Tes Bank-PsychiatricMentalHealthNursingbyMary
JY9 Y
9 Y
9 Y
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9 Y9
Townsend (9th Edition, 2017)
Y9 Y9 Y9
TES BANK JY9
,Chapter 01. The Concep of Stress Adaptation Y9 Y9 Y9 JY9 Y9 Y9
Multiple Choice Y9
1. A client has experienced the death of a close family member and at the same time becomes
Y9 Y9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
Questionnaire. How should the nurse evaluate this client data?JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 JY9
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
threat of stress-related illness.
JY9 JY9 JY9
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
knowledge of coping resources and available supports.
JY9 JY9 JY9 JY9 JY9 JY9
D. The client may view these losses as challenges and perceive them as opportunities.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 JY 9
ANS: C J Y9
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a
JY9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9
year-score total of 500 or more, indicates high stress in a clients life. However, positive coping
J Y9 J Y9 J Y9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
mechanisms and strong social support can limit susceptibility to stress-related illnesses.
JY9 JY9 JY9 JY9 J Y 9 JY9 JY9 JY9 JY9 JY9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
2. A physically and emotionally healthy client has just been fired. During a routine office visit he
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
states to a nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
degree. How should the JY9
NURSINGTB.COM
JY9 JY9
nurse characterize the clients appraisal
JY9 job loss stressor? JY9 J Y9 J Y9 JY9 J Y9 J Y9
of the
J Y9
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D J Y9
The client perceives the situation of job loss as a challenge and an opportunity for growth.
J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
JY9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 JY9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
A. Ive found that avoiding contact with others helps me cope.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
B. I really enjoy journaling; its my private time.
JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
C. I signed up for a yoga class this week.
JY9 J Y9 J Y9 JY9 J Y9 J Y9 JY9 J Y9
D. I made an appointment to meet with a therapist.
J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9
ANS: A J Y9
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
prevent learning appropriate coping skills and can prevent access to needed support systems.
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
,KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
4. A nursing student finds that she comes down with a sinus infection toward the end of every
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
semester. When this occurs, which stage of stress is the student most likely experiencing?
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
A. Alarm reaction stage J Y9 J Y9
B. Stage of resistance J Y9 J Y9
C. Stage of exhaustion J Y9 J Y9
D. Fight-or-flight stage J Y9
ANS: C J Y9
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
has been depleted. Diseases of adaptation occur more frequently in this stage.
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
5. A school nurse is assessing a female high school student who is overly concerned about her
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
appearance. The clients mother states, Thats not something to be stressed about! Which is
JY9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
the most appropriate nursing response?
J Y9 J Y9 J Y9 JY9
A. Teenagers! They dont know a thing about real stress. J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 JY 9
B. Stress occurs only when there is a loss.
JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
C. When you are in poor physical condition, yNoU
JY9 uRcaSnIN
t eGxTpBer.C
J Y9 ieOncMe psychological well-being.
J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
JY9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9
ANS: D J Y9
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
stressful as a physiological change.
JY9 JY9 JY9 J Y 9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
J Y9 J Y9 JY9 J Y9 JY9 J Y9 JY9 J Y9 J Y9 J Y9 JY9 J Y9
Need:
Psychosocial Integrity J Y9
6. A bright student confides in the school nurse about conflicts related to attending college or working
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
to add needed financial support to the family. Which coping strategy is most appropriate for the nurse
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
to recommend to the student at this time?
JY9 J Y 9 JY9 JY9 JY9 JY9 JY9
A. Meditation
B. Problem-solving training J Y 9
C. Relaxation
D. Journaling
ANS: B J Y9
The student must assess his or her situation and determine the best course of action. Problem-solving
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
training, by providing structure and objectivity, can assist in decision making.
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 JY9 J Y9 J Y9 J Y9 JY9 J Y9
Need:
Psychosocial Integrity J Y9
, 7. An unemployed college graduate is experiencing severe anxiety over not finding a teaching position
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
and has difficulty with independent problem-solving. During a routine physical examination, the
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
graduate confides in the clinic nurse. Which is the most appropriate nursing intervention?
JY9 JY9 J Y 9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
A. Encourage the student to use the alternative coping mechanism of relaxation exercises.
J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
B. Complete the problem-solving process for the client.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
C. Work through the problem-solving process with the client.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
D. Encourage the client to keep a journal. J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
ANS: C J Y9
During times of high anxiety and stress, clients will need more assistance in problem-solving and
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
decision making. JY9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 JY9 J Y9 J Y9 J Y9 JY9 J Y9
Need:
Psychosocial Integrity J Y9
8. A school nurse is assessing a distraught female high school student who is overly concerned
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
because her parents cant afford horseback riding lessons. How should the nurse interpret the
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
students reaction to her perceived problem?
JY9 JY9 JY9 JY9 JY9
A. The problem is endangering her well-being.
J Y9 J Y9 J Y9 J Y9 J Y9
B. The problem is personally relevant to her.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
C. The problem is based on immaturity.
J Y9 J Y9 J Y9 J Y9 J Y9
D. The problem is exceeding her capacity to cN
JY9 opUeR.SINGTB.COM J Y9 J Y9 J Y9 JY9 J Y9 J Y9 JY9
ANS: B J Y9
Psychological stressors to self-esteem and self-image are related to how the individual perceives the
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
situation or event. Self-image is of particular importance to adolescents, who feel entitled to have all
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
the advantages that
JY9 other adolescents experience. JY9 J Y 9 JY9 JY9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
9. Meditation has been shown to be an effective stress management technique. When meditation is
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
effective, what should a nurse expect to assess?
JY9 JY9 JY9 JY9 JY9 JY9 JY9
A. An achieved state of relaxation
J Y9 J Y9 J Y9 J Y9
B. An achieved insight into ones feelings
J Y9 J Y9 J Y9 J Y9 J Y9
C. A demonstration of appropriate role behaviors
J Y9 J Y9 J Y9 J Y9 J Y9
D. An enhanced ability to problem-solve
J Y9 J Y9 J Y9 J Y9
ANS: A J Y9
Meditation produces relaxation by creating a special state of consciousness through focused
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9
concentration.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
10. A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
cant afford childcare? What is the nurses initial action in assisting the client with the problem-
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
solving process? JY9
JY9 Y
9 Y
9 Y
9 Y
9 Y
9 Y
9 Y
9 Y9
Townsend (9th Edition, 2017)
Y9 Y9 Y9
TES BANK JY9
,Chapter 01. The Concep of Stress Adaptation Y9 Y9 Y9 JY9 Y9 Y9
Multiple Choice Y9
1. A client has experienced the death of a close family member and at the same time becomes
Y9 Y9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
Questionnaire. How should the nurse evaluate this client data?JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 JY9
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
threat of stress-related illness.
JY9 JY9 JY9
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
knowledge of coping resources and available supports.
JY9 JY9 JY9 JY9 JY9 JY9
D. The client may view these losses as challenges and perceive them as opportunities.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 JY 9
ANS: C J Y9
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a
JY9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9
year-score total of 500 or more, indicates high stress in a clients life. However, positive coping
J Y9 J Y9 J Y9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
mechanisms and strong social support can limit susceptibility to stress-related illnesses.
JY9 JY9 JY9 JY9 J Y 9 JY9 JY9 JY9 JY9 JY9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
2. A physically and emotionally healthy client has just been fired. During a routine office visit he
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
states to a nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
degree. How should the JY9
NURSINGTB.COM
JY9 JY9
nurse characterize the clients appraisal
JY9 job loss stressor? JY9 J Y9 J Y9 JY9 J Y9 J Y9
of the
J Y9
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D J Y9
The client perceives the situation of job loss as a challenge and an opportunity for growth.
J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
JY9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 JY9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
A. Ive found that avoiding contact with others helps me cope.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
B. I really enjoy journaling; its my private time.
JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
C. I signed up for a yoga class this week.
JY9 J Y9 J Y9 JY9 J Y9 J Y9 JY9 J Y9
D. I made an appointment to meet with a therapist.
J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9
ANS: A J Y9
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
prevent learning appropriate coping skills and can prevent access to needed support systems.
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
,KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
4. A nursing student finds that she comes down with a sinus infection toward the end of every
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
semester. When this occurs, which stage of stress is the student most likely experiencing?
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
A. Alarm reaction stage J Y9 J Y9
B. Stage of resistance J Y9 J Y9
C. Stage of exhaustion J Y9 J Y9
D. Fight-or-flight stage J Y9
ANS: C J Y9
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
has been depleted. Diseases of adaptation occur more frequently in this stage.
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
5. A school nurse is assessing a female high school student who is overly concerned about her
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
appearance. The clients mother states, Thats not something to be stressed about! Which is
JY9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
the most appropriate nursing response?
J Y9 J Y9 J Y9 JY9
A. Teenagers! They dont know a thing about real stress. J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 JY 9
B. Stress occurs only when there is a loss.
JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
C. When you are in poor physical condition, yNoU
JY9 uRcaSnIN
t eGxTpBer.C
J Y9 ieOncMe psychological well-being.
J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
JY9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9
ANS: D J Y9
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
stressful as a physiological change.
JY9 JY9 JY9 J Y 9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
J Y9 J Y9 JY9 J Y9 JY9 J Y9 JY9 J Y9 J Y9 J Y9 JY9 J Y9
Need:
Psychosocial Integrity J Y9
6. A bright student confides in the school nurse about conflicts related to attending college or working
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
to add needed financial support to the family. Which coping strategy is most appropriate for the nurse
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
to recommend to the student at this time?
JY9 J Y 9 JY9 JY9 JY9 JY9 JY9
A. Meditation
B. Problem-solving training J Y 9
C. Relaxation
D. Journaling
ANS: B J Y9
The student must assess his or her situation and determine the best course of action. Problem-solving
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
training, by providing structure and objectivity, can assist in decision making.
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 JY9 J Y9 J Y9 J Y9 JY9 J Y9
Need:
Psychosocial Integrity J Y9
, 7. An unemployed college graduate is experiencing severe anxiety over not finding a teaching position
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
and has difficulty with independent problem-solving. During a routine physical examination, the
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
graduate confides in the clinic nurse. Which is the most appropriate nursing intervention?
JY9 JY9 J Y 9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
A. Encourage the student to use the alternative coping mechanism of relaxation exercises.
J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
B. Complete the problem-solving process for the client.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
C. Work through the problem-solving process with the client.
J Y9 J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
D. Encourage the client to keep a journal. J Y9 J Y9 J Y9 J Y9 J Y9 J Y9
ANS: C J Y9
During times of high anxiety and stress, clients will need more assistance in problem-solving and
JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9 JY9
decision making. JY9
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
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Need:
Psychosocial Integrity J Y9
8. A school nurse is assessing a distraught female high school student who is overly concerned
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because her parents cant afford horseback riding lessons. How should the nurse interpret the
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students reaction to her perceived problem?
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A. The problem is endangering her well-being.
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B. The problem is personally relevant to her.
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C. The problem is based on immaturity.
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D. The problem is exceeding her capacity to cN
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ANS: B J Y9
Psychological stressors to self-esteem and self-image are related to how the individual perceives the
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situation or event. Self-image is of particular importance to adolescents, who feel entitled to have all
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the advantages that
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
9. Meditation has been shown to be an effective stress management technique. When meditation is
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effective, what should a nurse expect to assess?
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A. An achieved state of relaxation
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B. An achieved insight into ones feelings
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C. A demonstration of appropriate role behaviors
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D. An enhanced ability to problem-solve
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ANS: A J Y9
Meditation produces relaxation by creating a special state of consciousness through focused
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concentration.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
J Y9 J Y9 J Y9 J Y9 JY9 J Y9 J Y9 J Y9 J Y9 J Y9 JY9 J Y9
Psychosocial Integrity J Y9
10. A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I
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cant afford childcare? What is the nurses initial action in assisting the client with the problem-
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solving process? JY9
