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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.
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A nurse is conducting an assessment of a patient?s social network. Which of the following would the nurse assess? Select all that apply.
- A. How big is your network of contacts?
- B. What benefits do you receive from these people?
- C. Who is responsible for providing the support?
- D. Do any of the members know one another?
- E. What services do you think might be helpful?
Correct Answer: A,B,C,D,E
Rationale: Assessing a social network includes size (A), benefits (B), support providers (C), interconnectedness (D), and potential service needs (E), as these provide a comprehensive view of the network?s structure and function.
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.
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.
The nurse is caring for a patient with chronic stress for the past month because of job loss and financial difficulties. When evaluating the patient?s assessment findings, the nurse would anticipate finding an elevated antibody titer to which of the following?
- A. Herpes simplex viruses
- B. Herpes zoster viruses
- C. Acquired immune deficiency viruses
- D. Influenza viruses
Correct Answer: A
Rationale: Chronic stress suppresses immunity, increasing reactivation of latent herpes simplex viruses, leading to elevated antibody titers. Herpes zoster may reactivate, but HSV is more common. AIDS and influenza are not directly linked to stress-induced immune changes.
A patient visits the clinic and tells the nurse about being under a great deal of stress on the job for the past month. Applying the factors that determine the stress response, which question would be most appropriate for the nurse to ask?
- A. What effect is the stress having on your job performance?
- B. How would you describe the social network within your family?
- C. What is the specific event that you find most stressful?
- D. When did you first become aware of experiencing this stress?
Correct Answer: C
Rationale: Identifying the specific event causing stress helps pinpoint the stressor, a key factor in the stress response. Effects on performance, family social networks, or timing of stress awareness are secondary to understanding the stressor itself.