Stress and Adaptation

Which one of the following diagnoses would be written for stress as the cause of the problem?

Anxiety related to conflicts about values and goals in life.

Which of the following body systems are the primary controllers of homeostatic mechanisms? Select all that apply.

Autonomic nervous system endocrine

Which of the following illness has been associated with long-term stress?

Cardiovascular disease

A patient responds to bad new regarding rest results by crying uncontrollably. What is the term for this response to a stressors?

Coping mechanism

A young mother tells the nurse, "I cant stop smoking that is what I do to make myself feel better". What is the term for this behavior?

Coping mechanisms

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

Heat

Various physiologic mechanisms within the body respond to internal changes to maintain relative constancy in the internal environment. The state that results is called:

Homeostasis

Which of the following questions would be helpful in eliciting data about the effects of stress during a health history?

How does your body feel when you are upset?

If a nurse assessed the vital signs of a person who was in the initial alarm reaction stage (shock phase) of the GAS, what would be the expected findings?

Hypertension

Which of the following are considered internal stressors?

Ilness Hormonal changes Fear

According to Pender, Murdaugh, & Parsons, (2006) which of the following are major sources of stress?

Interpersonal relationships Performance demands

A patient with an inflamed appendix is feeling pain in the stomach area. what is the term for this body response to stress?

Local adaptation syndrome

A student is preparing for her first patient care assignment. She wakes up at 4:00am with a pounding pulse and diarrhea. What type of adaptive response to stress is she experiencing?

Mind body interaction

WHich of the following groups of nurses experience the highest levels of stress in the work setting?

New Graduates

A woman who was assaulted in the street is brought to the emergency room for observation. A nurse documents that the woman has difficulty communicating verbally, is agitated, and complains of chest pain and a sense of impending doom. WHat type of anxiety is this patient experiencing?

Panic

A nurse is preparing to teach a patient about care at home. On entering the room, she finds the patient pacing around the room, hyperventilating, and complaining of nausea. Based on these manifestations of sever anxiety, what would the nurse do?

Postpone implementation of the teaching plan.

A patient who is being seen at a physicians office states that he has bad headaches all the time. Diagnostic tests are normal. What is this type of response to stress called?

Psychosomatic disorder

An individual steps into a tub of very hot water and immediately jumps out again. What mechanism caused this response?

Reflex pain response

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

Relaxation

A friend has lost her job and is becoming increasingly anxious to the point of crisis. What type of crises is she experiencing?

Situational

What phase of the general adaptation syndrome is a patient in when he uses all of this adaptive mechanisms for dealing with stress, leaving no defense against the distress?

Stage of exhaustion

Cold temperatures and loud noises are stressors to one person but not another. Why does this occur?

The perception and effects of stressors are highly individualized.

Which of the following group of terms best describes anxiety?

Unknown cause, emotional, apprehensive

The wife of a patient on hospice at home is diagnosed with caregiver burden. Which of the following best describes this syndrome?

a prolonged stress from caring for a family member at home.

A man has noticed bright red blood in his bowel movements for over a month. He says to himself, Oh, its just my hemorrhoids. What defense mechanism is the man using?

denial

A nurse is teaching a patient about the benefits of exercise in reducing stress. How often would the nurse recommend the patient exercise?

30-45 minutes, most days of the week

Which of the following is an example of developmental stress?

A middle adult accepting signs of aging

Which of the following best describes stress?

A response to changes in the normal balanced state

What philosophy for handling stress can nurses encourage patients to adopt?

Accept what can't be changed, change what can't be accepted.

What is the term for the change that takes place in response to a stressors?

Adaptation