Question 1

A client tells the nurse,"I think I'm losing my mind." The best response by the nurse is

Accepted Answer

A)  "Tell me what you are experiencing right now." 
B)  "You should take a nap now; it will help you to feel better." 
C)  "If you say that you're losing mind, you really will lose your mind." 
D)  "I don't think you really feel that you are losing your mind." A

Question 2

A short-term mild level of stress that acts as a positive stress response with protective and adaptive functions and is perceived as being within the person's ability to manage is known as

Accepted Answer

A)  stress. 
B)  eustress. 
C)  stressor. 
D)  distress. B

Question 3

A nurse consistently works extra shifts in the hope of earning a promotion.The nurse is becoming increasingly fatigued and frustrated because the promotion has not occurred.The nurse is experiencing

Accepted Answer

A)  distress. 
B)  burnout. 
C)  eustress. 
D)  primary appraisal. B

Question 4

A client is experiencing anxiety related to hospitalization.When assessing this client,the nurse anticipates which assessment finding?

Accepted Answer

A)  Increased socialization 
B)  Improved sleep 
C)  Greater recall ability 
D)  Disengagement from the stressor

Question 5

A three-stage progressive pattern of nonspecific physiologic responses known as alarm,resistance,and exhaustion is based on

Accepted Answer

A)  Cannon's scientific physiologic response theory. 
B)  Selye's General Adaptation Syndrome. 
C)  Holmes and Rahe's stimuli stress model. 
D)  Lazarus and Folkman's transactional model of stress.

Question 6

The nurse is conducting a family assessment in which alcoholism by the parents is suspected.When assessing the children within this family for symptoms of stress,the nurse recognizes that

Accepted Answer

A)  the children will most likely verbalize their feelings about the stressor. 
B)  the children will demonstrate the ability to sort out the meaning of the illness. 
C)  signs of distress can include academic decline, gastric distress, and headaches. 
D)  physical complaints by the children can only be related to a physiological etiology.

Question 7

A client who has been diagnosed with cancer asks the nurse,"If I take the chemotherapy,will I be cured,or am I going to die anyway?" The nurse's best response is

Accepted Answer

A)  "Tell me what prompted your question." 
B)  "I don't think you should have chemotherapy; it will harm you more than help you." 
C)  "Let's not talk about dying; I'm sure you will be cured." 
D)  "I really don't think you should worry about such things; it isn't something you can control."

Question 8

The nurse is caring for a client who works as a boxer.The client states,"I was picked on a lot when I was little,so I got really angry and now I work through the anger by boxing." The nurse recognizes the client is demonstrating which ego defense mechanism?

Accepted Answer

A)  Denial 
B)  Intellectualization 
C)  Sublimation 
D)  Repression

Question 9

Current research suggests that men and women respond to stress in which of the following ways?

Accepted Answer

A)  Men use nurturing activities to reduce stress. 
B)  Women use a "tend and befriend" approach to stress. 
C)  Men and women respond to stress in a similar manner. 
D)  Women respond to stress with patterns of "fight or flight."

Question 10

Which of the following interventions would be classified as secondary prevention for stress?

Accepted Answer

A)  Classify stressor 
B)  Mobilize resources 
C)  Educate client and family 
D)  Coordinate resources

Question 11

A client's spouse becomes anxious and demonstrates hostility toward the nurse.The best response by the nurse is to

Accepted Answer

A)  recognize the spouse feels a sense of control. 
B)  view the hostility as a personal attack. 
C)  become stoic and refrain from listening to the spouse. 
D)  respond empathetically to contributory themes and feelings.

Question 12

Which of the following is true in relation to stress?

Accepted Answer

A)  Men and women respond to stress in the same fashion. 
B)  Culture does not affect the stress experience. 
C)  Stress is always a negative experience. 
D)  Stress can have protective and adaptive functions.

Exam 16: Empowerment-Oriented Communication Strategies to Reduce Stress