Chapter 8 Stress Flashcards
How does Selye define stress?
A. Any stimulus that causes a response in an individual
B. A response of an individual to environmental demands
C. A physical or psychological adaptation to internal or external demands
D. The result of a relationship between an individual and the environmental that exceeds the individuals resources
D
A client who has undergone extensive surgery for multiple injuries has a period of increasing blood pressure, heart rate, and alertness. Which stage of general adaptation syndrome are these symptoms most characteristic of?
a. The resistance state of general adaptation syndrome
b. The alarm reaction of the general adaptation syndrome
c. The stage of exhaustion of general adaptation syndrome
d. An individual response stereotype
B
- Which of the following actions best demonstrates that a client is using
an emotion-focused coping process? (Select all that apply.)
a. Joining a support group for women with breast cancer
b. Considering the advantages and disadvantages of the various
treatment options
c. Delaying treatment until her family can take a weekend trip together
d. Telling the nurse that she has a good prognosis because the tumour
is small
e. Engaging in meditation
A&E
- The nurse would expect which of the following findings in a client as a result of the physiological effect of stress on the limbic system?
a. An episode of diarrhea while awaiting painful dressing changes
b. Refusing to communicate with nurses while awaiting a cardiac catheterization
c. Inability to sleep the night before beginning to self-administer insulin injections
d. Increased blood pressure, decreased urine output, and hyperglycemia after a car accident
C
- Which of the following best demonstrates that the nurse is applying knowledge of the effects of stress on the immune system?
a. Encouraging clients to sleep for 10 to 12 hours per day
b. Encouraging clients to receive regular immunizations when they are stressed
c. Encouraging clients to use emotion-focused rather than problem focused coping strategies
d. Encouraging clients to avoid exposure to upper respiratory infections when physically stressed
D
- Chronic stress or daily hassles may place a person at higher risk of developing which of the following conditions? (Select all that apply.)
a. Osteoporosis
b. Colds and flu
c. Low blood pressure
d. Irritable bowel syndrome
e. Depression
B D E
- During a stressful circumstance that is uncontrollable, which type of coping strategy is the most effective?
a. Avoidance
b. Coping flexibility
c. Emotion-focused coping
d. Problem-focused coping
C
- Which of the following clients is least likely to respond to stress effectively?
a. One who feels that the situation is directing his or her life
b. One who sees the situation as a challenge to be addressed
c. One who has a clear understanding of his or her values and goals
d. One who uses more problem-focused than emotion-focused coping strategies
A
- Which of the following is an appropriate nursing intervention for a client who has a nursing diagnosis of ineffective coping related to inadequate resources?
a. Controlling the environment to prevent sensory overload and promote sleep
b. Encouraging the client’s family to offer emotional support by frequent visiting
c. Arranging for the client to phone family and friends to maintain emotional bonds
d. Asking the client to describe previous stressful situations and how she managed to resolve them
D
