A nurse is defining stress to a person. Which of the following statements should the nurse should make?
Happy events, such as the birth of a child, are rarely as stressful as unhappy events
An event that requires any change in behavior in stressful
All stressors create a challenge to health
Once stressors are identified, they can be controlled
The nurse is conducting community education about stress. Which of the following statements should be made by the nurse?
Stress always has a negative effect on the body
A moderate amount of short-term stress can make a person more efficient and goal-focused
Long-term stress is useful in helping one to meet goals
Stress always has a positive effect on the body
A nurse is discussing the various types of stress to a group of adults. Which of the following would be used as an example of eustress?
Increasing alcohol intake to deal with loss of a job
Avoidance of social activities because of anxiety
Severely limiting food intake as a way to control stress
Joining a cardiac rehabilitation exercise program after a myocardial infarction
A nurse is caring for a person who has experienced a minor injury following a fall. Which of the following physiological responses to stress would the nurse anticipate?
Lowered blood pressure
Elevated heart rate
Lowered respiratory rate
Elevated blood supply to the gut
Which of the following statements concerning spirituality is correct?
Spirituality is a search for the meaning of existence
To fully experience spirituality, one needs a religious affiliation
Stress always strengthens the quest for spirituality
Spirituality always prevents depression, which is common following a stressful event
A nurse has stated that the person she is working with demonstrates stress hardiness. Which of the following individuals is most likely being described?
Refuses to see family members after the nurse practitioner tells him or her about test results
Conducts Internet research to learn about the latest treatment options for a health deviation
Calls in sick when faced with a personal relationship problem
Views stressors as negative life events
A nurse is describing adults who are in the sandwich generation. Which of the following provides the best description of this term?
Middle-aged adults who are starting a family at an older age
Young adults who are beginning to find jobs, marry, and start a family
Middle-aged adults who are caring for children and aging parents
Young adults who have several small children
A nurse is collecting health assessment data about a persons coping mechanisms in relation to stressors. Who would provide the best source of this information?
Persons primary care physician
Persons spouse/significant other
The person
Expert objective analysis skills of the nurse
A nurse is assisting a person to cope with stress. Which statement by the nurse would be the most helpful?
Most people in this situation feel the way you feel.
Tell me what this event means to you
There are many support groups available for you to use.
Your family wants to help you through this stressful event. May I call them?
A nurse is counseling a person on how to effectively deal with stress. Which of the following actions would the nurse recommend the person take first?
Recognize signs of stress.
Take action to reduce stress.
Connect warning signs with stressors
Develop effective coping skills
A nurse is providing education to a community support group about ways to decrease stress. Which of the following would be the initial nursing intervention discussed by the nurse?
Explain how support groups function
Demonstrate deep breathing techniques
Practice guided imagery techniques
Help people to identify their response to stress
A nurse is explaining the relaxation response to a person. Which of the following statements would be most appropriate for the nurse to make?
When the relaxation response is used, your sympathetic nervous system is activated and your pulse rate slows down
The relaxation response helps you to become more aware of your surroundings
Deep breathing is very effective in relaxing muscle groups and relieving stress
Holding your breath for 10 to 15 seconds will reduce your blood pressure and pulse rate
The nurse conducted a community health education program about the benefits and limitations of alternative therapies. The nurse recognizes that learning has occurred when a participant makes which of the following statements?
Acupuncture is a technique that can be easily learned and practiced
Hypnosis can be safely used by a licensed hypnotist to treat all cases of anxiety
Reiki is a type of massage that can be used to relieve stress
Herbal products must be used with caution because some can interact with prescription medications
A nurse responded to a natural disaster and used expressive writing as a means of coping with the stress related to this experience. Which of the following benefits of expressive writing should the nurse expect?
Immediate relief of stress through storytelling
Insight into the personal meaning of the experience
Absence of the symptoms of stress
Feeling a great sense of relief immediately after making a journal entry
A nurse is helping a person reduce stress-disinhibition related to poor dietary choices. Which of the following nursing interventions would be most appropriate?
Work with the person to develop a plan to slowly replace high-fat, high-calorie foods with more healthy choices
Encourage the person to eliminate all high-calorie, high-fat foods from the diet as quickly as possible
Give the person a standard list of low-fat, low-calorie foods
Provide the person a copy of the Food Guide Pyramid
The nurse is assisting a person to develop a positive attitude toward exercise. Which of the following nursing interventions would be most successful when working with this person?
Educate the person that 60 minutes of moderate to strenuous exercise a day is required to lower the risk of heart disease
Suggest that the person participate in a formal exercise program that has been demonstrated to produce the best results
Educate the person that exercise patterns established in young adulthood are more effective than those established later in life
Suggest that the person walk at a moderate pace for 30 minutes a day, 5 days a week for improvement in physical and psychological health.
A nurse is helping a man restructure his eating, sleeping, exercise, and thinking patterns to reduce stress. Which of the following nursing interventions would be most effective for this person?
Encourage writing in a journal on a daily basis
Suggest joining a support group.
Offer referral to individual or group therapy sessions
Promote purchasing a gym membership
A nurse is demonstrating how to use effective communication when dealing with conflict. Which of the following statements would be most appropriate for the nurse to make?
I am so angry that you are late again that you are grounded for a week
When you miss an appointment, I am hurt
Because you cannot be on time, you cannot have the car for a week
I feel anxious when you do not come home on time because I worry about your safety
A nurse is educating a client about the four-step approach to active listening. Which of the following actions should the nurse suggest the client take first?
Formulate a nonaggressive response
Mirror the persons feelings
Hear what is being said
Listen to the response
Which of the following statements concerning enjoying healthy activities is true?
People enjoy pleasant activities even when they are stressed
People cherish happy activities and feel that such activities are important even during times of stress
People generally feel that they deserve to be happy
People who have hobbies are better able to handle stress than those without hobbies
A nurse is assisting a client in values clarification. Which of the following actions should the nurse assist the client to complete first?
Develop a religious affiliation to assist with the process
Identify what is meaningful in ones life
Act in a way that is consistent with ones beliefs
Use beliefs held by others as a guideline for life
The nurse is caring for a person who is obese, sedentary, and has recently been diagnosed with Type 2 diabetes mellitus. Which of the following goals for the person is correctly stated?
The person will exercise more often
The person will consume 900 calories a day
The person will walk one-quarter mile a day, 5 days a week
The person will eliminate all refined sugar and processed foods from her diet
A nurse is caring for a person who has a diagnosis of Sleep disturbance related to stress as evidenced by excessive daytime fatigue. Which of the following nursing interventions would most likely to assist this person?
Encourage daytime naps
Encourage exercise one hour before bedtime
Encourage a cool shower before bedtime
Encourage a consistent sleep-wake schedule
A nurse is educating a person about the process of cognitive restructuring. Which of the following actions should be taken at the end of this process?
Take a deep breath
Select a realistic alternative thought
Reflect on the situation
Stop generating negative thoughts
A nurse is explaining the concept of presence. The nurse should include that presence means that the person:
is in the same room as another
multitasks in order to examines all aspects of a situation
sets goals in response to what another is saying
practices active listening and focuses on what is being said
A nurse is educating a group of adults about stress management strategies. Which of the following examples would the nurse include in the presentation? (SELECT ALL THAT APPLY)
Participation in a swimming class
Keeping a food diary as part of a weight reduction program
Joining a smoking cessation support group
Setting a goal of walking one mile a day
The nurse in the pediatric oncology unit is working with a family whose toddler has been diagnosed with leukemia. The nurse can best assist the family to deal with this extrinsic stressor by doing which of the following? (SELECT ALL THAT APPLY)
Setting treatment goals for them until they are able to do so themselves
Encouraging them to talk about their concerns
Discussing relaxation techniques such as guided imagery with them
Asking them if they would like to meet with a member of a pediatric oncology support group
“Happy events, such as the birth of a child, are rarely as stressful as unhappy events.”
“Stress is a state of threatened homeostasis that triggers an adaptive response.”
“All stressors create a challenge to health.”
“Once stressors are identified, they can be controlled.”
Which of the following comments best illustrates the technique of active listening?
You sound upset about the committee’s recommendations
I heard your remarks when you addressed the committee last Tuesday
I have been listening to many people speak to the same issues you raise
I noticed that you were listening intently when the chairman was speaking
Which of the following statements concerning hobbies is true?
Attention to hobbies diverts energy which should be used to deal with stressors
Hobbies can help manage stress and are encouraged
Hobbies promote perfectionism which, in turn, typically adds to stress
Hobbies should be limited to monthly activity until stressor(s) resolves
Which of the following statements is correct concerning affirmations in the context of stress management?
Creating and coaching care recipients in the use of affirmations requires specialized training
A therapeutic affirmation can be either a positive or a negative thought
Repeating an affirmation throughout the day can reduce stress
All of the above statements are correct
