PATHO 3129 (PATHO3129) Exam 1 Questions & Answers, All Chapters

PATHO 3129 (PATHO3129) Exam 1 Questions & Answers, All Chapters-1. Sondra, who lives in Maine, hears on the evening news that 25 people were killed in a tornado in south Texas. Sondra experiences no anxiety upon hearing ...

PATHO 3129 (PATHO3129) Exam 1 Questions & Answers, All Chapters-1. Sondra, who lives in Maine, hears on the evening news that 25 people were killed in a tornado in south Texas. Sondra experiences no anxiety upon hearing of this stressful situation. What is the most likely reason that Sondra experiences no anxiety? a. She is selfish and does not care what happens to other people. b. She appraises the event as irrelevant to her own situation. c. She assesses that she has the skills to cope with the stressful situation. d. She uses suppression as her primary defense mechanism. 2. Cindy regularly develops nausea and vomiting when she is faced with a stressful situation. Which of the following is most likely a predisposing factor to this maladaptive response by Cindy? a. Cindy inherited her mother’s “nervous” stomach. b. Cindy is fixed in a lower level of development. c. Cindy has never been motivated to achieve success. d. When Cindy was a child, her mother pampered her and kept her home from school when she was ill. 3. When an individual’s stress response is sustained over a long period, the endocrine system involvement results in which of the following? a. Decreased resistance to disease b. Increased libido c. Decreased blood pressure d. Increased inflammatory response 4. Why is stress management extremely important in today’s society? a. Evolution has diminished the human capability for fight-or-flight responses. b. The stressors of today tend to be ongoing, resulting in a sustained response. c. We have stress disorders that did not exist in the days of our ancestors. d. One never knows when one will have to face a grizzly bear or sabertoothed tiger in today’s society. 5. Elena has just received a promotion on her job. She is very happy and excited about moving up in her company, but she has been experiencing anxiety since receiving the news. Her primary appraisal is that she most likely views the situation as which of the following? a. Benign-positive b. Irrelevant c. Challenging d. Threatening 6. John comes to the mental health clinic with reports of anxiety and depression. According to the transactional model of stress and adaptation, which of the following are important to consider when assessing John’s complaints? (Select all that apply.) a. John’s perception of precipitating events b. Past stressors and degree of positive coping abilities c. Existing social supports d. Physical strength e. Pupillary adaptation to light 1. A client has experienced the death of a close family member and at the same time becomes unemployed. This situation has resulted in a 6-month score of on the Recent Life Changes Questionnaire. How should the nurse evaluate this client data? A. The client is experiencing severe distress and is at risk for physical and psychological illness. B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of stress-related illness. C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of coping resources and available supports. D. The client may view these losses as challenges and perceive them as opportunities. 2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a nurse: Perhaps this was the best thing to happen. Maybe I’ll look into pursuing an art degree. How should the nurse characterize the clients appraisal of the job loss stressor? A. Irrelevant B. Harm/loss C. Threatening D. Challenging 3. Which client statement should alert a nurse that a client may be responding maladaptively to stress? A. I’ve found that avoiding contact with others helps me cope. B. I really enjoy journaling; it’s my private time. C. I signed up for a yoga class this week. D. I made an appointment to meet with a therapist. 4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When this occurs, which stage of stress is the student most likely experiencing? A. Alarm reaction stage B. Stage of resistance C. Stage of exhaustion D. Fight-or-flight stage 5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing response?