Stress and Adaptation Nursing Practice Test

These questions are part of the practice quiz. Start practicing

• Which nursing diagnosis related to stress references the behavioral domain?
• Which relaxation techniques are commonly used to reduce patient stress?
• Which theory emphasizes stress as a process including internal and external demands and resources?
• Which therapeutic communication skill helps reduce patient stress?
• What cognitive-behavioral technique is commonly used to reduce stress in patients?
• Which defense mechanism involves not acknowledging or accepting the significance of one's own behavior?
• In Evelyn's presentation, which finding most strongly suggests a possible stress-related health issue requiring follow-up?
• How can relaxation response techniques affect physiological measures?
• Which defense mechanism is characterized by transforming reality by refusing to acknowledge thoughts, feelings, desires, or impulses (unconscious, not lying)?
• A person discusses a failed relationship with detached, abstract reasoning to avoid emotional distress. Which defense mechanism is at play?
• Post-traumatic stress disorder is characterized by which features lasting more than one month and impairing functioning?
• Which patient population is at increased risk for stress-related complications during pregnancy?
• What distinguishes general stress from post-traumatic stress disorder (PTSD)?
• Martha is stressed from a heavy workload and applies for another position within the hospital. Which coping approach is she using?
• Which problem is characterized by physical symptoms with no known organic cause?
• How can nurses assess for coping resources in a patient?
• Which of the following is NOT listed as a factor that influences successful adaptation?
• Ego defense mechanisms are described as which of the following?
• Which endocrine hormone is most closely associated with the long-term stress response and energy mobilization?
• Which action by a client indicates a desire to learn from stressors?
• During the alarm stage of the General Adaptation Syndrome, which component is responsible for releasing cortisol through the cascade?
• Which assessment data would indicate maladaptive stress in a patient?
• Which of the following is an indicator of effective stress management in nursing outcomes?
• Which statement best describes adaptation in nursing practice?
• Which sequence describes the HPA axis response to a perceived threat?
• Which of the following is NOT a problem that occurs when adaptation fails?
• Which of the following is NOT listed as a psychological response to stress?
• How can you evaluate the effectiveness of a stress-reduction intervention?
• A patient refuses to acknowledge a grim medical prognosis. Which defense mechanism is being used?
• Which coping strategy represents adaptive support seeking in stress management?
• Which of the following reflects an empathetic response by the nurse?
• Which defense mechanism involves acting opposite to one's true feelings, with awareness of those feelings?
• Which outcome is most appropriate to measure when evaluating a stress-reduction intervention?
• Which of the following is an indicator of improved coping skills in a patient under stress?
• In the General Adaptation Syndrome, which stage is characterized by energy depletion and an inability to continue adapting if stress persists?
• What is a consequence of chronic stress on tissue healing?
• Which elements are included in Psychological Responses to Stress?
• Which of the following is an adaptive coping behavior?
• Which statement best describes nonpharmacologic methods in stress management?
• How does mindfulness-based stress reduction benefit patients with chronic illness?
• Which defense mechanism involves separating painful events from the conscious mind?
• Which of the following is a factor that influences successful adaptation?
• Which behavior by ICU nurses may indicate staff burnout?
• What is the role of nutrition in stress adaptation?
• Which statement best describes the exhaustion stage of the General Adaptation Syndrome?
• Which sequence best describes the stages of General Adaptation Syndrome?
• Which set of signs commonly indicates an acute stress reaction?
• Chronic stress is associated with which cardiovascular outcomes?
• Which defense mechanism is commonly used by patients coping with terminal illness?
• Which nursing intervention best aligns with the transactional model of stress assessment?
• Which coping style is characterized by unhealthy, short-term fixes such as substance abuse or overeating?
• Which factor increases the risk of stress-related complications during pregnancy?
• Which defense mechanism involves the unconscious adoption of the ideas or attitudes of others?
• A student begins to adopt the values and attitudes of a respected mentor without critical evaluation. Which defense mechanism is this?
• Which is an example of developmental stress?
• Which defense mechanism involves making up for a perceived inadequacy by developing or emphasizing another desirable trait?
• Which of the following is a physiological response to stress?
• Which statement best describes the influence of social determinants on stress adaptation?
• A client begins experiencing chest pain off and on for a few days and continues to work without seeking medical attention. This response illustrates which stress coping pattern?
• Which of the following is NOT an example of adaptive coping?
• Which habit is most important as a health-promoting behavior during chronic stress?
• Which statement best describes Local Adaptation Syndrome?
• What nursing intervention can help a patient prepare for stressful medical procedures?
• Which defense mechanism is about blaming others and attributing one's own personality traits, mistakes, emotions, motives, and thoughts to another?
• To consider a client in crisis, which factor must be present?
• Which example best illustrates adaptive coping in a stressful situation?
• In stress assessment, primary appraisal judges whether a situation is threatening; secondary appraisal evaluates what?
• How can environmental modifications reduce stress in the hospital setting?
• Ego defense mechanisms are precursors to conscious cognitive coping mechanisms.
• Which change is NOT a physiological response to pain as a stressor?
• A patient newly diagnosed with cancer is scheduled to meet with an oncologist in several days. Which coping strategy would be best for the nurse to recommend at this time?
• Which physical sign from the cancer stress scenario is most indicative of stress?
• In Evelyn's case, what should the nurse investigate first?
• Which defense mechanism uses a logical-sounding excuse to cover up or justify true ideas, actions, or feelings, often with faulty logic?
• What is the primary role of social support in stress adaptation?
• Which factor is essential when selecting pharmacologic therapy for stress in cancer patients?
• A client is scheduled for major surgery tomorrow and appears anxious about the lack of family visit. Which nurse’s question would best determine the level of anxiety?
• What is the role of the parasympathetic nervous system during the stress response described in GAS?
• Which order correctly lists the stages of General Adaptation Syndrome?
• An unexpected event such as a sudden job loss is best described as which category of stress?
• Which statement about stressors is accurate?
• Which factor most influences the effectiveness of coping strategies during illness?
• Which category of stress is characterized by threats to health, such as continual financial worries?
• Which defense mechanism can be illustrated by repeating a comforting behavior such as thumb-sucking in response to stress?
• Which of the following is NOT part of effective environmental modifications to reduce hospital stress?
• Which validated tool is used to assess a patient’s stress level?
• Which defense mechanism is defined as the action of replacing someone or something with another?
• Which statement best describes how the autonomic and endocrine systems coordinate the stress response?
• Which term describes stress that occurs before an anticipated event?
• Psychoneuroimmunology examines how which systems interact?
• Which category of stress is associated with pressure from deadlines and time constraints?
• Which defense mechanism involves replacing one person or thing with another?
• How does regular exercise affect stress physiology?
• How does chronic stress affect wound healing?
• General Adaptation Syndrome (GAS) involves which of the following?
• Which of the following is a consequence of failed adaptation to stress?
• What are signs of burnout in healthcare professionals?
• Which approach best supports patient adaptation to stress over time?
• Which defense mechanism uses cognitive reasoning to block or avoid feelings about a painful incident?
• What is resilience in the context of stress adaptation?
• Which behavior represents adaptive coping with stress?
• The hospitalized client states concern about discharge timing and worry about missing work. This illustrates which stress concept?
• Which of the following is a commonly used non-pharmacologic intervention to reduce patient stress in hospital settings?
• A teenager copies the dress and mannerisms of a pop star they admire in order to fit in. Which defense mechanism best describes this behavior?
• Sleep deprivation disrupts which physiological pattern related to stress?
• Which of the following is considered an adaptive coping behavior?
• Which statement describes the health impact of chronic stress?
• How is stress defined in nursing practice?
• How should nurses handle a patient expressing hopelessness?
• Which of the following is NOT a stress management technique?
• In response to stress, which function does cortisol primarily perform?
• Experiencing worry about an upcoming exam is best described as which category of stress?
• Which option best describes adaptive coping?
• Which item is NOT listed as a physiological stressor?
• What role does pharmacology play in managing stress in cancer patients?
• Name two common emotion-focused coping strategies.
• When should pharmacologic intervention be considered for stress in nursing care?
• Which description best defines Local Adaptation Syndrome?
• Which of the following is NOT a positive coping strategy for generalized anxiety disorder?
• Which theory explicitly describes stress as a transaction between the person and the environment, involving appraisal and coping?
• Which category is random and unpredictable, such as a hurricane or accident?
• Which coping approach involves changing thoughts about the stressful situation rather than changing the situation?
• Which category involves concern about the future, such as an upcoming exam?
• Which statement best explains why the chest pain began after fear?
• According to Lazarus and Folkman's transactional model of stress, which components determine how a person experiences stress?
• Which statement best characterizes Selye's stress theory?
• During the fight-or-flight response, which substances are released to promote energy mobilization?
• The nurse should assess every client to determine if stress reduction interventions should be part of the plan of care. The rationale for this action is that
• What are the three stages of General Adaptation Syndrome described by Selye?
• Which statement best describes culturally congruent stress management approaches?
• Which behavior is most likely to be maladaptive coping?
• Which defense mechanism involves unconsciously burying painful thoughts from consciousness?
• Which statement best distinguishes an anxiety disorder from a normal stress reaction?
• What is the difference between acute stress and chronic stress in nursing implications?
• Relaxation techniques influence the autonomic nervous system by reducing which of the following?
• Name two common adaptive problem-focused coping strategies.
• A student who is anxious about failing blames the teacher for being unfair. Which defense mechanism is being used?
• Anxiety reaction in an older adult worried about losing her husband is best described by which statement?
• In evaluating a patient's stress response, which statement is most accurate?
• What is the most appropriate response by the nurse to a teen who says stress is normal but wants to know if it’s okay?
• What is the role of cognitive-behavioral therapy (CBT) in stress adaptation for nursing practice?
• Which theory describes stress as a stimulus, such as the perspective of Holmes and Rahe?
• Which health promotion strategy is most important for a middle-aged client experiencing job-related stress with frequent travel?
• End of a meditation session, which physical finding would suggest the relaxation technique was successful?
• Which physical finding would be most likely in a client reporting high acute stress?
• Which defense mechanism involves reverting to earlier developmental behaviors to cope with stress, such as thumb-sucking?
• Which of the following is NOT a problem that occurs when adaptation fails?
• Why might a coworker act sarcastically toward a late nurse and place a stack of paperwork on them?
• How does coping style influence adaptation to chronic illness?
• Chronic stress has what effect on the immune system?
• Which category refers to good stress?
• Which of the following is a stage of General Adaptation Syndrome?
• Which of the following is a psychological response to stress?
• Which category involves being unable to meet demands due to multiple demands or rushing?
• Which statement best differentiates anxiety from situational stress in nursing assessment?
• Sleep deprivation has been shown to affect stress responses by doing which of the following?
• In acute stress, which gland releases epinephrine and norepinephrine from the adrenal medulla?
• Which of the following is an example of adaptive coping?
• What term describes coping strategies that are healthy choices and directly reduce negative effects of stress?
• How does culture influence coping strategies for stress?
• During acute stress, which branch of the autonomic nervous system is activated to trigger the fight-or-flight response?
• Which population may require tailored stress management approaches due to cultural differences?
• Which defense mechanism involves excessively apologizing or making amends to reduce guilt?
• Which category is described as unable to meet demands due to multiple demands or rushing?
• What is the impact of caregiver stress on patient outcomes?
• In the context of stress management, which outcome best indicates successful education for patients undergoing medical procedures?
• Which defense mechanism involves taking on the ideas, personality, or characteristics of another person, especially someone feared or respected?
• Which coping strategy involves ending a relationship to avoid stress?
• When educating a patient about coping with stress, which approach best facilitates information gathering?
• Which defense mechanism involves transferring emotions from the original target to a substitute perceived as less powerful?
• What is the impact of sleep hygiene on stress?
• Which choice is a health promotion strategy for stress management?
• Which environmental modification helps reduce patient stress in hospitals?
• To screen for stress levels in a client, which assessment is most informative?
• Which of the following is a sign of a physiological response to stress?
• General Adaptation Syndrome describes the body's responses to stress as which statement?
• A client taking atenolol (Tenormin) may not exhibit the expected rise in blood pressure and pulse during which GAS phase?
• Which problem is described as 'Pain as the main focus of life without physical cause'?
• A client brought to the emergency department after a robbery shows signs consistent with the GAS. Which stage best fits the client's condition based on elevated heart rate and respirations?
• Which component is explicitly listed as part of the inflammatory process?
• Which coping approach would be considered maladaptive in stress management?
• Which category of stress refers to positive, motivating stress?
• Which practice supports good sleep hygiene?
• What role does education play in patient stress management?
• Which statement best guides the nurse in planning care for a stressed patient?
• Which gland releases ACTH as part of the GAS alarm stage cascade?
• What is a nursing diagnosis commonly used for stress and adaptation?
• Which coping approach involves altering the stressor itself, such as changing jobs to reduce stress?
• Which stage of General Adaptation Syndrome is characterized by the body's attempt to cope with the stimulus and maintain functioning?
• Which of the following is a stress management technique?
• Which term represents stress that has a negative effect on a person?
• Which defense mechanism redirects unacceptable drives into socially acceptable activities?
• What is the value of family-centered care in stress adaptation?
• Which category is associated with life stages such as college graduation?
• Which resource is commonly assessed to gauge coping capacity in patients experiencing stress?