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Test Bank Keltners Psychiatric Nursing, 9th Edition Steele.pdf

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Test Bank Keltners Psychiatric Nursing, 9th Edition S

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PSYCHIATRIC mMENTALmHEALTH mNURSINGm9TH mEDITIONmTOWNSENDm TESTmBA
NK
2
Test mBank m-mPsychiatric mMentalmHealthmNursing mby mMary mTownsend m(9thmEdition, m2017)


Chapter 01. The Concept of Stress Adaptation
m m m m m m



Multiplem Choice

1. Amclientmhasmexperiencedmthemdeathmofmamclosemfamilymmembermandmatmthem samemtimembecomesmunemployed
. m Thismsituationmhasmresultedminmam6-
monthmscoremofm110monmthemRecentmLifemChangesmQuestionnaire. mHowmshouldm themnursemevaluatemthism clientm
data?

A. Them clientm ism experiencingm severem distressm andm ism atm riskm form physicalm andm psychologicalm illness.

B. Amscoremofm110monmthemMillermandmRahemRecentmLifemChangesmQuestionnairemindicatesmnom significantmthreatm
ofm stress-relatedmillness.

C. Susceptibilitymtomstress-
relatedmphysicalmormpsychologicalmillnessmcannotmbemestimatedmwithoutmknowledgemofmcoping mresources mandmav
ailablemsupports.

D. Themclientmmaymviewm thesemlossesm as mchallengesm and mperceive mthemm as mopportunities.

ANS:mC

ThemRecentm LifemChangesmQuestionnairemisman mexpanded mversionmofmthemSchedule mofmRecent mExperiencesmand mt
hemRahe-Holmes m Socialm Readjustmentm Ratingm Scale. m Am 6-monthm scorem ofm 300m orm more, m orm am year-
scorem totalm ofm 500mormmore, mindicatesmhighm stressminmamclientsmlife. mHowever, mpositivemcopingmmechanisms mandm
strongmsocialmsupportm canmlimitmsusceptibilitymtomstress-relatedmillnesses.

KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClient m Need:
Psychosocialm Integrity

2. Amphysicallymandmemotionallymhealthymclientmhasmjustmbeenmfired. mDuringmamroutinemofficemvisitmhemstatesmto
mamnurse:m Perhapsm thism wasm them bestm thingm tom happen. m Maybem Illm lookm intom pursuingm anm artm degree. m Howm sh

ouldm the NURSINGTB.COM
nursemcharacterizem them clientsmappraisalm ofm themjobm lossm stressor?

A. Irrelevant

B. Harm/loss

C. Threatening

D. Challenging

ANS:mD

Themclientmperceivesmthemsituationm ofmjobmloss masm a mchallengem andmanm opportunitymformgrowth.

KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Assessmentm |mClient m Need:
Psychosocialm Integrity

3. Whichmclientm statementm shouldm alertm am nursem thatm am clientm maym bemrespondingm maladaptivelym tom stress?

A. Ivem foundm thatm avoidingm contactm withm othersm helpsm mem cope.

B. Imreallymenjoymjournaling;mitsm mymprivatemtime.

C. Imsignedmupmformamyogamclassmthis mweek.

D. Immademanmappointmentmtommeetmwithmamtherapist.

ANS:mA

Reliancemonmsocialmisolationmasmamcopingmmechanismmismammaladaptivemmethodmtomrelievem stress. mItmcan mpreve
ntmlearningmappropriatemcopingmskillsmandmcanmpreventmaccessmtomneededm supportmsystems.
NURSINGTB.COM

, PSYCHIATRIC mMENTALmHEALTH mNURSINGm9TH mEDITIONmTOWNSENDm TESTmBA
NK
3
Test mBank m-mPsychiatric mMentalmHealthmNursing mby mMary mTownsend m(9thmEdition, m2017)

KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClient m Need:
Psychosocialm Integrity

4. Amnursingmstudentmfindsmthatmshemcomesmdownmwithmamsinusminfectionmtowardmthe mendmofmeverym semester. mWh
enm thismoccurs, mwhichmstagemofmstressmismthemstudentmmostmlikelym experiencing?

A. Alarmm reactionm stage

B. Stagemofmresistance

C. Stagemofmexhaustion

D. Fight-or-flightm stage

ANS:mC

Atmthemstagemofmexhaustion, mthemstudentsmexposuremtomstressmhasmbeenmprolongedmandmadaptivemenergymhasmbee
nm depleted. mDiseasesmofmadaptationmoccurmmoremfrequentlyminmthismstage.

KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Assessmentm |mClient m Need:
Psychosocialm Integrity

5. Amschoolmnursemismassessingmamfemalemhighm schoolmstudentmwhomismoverlymconcernedmaboutmhermappearance. mT
hem clientsm mother m states, m Thatsm notm somethingm tom bem stressedm about!m Whichm ism them mostm appropriatem nursin
gmresponse?

A. Teenagers!m Theym dontm knowm am thingm aboutmrealmstress.

B. Stressmoccursmonlymwhenmtheremism amloss.

C. Whenm youm arem inm poorm physicalm condition, m yN
oU
umRcaSnI N
tm eGxTpBer.CieOncMem psychologicalm well-being.

D. Stressmcanm bem psychological. m Amthreatm tom self-esteemm maymresultm inm highm stressmlevels.

ANS:mD

Stressmcanmbemphysicalmormpsychologicalminmnature. mAmperceivedmthreatmtomself-
esteemmcanmbemasmstressfulmasmamphysiologicalmchange.

KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:m Nursingm Process:m Implementationm |mClient m Need:
Psychosocialm Integrity

6. Ambrightmstudentmconfidesminmthemschoolmnursemaboutmconflictsmrelatedmtomattendingmcollegemormworkingmtomad
dm neededmfinancialmsupportmtomthemfamily. mWhichmcopingmstrategymismmostmappropriatemformthemnursemtomrecom
mendm tomthemstudentmatmthismtime?

A. Meditation

B. Problem-solvingm training

C. Relaxation

D. Journaling

ANS:mB

Themstudentmmustmassessmhismormhermsituationm andmdeterminemthembestmcoursemofmaction. mProblem-
solvingmtraining, m bymprovidingmstructuremandmobjectivity, mcanmassistminmdecisionmmaking.

KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Implementationm |mClient m Need:
Psychosocialm Integrity




NURSINGTB.COM

, PSYCHIATRIC mMENTALmHEALTH mNURSINGm9TH mEDITIONmTOWNSENDm TESTmBA
NK
4
Test mBank m-mPsychiatric mMentalmHealthmNursing mby mMary mTownsend m(9thmEdition, m2017)


7. Anmunemployedmcollegemgraduatemismexperiencingmseveremanxietymovermnotmfindingmamteachingmpositionm andmh
asm difficultym withm independentm problem-
solving. m Duringm am routinem physicalm examination, m them graduatem confidesm inmthemclinicmnurse. mWhichmismthemmo
stmappropriatemnursingmintervention?

A. Encouragem them studentm tom usem them alternativem copingm mechanismm ofm relaxationm exercises.

B. Completem them problem-solvingm processm form them client.

C. Workm throughm them problem-solvingm processm withm them client.

D. Encouragemthemclientmtomkeepmamjournal.

ANS:mC

Duringmtimesmofmhighmanxietymandmstress, mclientsmwillmneedmmoremassistance minmproblem-
solvingmandmdecisionmmaking.

KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Implementationm |mClient m Need:
Psychosocialm Integrity

8. Amschoolmnursemismassessingmamdistraughtmfemalemhighm schoolm studentmwhomis moverlymconcernedmbecausemh
erm parentsmcantmaffordmhorsebackmridingmlessons. mHowmshouldmthemnurseminterpretmthemstudentsmreactionmtomh
ermperceivedmproblem?

A. Them problemm ism endangeringm herm well-being.

B. Them problemm ism personallym relevantm tom her.

C. Themproblemmismbasedmonm immaturity.

D. Them problemm ism exceedingm herm capacitym tom cN
opUeR. mSINGTB.COM

ANS:mB

Psychologicalm stressorsm tom self-esteemm andm self-
imagem arem relatedm tom howm them individualm perceivesm them situationmormevent. mSelf-
imagemismofmparticular mimportancemtomadolescents, mwhomfeelmentitledmtomhavemallmthemadvantagesmthatmothermadole
scentsmexperience.

KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClient m Need:
Psychosocialm Integrity

9. Meditationmhasmbeenmshownmtombemanmeffectivemstressmmanagementmtechnique. mWhenmmeditationmism effectiv
e, mwhatmshouldmamnursemexpectmtomassess?

A. Anmachievedmstatemofmrelaxation

B. Anm achievedm insightm intom onesm feelings

C. Am demonstrationm ofm appropriatem rolem behaviors

D. Anm enhancedm abilitym tom problem-solve

ANS:mA

Meditationm producesm relaxationm bym creatingm am specialm statem ofm consciousnessm throughm focusedm concentration.

KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClient m Need:
Psychosocialm Integrity

10. Amdistraught, msingle, mfirst-
timemmothermcriesmandmasksmamnurse, mHowmcanmImgomtomworkmifmImcantmaffordmchildcare?mWhatmismthemnu
rsesminitialmactionminmassistingmthemclientmwithmthemproblem-solvingmprocess?

NURSINGTB.COM

, PSYCHIATRIC mMENTALmHEALTH mNURSINGm9TH mEDITIONmTOWNSENDm TESTmBA
NK
5
Test mBank m-mPsychiatric mMentalmHealthmNursing mby mMary mTownsend m(9thmEdition, m2017)

A. Determinemthem risksm andm benefitsm formeachm alternative.

B. Formulatem goalsm form resolutionm ofm them problem.

C. Evaluatem them outcomem ofm them implementedm alternative.

D. Assessmthemfactsmofmthe msituation.

ANS:mD

Beforem anym otherm stepsm canm bem taken, m accuratem informationm aboutm them situationm mustm bem gatheredm andm assessed.

KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Implementationm |mClient m Need:
Psychosocialm Integrity

11. Amnursingminstructor mismaskingmstudentsmaboutmdiseasesmofmadaptationmandmwhenmtheymaremlikelymtomocc
ur. mWhichmstudentmresponsemindicatesmthatmlearningmhasmoccurred?

A. Whenm anm individualm hasm limitedm experiencem dealingm withm stress

B. Whenm anm individualm inheritsm maladaptivem genes

C. Whenm anm individualm experiencesm existingm conditionsm thatm exacerbatem stress

D. Whenm anm individualsm physiologicalm andm psychologicalm resourcesm havem becomem depleted

ANS:mD

Duringmthemstagemofmexhaustionmofmthemgeneralmadaptationmsyndrome, mthemindividualmlosesmthemcapacitymtomadaptm e
ffectivelym becausem physiologicalm andm psychological m resourcesm havem become m depleted. m This m is m the m timem when
diseasesm ofm adaptationm maym occur NURSINGTB.COM
.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClient m Need:
Healthm Promotionm andm Maintenance

12. Whenmanmindividualsmstressmresponsemismsustainedmovermamlongmperiodmofmtime, mwhichmphysiologicalmeffectm
ofmthemendocrinemsystemmshouldmamnursemanticipate?

A. Decreasedm resistancem tom disease

B. Increasedm libido

C. Decreasedm bloodm pressure

D. Increasedm inflammatorym response

ANS:mA

Inmamgeneralmadaptationmsyndrome, mprolongedmexposuremtomstressmleadsmtomthemstage mofmexhaustionm atmwhichmt
imem thembodysmcompensatorymmechanismsmnomlongermfunctionmeffectivelymandmdiseases mofmadaptationmoccur.
mAmdecreasedmimmunemresponsemismseenmatmthis mstage.



KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Assessmentm |mClient m Need:
Physiologicalm Integrity

13. Whichm symptomm shouldm am nursem identifym asm typicalm ofm them fight-or-flightm response?

A. Pupilm constriction

B. Increasedm heartm rate





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