Test Bank for Davis Advantage for Townsend's Psychiatric
Mental Health Nursing, 11th Edition by Morgan
,Chapter 01. The Concept of Stress Adaptation
MULTIPLE CHOICE
1. A client recently lost a close family member and also lost their job. They scored 110 on the Recent
Life Changes Questionnaire over a six-month period. How should the nurse interpret this score?
A. The client is under intense stress and may develop mental or physical health issues.
B. A score of 110 on the Miller and Rahe scale suggests no major risk for stress-related health
problems.
C. It's difficult to determine the client's risk for illness without considering their coping abilities and
support system.
D. The client might interpret these events as personal growth opportunities.
Answer: C
A score under 300 on the scale does not necessarily indicate high risk. Coping skills and support
systems are important factors in assessing vulnerability to illness.
2. A healthy client tells the nurse during a check-up that losing his job might be a blessing in disguise
and he's thinking of studying art. How should the nurse interpret this reaction?
A. It's not relevant.
B. It's seen as a loss.
C. It's a threat.
D. It's viewed as a challenge.
Answer: D
The client is framing the experience positively, indicating a growth mindset.
3. Which of the following client statements indicates poor coping with stress?
A. “Avoiding people helps me manage stress better.”
B. “I use journaling as a personal outlet.”
C. “I started attending a yoga class.”
D. “I scheduled a session with a counselor.”
,Answer: A
Withdrawing socially can be maladaptive and may limit emotional support and healthy coping.
4. A nursing student consistently gets sinus infections near the end of each semester. This most likely
indicates which stage of stress?
A. Initial alarm stage
B. Resistance stage
C. Exhaustion stage
D. Fight-or-flight stage
Answer: C
This stage occurs when the body is worn out from prolonged stress exposure, often leading to illness.
5. A student expresses excessive concern over her looks, and her mother dismisses her stress. What
should the nurse say?
A. “Teenagers are overly dramatic.”
B. “Only losses cause stress.”
C. “You can't feel good mentally if you're unhealthy physically.”
D. “Psychological stress like threats to self-worth can be very impactful.”
Answer: D
Stress includes emotional factors, and threats to self-image can be highly stressful, especially for teens.
6. A bright student feels torn between going to college and working to support the family. Which
coping technique should the nurse suggest?
A. Meditation
B. Problem-solving strategies
C. Relaxation methods
D. Keeping a journal
Answer: B
Structured problem-solving helps the student assess options and make informed choices.
, 7. A recent graduate is very anxious over not finding a job and struggles with making decisions. What
should the nurse do?
A. Recommend relaxation exercises instead.
B. Make the decisions for the client.
C. Assist the client in going through problem-solving steps.
D. Suggest journaling.
Answer: C
During overwhelming stress, guidance in problem-solving can help the client regain control.
8. A high school girl is upset that her family can't afford horseback riding lessons. How should the
nurse interpret her distress?
A. Her well-being is at risk.
B. She sees this issue as personally important.
C. She’s acting immaturely.
D. She’s overwhelmed by this situation.
Answer: B
Adolescents may experience high stress from events that impact their self-image or identity.
9. When meditation is working effectively, what result should the nurse expect?
A. The client feels physically relaxed.
B. The client understands their emotions better.
C. The client behaves more appropriately in roles.
D. The client makes better decisions.
Answer: A
The main benefit of meditation is achieving a state of relaxation and calm.
Mental Health Nursing, 11th Edition by Morgan
,Chapter 01. The Concept of Stress Adaptation
MULTIPLE CHOICE
1. A client recently lost a close family member and also lost their job. They scored 110 on the Recent
Life Changes Questionnaire over a six-month period. How should the nurse interpret this score?
A. The client is under intense stress and may develop mental or physical health issues.
B. A score of 110 on the Miller and Rahe scale suggests no major risk for stress-related health
problems.
C. It's difficult to determine the client's risk for illness without considering their coping abilities and
support system.
D. The client might interpret these events as personal growth opportunities.
Answer: C
A score under 300 on the scale does not necessarily indicate high risk. Coping skills and support
systems are important factors in assessing vulnerability to illness.
2. A healthy client tells the nurse during a check-up that losing his job might be a blessing in disguise
and he's thinking of studying art. How should the nurse interpret this reaction?
A. It's not relevant.
B. It's seen as a loss.
C. It's a threat.
D. It's viewed as a challenge.
Answer: D
The client is framing the experience positively, indicating a growth mindset.
3. Which of the following client statements indicates poor coping with stress?
A. “Avoiding people helps me manage stress better.”
B. “I use journaling as a personal outlet.”
C. “I started attending a yoga class.”
D. “I scheduled a session with a counselor.”
,Answer: A
Withdrawing socially can be maladaptive and may limit emotional support and healthy coping.
4. A nursing student consistently gets sinus infections near the end of each semester. This most likely
indicates which stage of stress?
A. Initial alarm stage
B. Resistance stage
C. Exhaustion stage
D. Fight-or-flight stage
Answer: C
This stage occurs when the body is worn out from prolonged stress exposure, often leading to illness.
5. A student expresses excessive concern over her looks, and her mother dismisses her stress. What
should the nurse say?
A. “Teenagers are overly dramatic.”
B. “Only losses cause stress.”
C. “You can't feel good mentally if you're unhealthy physically.”
D. “Psychological stress like threats to self-worth can be very impactful.”
Answer: D
Stress includes emotional factors, and threats to self-image can be highly stressful, especially for teens.
6. A bright student feels torn between going to college and working to support the family. Which
coping technique should the nurse suggest?
A. Meditation
B. Problem-solving strategies
C. Relaxation methods
D. Keeping a journal
Answer: B
Structured problem-solving helps the student assess options and make informed choices.
, 7. A recent graduate is very anxious over not finding a job and struggles with making decisions. What
should the nurse do?
A. Recommend relaxation exercises instead.
B. Make the decisions for the client.
C. Assist the client in going through problem-solving steps.
D. Suggest journaling.
Answer: C
During overwhelming stress, guidance in problem-solving can help the client regain control.
8. A high school girl is upset that her family can't afford horseback riding lessons. How should the
nurse interpret her distress?
A. Her well-being is at risk.
B. She sees this issue as personally important.
C. She’s acting immaturely.
D. She’s overwhelmed by this situation.
Answer: B
Adolescents may experience high stress from events that impact their self-image or identity.
9. When meditation is working effectively, what result should the nurse expect?
A. The client feels physically relaxed.
B. The client understands their emotions better.
C. The client behaves more appropriately in roles.
D. The client makes better decisions.
Answer: A
The main benefit of meditation is achieving a state of relaxation and calm.
