NFDN 2007 FINAL exam with
verified solutions
What is the concept of transaction stress - answer the relationship
between the person and the environment that is appraised as exceeding
the person's resources and endangering his or her well-being
What is the physiologic response to stress - answer fight or flight
- begins in CNS
- sympathetic response
- immune system function negatively affected
What are some psychological stress-related symptoms - answer
depression, anxiety, pain, sleep problems, autoimmune diseases, heart
disease, weight problems, reproductive issues etc
What is social support - answer resources provided to us by others
Which of the following is a physiologic outcome to stress
A. Emotions
B. Intense emotions—disturbance in intellectual functioning
C. Feeling challenged or threatened
D. Sympathetic response - answer D
What is coping - answer an individual's constantly changing cognitive
and behavioural efforts to manage specific external or internal demands
that are appraised as taxing or exceeding the individual's resources
,What is problem-focused coping? - answer attempting to alleviate stress
directly by changing the stressor or the way we interact with that stressor
changes the relationship between the environment and person
What is emotion-focused coping? - answer attempting to alleviate stress
by avoiding or ignoring a stressor and attending to emotional needs
related to our stress reaction
changing person-environment relationship
What is inner directed coping - answer reminding or telling self that what
they are presently doing to relieve the stress is beneficial for them
What is outer directed coping - answer when someone does something
about what is stressing them
ex. dog barking go to neighbor and ask them to please quiet the dog
What is self awareness - answer the ability to recognize their feelings
and manage their anger
ex. parents divorce, the child must learn that it is not their fault
What is one very important skill necessary for coping - answer self
awareness
What are trauma and stressor-related disorders - answer diagnosis
specify's exposure to a traumatic or extremely stressful event
, What is a traumatic stressor - answer any event(s) that may case or
threaten death, serious injury, or sexual violence to an individual, a close
family member, or a close friend
If you suspect your client/patient is being abused by someone what would
be the most appropriate approach - answer Straight forward asking
outright i.e. are you being/ever threatened or abused by your husband?
What is PTSD avoidance - answer Persistent *avoidance* of stimuli
associated with the traumatic event (one or both):
Goal is to avoid: distressing memories, thoughts, or feelings and external
reminders such as people, places, and conversations
What is acute stress disorder - answer PTSD symptoms that appear for a
month or less
What is posttraumatic stress disorder (PTSD) - answer delayed stress
reaction in which an individual involuntarily re-experiences emotional,
cognitive, and behavioral aspects of past trauma
What are the goals of care for PTSD (3) - answer - eliminate or moderate
the stressor (if possible)
- reduce untoward effects of the stress response
- facilitate the maintenance or development of positive coping skills
What are the factors of social network and support - answer size,
functions, reciprocity, interconnectedness
What is a crisis - answer acute and time limited stressful experience for
which coping mechanisms fail
ex. bereavement, grief or mourning
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