Stress

Question 1

the nurse is caring for a client who is stressed. Lately, he has become increasingly susceptible to colds, headaches, muscular tension, excessive tiredness and many other symptoms. What stage of stress is the client in?
A: secondary stage
B: exhaustion
C: alarm
D: resistance

Answer 1

B: exhaustion

• atrophy of thymus: surpasses the immune system
• hypertrophy of adrenal gland: cortisol and increase blood glucose
• gastric ulcer

Question 2

As occupational health nurse at an oil refinery is conducting patient education with an employee. The patient is being seen after having been exposed to a chemical spill at the refinery. What type of stressor has this patient been exposed to?
A: Psychiatric 
B: Psychosocial
C: Physiologic
D: Physical

Answer 2

D: physical

cold and heat and chemical agents

Question 3

Which nurse is most likely to experience the greatest amount of stress related to their employment
A: graduate nurse working on a telemetry unit
B: nurse with 1 year experience working on oncology unit
C: nurse who is an editor of nursing journal
D: nurse with 10y experience working as nurse educator

Answer 3

A

*takes into account allostasis

Question 4

According to General Adaption Syndrome (GAS) your client, when faced with a stress-inducing stimulus, will experience which occurrence win the FIRST stage of GAS:
A: try to adapt to stressor
B: become exhausted
C: take flight or be frightened
D: become ill and maybe dies

Answer 4

C: take flight or fright

ALARM STAGE: FIRST