C HAPTER 02: C ONCEPTS OF H EALTH ,
I LLNESS , S TRESS , AND H EALTH P ROMOTION
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. The nurse is aware that a stressor as experienced by an indivi dual is
usuall y perceived:
a. as a negative event or stimulus that affects homeostasis in
maladaptive ways.
b. in different ways based on previous experience and personality
traits.
c. as an opportunit y for growth and learning.
d. in similar ways if age and education are similar.
ANS: B
Stressors are not perceived the same way by different people or even
by the same person at different times. The experience of a stressor
depends on previous experience and personalit y, as well as factors such
as physical or emotional conditions, age, and education.
DIF: Cognitive Level: Comprehension REF: p. 26
OBJ: Theory #9 TOP: General Adaptation S yndrome
KEY: Nursing Process Step: Planning MSC: NCLEX:
Psychological Integrit y: Psychosocial Adaptation
,2. In 1946, the World He alth Organization redefined health as the:
a. absence of disease or infirmit y.
b. state of complete physical, mental, and social well -being.
c. presence of disease or infirmit y.
d. state of incomplete physical, mental, and social well -being.
ANS: B
In 1946, the World Health Organization redefined health as “the state
of complete physical, mental, and social well –being, and not merel y
the absence of disease or infirmit y.”
DIF: Cognitive Level: Knowledge REF: p. 28 OBJ:
Theory #1 TOP: Views of Health and Illn ess KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
3. The nurse assesses that a person is in the acceptance stage of illness when
the patient:
a. looks to home remedies to become well.
b. reassumes usual responsibilities and roles.
c. assumes the “sick” role.
d. rejects medical treatment.
ANS: C
When a person enters the acceptance stage of illness, he or she assumes
the “sick role” and withdraws from usual responsibilities and will
frequentl y seek medical treatment at this time.
, DIF: Cognitive Level: Comprehensio n REF: p. 15
OBJ: Theory #1 TOP: Acceptance Stage KEY: Nursing
Process Step: Assessment MSC: NCLEX: Physiological
Integrit y: Physiological Adaptation
4. The nurse instructs a patient that according to Sel ye’s GAS theory, when
stress is strong enough and occurs over a long enough period, the patient
will enter the stage of:
a. convalescence.
b. alarm.
c. transition.
d. exhaustion.
ANS: D
The exhaustion stage in the GAS occurs when the stressor has been
present for such a period that the patient will deplete the body’s
resources for adaption.
DIF: Cognitive Level: Comprehension REF: p. 24
OBJ: Theory #1 TOP: Exhaustion Stage of GAS
KEY: Nursing Process Step: Intervention MSC:
NCLEX: Psychosocial Integrit y: Coping and Adaptation
5. The nurse explains def ense mechanisms as a patient’s attempt to:
a. justify the patient’s assumption of the “sick” role.
b. reduce anxiet y.
c. problem solve.
d. increase dependence.
I LLNESS , S TRESS , AND H EALTH P ROMOTION
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. The nurse is aware that a stressor as experienced by an indivi dual is
usuall y perceived:
a. as a negative event or stimulus that affects homeostasis in
maladaptive ways.
b. in different ways based on previous experience and personality
traits.
c. as an opportunit y for growth and learning.
d. in similar ways if age and education are similar.
ANS: B
Stressors are not perceived the same way by different people or even
by the same person at different times. The experience of a stressor
depends on previous experience and personalit y, as well as factors such
as physical or emotional conditions, age, and education.
DIF: Cognitive Level: Comprehension REF: p. 26
OBJ: Theory #9 TOP: General Adaptation S yndrome
KEY: Nursing Process Step: Planning MSC: NCLEX:
Psychological Integrit y: Psychosocial Adaptation
,2. In 1946, the World He alth Organization redefined health as the:
a. absence of disease or infirmit y.
b. state of complete physical, mental, and social well -being.
c. presence of disease or infirmit y.
d. state of incomplete physical, mental, and social well -being.
ANS: B
In 1946, the World Health Organization redefined health as “the state
of complete physical, mental, and social well –being, and not merel y
the absence of disease or infirmit y.”
DIF: Cognitive Level: Knowledge REF: p. 28 OBJ:
Theory #1 TOP: Views of Health and Illn ess KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
3. The nurse assesses that a person is in the acceptance stage of illness when
the patient:
a. looks to home remedies to become well.
b. reassumes usual responsibilities and roles.
c. assumes the “sick” role.
d. rejects medical treatment.
ANS: C
When a person enters the acceptance stage of illness, he or she assumes
the “sick role” and withdraws from usual responsibilities and will
frequentl y seek medical treatment at this time.
, DIF: Cognitive Level: Comprehensio n REF: p. 15
OBJ: Theory #1 TOP: Acceptance Stage KEY: Nursing
Process Step: Assessment MSC: NCLEX: Physiological
Integrit y: Physiological Adaptation
4. The nurse instructs a patient that according to Sel ye’s GAS theory, when
stress is strong enough and occurs over a long enough period, the patient
will enter the stage of:
a. convalescence.
b. alarm.
c. transition.
d. exhaustion.
ANS: D
The exhaustion stage in the GAS occurs when the stressor has been
present for such a period that the patient will deplete the body’s
resources for adaption.
DIF: Cognitive Level: Comprehension REF: p. 24
OBJ: Theory #1 TOP: Exhaustion Stage of GAS
KEY: Nursing Process Step: Intervention MSC:
NCLEX: Psychosocial Integrit y: Coping and Adaptation
5. The nurse explains def ense mechanisms as a patient’s attempt to:
a. justify the patient’s assumption of the “sick” role.
b. reduce anxiet y.
c. problem solve.
d. increase dependence.
