At a stress management seminar, The group about an exercise where the participants relax their bodies and think about a body characteristic they dislike & Want to change. Then they replace how they view that aspect of their body with what they want that aspect To be. Which of the following techniques are they practicing?
A) Autogenic training
​B) Meditation
​C) Image visualization
answer
C
​Image visualization is the use of mental images to change behavior or promote healing and relaxation. By using this technique, people can actually reprogram a negative image that elicits the stress response.
question
A nurse has just attended a staff meeting where the issue is too many scheduling request Has caused conflict. She proposed a self scheduling solution. Staff and management respond instead of a task force for planning and implementation. Which of the following primary characteristics of the nurses empowerment does the nurse feel?
A) ​Meaning
​B) Competence
​C) Impact
answer
C
Impact means feeling that the nurse makes a difference and that people listen to her ideas. This scenario exemplifies the characteristic of nurse empowerment.
question
A nurse is stuck in traffic And has to pick up her child from daycare by the facility closing time. Lately, this seems to happen nearly every day. She knows it's not critical because someone will stay with her child until she gets there. However, her body keeps pumping because of which of the following factors? (Select all that apply)
1) Her repeated activation of the stress response
​2) The role of her parasympathetic nervous system
​3) Her own unique perception of the stressor
​4) The initiating release of ACTH from her pituitary gland
​5) Her body's failure to return to homeostasis
answer
1,3,5
Her repeated activation of the stress response is correct. The fight or flight response, which triggers the release of adrenalin, originated from dealing with acute stress situations, not for managing the constant state of stress many people find themselves in on a daily basis. We activate the stress response for all types of stress, not just in extreme situations.​
The role of her parasympathetic nervous system is incorrect. It is the sympathetic nervous system that triggers the release of adrenalin, not the parasympathetic.​
Her own unique perception of the stressor is correct. The body cannot tell the difference between being late and a threat to one's life, plus the stress response is unique to each individual, as its basis is that person's perception of the stressor.
​The initiating release of ACTH from her pituitary gland is incorrect. The release of adrenocorticotropic hormone (ACTH) is an endocrine-system response to stress. It does not initiate the release of adrenalin.
Her body's failure to return to homeostasis is correct. If a person's body is dealing with chronic stress, it can never return to homeostasis.
question
A nurse is working for a client who has identified a need to find a relaxation technique That works well for her managing her stress. The nurse suggest which of the following methods because it can help create a pattern inside her body that approximates natural homeostasis?
A) Music therapy
​B) Art therapy
​C) Guided imagery
answer
A
​Music therapy involves the entrainment theory, which suggests that the body contains many organs that produce biorhythmic oscillations or vibrations, and that the body will adjust to match outside vibrations and create a unified rhythm. Relaxing music can have a calming effect because elevated body rhythms will entrain with a rhythm closer to natural homeostasis.
question
A nurse is giving a presentation on relaxation techniques at a community center Where she volunteers. One of the attendees tells her that she'd like to find something that could help with two of her problems- Wanting to increase her lung capacity since she gave up smoking and also help with her joint pain. Which of the following should the nurse recommend.
A) ​Hatha yoga
​B) Progressive muscle relaxation
​C) Guided imagery
answer
A
​Yoga increases flexibility and balance, which can result in a reduction or elimination of joint pain. The repeated practice of hatha yoga improves breathing in the form of vital capacity, a significant factor in achieving optimal health.
question
A nurse returns home from work , Alarm to find emergency vehicles in front of her building. And electrical fire affected her apartment into others. She feels hopeless about losing all her possessions, and she feels angry that her insurance policy will not cover all she lost. The nurse feels terrified about what will happen in the days ahead in going to a shelter. Which aspect of the scenario exemplifies the mental component of stress?
A) ​Hopelessness about the loss
​B) Anger about the compensation
​C) Terror over the days ahead
answer
A
​The mental component of stress is her appraisal of the severity of the situation and her unique ability to cope with a potential stressor. She perceives this situation to be so severe that she feels hopeless. Most people would be upset about a fire in their apartment, but until they are able to assess the damage, make other living arrangements, and deal with their insurance company, they might not lose all hope.
(the other two are ex. of emotional component of stress)
question
A nurse is caring for a client that, whenever she feels her stress levels Getting out of control, she reminds her self that as long as she is breathing, She can do you will feel better. She says she tells herself that she has the power to breathe slowly and deeply and slowly exhale her stress right out of her body. What she describes is a form of which of the following stress reduction techniques?
A) Biofeedback
​B) Hypnosis
​C) Autogenic training
answer
C
​Autogenic training programs the mind to override the stress response, in other words, it uses the mind to control the body. By concentrating on such phrases as "my lungs breathe for me," the client can relax her body.
question
A nurse manager annoucnces That the facility is eliminating nursing assistance in adopting a bottle of total wine. The staff nurses Are upset, angry, and feel threatened by the increased workload. One nurse realize that they will have more nurses, and he won't have to delegate. He encourages the staff to give it a chance. Which of the following strategies that the nurse demonstrate?
A) Reframing the situation
​B) Presenting the ground rules
​C) Identifying barriers
answer
A
​Reframing the situation involves examining the nurse's own thoughts and asking himself key questions that break down his negative emotions and turn them into a positive approach. He took his fear of an increased workload and focused on what burdens the new approach might alleviate.
question
A nurse is perceiving and experiencing high stress levels at work on a constant basis due to an adequate staffing in high client acuity Levels. The ongoing psychological stress response from her endocrine system places her at increased risk for which of the following disorders? (select all that apply)
1) ​Eczema
​2) Influenza
​3) Rheumatoid arthritis
​4) Cancer
​5) Bronchial asthma
answer
1,2,3,4
Eczema is correct. When the brain interprets a situation as stressful, a chain of events results in the adrenal glands releasing cortisol. This endocrine-system response suppresses the immune system, which can result in eczema.​
Influenza is correct. When the brain interprets a situation as stressful, a chain of events results in the adrenal glands releasing cortisol. This endocrine-system response suppresses the immune system, which can result in influenza.​
Rheumatoid arthritis is correct. When the brain interprets a situation as stressful, a chain of events results in the adrenal glands releasing cortisol. This endocrine-system response suppresses the immune system, which can result in rheumatoid arthritis.​
Cancer is correct. When the brain interprets a situation as stressful, a chain of events results in the adrenal glands releasing cortisol. This endocrine-system response suppresses the immune system, which can result in cancer.​
Bronchial asthma is incorrect. An overactive autonomic nervous system results in disorders such as migraine headaches, bronchial asthma, and others.
question
A nurse manager on a medical-surgical unit takes pride in telling the staff that they need to solve their own problems and conflicts without her input. When a client care issue arises, she suggest they "look it up". This manager's leadership style typically results in which of the following staff outcomes?
A) Fosters indifference
​B) Limits decision making
​C) Rewards aggression
answer
A
​This manager's leadership style is laissez faire. This type of leader avoids planning and decision making. Usually there is no goal, guidance, or direction, and that leads to chaos and indifference.
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