phil test 2

Which of the following conditions most likely occur when a patient is experiencing stress related to scheduled surgery?

Anxiety

Which statement correctly explains a person's interactions with basic human needs?

As a person strives to meet basic human needs at each level, stress can serve as either a stimulus or barrier.

1. A public health nurse understands that health promotion should continue across the lifespan. When planning health promotion initiatives, when in the lifespan should health promotion begin?

Before birth

Which illness has been associated with long-term stress?

Cardiovascular disease

A nurse is caring for a pregnant client in labor. Which of the following techniques should the nurse instruct the client to do to manage stress?

Deep breathing

Of the following physiologic stressors, which one is a physical agent?

Heat

Which area of nursing experiences the highest levels of stress in the work setting?

New graduate nurses

A nurse is making a follow-up phone call to a client who reported being raped. The client answers the phone and states, "I don't know what you are talking about. I have never been raped." What action should the nurse take?

Offer support, recognizing that the client may be using repression as a defense mechanism.

You walk into your patients' room and find her sobbing uncontrollably. When you ask what the problem is your patient responds "I am so scared. I have never known anyone who goes into a hospital and comes out alive." On this patient's care plan you note a nursing diagnosis of "Ineffective coping related to stress". What is the best outcome you can expect for this patient

Patient will adapt relaxation techniques to reduce stress

A client who is being seen at a health care provider's office reports long term anxiety and "bad headaches all the time." Diagnostic tests are normal. What is this type of response to stress called?

Psychosomatic disorder

A nurse teaches a client deep-breathing exercises to help control his anxiety. This is considered what type of stress management technique?

Relaxation

A client has been brought to the health care facility with accident-related injuries. During the initial interview, the client becomes agitated and upset and is unable to answer any more of the nurse's questions. What does the nurse conclude about the condition of the client?

The client's mind is preparing for a fight-or-flight response as he relates the incident.

Place the following steps of the General Adaptation Syndrome (GAS) in the order in which they would normally occur.

Threat occurs. Alarm reaction begins. Neuroendocrine activity increases vital signs. Fight-or-flight response occurs. Stage of resistance begins Neuroendocrine activity returns to normal. Panic, crisis, and exhaustion occur. Stage of exhaustion begins. Rest and recovery or death occur

In contrast to anxiety, fear is characterized by:

a cognitive response to a known threat.

Which of the following best describes stress?

a response to changes in the normal balanced state

Many families are sheltering in the local middle school gymnasium during a severe tornado outbreak. Many homes have been destroyed and lives lost. The community health nurse expects to see negative stress reactions to the crisis, such as:

a young wife asking everyone repeatedly if they know where her husband is.

A client is discussing stressors with the nurse and is describing how she feels better when she takes a brisk walk. The client's action is an example of:

adaptation

The client is a single mother of two children who attends college and works full time. She is seeing the college nurse due to a crying outburst in class. The first step of crisis intervention that the nurse employs is:

assisting the client to identify the reason for her outburst.

A teenage girl is discussing her recent breakup with her boyfriend. She tells the nurse she just stays in bed all day and cannot seem to feel any better. She says she is only relieved of the pain while sleeping. The nurse identifies this coping strategy as:

avoidance coping

A client is admitted to the emergency department with a urinary tract infection and is experiencing a stress response from hospitalization. The client does not speak any of the dominant language. What is the priority nursing intervention?

contact a translator

A 22-year-old college student recently engaged in sexual intercourse with a new partner. When a nurse tells her that she is pregnant, she tells the nurse, "That's not possible; I got my period last week." This is an example of what defense mechanism?

denial

The nurse is caring for a client who is a doctor in a general hospital. He complains about the stressful condition of his job. Lately, he has become increasingly susceptible to colds, headaches, muscular tension, excessive tiredness, and many other symptoms. At what stage of stress is the client?

exhaustion stage

A client's body uses physiologic mechanisms from within to respond to internal changes and maintain an essential balance. This process is known as:

homeostasis

A 65-year-old client has experienced the death of a parent and a family pet in the span of 1 month. Which action is a coping mechanism that demonstrates adaptation?

joining the local garden club

A recently retired client reports that he has been able to sleep only 3 hours a night and that he has nausea, frequent urination, and headaches. He is asking the nurse what she thinks is going on with his health. What is the most probable cause of his symptoms?

moderate anxiety

During a counseling session a client states, "I just try to forget about my spouse hitting me." Which coping mechanism should the nurse document on the basis of this client's statement?

repression

A client is on a stress management program. She states that she is open to trying a guided meditation class. When helping her get started, a nurse tells her that which of the following is not important?

soft music

A dancer has suffered a fall injury, which will prevent participation in a much-anticipated event. The fall is classified as what?

stressor

A high school student comes to the nurse's office to discuss her anxiety regarding an upcoming test. Her test-taking anxiety is a (an):

stressor.

The nurse at the student health center is seeing a group of nursing students who are interested in reducing their stress level. The nurse identifies guided imagery as an appropriate intervention. What does guided imagery involve?

the mindful use of a word, phrase, or visual image that allows oneself to be distracted and temporarily escape from stressful situations

Which group of terms best describes anxiety?

unknown cause, emotional, apprehensive

Which of the following statements, made by a senior citizen who has taken a class on stress reduction, would indicate to the nurse the need for further instruction?

"As one grows older, their stress decreases."

The nurse teaches a client about the use of yoga as a stress management intervention. Which client statement indicates to the nurse that learning has taken place?

"It reduces physical and emotional tension through postural changes and focused concentration."

Which client statement, after a presentation about drug use, indicates to the nurse a correct understanding of the information presented?

"Mixing alcohol and tranquilizers may cause physical impairment and drug dependency."

Which examples describe the four levels of anxiety that occur in people's lives? (Select all that apply.)

1Although mild anxiety may interfere with sleep, it also facilitates problem solving. 2Severe anxiety creates a very narrow focus on specific detail, causing all behavior to be geared toward getting relief

Which statements accurately describe the body's defense mechanisms against stressors?

1Projection occurs when a person's thoughts or impulses are attributed to another person. 2Repression occurs when a person voluntarily excludes an anxiety-producing event from conscious awareness.

Which of the following responses to stressors results from the activation of the local adaptation syndrome?

A girl quickly withdraws her hand from a stream of hot tap water.

Upon arrival to the emergency room, the mother of a client involved in a motor vehicle accident becomes upset when she learns her son is unconscious and unstable. The mother begins to yell at the emergency room staff in unintelligible words, and she is trembling. She becomes short of breath and yells she can't breathe. What is the mother likely experiencing?

A panic attack