The nurse is aware that the use of a defense mechanism is a normal response to stress. When does a defense mechanism become problematic?
a. When more than one defense mechanism is used at a time
b. When the defense mechanism is used for longer than 1 week
c. When the defense mechanism is used excessively
d. When the defense mechanism is used until a more durable coping mechanism is formed
Question 2What is the intent of problem-focused coping strategies?
a. To eliminate the cause of stress
b. To deny the cause of stress
c. To repress the response to stressors
d. To use prescription drugs to alter perception of the problem
Question 3The 80-year-old man who is experiencing stress because visual loss has caused him to quit driving says, I have friends and family who will be my transportation. I can still get around and I'll have entertaining company.
What coping mechanism is the man using?
a. Confrontation
b. Escape
c. Emotional distancing
d. Avoidance
Question 4The nurse is assessing an older adult who has been recently admitted to the long-term care facility.
The resident has become active in the facility, goes to every activity, carefully makes her bed every day, does jigsaw puzzles, and chats with tablemates at mealtime. What defense mechanism is the resident exhibiting?
a. Projection
b. Rationalization
c. Intellectualization
d. Substitution
Question 5What is a positive effect of mild stress?
a. Indecision
b. Excessive alertness
c. Inability to focus
d. Ineffective in problem solving
Question 6How does physical illness increase stress in the older adult?
a. It is an acceptable reason to request assistance.
b. It takes away energy to cope with new stressors.
c. It stimulates the family to be more attentive.
d. It causes additional medications to be ordered.
Question 7In general adaptation syndrome (GAS), what is the stage after the first alarm reaction has been successfully resolved in which body systems return to normal?
a. Regeneration
b. Resistance
c. Restoration
d. Reorganization
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