TEST BANK FORDAVIS ADVANTAGE FOR
PSYCHIATRIC MENTAL HEALTH
NURSING, 10TH EDITION, KARYN I.
MORGAN, MARY C. TOWNSEND,
ISBN-13:
9780803699670
TEST BANK
,Med C
,Chapter 01. The Concept of Stress Adaptation
Townsend: Psychiatric Mental Health Nursing 10th Edition
MULTIPLE CHOICE
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should
the nurse evaluate this client data?
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
stress-related illness.
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
coping resources and available supports.
D. The client may view these losses as challenges and perceive them as opportunities.
ANS: C
The Recent Life Changes 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 clients life. However, positive coping mechanisms and strong social support
can limit susceptibility to stress-related illnesses.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the
nurse characterize the clients appraisal of the job loss stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D
The client perceives the situation of job loss as a challenge and an opportunity for growth.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
A. Ive found that avoiding contact with others helps me cope.
B. I really enjoy journaling; its my private time.
C. I signed up for a yoga class this week.
D. I made an appointment to meet with a therapist.
ANS: A
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 system
, KEY: LCognitive LLevel: LApplication L | LIntegrated LProcesses: LNursing LProcess: LEvaluation L | LClient LNeed:
Psychosocial LIntegrity
4. A Lnursing Lstudent Lfinds Lthat Lshe Lcomes Ldown Lwith La Lsinus Linfection Ltoward Lthe Lend Lof Levery
Lsemester. LWhen Lthis L occurs, L which L stage L of L stress L is Lthe L student L most L likely
L experiencing?
A. Alarm Lreaction Lstage
B. Stage Lof Lresistance
C. Stage Lof Lexhaustion
D. Fight-or-flight Lstage
ANS: L C
At Lthe Lstage Lof Lexhaustion, Lthe Lstudents Lexposure Lto Lstress Lhas Lbeen Lprolonged Land Ladaptive
Lenergy Lhas Lbeen Ldepleted. L Diseases L of L adaptation L occur L more L frequently L in L this L stage.
KEY: LCognitive LLevel: LApplication L | LIntegrated LProcesses: LNursing LProcess: LAssessment L | LClient LNeed:
Psychosocial LIntegrity
5. A Lschool Lnurse Lis Lassessing La Lfemale Lhigh Lschool Lstudent Lwho Lis Loverly Lconcerned Labout Lher
Lappearance. LThe Lclients L mother L states, L Thats L not L something L to L be L stressed L about! L Which
L is L the L most L appropriate L nursing Lresponse?
A. Teenagers! LThey Ldont Lknow La Lthing L about Lreal Lstress.
B. Stress Loccurs Lonly Lwhen Lthere Lis La Lloss.
C. When Lyou Lare Lin Lpoor Lphysical Lcondition, Lyou Lcant Lexperience L psychological Lwell-being.
D. Stress Lcan Lbe Lpsychological. LA Lthreat Lto Lself-esteem Lmay Lresult Lin Lhigh Lstress Llevels.
ANS: L D
Stress Lcan Lbe Lphysical Lor Lpsychological Lin Lnature. LA Lperceived Lthreat Lto Lself-esteem Lcan Lbe Las
Lstressful Las La Lphysiological Lchange.
KEY: LCognitive LLevel: LApplication L | LIntegrated LProcesses: LNursing LProcess: LImplementation L | LClient LNeed:
Psychosocial LIntegrity
6. A Lbright Lstudent Lconfides Lin Lthe Lschool Lnurse Labout Lconflicts Lrelated Lto Lattending Lcollege Lor
Lworking Lto Ladd Lneeded Lfinancial Lsupport Lto Lthe Lfamily. LWhich Lcoping Lstrategy Lis Lmost
Lappropriate Lfor Lthe Lnurse Lto Lrecommend L to Lthe Lstudent Lat Lthis Ltime?
A. Meditation
B. Problem-solving Ltraining
C. Relaxation
D. Journaling
ANS: L B
The Lstudent Lmust Lassess Lhis Lor Lher Lsituation Land Ldetermine Lthe Lbest Lcourse Lof Laction. LProblem-
solving Ltraining, Lby L providing L structure L and L objectivity, L can Lassist L in L decision L making.
KEY: LCognitive LLevel: LApplication L | LIntegrated L Processes: LNursing LProcess: LImplementation L | LClient LNeed:
Psychosocial LIntegrity
PSYCHIATRIC MENTAL HEALTH
NURSING, 10TH EDITION, KARYN I.
MORGAN, MARY C. TOWNSEND,
ISBN-13:
9780803699670
TEST BANK
,Med C
,Chapter 01. The Concept of Stress Adaptation
Townsend: Psychiatric Mental Health Nursing 10th Edition
MULTIPLE CHOICE
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should
the nurse evaluate this client data?
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
stress-related illness.
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
coping resources and available supports.
D. The client may view these losses as challenges and perceive them as opportunities.
ANS: C
The Recent Life Changes 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 clients life. However, positive coping mechanisms and strong social support
can limit susceptibility to stress-related illnesses.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the
nurse characterize the clients appraisal of the job loss stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D
The client perceives the situation of job loss as a challenge and an opportunity for growth.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
A. Ive found that avoiding contact with others helps me cope.
B. I really enjoy journaling; its my private time.
C. I signed up for a yoga class this week.
D. I made an appointment to meet with a therapist.
ANS: A
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 system
, KEY: LCognitive LLevel: LApplication L | LIntegrated LProcesses: LNursing LProcess: LEvaluation L | LClient LNeed:
Psychosocial LIntegrity
4. A Lnursing Lstudent Lfinds Lthat Lshe Lcomes Ldown Lwith La Lsinus Linfection Ltoward Lthe Lend Lof Levery
Lsemester. LWhen Lthis L occurs, L which L stage L of L stress L is Lthe L student L most L likely
L experiencing?
A. Alarm Lreaction Lstage
B. Stage Lof Lresistance
C. Stage Lof Lexhaustion
D. Fight-or-flight Lstage
ANS: L C
At Lthe Lstage Lof Lexhaustion, Lthe Lstudents Lexposure Lto Lstress Lhas Lbeen Lprolonged Land Ladaptive
Lenergy Lhas Lbeen Ldepleted. L Diseases L of L adaptation L occur L more L frequently L in L this L stage.
KEY: LCognitive LLevel: LApplication L | LIntegrated LProcesses: LNursing LProcess: LAssessment L | LClient LNeed:
Psychosocial LIntegrity
5. A Lschool Lnurse Lis Lassessing La Lfemale Lhigh Lschool Lstudent Lwho Lis Loverly Lconcerned Labout Lher
Lappearance. LThe Lclients L mother L states, L Thats L not L something L to L be L stressed L about! L Which
L is L the L most L appropriate L nursing Lresponse?
A. Teenagers! LThey Ldont Lknow La Lthing L about Lreal Lstress.
B. Stress Loccurs Lonly Lwhen Lthere Lis La Lloss.
C. When Lyou Lare Lin Lpoor Lphysical Lcondition, Lyou Lcant Lexperience L psychological Lwell-being.
D. Stress Lcan Lbe Lpsychological. LA Lthreat Lto Lself-esteem Lmay Lresult Lin Lhigh Lstress Llevels.
ANS: L D
Stress Lcan Lbe Lphysical Lor Lpsychological Lin Lnature. LA Lperceived Lthreat Lto Lself-esteem Lcan Lbe Las
Lstressful Las La Lphysiological Lchange.
KEY: LCognitive LLevel: LApplication L | LIntegrated LProcesses: LNursing LProcess: LImplementation L | LClient LNeed:
Psychosocial LIntegrity
6. A Lbright Lstudent Lconfides Lin Lthe Lschool Lnurse Labout Lconflicts Lrelated Lto Lattending Lcollege Lor
Lworking Lto Ladd Lneeded Lfinancial Lsupport Lto Lthe Lfamily. LWhich Lcoping Lstrategy Lis Lmost
Lappropriate Lfor Lthe Lnurse Lto Lrecommend L to Lthe Lstudent Lat Lthis Ltime?
A. Meditation
B. Problem-solving Ltraining
C. Relaxation
D. Journaling
ANS: L B
The Lstudent Lmust Lassess Lhis Lor Lher Lsituation Land Ldetermine Lthe Lbest Lcourse Lof Laction. LProblem-
solving Ltraining, Lby L providing L structure L and L objectivity, L can Lassist L in L decision L making.
KEY: LCognitive LLevel: LApplication L | LIntegrated L Processes: LNursing LProcess: LImplementation L | LClient LNeed:
Psychosocial LIntegrity
