A patient tells the nurse that when something happens out of the ordinary, she considers if the situation is good, bad, or means nothing
The nurse realizes this patient is describing which type of appraisal within the transactional theory of stress? 1. Primary
2. Secondary
3. Cognitive reappraisal
4. Hassles and uplifts
Primary
Rationale: Primary appraisal is the process of evaluating the significance of a transaction as it relates to a person's well-being. During the primary appraisal, the person determines if the transaction is irrelevant, good, or stressful. The patient's explanation of how she considers a situation is describing the primary appraisal within the transactional theory of stress. The secondary appraisal is the process of evaluating the significance of the transaction between the person and the environment as it relates to available coping resources and options. Cognitive reappraisal develops from the feedback of changes in the person−environment relationship and from reflection about the coping process. Hassles and uplifts are experiences of daily living that are either positive or negative.
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