NURS 2003 exam review questions
How does Selye define stress?
a) Any stimulus that causes a response in an individual
b) A response of an individual to environmental demands
c) A physical or psychological adaptation to internal or external demands
d) The result of a relationship between an individual and the environment that exceed
the individual's resources - answerd) the result of a relaatiohsip between an individual
and the environment that exceed the individual's resources
A client who has undergone extensive surgery for multiple injuries has a period of
increasing blood pressure, heart rate, and alertness. Which stage of general adaptation
syndrome are these symptoms most characteristic of?
a) The resistance state of general adaptations syndrome
b) The alarm reaction of the general adaptation syndrome
c) The stage of exhaustion of general adaptation syndrome
d) An individual response stereotype. - answerb) the alarm reaction of the general
adaptation syndrome
Which of the following actions best demonstrates that a client is using an emotion-
focused coping process? (Select all that apply)
a) Joining a support group for women with breast cancer
b) Considering the advantage and disadvantages of the various treatment options
c) Delaying treatment until her family can take a weekend trip together
d) Telling the nurse that she has a good prognosis because the tumour is small
e) Engaging in meditation - answera) Joining a support group for women with breast
cancer
e) Engaging in meditation
The nurse would expect which of the following findings in a client as a result of the
physiological effect of stress on the limbic system?
a) an episode of diarrhea while awaiting painful dressing changes
b) Refusing to communicate with nurses while awaiting a cardiac catheterization
c) inability to sleep the night before beginning to self-administer insulin injections
d) Increased blood pressure, decreased urine output, hyperglycaemia after a car
accident - answerc) Inability to sleep the night before beginning to self-administer insulin
injections
Which of the following best demonstrates that the nurse is applying knowledge of the
effects of stress on the immune system?
a) Encouraging clients to sleep for 10 to 12 hours per day
b) Encouraging clients to receive regular immunization when they are stressed
, c) Encouraging clients to use emotion-focused rather than problem-focused coping
strategies
d) Encouraging clients to avoid exposure to upper respiratory infection when physically
stressed - answerd) Encouraging clients to avoid exposure to upper respiratory infection
when physically stressed
Chronic stress or daily hassles may place a person at higher risk of developing which of
the following conditions? (Select all that apply)
a) Osteoporosis
b) Cold and flu
c) Low blood pressure
d) Irritable bowel syndrome
e) Depression - answerb) Cold and flu
d) Irritable bowel syndrome
e) Depression
During a stressful circumstance that is uncontrollable, which type of coping strategy is
the most effective?
a) Avoidance
b) Coping flexibility
c) Emotion-focused coping
d) problem-focused coping - answerc) Emotion-focused coping
In which context is physiological hyperplasia commonly found?
a) A distended urinary bladder
b) The female breast during lactation
c) The bronchi of a chronic cigarette smoker
d) an enlarged myocardium in heart failure - answerb) The female breast during
lactation
When radiation therapy is used in the treatment of cancer, how does it achieve the
desired effect, which is death of cancer cells?
a) Altering cellular metabolism and activity
b) Producing mutations that interfere only with cancer cell function
c) Accelerating metabolic reactions to reduce the normal life span of cells
d) Stimulating synthesis of new particles that cause cell rupture and death - answera)
Altering cellular metabolism and activity
Which of the following is an example of coagulation necrosis?
a) Autophagocytosis
b) Myocardial infarction
c) Malignant brain tumour
d) Peripheral vascular disease - answerb) Myocaridal infarction
Which of the following is an example of coagulation necrosis
a) Increased circulation of histamine
How does Selye define stress?
a) Any stimulus that causes a response in an individual
b) A response of an individual to environmental demands
c) A physical or psychological adaptation to internal or external demands
d) The result of a relationship between an individual and the environment that exceed
the individual's resources - answerd) the result of a relaatiohsip between an individual
and the environment that exceed the individual's resources
A client who has undergone extensive surgery for multiple injuries has a period of
increasing blood pressure, heart rate, and alertness. Which stage of general adaptation
syndrome are these symptoms most characteristic of?
a) The resistance state of general adaptations syndrome
b) The alarm reaction of the general adaptation syndrome
c) The stage of exhaustion of general adaptation syndrome
d) An individual response stereotype. - answerb) the alarm reaction of the general
adaptation syndrome
Which of the following actions best demonstrates that a client is using an emotion-
focused coping process? (Select all that apply)
a) Joining a support group for women with breast cancer
b) Considering the advantage and disadvantages of the various treatment options
c) Delaying treatment until her family can take a weekend trip together
d) Telling the nurse that she has a good prognosis because the tumour is small
e) Engaging in meditation - answera) Joining a support group for women with breast
cancer
e) Engaging in meditation
The nurse would expect which of the following findings in a client as a result of the
physiological effect of stress on the limbic system?
a) an episode of diarrhea while awaiting painful dressing changes
b) Refusing to communicate with nurses while awaiting a cardiac catheterization
c) inability to sleep the night before beginning to self-administer insulin injections
d) Increased blood pressure, decreased urine output, hyperglycaemia after a car
accident - answerc) Inability to sleep the night before beginning to self-administer insulin
injections
Which of the following best demonstrates that the nurse is applying knowledge of the
effects of stress on the immune system?
a) Encouraging clients to sleep for 10 to 12 hours per day
b) Encouraging clients to receive regular immunization when they are stressed
, c) Encouraging clients to use emotion-focused rather than problem-focused coping
strategies
d) Encouraging clients to avoid exposure to upper respiratory infection when physically
stressed - answerd) Encouraging clients to avoid exposure to upper respiratory infection
when physically stressed
Chronic stress or daily hassles may place a person at higher risk of developing which of
the following conditions? (Select all that apply)
a) Osteoporosis
b) Cold and flu
c) Low blood pressure
d) Irritable bowel syndrome
e) Depression - answerb) Cold and flu
d) Irritable bowel syndrome
e) Depression
During a stressful circumstance that is uncontrollable, which type of coping strategy is
the most effective?
a) Avoidance
b) Coping flexibility
c) Emotion-focused coping
d) problem-focused coping - answerc) Emotion-focused coping
In which context is physiological hyperplasia commonly found?
a) A distended urinary bladder
b) The female breast during lactation
c) The bronchi of a chronic cigarette smoker
d) an enlarged myocardium in heart failure - answerb) The female breast during
lactation
When radiation therapy is used in the treatment of cancer, how does it achieve the
desired effect, which is death of cancer cells?
a) Altering cellular metabolism and activity
b) Producing mutations that interfere only with cancer cell function
c) Accelerating metabolic reactions to reduce the normal life span of cells
d) Stimulating synthesis of new particles that cause cell rupture and death - answera)
Altering cellular metabolism and activity
Which of the following is an example of coagulation necrosis?
a) Autophagocytosis
b) Myocardial infarction
c) Malignant brain tumour
d) Peripheral vascular disease - answerb) Myocaridal infarction
Which of the following is an example of coagulation necrosis
a) Increased circulation of histamine
