of technological advances in care
9
When nurses become overwhelmed in their jobs and develop symptoms of anxiety and stress, they are experiencing what?
burnout
Culture Shock
Adaptation syndrome
ineffective coping
10
Instructor thinks that additional class time is needed when class identifies which as an indicator of depression?
Increased concentration
Sleep disturbances
Feelings of worthlessness
Increased thoughts about death
11
Cells in which organ are unable to regenerate?
Brain
Pancreas
Liver
Kidney
12
A nurse is providing care for pt who had a stroke. Which nursing intervention reflects the tertiary level of prevention?
conduct mental status assessment every 2 hours
discuss family history of hypertension
assess blood pressure every 4 hours
provide care transition at discharge for speech therapy
13
56y.o is unemployed, stressed & not coping. Feels like he needs to numb the pain. what would you be most concerned with?
projection
Cocaine use
Alcohol use
Exercise
14
Which teaching would the nurse provide to the client to combat the effect intense stress has on developing illness?
"Be sure that you get enough sleep & eat well during stressful times."
"Caffeine will help you stay awake so that you can study more."
"Take vitamins to counteract the effect stress has on your immune system."
"Whenever you feel stressed, go out and run a couple of miles."
15
Nurse has accepted overtime shifts over the past several months. Which behavior shows the nurse is experiencing burnout?
Taking smoke breaks during the shift
Dozing at the desk during downtime
Telling the manager staffing numbers are unsafe
Beginning a rigorous exercise program
16
Nurse is caring for a client showing signs of stress. Which cognitive symptom associated with stress does the nurse see?
impaired concentration
angry outbursts
lack of interest in sex
difficulty falling asleep
17
a5y.o. is refusing to go to school and wont go to bed at resonable hour. Which statement shows more education is needed?
"I am bringing him to orientation so he can meet his teacher &classmates."
"I don't know why he is doing this. He hasn't had anyone to play with"
"We've been talking to him about what school is like"
"Its hard to get into a routine after summer. I go through this every year"
18
Nurse determines a pt understands instruction about progressive relaxation when the pt states the technique requires:
using a biofeedback machine.
tensing and relaxing various muscle groups.
focusing on pleasant images
using a mantra in a relaxed position.
19
PT has gastroenteritis. He has diarrhea, dehydration & C/O feeling warm. What systemic response may pt experience?
-Redness of the anus
Increased body temperature
Intestinal inflammation
Stomatitis
20
A potty trained toddler leaves the hospital and becomes incontinent. what is this behavior called?
sublimation
regression
repression
reaction information
21
A pt is having a stress response r/t an accident. What does the nurse identify will be excreted from the adrenal cortex?
Cortisol
epinephrine
thyroxine
Insulin
22
Parent locked keys in car with baby in the car seat. In a panic the mom gets help from locksmith, what type of reaction?
homeostasis
stressor
coping
appraisal
23
Which of the following factors are implicated in the development of heart disease?
imbalance of seratonin
Frequent activation of the sympathetic nervous system
excess and low levels of dopamine
brain pathology
24
Homes have been destroyed & lives lost in natural disaster. CH nurse expects to see negative stress reactions such as:
a young boy asking everyone if they need some water or food.
an older couple staying near each other constantly
a young wife asking everyone repeatedly if they know where her husband is.
a man enlisting others to help him look for lost pets
25
nurse is teaching deep breathing. What outcome will the nurse anticipate occurring after performing exercise w/ the pts?
shallow breathing
slowed HR
Restlessness
lethargy
26
In contrast to anxiety, fear is characterized by:
short-term resolution.
the creation of an action plan to deal with a perceived threat.
cognitive response to a known threat.
a real, rather than perceived, threat.
27
Which system is responsible for initiating the fight-or-flight response to stress?
parasympathetic nervous system
endocrine system
sympathetic nervous system
respiratory system
28
Which of the following conditions triggers the general adaptation syndrome?
Eustress
Distress
Helplessness
Placebo Effect
29
The nurse is conducting a community education program on stress. The nurse includes which information?
Stressors elicit a state of homeostasis.
Effective stress adaptation is a disease precursor
Excessive stress response increases susceptibility to illness.
Short-term stress increases susceptibility to disease
30
during an apt pt states, "IDK why God is punishing me like this." The nurse would identify which nursing dx as priority:
anxiety
ineffectice coping
readiness for enhanced coping
spiritual distress
31
A nurse hears a pt yelling for help. pt tachypnic and panicing, HR elevated and 02 low. whats the first step to help pt
offer a distraction
attempt to calm pt and administer 02
place client in semi fowlers & ask pt what happened
admin antianxiety med & report to provider
32
Nurse is assessing a pt that lost her husband. Nurse realizes pt is unable to cope & is disorganized. Best intervention?
seek assistance from family and friends
tense and relax muscle groups systematically
keep the home environment noise free
Perform meditation to relax
33
at a counseling session pt says, "I just try to forget about my spouse hitting me." Which coping mechanism is this?
regression
reaction formation
repression
rationalization
34
Which of the following would a nurse least likely assess in a client experiencing anxiety?
muscle tension
sleeping difficulties
positive self-talk
irritability
35
Which client is experiencing the panic level of anxiety?
A client loses control and expresses irrational thinking.
A client focuses narrowly on specific detail.
A client displays a narrow perception field.
A client experiences increased alertness and motivated learning.
36
A withdrawn and isolated client is most likely suffering from what type of stressors on basic human needs?
self-esteem needs
Safety and security needs
Physiologic needs
Love and belonging needs
37
Impaired balance and uncontrolled tremors of Parkinson's disease is correlated with which neurotransmitter?
Serotonin
glutamate
Dopamine
Acetylcholine
38
a stressed pt has colds, headaches, muscular tension, excessive tiredness, etc. At what stage of stress is the pt?
resistance stage
secondary stage
alarm stage
exhaustion stage
39
Pt with a foodborne illness is concerned his GI tract will never be the same. Which would be an appropriate response?
"Give it time. Don't worry."
"Gastrointestinal cells can adapt to the new environment"
"New gastrointestinal cells replace damaged ones constantly."
"It's true. You may have to readjust your eating habits."
40
A client who responds to bad news concerning his lab reports by crying uncontrollably is handling stress by using:
withdrawal behavior
defense mechanism
adaptation technique
coping mechanism