Chapter 32: Stress and Coping : Fundamentals of Nursing:

1. The nurse knows the one theory explaining the variation in response to stress among individuals is identified by which term? a. Stress appraisal b. Sense of coherence c. Allostasis d. Homeostasis 2. The nurse is caring for a patient with a new diagnosis of diabetes type 2. Which statement indicates a negative coping response? a. “I will look up information on the Internet about diabetes.” b. “I will join a support group.” c. “I will only focus on learning to manage my medication first.” d. “I will make changes slowly so I can adapt to each change.” 3. The nurse is caring for a patient who is undergoing a major cardiac procedure. When the patient complains of a racing heart and nausea, the nurse recognizes these complaints as part of what hormone response? a. Sense of coherence b. Stress appraisal c. Fight or flight d. Sympathoadrenal response 4. When the nurse measures the patient’s blood glucose levels after an acute myocardial infarction (MI), the nurse knows this action is based on which rationale? a. Damaged muscle tissue releases glucose. b. Corticosteroids increase glucose. c. Myocardial infarctions are often seen in diabetics. d. All patients should have their blood glucose checked. 5. The nurse is teaching a patient about the difference between mild anxiety and moderate anxiety. Which statement by the patient indicates a need for further education? a. “Mild anxiety can help me remember things.” b. “Moderate anxiety will narrow my focus.” c. “Mild anxiety will help me be creative.” d. “Moderate anxiety will increase my perception.” 6. The nurse is providing discharge instructions for a patient with multiple sclerosis. Which discharge instruction is aimed at preventing a future exacerbation? a. Engage in some form of exercise as tolerated. b. Avoid highly stressful situations. c. Check your skin regularly for pressure sores. d. Eat a diet with lots of fiber.