Stress

Question 1

How can stress be viewed?

Answer 1

An individual’s reaction to change that requires an adjustment of response, which can be physical, mental or emotional

Question 2

What is an adaptive response to stress?

Answer 2

Behavior that maintains the integrity of the individual
Viewed as positive and his correlated with healthy response
Has a timely, returned the equilibrium

Question 3

What is a maladaptive response to stress

Answer 3

When behavior disrupts the integrity of an individual
Consider to be negative or unhealthy

Question 4

What is a stressor?

Answer 4

A biological physiological, social, or chemical factor that causes physical or emotional tension

May contribute to the development of certain illnesses

Question 5

How did hand selye define stress

Answer 5

State manifested by specific syndrome that consist of all the nonspecifically induced changes within a biological system

Question 6

Changes within a biological symptom, has often been come to known as

Answer 6

Fight or flight syndrome

Question 7

What is the alarm reaction? Stage of stress?

Answer 7

During this stage, the physiological response of fighter flight syndrome or initiated

Question 8

What is the stage of resistance of stress?

Answer 8

The individual uses the psychological response of the first stage of the defense in the attempt to adapt to the stressor. If the adaptation occurs, the third stage is prevented or delayed psychological symptoms may disappear.

Question 9

What is the stage of exhaustion of stress?

Answer 9

This stage occurs when the body responds to prolong exposure to a stressor diseases of adaptation may occur

Question 10

Without intervention for reversal of stage of exhaustion, what can happen?

Answer 10

Exhaustion, and in some cases even death

Question 11

What are some diseases of adaptation of stress?

Answer 11

Headaches
Mental disorders
Coronary artery disease
Ulcers
Colitis

Question 12

Are emotional stressors resolved faster than physical stressors

Answer 12

No, they are not resolved, as rapidly as physical stressors

Question 13

What happens when the stress response comes more chronic

Answer 13

The bodies existence in the arouse condition for extended time periods, promotes, susceptibility to disease

Question 14

25-year-old man barely avoid a motor vehicle accident. His heart is pounding. His palms are sweaty, and his respirations are increase. This is an example of which stage of the general adaptation syndrome.
Alarm reaction stage
Stage of resistance
Stage of exhaustion
Stage of biological stress

Answer 14

Alarm reaction stage

Question 15

What does stress create in someone’s life?

Answer 15

Change it in the pattern of the individual require significant adjustment and lifestyle and taxes available personnel resources
Can either be positive or negative

Question 16

How is stress measured

Answer 16

By the Miller and rahe recent life changes questionnaire

Question 17

What does a high score on the RLCQ mean?

Answer 17

high score places the individual at greater susceptibility to physical or physiological illness

Question 18

When can an RLCQ be completed

Answer 18

Considering life stressors within six months or one year.

Question 19

Do individuals different reactions to life events

Answer 19

Yes, these variations are related to the degree of which the change is perceived as stressful

Question 20

Why are life changes questionnaires criticize?

Answer 20

They do not consider the individuals perception of the event

Question 21

Stress is a transaction between individual in the environment. What does this come sept emphasize?

Answer 21

Relationship between the internal variables within an individual in the external variables, the environment

Question 22

What is the precipitating event

Answer 22

A stimulus arising from the internal or external environment, and perceived by the individual in a specific manner

Question 23

What is cognitive appraisal?

Answer 23

Is an individual’s evaluation of a personal significance of an event or occurrence

Question 24

What are the three types of primary appraisal?

Answer 24

Irrelevant
Benign positive
Stress appraisals include Harm Loss threat and challenge

Question 25

What does an event being judged as a I irrelevant mean?

Answer 25

The outcome holds no significance for the individual

Question 26

What does benign positive outcome mean?

Answer 26

When is perceived as producing pleasure for the individual

Question 27

What does the interaction between the primary appraisal of an event in a secondary appraisal of available coping strategies determine

Answer 27

The quality of the individuals adaptation response to stress

Question 28

What is the secondary appraisal? It

Answer 28

An assessment of skills, resources, and knowledge that a person possesses to deal with the situation

Question 29

How does an individual evaluate stress?

Answer 29

I asking themselves which coping strategies are available to me What are the options? I choose to be effective. Do I have the ability to use the strategy in an effective manner?

Question 30

A student with an a averages to take an exam the student is relaxed and says the exam is not of a concern, because a failing grade would not affect successful completion of the course which has contributed to the students adaptation response to stress The student judges the event is irrelevant The actual precipitating event The students cognitive appraisal of the situation The event is appraised as challenging

Answer 30

The students cognitive appraisal of the situation

Question 31

What are predisposing factors?

Answer 31

Strongly influence, whether the response is adaptive or maladaptive

Question 32

What are some types of predisposing factors

Answer 32

Genetic influences Past experiences Existing conditions

Question 33

How can I existing conditions affect stress

Answer 33

The incorporate vulnerabilities that influence the adequacy of the individuals, physical psychological, and social resources for dealing with adaptive demands

Question 34

What is stress management?

Answer 34

The use of coping strategies in response to stressful situations

Question 35

When are coping strategies adaptive?

Answer 35

When they protect the individual from harm When they strengthen the individuals ability to meet challenging situations

Question 36

What are some adaptive coping strategies?

Answer 36

Awareness Relaxation Meditation Interpersonal communication Problem-solving Pets and music

Question 37

When, addressing with her client is exhibiting adaptive responses to stressors, the nurse must recognize which of the following Adaptive responses are those that preserve the integrity of the individual Adaptive responses eliminate all stressors adaptive responses can only be achieved through intensive therapy Adaptive responses or whatever the client perceives them to be

Answer 37

Adaptive responses are those that preserve the integrity of the individual

Question 38

Why is stress management so important to one’s overall health? Stress related disorder, strength in the immune system Sub stained response to stress can increase vulnerability to verity of diseases in maladaptive coping responses Relaxation exercises are effective in preventing disorders, such as depression and suicide All of the above

Answer 38

Sustained responses to stress can increase vulnerability to variety of diseases in maladaptive coping responses

Question 39

Elaina has just received a promotion on her job. She is very happy and excited about moving up in her company but she has been experiencing anxiety since receiving the news. The nurse accurately assesses her primary appraisal of the situation as which of the following Benign positive Irrelevavant Challenging Threatening

Answer 39

Challenging

Question 40

Which of the following statements by the client are examples of adaptive coping mechanisms I like to take the edge off I having a few drinks I need to pay more attention to my calorie intake because I gained 10 pounds in the last month When the stress gets to be too much, I feel better after I kick the dog  I start try to stay away from people because it’s less stressful than arguing with everybody

Answer 40

I need to pay more attention to the calorie intake because I gained 10 pounds in the last month

Question 41

A client reports hearing on last nights evening news the 25 people were killed in a tornado in south Texas but it appears to Xpress no anxiety in response to the stressful situation which of these actions by the nurse is a priority Ask where the person lives Assess the clients perception of the relevance of this event Encourage the client to use adaptive coping skills to help others through this tragedy Score of the client grew up

Answer 41

Assess the clients perception about the relevance of this event

Question 42

 A client regularly develops, nausea and vomiting when she is faced with a stressful situation, which of the following should be considered, when attempting to identify predisposes factors associated with Cindy’s response select Identify what happened right before she had the most recent episode of nausea and vomiting Consider genetic influence Identify any existing physical conditions that make the client more vulnerable to respond in this way Explore past experiences that may resulted in becoming a learned response

Answer 42

Consider genetic influences Identify any existing conditions that might make the client more vulnerable to respond in this way Exploria past experiences that may have resulted in becoming a learned response

Question 43

A client comes to the mental health clinic with reports of anxiety and depression, regarding the transactional model of stress and adaptation, which of the following are important nursing actions when assessing his complaints select Evaluate the clients perception of precipatung events Ask the client about pest stressors in degree of positive coping abilities Assess the clients existing social supports Evaluate the clients physical strength Monitor the client’s temperature

Answer 43

Evaluate the clients perception of precipitating event As the client about pet stressors in the degree of positive coping abilities Assess the clients existing social supports

Question 44

A client says to the nurse. I think the medication might be a good thing for reducing anxiety, but I’ve never learned how to do it which of these would be the most appropriate response by the nurse. Instruct the client that antianxiety medication must be taken before engaging in meditation Ask why the client never learned this method of relaxation Educate the client about the evidence, supporting pet therapy is the most effective psychosocial coping mechanism Educate the client about how to engage in mindfulness meditation 

Answer 44

Educate the client about how to engage in mindfulness meditation

Question 45

A client tells the nurse, my spouse and I get into a big fight and I just stormed out because I didn’t know what else to do which action by the nurse is a priority at this point Encourage the client to seek legal advice from a divorce lawyer Ask the client to describe the spouses side of the story Affirm the clients response as the most appropriate way to reduce anxiety and such situations Assess the client to describe the events

Answer 45

Assist the client to describe the events

Question 46

A new client tells the nurse at mental health clinic. I was so stressed out after work today and trying to get to my appointment here on time that I started having chest pain which is the action by the nurse is a priority at this point. Offer the client antianxiety medication as prescribed Assess the clients physical status, including vital signs Reinforce that since the client arrived on time, there’s nothing to worry about Help the client to identify adaptive coping mechanisms for dealing with stress

Answer 46

Assess the clients physical status, including vital signs

Question 47

What’s is the DSM-5

Answer 47

Universal guide for diagnosis does not include treatment because treatment is not universal