Stress Sherpath

Which type of coping strategy is being utilized by a cancer patient who becomes active in fundraising for cancer research in the community?

problem-focused

What reaction is a person experiencing when enhanced memory and focus occur on the first day of a new job?

Anxiety

Which term does Lazarus use to refer to the process of evaluating a threat by first assessing what is at stake and then evaluating coping options?

stress appraisal

Stress and Coping Lesson Assessment Performance 32%CORRECT You'll get it next time! Let's review your results Overview Incorrect Correct Question 1 of 25 Match the situation with the type of stress it exemplifies. Nausea felt prior to an important meeting Physiologic stress Marital problems Psychological stress Racist remarks overheard at work Sociocultural stress Question 2 of 25 Which patient statement exemplifies stress appraisal? "I had anticipated the loss of my job."Anticipation of a stressful event is not an example of stress appraisal. "I am very depressed at the thought of losing my job."A psychological reaction to a stressor is not an example of stress appraisal. "I experienced nausea when I realized I would lose my job."A physical reaction to a stressor is not an example of stress appraisal. Correct "I am taking the loss of my job as a challenge to find a more interesting career."The process by which a person interprets a stressor as a threat or a challenge is known as stress appraisal. Question 3 of 25 Pupil dilation in response to a stressor is an example of which type of physiologic response? Correct AllostasisAllostasis is the means by which homeostasis is reestablished, assisting the body in maintaining stability. It may involve increases in heart rate, blood pressure, and respirations, pupil dilation, and a decrease in gastric motility and blood flow to the skin. HomeostasisHomeostasis refers to the body's regulation of systems to maintain a steady state and does not involve pupil dilation. Psychological stressPsychological stress comprises the emotional and cognitive factors involved in the appraisal of a threat and does not describe pupil dilation in response to a stressor. Local adaptation syndromeLocal adaptation syndrome (LAS) may manifest as inflammation, reflexive response to pain, or hypoxia secondary to catecholamine release. It typically manifests as activation of the inflammatory system, not pupil dilation. Question 7 of 25 What is one consequence of prolonged allosteric response? EuphoriaA prolonged allosteric response will not result in euphoria. Deeper sleepA prolonged allosteric response is not associated with deeper sleep. Correct Brain atrophyChronic high levels of stress and prolonged sympathetic arousal from allosteric response have been shown to produce atrophic changes in the brain. Relief of the stressorA prolonged allosteric response will not result in relief from a stressor. Question 12 of 25 Match the patient's response to stress with the type of anxiety being experienced. Enhanced focus during an important test Mild anxiety Difficulty focusing on one task on the first day of a new jobModerate anxiety Inability to make health care decisions for a dying parent Severe anxiety Heart palpitations and a sense of dread related to the loss of employment Panic Question 16 of 25 Which cultural factor may affect a patient's ability to cope with stress? EthnicityEthnicity has not been shown to affect a patient's ability to cope with stress. Dietary restrictionsDietary restrictions have not been shown to affect a patient's ability to cope with stress. Access to health careAccess to health care has not been shown to affect a patient's ability to cope with stress. Correct Access to a spiritual leaderSpiritual concerns, such as having the ability to communicate with the appropriate spiritual leader in times of need, can complicate the patient's ability to cope and manage stressors. Question 18 of 25 Match the type of stressor with the patient it affects most. Maternal stress 5-year-old Stress related to job 45-year-old Stress related to loss and grieving87-year-old Question 25 of 25 A patient who has been diagnosed with brain cancer spends several hours planning out funeral costs. The patient is exhibiting which defense mechanism?

Intellectualization Intellectualization involves overthinking a challenging situation or impulse to avoid dealing with the emotions it elicits, as is demonstrated by a patient planning his or her own funeral costs.

Match the situation with the type of stress it exemplifies. Nausea felt prior to an important meeting Marital problems Racist remarks overheard at work

Physiologic stress Psychological stress Sociocultural stress

A patient who has recently been diagnosed with skin cancer explains that the cancer is due to all the times he took his children to Disney World on vacation. This is an example of which defense mechanism?

Rationalization

According to Roy's Adaptation Model, which is an example of a nursing action that would help a patient adapt?

Teaching the patient how to cope with the stress through deep breathing

Which statement regarding the nature of coping is true?

The manner of coping may vary with time.

Which cultural factor may affect a patient's ability to cope with stress?

access to a spiritual leader

What is one consequence of prolonged allosteric response?

brain atrophy

Which age-related situations are associated with increased stress in older adults?

dementia, impaired hearing, inability to dress oneself

Which defense mechanism is a patient using when he or she becomes hostile with the nurse upon receiving the diagnosis of a sexually transmitted disease?

displacement

Which situations can significantly affect the level of stress in 60-year-old patient?

divorce, physical illness, new promotion, upcoming presidential election

Which type of coping strategy is being utilized by a patient who uses alcohol to ease anxiety?

emotion-focused

Stress resulting from a recent job promotion is an example of which type of stress?

eustress

How does stress increase a patient's susceptibility to disease?

impairs lymphocyte activity, increases reactivation of viruses, accelerates progression of HIV to AIDS

Which statements regarding coping are true?

it can improve mental status, it can accelerate physical healing

According to Hans Selye, which situation(s) would evoke the general adaptation syndrome?

marital infidelity, promotion at work, death of a loved one, injury in a car accident

Which adult patients would the nurse expect to be more susceptible to stress?

those who feel worthless, those who feel as if they are in a dead-end career,

Match the patient's response to stress with the type of anxiety being experienced. Enhanced focus during an important test difficulty focusing on one task on the first day of a new job inability to make health care decisions for a dying parent heart palpitations and sense of dread related to the loss of employment

mild moderate severe panic

Which statements made by an 8-year-old patient indicate school-related stress?

my tests are so hard, i want to be the best in my class, the kids in my class are so competitive

Which questions would obtain information about a patient's sense of coherence?

"Can you control the stressors in your life?" "Do you understand the events that are occurring in your life?" "Do you feel like there is a reason for everything that happens?"

Which patient statement exemplifies stress appraisal?

"I am taking the loss of my job as a challenge to find a more interesting career."

A patient who has been diagnosed with cancer demonstrates which defense mechanism when he or she releases frustration by using a punching bag?

sublimination

Pupil dilation in response to a stressor is an example of which type of physiologic response?

Allostasis Allostasis is the means by which homeostasis is reestablished, assisting the body in maintaining stability. It may involve increases in heart rate, blood pressure, and respirations, pupil dilation, and a decrease in gastric motility and blood flow to the skin.

A 5' 1" patient is insecure about his height and copes by becoming a body builder. Which defense mechanism is exemplified by this patient's actions?

Compensation

A patient plagued with large medical bills experiences a physical reaction when the bills come due, including a "racing heart" and an "upset stomach." What is this physiologic response known as?

Fight-or-flight response

Identify the correct order of the response of the sympathetic nervous system to stress.

1. stimulation of the thalamus 2. interpretation of sensory input 3. evaluation of information 4 production of fear

Match the type of stressor with the patient it affects most. maternal stress stress related to job stress related to loss and grieving

5 yo 45 yo 87 yo

What is the physiologic reason why a patient might experience gastrointestinal distress during stressful situations?

Increased blood to the muscles

A new teacher breaks out in a localized rash each morning upon arrival in the high school parking lot. The nurse suspects this symptom is due to which physiologic response?

Local adaptation syndrome -Local adaptation syndrome is the response to stress by tissues of the body, notably manifested by activities in the immune system.

Which statements made by a 7-year-old patient represent important stress modulating factors?

My dad is not home very often." "Sometimes I talk to my friends when I am sad." "My mom and I do things together all the time."

A patient initiates a fundraiser to raise money for cancer research after her child dies of a brain tumor. According to Roy's Adaptation Model, in which way is this patient adapting to stress?

Performing social role functions

Which defense mechanism is being used when a patient refuses to accept a terminal diagnosis?

denial

A patient reports being unable to sleep and no longer enjoying activities which used to be pleasurable. Which response to stress does the nurse suspect the patient is experiencing?

depression

Which emotion may be manifested in a patient feeling hopeless and experiencing insomnia?

depression

Stress caused by the recent death of a close family member, resulting in loss of one's appetite and withdrawal from normal daily life, is an example of which type of stress?

distress

Which responses to stress are considered coping mechanisms?

going to church, seeing a therapist, taking up a hobby, changing one's outlook

Which reactions to stress would be considered potentially damaging coping responses?

refusing to discuss the stress, chronically using pain medication, refusing to acknowledge the stress