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Stress, Coping and Family Dynamics Flashcards | StudBud
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Stress, Coping and Family Dynamics
Stress, Coping and Family Dynamics
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1
In contrast to anxiety, fear is characterized by:
short-term resolution.
a real, rather than perceived, threat.
the creation of an action plan to deal with a perceived threat.
cognitive response to a known threat.
2
A withdrawn and isolated client is most likely suffering from what type of stressors on basic human needs?
self-esteem needs
Love and belonging needs
Safety and security needs
Physiologic needs
3
Nurse is assessing a pt that lost her husband. Nurse realizes pt is unable to cope & is disorganized. Best intervention?
keep the home environment noise free
seek assistance from family and friends
Perform meditation to relax
tense and relax muscle groups systematically
4
at a counseling session pt says, "I just try to forget about my spouse hitting me." Which coping mechanism is this?
repression
rationalization
reaction formation
regression
5
Prior to a pt bone marrow biop. the nurse has educated procedure. Nurses actions show what stress management technique?
Relaxation
Normalization
Anticipartory guidance
Guided Imagery
6
nurse is teaching deep breating. What outcome will the nurse anticipate occurring after performing exercise w/ the pts?
shallow breathing
Restlessness
slowed HR
lethargy
7
Nurse has accepted overtime shifts over the past several months. Which behavior shows the nurse is experiencing burnout?
Dozing at the desk during downtime
Taking smoke breaks during the shift
Beginning a rigorous exercise program
Telling the manager staffing numbers are unsafe
8
A pt who is going to have surgery is nervous. What nursing intervention is most important for the nurse to perform?
distraction
guided imagery
progressive muscle relaxation
provide education
9
Which system is responsible for initiating the fight-or-flight response to stress?
sympathetic nervous system
respiratory system
endocrine system
parasympathetic nervous system
10
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."
11
A pt presents with a flare of lupus. Which statement made by the pt would cause the nurse to suspect a stress reaction?
"I have a fever with this flare."
"I just had a baby 3 weeks ago."
"My joints hurt more with this flare."
"My lupus typically flares twice a year."
12
Which teaching would the nurse provide to the client to combat the effect intense stress has on developing illness?
"Whenever you feel stressed, go out and run a couple of miles."
"Caffeine will help you stay awake so that you can study more."
"Be sure that you get enough sleep & eat well during stressful times."
"Take vitamins to counteract the effect stress has on your immune system."
13
56y.o is unemployed, stressed & not coping. Feels like he needs to numb the pain. what would you be most concerned with?
Alcohol use
projection
Cocaine use
Exercise
14
Impaired balance and uncontrolled tremors of Parkinson's disease is correlated with which neurotransmitter?
glutamate
Serotonin
Acetylcholine
Dopamine
15
Pt has been confined to bed for > 1 year is concerned about the shrinking size of legs. How will the nurse respond to pt
"Over time as one ages, cells experience dysplasia."
"This happens to everyone as we age."
"With decreased use of your legs, the cell size reduces."
"Once atrophy occurs, there is nothing that can be done to reverse it."
16
When nurses become overwhelmed in their jobs and develop symptoms of anxiety and stress, they are experiencing what?
burnout
ineffective coping
Culture Shock
Adaptation syndrome
17
assessing a family, nurse gets data about who has primary responsibility for decision making and finances. This is?
management
boundary setting
socialization
education
18
Cells in which organ are unable to regenerate?
Pancreas
Brain
Kidney
Liver
19
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
20
during an apt pt states, "IDK why God is punishing me like this." The nurse would identify which nursing dx as priority:
spiritual distress
readiness for enhanced coping
ineffectice coping
anxiety
21
A nurse is developing a plan of care for a patient diagnosed with PTSD. Which of the following would be the priority?
Establishing a trusting nurse-patient relationship
Teaching coping skills for self-care
Administering prescribed drug therapy
Assisting the patient to work through the traumatic experience
22
a stressed pt has colds, headaches, muscular tension, excessive tiredness, etc. At what stage of stress is the pt?
alarm stage
secondary stage
resistance stage
exhaustion stage
23
Which of the following conditions triggers the general adaptation syndrome?
Distress
Eustress
Helplessness
Placebo Effect
24
Nurse determines a pt understands instruction about progressive relaxation when the pt states the technique requires:
using a mantra in a relaxed position.
using a biofeedback machine.
tensing and relaxing various muscle groups.
focusing on pleasant images
25
The nurse is conducting a community education program on stress. The nurse includes which information?
Effective stress adaptation is a disease precursor
Short-term stress increases susceptibility to disease
Stressors elicit a state of homeostasis.
Excessive stress response increases susceptibility to illness.
26
a5y.o. is refusing to go to school and wont go to bed at resonable hour. Which statement shows more education is needed?
"Its hard to get into a routine after summer. I go through this every year"
"We've been talking to him about what school is like"
"I don't know why he is doing this. He hasn't had anyone to play with"
"I am bringing him to orientation so he can meet his teacher &classmates."
27
Nurse is developing a POC to assist a pt in coping with a BKA on the right leg. Which intervention should ne included?
Establish nurse-determined goals
Discourage complementary medicine
Allow client to verbalize feelings of loss
Obtain subjective appraisal of event by client
28
Homes have been destroyed & lives lost in natural disaster. CH nurse expects to see negative stress reactions such as:
a young wife asking everyone repeatedly if they know where her husband is.
a man enlisting others to help him look for lost pets
an older couple staying near each other constantly
a young boy asking everyone if they need some water or food.
29
A nurse identifies a nursing diagnosis of spiritual distress for a pt based on assessment of which of the following?
Peacefulness
despair
ambivalence
anger
30
pts dad has passed away, & her mom requires help d/t disabilities. pt is married, has kids & works. these factors are:
Stimuli
stressors
illnesses
demands
31
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?
"Swelling is a normal response from your body to prepare for healing."
"No need to worry. Soccer is a dangerous sport."
"Yes. it is supposed to. This is a good thing."
"Let me look at that. We may need to have the doctor examine you."
32
Instructor thinks that additional class time is needed when class identifies which as an indicator of depression?
Increased thoughts about death
Increased concentration
Feelings of worthlessness
Sleep disturbances
33
A nurse hears a pt yelling for help. pt tachypnic and panicing, HR elevated and 02 low. whats the first step to help pt
place client in semi fowlers & ask pt what happened
attempt to calm pt and administer 02
offer a distraction
admin antianxiety med & report to provider
34
A potty trained toddler leaves the hospital and becomes incontinent. what is this behavior called?
reaction information
repression
sublimation
regression
35
A nurse is preparing a community presentation on substance abuse. Which would the nurse expect to include?
Intoxication is a common substance abuse problem.
Relapse indicates a deviation from the underlying abuse pattern.
Addiction is considered a defect in a person's character.
Views on substance abuse are highly variable.
36
What lifestyle factors will the nurse consider when conducting a health risk appraisal?
blood pressure
educational level
driving habits
recreational activities
37
Nurse is caring for a client showing signs of stress. Which cognitive symptom associated with stress does the nurse see?
difficulty falling asleep
impaired concentration
lack of interest in sex
angry outbursts
38
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
exhaustion stage
stress awareness stage
39
A nurse is providing care for pt who had a stroke. Which nursing intervention reflects the tertiary level of prevention?
assess blood pressure every 4 hours
provide care transition at discharge for speech therapy
discuss family history of hypertension
conduct mental status assessment every 2 hours
40
Spanish-speaking pt is admitted to the ED with a UTI & is having a stress response. priority nursing intervention is?
collect a urine specimen
contact a translator
administer a broad-spectrum antibiotic
begin taking a client history
41
PT has gastroenteritis. He has diarrhea, dehydration & C/O feeling warm. What systemic response may pt experience?
Intestinal inflammation
Stomatitis
Increased body temperature
-Redness of the anus
42
Which of the following would a nurse least likely assess in a client experiencing anxiety?
sleeping difficulties
muscle tension
positive self-talk
irritability
43
When approaching health care holistically, which of the following would the nurse do?
Foster the use of technological advances in care
Focus on complementary and alternative practices
Include physical, emotional, and social elements
Emphasize the client's strengths with passive participation
44
Parent locked keys in car with baby in the car seat. In a panic the mom gets help from locksmith, what type of reaction?
stressor
homeostasis
appraisal
coping
45
teen is talking about recent breakup. Tells nurse she just stays in bed all day & is only sleeps. What coping strategy:
avoidance coping
adaptation
Chronic Stress
Buffering
46
The nurse is caring for a client with chronic pain. Which long-term coping strategies may be helpful in this situation?
take a tepid sponge bath during pain episodes
deep breathing and meditation
Smoking and walking briskly
accepting the pain will never go away
47
Preparing for a class discussion on family health & the effects of illness on it. Which would the instructor incorperate
The primary focus of care is on intervening in the illness cycle.
The provision of direct care is more important than teaching the family.
The health of the family often affects the family's ability to function.
Families, when faced with illness, typically respond in similar ways.
48
Woman asks the nurse why she seems to be more sensitive to stress than her husband The nurse explains the contributer is
adrenal glands
cortisol
Throid production
estrogen
49
When assessing a client for manifestations of PTSD, which would the nurse expect to assess?
Nightmares
Focused concentration
Strong startle response
Lack of impulse control
50
The nurse is aware that this brain mapping will help determine if the client is dealing with which disorders?
depression
Schizophrenia
OCD
dementia
51
Which statement correctly explains a person's interactions with basic human needs?
stress affects all people trying to get basic human needs in the same way.
Basic human needs & responses to stress are unaffected by cultural & past
stress can either serve as a stimulus or barrier to meet basic human needs
Basic human needs and responses to stress are generalized.
52
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 experiences increased alertness and motivated learning.
A client displays a narrow perception field.
53
A client who responds to bad news concerning his lab reports by crying uncontrollably is handling stress by using:
withdrawal behavior
coping mechanism
adaptation technique
defense mechanism
54
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