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While leading a student class presentation about general adaptation syndrome and its stages, which of the following would the student describe as the final stage?
- A. Perception of a threat
- B. Use of coping mechanisms
- C. Physiologic response
- D. Exhaustion
Correct Answer: D
Rationale: In Selye?s general adaptation syndrome, the final stage is exhaustion, where resources are depleted if stress persists. Perception of a threat, coping mechanisms, and physiologic response occur earlier in the alarm and resistance stages.
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A patient is talking to the nurse about her friendship with another person. She comments, 'That person is always there for me, and I am always there for her. We help each other out; sometimes she?s helping me, and sometimes I am helping her.' The nurse interprets the patient?s statements about her social network as reflecting which of the following?
- A. Denseness
- B. Reciprocity
- C. Social support
- D. Constraints
Correct Answer: B
Rationale: The patient?s description of mutual help reflects reciprocity, a core feature of social networks where support is exchanged. Denseness refers to interconnectedness, social support is broader, and constraints involve limitations, not mutual aid.
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 is performing an assessment interview with a patient. The patient tells the nurse that he has a type A personality. Based on the nurse?s interpretation, the nurse would expect which behavior by the patient?
- A. Appearing relaxed and easygoing throughout the interview
- B. Wanting the interview to be over as quickly as possible
- C. Being pleased with the overall pace of the interview
- D. Speaking slowly, requiring time to consider his answers
Correct Answer: B
Rationale: Type A personality is characterized by impatience, competitiveness, and urgency, so the patient would likely want the interview to end quickly. Relaxed behavior, satisfaction with pace, or slow responses are more typical of Type B personalities.
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.
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.