Test Bank for Varcarolis's Canadian Psychiatric Mental
Health Nursing, 3rd Edition (Pollard, 2023), Chapter 1-
35 | All Chapters
The nurse is caring for a patient who is experiencing a crisis. Which symptoms would
indicate that the patient is in the stage of alarm?
a. Pupils dilate to provide a broad view of the environment.
b. During the stage of alarm, sympathetic nervous system activity increases. Dry
mouth involves increased activity in the sympathetic nervous system.
c. Heart rate and respirations increase to enhance strength and speed.
d. Blood pressure increases. - ANSWER B
If it is determined that a patient will benefit from guided imagery, what teaching
should the nurse provide?
a. Focusing on a visual object or sound while becoming acutely aware of one's
breathing pattern is associated with meditation.
b. Become acutely aware of your breathing pattern is associated with meditation.
c. Guided imagery is a process in which a person envisions images that are calm
and peaceful.
d. Development of deep abdominal breathing, also known as diaphragmatic
breathing, is a form of breathing exercise. - ANSWER C
A patient is going to undergo biofeedback. Which patient statement requires further
teaching by the nurse?
a. It is accurate that biofeedback is accomplished through the use of sensitive
instruments that provide immediate and exact information about muscle activity,
brain waves, skin temperature, heart rate, blood pressure, and other bodily functions.
b. This statement is accurate.
c. The patient will not feel any type of electrical stimulation during the process of
biofeedback. Therefore, if the patient thinks he or she will feel a "shock," further
teaching is required.
d. This statement is accurate. - ANSWER C
A patient has told the nurse that she knows she is going to lose her job, which
scares her because she needs to work to pay her bills. Which nursing response
reflects the positive stress response of problem solving?
a. Problem solving involves figuring out how to deal with the situation. Asking what
the patient's plans are to find a new job allows the patient to contemplate ways to
solve this problem.
b. Calling others who are caring and may be helpful reflects the use of using social
support.
, c. Redefining the situation to see the positive side and using it to one's advantage
reflects the use of reframing.
d. Discounting the situation by stating that it will be just fine reflects the negative
stress response of wishful thinking. - ANSWER A
The nurse is caring for four patients. Which patient would be at highest risk for
psychosocial compromise? The patient who has experienced:
a. The death of a friend, despite the fact that the loss still impacts the patient, is
perceived as less difficult than that of a spouse.
b. A divorce, despite the fact that it still impacts the patient, is perceived as less
difficult than the death of a spouse.
c. A recent job layoff, despite the fact that it still impacts the patient, is perceived as
less difficult than the death of a spouse.
d. The life stressor situation perceived as the most difficult is the death of a spouse. -
ANSWER D
One effect of stress can be attributed to the stimulation of the hypothalamus-
pituitary-adrenal cortex, causing a short-term increase in which of the following?
a. Heart rate
b. Triglycerides
c. Gluconeogenesis
d. Brain norepinephrine - ANSWER C
Stress can be attributed to stimulation of the hypothalamus-pituitary-adrenal cortex,
and over the long term it can result in which of the following?
a. Glucose intolerance
b. A high resting heart rate
c. Digestive problems
d. Chronic muscle tension - ANSWER A
An Asian Canadian patient would be most likely to respond to stress by the
subjective experience of which of the following?
a. Anxiety
b. Somatic complaints
c. Memory deficiencies
d. Sensory perceptual alterations - ANSWER B
Stress reduction is not likely to result in which of the following?
a. Reduced pain
b. Lower blood pressure
c. Decreased cognitive functions
d. Decreased gastrointestinal problems - ANSWER D
What factor exerts the greatest influence on the degree to which various life events
upset a specific individual?
a. The individual's perception of the event
b. The individual's degree of spirituality
c. The effect of the individual's health-sustaining behaviors
d. The amount of social support available to the individual - ANSWER A
Health Nursing, 3rd Edition (Pollard, 2023), Chapter 1-
35 | All Chapters
The nurse is caring for a patient who is experiencing a crisis. Which symptoms would
indicate that the patient is in the stage of alarm?
a. Pupils dilate to provide a broad view of the environment.
b. During the stage of alarm, sympathetic nervous system activity increases. Dry
mouth involves increased activity in the sympathetic nervous system.
c. Heart rate and respirations increase to enhance strength and speed.
d. Blood pressure increases. - ANSWER B
If it is determined that a patient will benefit from guided imagery, what teaching
should the nurse provide?
a. Focusing on a visual object or sound while becoming acutely aware of one's
breathing pattern is associated with meditation.
b. Become acutely aware of your breathing pattern is associated with meditation.
c. Guided imagery is a process in which a person envisions images that are calm
and peaceful.
d. Development of deep abdominal breathing, also known as diaphragmatic
breathing, is a form of breathing exercise. - ANSWER C
A patient is going to undergo biofeedback. Which patient statement requires further
teaching by the nurse?
a. It is accurate that biofeedback is accomplished through the use of sensitive
instruments that provide immediate and exact information about muscle activity,
brain waves, skin temperature, heart rate, blood pressure, and other bodily functions.
b. This statement is accurate.
c. The patient will not feel any type of electrical stimulation during the process of
biofeedback. Therefore, if the patient thinks he or she will feel a "shock," further
teaching is required.
d. This statement is accurate. - ANSWER C
A patient has told the nurse that she knows she is going to lose her job, which
scares her because she needs to work to pay her bills. Which nursing response
reflects the positive stress response of problem solving?
a. Problem solving involves figuring out how to deal with the situation. Asking what
the patient's plans are to find a new job allows the patient to contemplate ways to
solve this problem.
b. Calling others who are caring and may be helpful reflects the use of using social
support.
, c. Redefining the situation to see the positive side and using it to one's advantage
reflects the use of reframing.
d. Discounting the situation by stating that it will be just fine reflects the negative
stress response of wishful thinking. - ANSWER A
The nurse is caring for four patients. Which patient would be at highest risk for
psychosocial compromise? The patient who has experienced:
a. The death of a friend, despite the fact that the loss still impacts the patient, is
perceived as less difficult than that of a spouse.
b. A divorce, despite the fact that it still impacts the patient, is perceived as less
difficult than the death of a spouse.
c. A recent job layoff, despite the fact that it still impacts the patient, is perceived as
less difficult than the death of a spouse.
d. The life stressor situation perceived as the most difficult is the death of a spouse. -
ANSWER D
One effect of stress can be attributed to the stimulation of the hypothalamus-
pituitary-adrenal cortex, causing a short-term increase in which of the following?
a. Heart rate
b. Triglycerides
c. Gluconeogenesis
d. Brain norepinephrine - ANSWER C
Stress can be attributed to stimulation of the hypothalamus-pituitary-adrenal cortex,
and over the long term it can result in which of the following?
a. Glucose intolerance
b. A high resting heart rate
c. Digestive problems
d. Chronic muscle tension - ANSWER A
An Asian Canadian patient would be most likely to respond to stress by the
subjective experience of which of the following?
a. Anxiety
b. Somatic complaints
c. Memory deficiencies
d. Sensory perceptual alterations - ANSWER B
Stress reduction is not likely to result in which of the following?
a. Reduced pain
b. Lower blood pressure
c. Decreased cognitive functions
d. Decreased gastrointestinal problems - ANSWER D
What factor exerts the greatest influence on the degree to which various life events
upset a specific individual?
a. The individual's perception of the event
b. The individual's degree of spirituality
c. The effect of the individual's health-sustaining behaviors
d. The amount of social support available to the individual - ANSWER A
