Nokea
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.
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When describing the concept of allostatic load to a group of students, which of the following would the instructor identify as abnormalities of which of the following as indicative of the overall changes?
- A. Nuclear imaging studies
- B. Laboratory test results
- C. Bone radiographs
- D. Cardiac studies
Correct Answer: B
Rationale: Allostatic load reflects cumulative stress effects, often shown through abnormal laboratory test results (e.g., cortisol, inflammatory markers). Nuclear imaging, bone radiographs, and cardiac studies are less directly indicative of stress-related changes.
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.
A nurse is reviewing the assessment findings of several patients. Which patient would the nurse identify as having a type D personality?
- A. A man who threatens the receptionist in the emergency department with bodily harm if a doctor does not see him right away
- B. A woman who sits quietly reading in a waiting room before seeing her doctor for her annual physical examination
- C. A quiet teen who drinks a six pack of beer against his better judgment because of peer pressure
- D. A man who reacts negatively to almost everything but never discusses his feelings with anyone
Correct Answer: D
Rationale: Type D personality is characterized by negative affectivity and social inhibition, as seen in the man who reacts negatively but suppresses feelings. Threatening behavior, quiet reading, or succumbing to peer pressure do not align with Type D traits.
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.
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.