Exam 10: Stress and Stress-Related Disorders

A patient with liver failure has been on the transplant waiting list for 8 months.The patient says to the nurse,"Why is it taking so long to have the surgery? Maybe I'm meant to die for all the bad things I've done." The nurse should document the patient's comment in which section of the assessment?

A professor's 4-year-old child has a body temperature of 101.6° F,diarrhea,and complains of stomach pain.The professor is scheduled to teach three classes today.Which nursing diagnosis best applies to this scenario?

A soldier returns to the United States from active duty in a combat zone in Afghanistan.The soldier is diagnosed with post-traumatic stress disorder (PTSD).Which comment by the soldier requires the nurse's immediate attention?

A soldier returned home last year after deployment to a war zone.The soldier's spouse complains,"We were going to start a family but now he won't talk about it.He will not look at children.I wonder if we're going to make it as a couple." Select the nurse's best response.

Which scenario best demonstrates an example of eustress? An individual:

A person with a fear of heights drives across a high bridge.Which structure will stimulate a response from the autonomic nervous system?

A patient is brought to the emergency department after a motorcycle accident.The patient is alert,responsive,and diagnosed with a broken leg.The patient's vital signs are temperature (T),98.6° F;pulse (P),72 beats per minute (bpm);and respirations (R),16 breaths per minute.After being informed that surgery is required for the broken leg,which vital sign readings would be expected?

A soldier served in combat zones in Iraq in 2010 and was deployed to Afghanistan in 2011.When is it most important for the nurse to screen for signs and symptoms of post-traumatic stress disorder (PTSD)?

Which experiences are most likely to precipitate post-traumatic stress disorder (PTSD)? Select all that apply.

A nurse assesses the health status of soldiers returning from Afghanistan.Screening will be a priority for signs and symptoms of which health problems? Select all that apply.

An individual says to the nurse,"I feel so stressed out lately.I think the stress is affecting my body also." Which somatic complaints are most likely to accompany this feeling? Select all that apply.

A person with a fear of heights drives across a high bridge.Which division of the autonomic nervous system is stimulated in response to this experience?

As part of the stress response,the HPA axis is stimulated.Which structures make up this system?

A soldier returns to the United States from active duty in a combat zone in Afghanistan.The soldier is diagnosed with posttraumatic stress disorder (PTSD).The nurse's highest priority is to screen this soldier for which problem?

A soldier returned 3 months ago from Afghanistan and was diagnosed with post-traumatic stress disorder (PTSD).Which social event would most likely be disturbing for this soldier?

A soldier returned home from active duty in a combat zone in Afghanistan and was diagnosed with post-traumatic stress disorder (PTSD).The soldier says,"If there's a loud noise at night,I get under my bed because I think we're getting bombed." What type of experience has the soldier described?

A soldier who served in a combat zone returned to the United States.The soldier's spouse complains to the nurse,"We had planned to start a family,but now he won't talk about it.He won't even look at children." The spouse is describing which symptom associated with post-traumatic stress disorder (PTSD)?

A professor's 4-year-old child has a temperature of 101.6° F,diarrhea,and complains of stomach pain.The professor is scheduled to teach three classes today.Which actions by the professor demonstrate effective parenting? Select all that apply.

A nurse talks with the caregiver of a combat veteran with severe traumatic brain injuries.The caregiver says,"I don't know how much longer I can do it.My whole life is consumed with taking care of my partner." Select the nurse's best response.

Cortisol is released in response to a patient's prolonged stress.Which initial effect would the nurse expect to result from the increased cortisol level?