NUR 400 EXAM 3 STUDY GUIDE QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026
What socioeconomic factor is a primary risk for altered coping due to inability to afford healthcare
and nutrition? - Answers Financial strain
How do psychological factors, such as panic disorder or depression, specifically impact an individual's
coping capacity? - Answers They limit available coping resources.
Why are infants considered at high risk for stress in terms of individual/developmental factors? -
Answers They possess no inherent coping abilities and are stressed by basic needs.
Coping behaviors that effectively manage stress and promote a return to homeostasis are classified as
what type of coping? - Answers Adaptive
What is the primary characteristic of maladaptive coping mechanisms regarding long-term health? -
Answers They increase stress and exacerbate chronic conditions.
At what point does an individual's coping state become most concerning and require outside
assistance? - Answers When the perceived threat exceeds the individual's coping capacity.
Which coping strategy is most appropriate when a stressor can be controlled or changed? - Answers
Problem-focused coping
A patient newly diagnosed with cancer who seeks information about treatment options is using what
type of coping? - Answers Problem-focused coping
Which coping approach is used to regulate emotional responses to unchangeable or uncontrollable
situations? - Answers Emotion-focused coping
A patient taking a hot bath to manage anxiety before a consultation is an example of what type of
coping? - Answers Emotion-focused coping
Which coping mechanism draws on values, beliefs, and goals to modify the interpretation of a
stressor? - Answers Meaning-focused coping
The use of prayer or spiritual resources as a primary coping mechanism is categorized as what type of
coping? - Answers Meaning-focused coping
Which physiological response system is activated during the 'fight-or-flight' reaction to stress? -
Answers Sympathetic Nervous System
Which two primary catecholamines are released during the Sympathetic Nervous System activation? -
Answers Norepinephrine and epinephrine
What effect does Sympathetic Nervous System activation have on blood glucose levels? - Answers It
causes blood glucose to increase.
What is the effect of prolonged stress on the prefrontal cortex of the brain? - Answers It causes
shrinkage and impairs decision-making.
How does chronic stress affect the amygdala? - Answers It causes hyperactivity, which increases fear.
Which brain structure deteriorates under prolonged stress, leading to impaired learning and memory?
- Answers The hippocampus
What is the primary cardiovascular consequence of chronic stress-induced endothelium dysfunction?
- Answers Increased risk of heart attack and stroke.
What type of fat accumulation is triggered by chronic stress, releasing inflammatory cytokines? -
Answers Visceral (deep belly) fat
At the cellular level, chronic stress is linked to the shortening of what, leading to accelerated aging? -
Answers Telomeres
What is the primary nursing goal when suggesting 'incremental activity' to a patient for stress
management? - Answers To incorporate exercise without adding a time burden.
Which interdisciplinary collaborator should the nurse refer a client to for managing financial strain? -
Answers Social worker
Approximately what percentage of U.S. adults are currently classified as obese? - Answers 43%.
Which demographic groups are identified as most vulnerable to obesity in the United States? -
Answers Black and Hispanic Americans.
What is the highest risk factor for undernutrition besides poverty and chronic illness? - Answers
Alcohol or drug use disorders.
Which patient population typically requires parenteral nutrition due to high malnutrition risk? -
Answers Those with a non-functioning GI system.
What is the minimum percentage of modest weight loss required to provide significant health
benefits in obesity management? - Answers 5%.
What socioeconomic factor is a primary risk for altered coping due to inability to afford healthcare
and nutrition? - Answers Financial strain
How do psychological factors, such as panic disorder or depression, specifically impact an individual's
coping capacity? - Answers They limit available coping resources.
Why are infants considered at high risk for stress in terms of individual/developmental factors? -
Answers They possess no inherent coping abilities and are stressed by basic needs.
Coping behaviors that effectively manage stress and promote a return to homeostasis are classified as
what type of coping? - Answers Adaptive
What is the primary characteristic of maladaptive coping mechanisms regarding long-term health? -
Answers They increase stress and exacerbate chronic conditions.
At what point does an individual's coping state become most concerning and require outside
assistance? - Answers When the perceived threat exceeds the individual's coping capacity.
Which coping strategy is most appropriate when a stressor can be controlled or changed? - Answers
Problem-focused coping
A patient newly diagnosed with cancer who seeks information about treatment options is using what
type of coping? - Answers Problem-focused coping
Which coping approach is used to regulate emotional responses to unchangeable or uncontrollable
situations? - Answers Emotion-focused coping
A patient taking a hot bath to manage anxiety before a consultation is an example of what type of
coping? - Answers Emotion-focused coping
Which coping mechanism draws on values, beliefs, and goals to modify the interpretation of a
stressor? - Answers Meaning-focused coping
The use of prayer or spiritual resources as a primary coping mechanism is categorized as what type of
coping? - Answers Meaning-focused coping
Which physiological response system is activated during the 'fight-or-flight' reaction to stress? -
Answers Sympathetic Nervous System
Which two primary catecholamines are released during the Sympathetic Nervous System activation? -
Answers Norepinephrine and epinephrine
What effect does Sympathetic Nervous System activation have on blood glucose levels? - Answers It
causes blood glucose to increase.
What is the effect of prolonged stress on the prefrontal cortex of the brain? - Answers It causes
shrinkage and impairs decision-making.
How does chronic stress affect the amygdala? - Answers It causes hyperactivity, which increases fear.
Which brain structure deteriorates under prolonged stress, leading to impaired learning and memory?
- Answers The hippocampus
What is the primary cardiovascular consequence of chronic stress-induced endothelium dysfunction?
- Answers Increased risk of heart attack and stroke.
What type of fat accumulation is triggered by chronic stress, releasing inflammatory cytokines? -
Answers Visceral (deep belly) fat
At the cellular level, chronic stress is linked to the shortening of what, leading to accelerated aging? -
Answers Telomeres
What is the primary nursing goal when suggesting 'incremental activity' to a patient for stress
management? - Answers To incorporate exercise without adding a time burden.
Which interdisciplinary collaborator should the nurse refer a client to for managing financial strain? -
Answers Social worker
Approximately what percentage of U.S. adults are currently classified as obese? - Answers 43%.
Which demographic groups are identified as most vulnerable to obesity in the United States? -
Answers Black and Hispanic Americans.
What is the highest risk factor for undernutrition besides poverty and chronic illness? - Answers
Alcohol or drug use disorders.
Which patient population typically requires parenteral nutrition due to high malnutrition risk? -
Answers Those with a non-functioning GI system.
What is the minimum percentage of modest weight loss required to provide significant health
benefits in obesity management? - Answers 5%.
