Exam 4 NUR 1018 Practice Test
Questions and All Correct Answers
2026 Updated.
Physical stress - Answer The force applied to a given area of biological tissue. (Epithelial.
connective, muscular, and nervous)
Psychological stress - Answer Any external or internal condition that challenges your
homeostasis
Cognitive stress - Answer Anxious thoughts, fearful anticipation, poor concentration,
memory problems. Emotional feelings of tension, irritability, restlessness, worries, inability to
relax, depression.
People at Risk for Stress - Answer · Impaired cognition
· Chronic health problems
· Socioeconomic status
· Individuals from a foreign country
· Age
· Mental status
Post-traumatic Stress Disorder (PTSD - Answer begins when a person experiences, witnesses
or is confronted with a traumatic event.
Developmental Crisis - Answer Occurs as a person moves through the stages of life.
Situational Crisis - Answer External sources such as a car accident, severe illness, or death
occurs
Adventitious Crisis - Answer Major natural or man-made disaster or crime of violence. Ex:
this dang pandemic
Ways to Prevent stress - Answer Meditation, exercise, relaxation techniques, time
management, spiritual practices, massage, etc.
Ways to Cope with stress - Answer Focusing on the good, looking at the big picture, taking it
one day at a time, etc.
,Coping response - Primary appraisal - Answer Initial assessment of stressor to determine if
stressor is a threat
Coping response - Secondary appraisal - Answer Evaluation of resources to
Overcome the stressor
Eliminate the stressor
Reduce the stressor
Ego-defense mechanisms - Answer protects the mind/self/ego from anxiety.
Defense mechanisms - Answer are defined as unconscious psychological strategies brought
into play by various entities to cope with reality and to maintain self-image.
Nursing interventions/implementation for stress coping - Answer Health promotion
Decrease stress-producing situations
Increase resistance to stress
Learn skill that reduce physiological response to stress
Regular exercise and rest
Describe the possible effects of poorly controlled stress - Answer · Headaches: stress can
trigger and internally trigger headaches
· Heartburn: stress increases the production of stomach acids
· Rapid breathing: when stressed, the muscles that help you breathe tense up which make you
short of breath
· Risk of heart attack: over time, increased HR and high BP can damage arteries, increasing a
heart attack
· Pounding of Heart: stress hormones make your heart pump faster
· Fertility problems: stress interferes with the reproductive system
· Erectile dysfunction: stress messes with your brain which can interfere with this
· Missed periods: fluctuating hormones can throw off your menstrual cycle
· Tense muscles: stress makes your muscles tense up
· Low sex drive: stress and fatigue can take a toll on your libido
· Stomachache: stress affects your body's digestive system which leads to tummy issues
· High (BP) Blood pressure: stress hormones tighten blood vessels which raises your bp
· High blood sugar: stress causes your liver to release extra glucose into your blood stream,
putting you at risk of diabetes 2.
, · Weakened Immune System: long term stress weakens your immune system's defenses
· Insomnia: stress makes it harder to fall asleep and stay asleep
· Increased depression: chronic stress can wear you down emotionally leading to depression
Define the four components of patient-centered care as identified by the Institute for Patient
and Family-Centered Care
Dignity and Respect - Answer Health care practitioners listen to and honor patient and family
perspectives and choices. Patient and family knowledge, values, beliefs and cultural
backgrounds are incorporated into the planning and delivery of care.
Define the four components of patient-centered care as identified by the Institute for Patient
and Family-Centered Care
Information Sharing - Answer Health care practitioners communicate and share complete
and unbiased information with patients and families in ways that are affirming and useful.
Patients and families receive timely, complete and accurate information in order to effectively
participate in care and decision-making.
Define the four components of patient-centered care as identified by the Institute for Patient
and Family-Centered Care
Participation - Answer Patients and families are encouraged and supported in participating in
care and decision-making at the level they choose.
Define the four components of patient-centered care as identified by the Institute for Patient
and Family-Centered Care
Collaboration - Answer Patients, families, health care practitioners, and health care leaders
collaborate in policy and program development, implementation and evaluation; in research; in
facility design; and in professional education, as well as in the delivery of care.
Nuclear family - Answer a married couple and perhaps one or more children
Extended family - Answer includes relatives, aunts, uncles, grandparents and cousins in
addition to the nuclear family.
Questions and All Correct Answers
2026 Updated.
Physical stress - Answer The force applied to a given area of biological tissue. (Epithelial.
connective, muscular, and nervous)
Psychological stress - Answer Any external or internal condition that challenges your
homeostasis
Cognitive stress - Answer Anxious thoughts, fearful anticipation, poor concentration,
memory problems. Emotional feelings of tension, irritability, restlessness, worries, inability to
relax, depression.
People at Risk for Stress - Answer · Impaired cognition
· Chronic health problems
· Socioeconomic status
· Individuals from a foreign country
· Age
· Mental status
Post-traumatic Stress Disorder (PTSD - Answer begins when a person experiences, witnesses
or is confronted with a traumatic event.
Developmental Crisis - Answer Occurs as a person moves through the stages of life.
Situational Crisis - Answer External sources such as a car accident, severe illness, or death
occurs
Adventitious Crisis - Answer Major natural or man-made disaster or crime of violence. Ex:
this dang pandemic
Ways to Prevent stress - Answer Meditation, exercise, relaxation techniques, time
management, spiritual practices, massage, etc.
Ways to Cope with stress - Answer Focusing on the good, looking at the big picture, taking it
one day at a time, etc.
,Coping response - Primary appraisal - Answer Initial assessment of stressor to determine if
stressor is a threat
Coping response - Secondary appraisal - Answer Evaluation of resources to
Overcome the stressor
Eliminate the stressor
Reduce the stressor
Ego-defense mechanisms - Answer protects the mind/self/ego from anxiety.
Defense mechanisms - Answer are defined as unconscious psychological strategies brought
into play by various entities to cope with reality and to maintain self-image.
Nursing interventions/implementation for stress coping - Answer Health promotion
Decrease stress-producing situations
Increase resistance to stress
Learn skill that reduce physiological response to stress
Regular exercise and rest
Describe the possible effects of poorly controlled stress - Answer · Headaches: stress can
trigger and internally trigger headaches
· Heartburn: stress increases the production of stomach acids
· Rapid breathing: when stressed, the muscles that help you breathe tense up which make you
short of breath
· Risk of heart attack: over time, increased HR and high BP can damage arteries, increasing a
heart attack
· Pounding of Heart: stress hormones make your heart pump faster
· Fertility problems: stress interferes with the reproductive system
· Erectile dysfunction: stress messes with your brain which can interfere with this
· Missed periods: fluctuating hormones can throw off your menstrual cycle
· Tense muscles: stress makes your muscles tense up
· Low sex drive: stress and fatigue can take a toll on your libido
· Stomachache: stress affects your body's digestive system which leads to tummy issues
· High (BP) Blood pressure: stress hormones tighten blood vessels which raises your bp
· High blood sugar: stress causes your liver to release extra glucose into your blood stream,
putting you at risk of diabetes 2.
, · Weakened Immune System: long term stress weakens your immune system's defenses
· Insomnia: stress makes it harder to fall asleep and stay asleep
· Increased depression: chronic stress can wear you down emotionally leading to depression
Define the four components of patient-centered care as identified by the Institute for Patient
and Family-Centered Care
Dignity and Respect - Answer Health care practitioners listen to and honor patient and family
perspectives and choices. Patient and family knowledge, values, beliefs and cultural
backgrounds are incorporated into the planning and delivery of care.
Define the four components of patient-centered care as identified by the Institute for Patient
and Family-Centered Care
Information Sharing - Answer Health care practitioners communicate and share complete
and unbiased information with patients and families in ways that are affirming and useful.
Patients and families receive timely, complete and accurate information in order to effectively
participate in care and decision-making.
Define the four components of patient-centered care as identified by the Institute for Patient
and Family-Centered Care
Participation - Answer Patients and families are encouraged and supported in participating in
care and decision-making at the level they choose.
Define the four components of patient-centered care as identified by the Institute for Patient
and Family-Centered Care
Collaboration - Answer Patients, families, health care practitioners, and health care leaders
collaborate in policy and program development, implementation and evaluation; in research; in
facility design; and in professional education, as well as in the delivery of care.
Nuclear family - Answer a married couple and perhaps one or more children
Extended family - Answer includes relatives, aunts, uncles, grandparents and cousins in
addition to the nuclear family.
