N250 STRESS AND COPING EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS GRADED A++
LATEST UPDATE
What is ACES?
Adverse Childhood Experiences
Sensitize people to stress in later life; These include:
Any form of psychological, physical, and sexual abuse
Violence against a parent, particularly the mother
Living with people with substance use disorders, mentally ill, or ever incarcerated
What is the fight or flight response?
Body prepares for situation that individual perceives as threat to survival
—Increased blood pressure, heart rate, respirations, and cardiac output
New research indicates that men and women have different neural responses to stress
What is general adaptation syndrome
Alarm or acute stress stage
—Activates sympathetic nervous system
—Activates HPA axis to stay on alert (putting the gas on—glucose pump)
Resistance or adaptation stage
—Sustained and optimal resistance to the stressor; recovery, repair, and renewal may
,occur.
Exhaustion stage
—Resources are depleted; the stress may become chronic
What does chronic stress cause in the body
Increased risk of sickness
High BP
High HR
What is distress
Negative draining energy that results in anxiety, depression, confusion, helplessness,
hopelessness, and fatigue.
What is Eustress
Normal physiological positive energy that motivates individuals and results in positive
feelings and purposeful movement
Critique of the GAS Theory
Different types of stressors bring different patterns of response
It is the degree of stress that is important.
GAS reflects male responses
Females tend to respond by "tending and befriending"
Immune System Stress Responses
Interaction between nervous system and immune system during alarm phase of GAS
Negatively affects body's ability to produce protective factors
Links exist among stress (biopsychosocial), the immune system, and disease
Mediators of the Stress Response
, Stressors
—Physiological (environmental/physical)
—Psychological (stressful events)
Perception
Individual temperament
Social support
—Support groups
Culture
Spirituality and religion
A nurse is assessing a client who is experiencing chronic stress. Which of the
following findings should the nurse expect?
Hypotension
Viral infection
Increased energy
Increased cognitive awareness
Viral infection
A nurse is teaching a class about physical manifestations that occur during the
fight-or-flight response to stress. Which of the following manifestations should
the nurse include?
Decreased blood pressure
Bronchial airway constriction
ANSWERS WITH COMPLETE SOLUTIONS GRADED A++
LATEST UPDATE
What is ACES?
Adverse Childhood Experiences
Sensitize people to stress in later life; These include:
Any form of psychological, physical, and sexual abuse
Violence against a parent, particularly the mother
Living with people with substance use disorders, mentally ill, or ever incarcerated
What is the fight or flight response?
Body prepares for situation that individual perceives as threat to survival
—Increased blood pressure, heart rate, respirations, and cardiac output
New research indicates that men and women have different neural responses to stress
What is general adaptation syndrome
Alarm or acute stress stage
—Activates sympathetic nervous system
—Activates HPA axis to stay on alert (putting the gas on—glucose pump)
Resistance or adaptation stage
—Sustained and optimal resistance to the stressor; recovery, repair, and renewal may
,occur.
Exhaustion stage
—Resources are depleted; the stress may become chronic
What does chronic stress cause in the body
Increased risk of sickness
High BP
High HR
What is distress
Negative draining energy that results in anxiety, depression, confusion, helplessness,
hopelessness, and fatigue.
What is Eustress
Normal physiological positive energy that motivates individuals and results in positive
feelings and purposeful movement
Critique of the GAS Theory
Different types of stressors bring different patterns of response
It is the degree of stress that is important.
GAS reflects male responses
Females tend to respond by "tending and befriending"
Immune System Stress Responses
Interaction between nervous system and immune system during alarm phase of GAS
Negatively affects body's ability to produce protective factors
Links exist among stress (biopsychosocial), the immune system, and disease
Mediators of the Stress Response
, Stressors
—Physiological (environmental/physical)
—Psychological (stressful events)
Perception
Individual temperament
Social support
—Support groups
Culture
Spirituality and religion
A nurse is assessing a client who is experiencing chronic stress. Which of the
following findings should the nurse expect?
Hypotension
Viral infection
Increased energy
Increased cognitive awareness
Viral infection
A nurse is teaching a class about physical manifestations that occur during the
fight-or-flight response to stress. Which of the following manifestations should
the nurse include?
Decreased blood pressure
Bronchial airway constriction
