DAVIS ADVANTAGE FOR PSYCHIATRIC MENTAL HEALTH NURSING 10TH EDITION KARYN, TOWNSEND 9780803699670 TESTBANK COMPLETE UPDATED QUESTIONS AND CORRECT ANSWERS 100% PASS GUARANTEED

1. A client has experienced the death of a close family member and at the same timebecomes unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse: Understands the client is at risk for significant stress-related illness. Determines the client is not at risk for significant stress-related illness. Needs further assessment of the client’s coping skills to determine susceptibility tostress-related illness. Recognizes the client may view the losses as challenges and perceive them asopportunities. ANS: 3 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Explain the relationship between stress and diseases of adaptation.Page: 5 Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress Difficulty: Moderate Feedback 1. This is incorrect. Assessment is the first step of the nursing process. The nurse should assess the client’s coping skills and available support before determining susceptibility to stress-related physical and psychological illnesses. The Recent LifeChanges Questionnaire is an expanded version of the Schedule of Recent Experiences and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more or a year-score total of 500 or more indicates high stress in a client’s life and susceptibility to stress-related illnesses. 2. This is incorrect. Assessment is the first step in the nursing process. The nurse should assess the client’s coping skills and available support before determining the client’s perception of the current stresses. A 6-month score of 300 or more or a year-score total of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a client’s life and susceptibility to stress-related physical and psychological illnesses. 3. This is correct. Assessment is the first step in the nursing process. The nurse should assess the client’s coping skills and available support before determining susceptibility to stress-related physical and psychological illnesses. A 6-month score of 300 or more or a year-score of 500 or more indicates high stress in a client’s lifeand risk for significant stress-related physical and psychological illness. 4. This is incorrect. Assessment is the first step in the nursing process. The nurse should assess the client’s coping skills and available support before determining susceptibility to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or more on the Recent Life Changes Questionnaire indicates high stressin a client’s life is susceptible to significant stress-related physical and psychologicalillness. CON: Stress 2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll consider pursuing an art degree.” The nurse determines the client perceives the stressorof his job loss as: Irrelevant Harm or loss Threatening A challenge ANS: 4 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Discuss adaptive coping strategies in the management of stress.Page: 7 Heading: Stress as a transaction between the individual and the environment Individual’s Perception of the Event Primary AppraisalIntegrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress Difficulty: Easy Feedback 1. This is incorrect. An irrelevant perception is one where the event holds nosignificance for the individual. 2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced by the individual. 3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses. 4. This is correct. The client’s statement indicates he perceives the loss of his job as a challenge and an opportunity for growth, demonstrated by his statement to consideran art degree. CON: Stress 3. Which client statement alerts the nurse that the client may be maladaptivelyresponding to stress? “Avoiding contact with others helps me cope.” “I really enjoy journaling; it’s my private time.” “I signed up for a yoga class this week.” “I made an appointment to meet with a therapist.” ANS: 1 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Discuss adaptive coping strategies in the management of stress.Page: 8 Heading: Stress Management Integrated Processes: Nursing Process: EvaluationClient Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress Difficulty: Easy Feedback 1. This is correct. Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent learning appropriate coping skills and can prevent access to needed support systems. 2. This is incorrect. Journaling is a form of adaptive coping and interpersonal communication. 3. This is incorrect. Group exercise is a form of adaptive coping, relaxation. 4. This is incorrect. Seeing a therapist is not considered a maladaptive coping method. CON: Stress 4. A nursing student comes down with a sinus infection toward the end of every semester. Which stage of stress is the student most likely experiencing when this occurs? Alarm reaction Resistance Exhaustion Fight or flight ANS: 3 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Explain the relationship between stress and diseases of adaptation.Page: 2 Heading: Stress as a Biological Response Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Comprehension [Understanding]Concept: Stress Difficulty: Easy Feedback 1. This is incorrect. At the alarm reaction stage, physiological responses of the fight-or- flight syndrome are initiated. 2. This is incorrect. At the stage of resistance, the individual uses the physiological responses of the first stage as a defense in the attempt to adapt to the stressor. Physiological symptoms may disappear. 3. This is correct. At the stage of exhaustion, the student’s exposure to stress has been prolonged, and adaptive energy has been depleted. Diseases of adaptation occurmore frequently in this stage. 4. This is incorrect. The fight-or-flight syndrome occurs during the alarm reactionstage. CON: Stress A school nurse is assessing a high school student who is overly concerned about herappearance. The client’s parent states, “That’s not something to be stressed about!” Which response by the nurse is best? “Teenagers don’t truly understand stress.” “Why are you so concerned about your appearance?” “You surely know that isn’t something to be concerned with.” “I understand you feel stressed about this; tell me more about your stress