Nokea
A group of students are reviewing the events associated with the fight-or-flight response. They demonstrate understanding of the information when they identify which of the following results from sympathetic nervous stimulation?
- A. Hypoglycemia
- B. Tachycardia
- C. Hypotension
- D. Hypercoagulability
Correct Answer: B
Rationale: The fight-or-flight response, driven by sympathetic nervous stimulation, causes tachycardia (increased heart rate) to prepare for action. Hypoglycemia, hypotension, and hypercoagulability are not primary outcomes of this response.
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A group of nursing students is reviewing information about emotional responses to stress and the themes associated with them. The students demonstrate understanding of the information when they identify which emotion as associated with being moved by another?s suffering and wanting to help?
- A. Relief
- B. Hope
- C. Compassion
- D. Love
Correct Answer: C
Rationale: Compassion is the emotion associated with being moved by another?s suffering and desiring to help. Relief involves stress reduction, hope anticipates positive outcomes, and love is a broader emotional bond, not specific to suffering.
After teaching a group of students about appraisal and the stress response, the instructor determines that additional teaching is needed when the students identify which of the following as part of the primary appraisal?
- A. Relevance of the goal
- B. Consistency of goal with values
- C. Personal commitment
- D. Outcome explanation
Correct Answer: D
Rationale: Primary appraisal involves evaluating the relevance (A), consistency with values (B), and personal commitment (C) to a stressor. Outcome explanation (D) is part of secondary appraisal, assessing coping options, indicating a need for further teaching.
The nurse is caring for a patient who has been under severe stress while caring for her elderly mother who is in the advanced stages of Alzheimer?s disease. The nurse explains that the patient is adapting to the stress is she is experiencing because of which of the following?
- A. Ability to survive in the midst of severe stress
- B. Acceptance of others? help in caring for her mother
- C. Success at being able to solve problems
- D. Capability in setting reasonable personal goals
Correct Answer: B
Rationale: Accepting others? help indicates adaptive coping by leveraging social support to manage stress. Survival, problem-solving, and goal-setting are aspects of coping, but accepting help directly reflects adaptation in this caregiving context.
A nurse has completed an assessment of a patient who is experiencing significant stress. The assessment revealed intense anger and acting out behaviors along with statements of negative emotions. Which nursing diagnosis would be most appropriate?
- A. Disturbed thought processes
- B. Low self-esteem
- C. Hopelessness
- D. Ineffective coping
Correct Answer: D
Rationale: Intense anger, acting out, and negative emotions indicate ineffective coping, as the patient struggles to manage stress adaptively. Disturbed thought processes, low self-esteem, and hopelessness may be present but are less directly tied to the described behaviors.
A patient has come to the clinic to discuss the stress she is experiencing because of failing two exams at school. Initially, she described her failures as the worst thing that has ever happened to me, and she stated, 'There is absolutely nothing I can do to pass this course now.' In response to the nurse?s questions, the nurse finds out there are three more equally weighted exams scheduled for the course in question. The nurse and patient collaborate and decide to use interventions to facilitate emotion-focused coping. Which additional comment from the patient would the nurse identify as providing support for this decision?
- A. You?ve got to figure out something for me to do to get me out of this situation!
- B. This is a waste of time because absolutely nothing you or I can do will make it any better.
- C. I overreacted; surely together we can figure out something for me to do.
- D. This is the worst thing that could ever happen to me. I?m nothing but a failure.
Correct Answer: C
Rationale: The comment 'I overreacted; surely together we can figure out something' supports emotion-focused coping by acknowledging exaggerated emotions and openness to collaboration, aligning with managing feelings. Other comments reflect helplessness or problem-focused demands.