Mental Health Exam 1 2025 With
Questions and Answers 100% Pass
Solution Graded A
When an individual's stress response is sustained over a long period, the
nurse anticipates which physiological effect? A.
Decreased resistance to disease B.
Increased libido C.
Decreased blood pressure D.
Increased inflammatory response - ANSWER >>A. Decreased resistance
to
disease
The nurse identifies which symptom as typical of the fight-or-flight
response? A.
Decreased heart rate B.
Increased peristalsis C.
Increased salivation D.
Pupil constriction - ANSWER >>B. Increased
A nurse is peristalsis
assessing a client's response to stress. The nurse concludes that the client
is performing a secondary appraisal of a stressful event when the client
determines: A.
The event is benign. B.
The event is irrelevant. C.
Resources are available. D.
The event is pleasurable. - ANSWER>>C. Resources are available.
Miller and Rahe (1997) identified a correlation between the effects of life
change and illness. This research led to the development of the Recent
Life Changes Question- naire (RLCQ). Which principle most limits the
effectiveness of this tool? A.
,Specific physical and psychological illnesses are not identified. B.
Numerical values associated with specific life events are randomly
assigned. C.
Stress is viewed as a solely physiological response. D.
An individual's personal perception of the event is excluded. -
ANSWER >>D. An individual's personal perception of the event is excluded.
A client tells the nurse, "I experience stress on a regular basis. Why do I
feel this way?" Which is the nurse's most appropriate response? A.
"Genetics has nothing to do with your tem- perament or feelings." B.
"Your reactions to past experiences influence your current feelings." C.
"Your stress level is lower when you are in good physical health." D.
"You'll experience less stress if you use appropriate coping skills." -
ANSWER >>B. "Your reactions to past experiences influence your current
feelings."
A nurse is providing education on anxiety and stress management. Which
of the following should be identified as the most important initial step in
learning how to manage anxiety? A.
Diagnostic blood tests B.
Awareness of factors creating stress C. Relaxation
exercises D.
Identification of support systems - >>B. Awareness of
ANSWERfactors
creating stress
A 32-year-old woman is speaking to the office nurse at an initial visit. The
nurse asked, "What brings you in today?" The woman replied, "I have been
having headaches three to four times a week for the past month or so. I'm
not sleeping well and feel tired most of the time. I work 60 hours per week
and am going through a divorce." The nurse determines the client's
symptoms represent which of the following? A.
Adaptive coping B.
Maladaptive coping C.
Problem-solving D.
, Self-awareness - >>B. Maladaptive coping
ANSWER The emergency
department nurse is providing discharge instructions to a 23- year-old man
who was injured in a motor vehicle crash. The client stated, "My heart was
racing when I saw the car coming through the red light was going to hit me.
I didn't know my heart could go that fast!" Which is the nurse's best
response? A.
"Don't worry, your heart is strong because you are young and in good
health." B.
"Everyone gets scared when they realize another car is going to hit them."
C.
"You had a panic attack when you saw the car that hit you was not going to
stop." D.
"Your body responded to the stress of knowing the car was going to hit
you." - >>D. "Your body responded to the stress of knowing the
ANSWER
car was going to hit you."
The nurse in the intensive care unit (ICU) is giving report to the nurse on
the cardiac step-down unit. The nurse states, "The patient is a 48-year-old
woman admitted 3 days
ago for chest pain and a stent placement. Vital signs are stable, but I am
worried about her stress level. She said she just moved here due to a job
transfer and her husband stayed behind to sell the house. She told me they
have a high insurance deductible and she is worried about the hospital bill."
Which factor has the most significant influence on the client's health? A.
Coping skills B.
Existing conditions C.
Individual vulnerability D.
Perceived threat - >>B. Existing
ANSWERconditions A nurse is interviewing
a distressed client who reports being fired after 15 years of loyal
employment. Which of the following questions best assists the nurse to
determine the client's appraisal of the situation? Select all that apply. A.
"What resources have you used previously in stressful situations?" B.
Questions and Answers 100% Pass
Solution Graded A
When an individual's stress response is sustained over a long period, the
nurse anticipates which physiological effect? A.
Decreased resistance to disease B.
Increased libido C.
Decreased blood pressure D.
Increased inflammatory response - ANSWER >>A. Decreased resistance
to
disease
The nurse identifies which symptom as typical of the fight-or-flight
response? A.
Decreased heart rate B.
Increased peristalsis C.
Increased salivation D.
Pupil constriction - ANSWER >>B. Increased
A nurse is peristalsis
assessing a client's response to stress. The nurse concludes that the client
is performing a secondary appraisal of a stressful event when the client
determines: A.
The event is benign. B.
The event is irrelevant. C.
Resources are available. D.
The event is pleasurable. - ANSWER>>C. Resources are available.
Miller and Rahe (1997) identified a correlation between the effects of life
change and illness. This research led to the development of the Recent
Life Changes Question- naire (RLCQ). Which principle most limits the
effectiveness of this tool? A.
,Specific physical and psychological illnesses are not identified. B.
Numerical values associated with specific life events are randomly
assigned. C.
Stress is viewed as a solely physiological response. D.
An individual's personal perception of the event is excluded. -
ANSWER >>D. An individual's personal perception of the event is excluded.
A client tells the nurse, "I experience stress on a regular basis. Why do I
feel this way?" Which is the nurse's most appropriate response? A.
"Genetics has nothing to do with your tem- perament or feelings." B.
"Your reactions to past experiences influence your current feelings." C.
"Your stress level is lower when you are in good physical health." D.
"You'll experience less stress if you use appropriate coping skills." -
ANSWER >>B. "Your reactions to past experiences influence your current
feelings."
A nurse is providing education on anxiety and stress management. Which
of the following should be identified as the most important initial step in
learning how to manage anxiety? A.
Diagnostic blood tests B.
Awareness of factors creating stress C. Relaxation
exercises D.
Identification of support systems - >>B. Awareness of
ANSWERfactors
creating stress
A 32-year-old woman is speaking to the office nurse at an initial visit. The
nurse asked, "What brings you in today?" The woman replied, "I have been
having headaches three to four times a week for the past month or so. I'm
not sleeping well and feel tired most of the time. I work 60 hours per week
and am going through a divorce." The nurse determines the client's
symptoms represent which of the following? A.
Adaptive coping B.
Maladaptive coping C.
Problem-solving D.
, Self-awareness - >>B. Maladaptive coping
ANSWER The emergency
department nurse is providing discharge instructions to a 23- year-old man
who was injured in a motor vehicle crash. The client stated, "My heart was
racing when I saw the car coming through the red light was going to hit me.
I didn't know my heart could go that fast!" Which is the nurse's best
response? A.
"Don't worry, your heart is strong because you are young and in good
health." B.
"Everyone gets scared when they realize another car is going to hit them."
C.
"You had a panic attack when you saw the car that hit you was not going to
stop." D.
"Your body responded to the stress of knowing the car was going to hit
you." - >>D. "Your body responded to the stress of knowing the
ANSWER
car was going to hit you."
The nurse in the intensive care unit (ICU) is giving report to the nurse on
the cardiac step-down unit. The nurse states, "The patient is a 48-year-old
woman admitted 3 days
ago for chest pain and a stent placement. Vital signs are stable, but I am
worried about her stress level. She said she just moved here due to a job
transfer and her husband stayed behind to sell the house. She told me they
have a high insurance deductible and she is worried about the hospital bill."
Which factor has the most significant influence on the client's health? A.
Coping skills B.
Existing conditions C.
Individual vulnerability D.
Perceived threat - >>B. Existing
ANSWERconditions A nurse is interviewing
a distressed client who reports being fired after 15 years of loyal
employment. Which of the following questions best assists the nurse to
determine the client's appraisal of the situation? Select all that apply. A.
"What resources have you used previously in stressful situations?" B.
