______
Test Bank Complete_
Davis Advantage For Townsend's Psychiatric Mental Health Nursing 11th Edition, (2023)
By Karyn I. Morgan
All Chapters 1-41| 5 Units| Latest With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,UNIT I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING -----------------------------------------------------------
Chapter 1. The Concept Of Stress Adaptation ------------------------------------------------------------------------------------------------------
Chapter 2. Mental Health And Mental Illness: Historical And Theoretical Concepts------------------------------------------------------
UNIT II. FOUNDATIONS FOR PSYCHIATRIC MENTAL HEALTH NURSING ----------------------------------------------------------
Chapter 3. Concepts Of Psychobiology ---------------------------------------------------------------------------------------------------------------
Chapter 4. Psychopharmacology --------------------------------------------------------------------------------------------------------------------- 1
Chapter 5. Ethical And Legal Issues ------------------------------------------------------------------------------------------------------------------ 1
UNIT III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE---------------------------------------------------------- 2
Chapter 6. Relationship Development -------------------------------------------------------------------------------------------------------------- 2
Chapter 7. Therapeutic Communication------------------------------------------------------------------------------------------------------------ 2
Chapter 8. The Nursing Process In Psychiatric-Mental Health Nursing --------------------------------------------------------------------- 3
Chapter 9. Therapeutic Groups ----------------------------------------------------------------------------------------------------------------------- 3
Chapter 10. Intervention With Families------------------------------------------------------------------------------------------------------------ 4
Chapter 11. Psychosocial Interventions and Spiritual Care ----------------------------------------------------------------------------------- 4
Chapter 12. Crisis Intervention ----------------------------------------------------------------------------------------------------------------------- 4
Chapter 13. Assertiveness Training ------------------------------------------------------------------------------------------------------------------ 5
Chapter 14. Promoting Self-Esteem ----------------------------------------------------------------------------------------------------------------- 5
Chapter 15. Anger And Aggression Management ------------------------------------------------------------------------------------------------ 5
Chapter 16. Suicide Prevention ----------------------------------------------------------------------------------------------------------------------- 6
Chapter 17. Behavior Therapy ------------------------------------------------------------------------------------------------------------------------ 6
Chapter 18. Cognitive Behavior Therapy ----------------------------------------------------------------------------------------------------------- 7
Chapter 19. Electroconvulsive Therapy ------------------------------------------------------------------------------------------------------------- 7
Chapter 20. The Recovery Model -------------------------------------------------------------------------------------------------------------------- 7
UNIT IV. NURSING CARE OF CLIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION------------------------------- 8
Chapter 21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
------------------- 8
Chapter 22. Neurocognitive Disorders -------------------------------------------------------------------------------------------------------------- 8
Chapter 23. Substance-Related And Addictive Disorders -------------------------------------------------------------------------------------- 8
Chapter 24. Schizophrenia Spectrum And Other Psychotic Disorders ---------------------------------------------------------------------- 9
Chapter 25. Depressive Disorders ------------------------------------------------------------------------------------------------------------------- 10
Chapter 26. Bipolar And Related Disorders ------------------------------------------------------------------------------------------------------- 10
Chapter 27. Anxiety, Obsessive-Compulsive, And Related Disorders ---------------------------------------------------------------------- 11
Chapter 28. Trauma- And Stressor-Related Disorders ----------------------------------------------------------------------------------------- 11
Chapter 29. Somatic Symptom And Dissociative Disorders ---------------------------------------------------------------------------------- 12
Chapter 30. Eating Disorders ------------------------------------------------------------------------------------------------------------------------- 12
Chapter 31. Personality Disorders ------------------------------------------------------------------------------------------------------------------ 13
UNIT V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS ---------------------------------------------- 13
,Chapter 32. Children And Adolescents ------------------------------------------------------------------------------------------------------------ 13
Chapter 33. The Aging Individual-------------------------------------------------------------------------------------------------------------------- 14
Chapter 34. Survivors Of Abuse Or Neglect ------------------------------------------------------------------------------------------------------ 14
Chapter 35. Community Mental Health Nursing ------------------------------------------------------------------------------------------------ 15
Chapter 36. The Bereaved Individual -------------------------------------------------------------------------------------------------------------- 15
Chapter 37. Military Families ------------------------------------------------------------------------------------------------------------------------ 16
Chapter 38. Theoretical Models Of Personality Development ------------------------------------------------------------------------------ 16
Chapter 39. Cultural And Spiritual Concepts Relevant To Psychiatric-Mental Health Nursing -------------------------------------- 17
Chapter 40. Complementary Therapies and Integrative Health ---------------------------------------------------------------------------- 17
Chapter 42. Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunctions -------------------------------------------------------- 17
,UNIT I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
Chapter 1. The Concept Of Stress Adaptation
Karyn I. Morgan: Davis Advantage For Townsend's Psychiatric Mental Health Nursing 11th Edition, (2023) Test Bank
MULTIPLE CHOICE
1. A Client Has Experienced The Death Of A Close Family Member And At The Same Time
becomes Unemployed. The Client’s 6-Month Score On The Recent Life Changes
Questionnaire Is 110. The Nurse:
1. Understands The Client Is At Risk For Significant Stress-Related Illness.
2. Determines The Client Is Not At Risk For Significant Stress-Related Illness.
3. Needs Further Assessment Of The Client’s Coping Skills To Determine Susceptibility To
stress-Related Illness.
4. Recognizes The Client May View The Losses As Challenges And Perceive Them As opportunities.
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: Evaluation
client 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
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 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
1. Irrelevant
2. Harm or loss
3. Threatening
4. A Challenge
ANS: 4
Chapter: Chapter 1, The Concept Of Stress Adaptation
Objective: Discuss Adaptive Coping Strategies In The Management Of Stress.Page:
7Heading: 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 Maladaptively responding To Stress?
1. “Avoiding Contact With Others Helps Me Cope.”
2. “I Really Enjoy Journaling; It’s My Private Time.”
3. “I Signed Up For A Yoga Class This Week.”
4. “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:
8Heading: 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?
1. Alarm Reaction
2. Resistance
3. Exhaustion
4. 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
5. A School Nurse Is Assessing A High School Student Who Is Overly Concerned About Her
appearance. The Client’s Parent States, “That’s Not Something To Be Stressed About!” Which
Response By The Nurse Is Best?
1. “Teenagers Don’t Truly Understand Stress.”
2. “Why Are You So Concerned About Your Appearance?”
3. “You Surely Know That Isn’t Something To Be Concerned With.”
4. “I Understand You Feel Stressed About This; Tell Me More About Your Stress.”
ANS: 4
Chapter: Chapter 1, The Concept Of Stress Adaptation
Objective: Describe The Core Concept Of Stress As An Environmental Event.Page: 8
Heading: Stress As A Transaction Between The Individual And The Environment integrated
Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept:
Stress Difficulty: Moderate
Feedback
1. This Is Incorrect. This Response Is Judgmental And Nontherapeutic. This Response
Minimizes The Student’s Concerns.
2. This Is Incorrect. This Response Puts The Student In A Defensive Position To Justify
Her Feelings. It Is Nontherapeutic.
3. This Is Incorrect. This Is A Nontherapeutic Response That Minimizes The Student’s
, Feelings. This Does Not Allow The Student To Verbalize Her Concerns.
4. This Is Correct. Determination Of An Event As Stressful Depends On The
Individual’s Cognitive Appraisal Of The Situation, Which Is An Individual’s
Evaluation Of The Personal Significance Of The Event Or Occurrence. Stress Can Be
Physical Or Psychological In Nature. A Perceived Threat To Self-Esteem Can Be As
Stressful As A Physiological Change. This Response Recognizes The Situation And
Helps To Explore Thesituation.
CON: Stress
6. An Unemployed College Graduate Confides In The Clinic Nurse That She Is Experiencing
severe Anxiety Over Not Finding A Teaching Position And That She Is Having Difficulty With
independent Problem-Solving. Which Nursing Intervention Is Best?
1. Encourage Her To Seek Counseling From A Therapist.
2. Instruct Her To Listen To Her Favorite Music Daily.
3. Assist Her With The Problem-Solving Process.
4. Encourage Her To Keep A Daily Journal Of Feelings.
ANS: 3
Chapter: Chapter 1, The Concept Of Stress Adaptation
Objective: Discuss Adaptive Coping Strategies In The Management Of Stress.Page: 8
Heading: Stress Management> Adaptive Coping Strategiesintegrated Processes: Nursing
Process: Implementation Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This Is Incorrect. Counseling Is Not Likely Needed In This Case Due To The
Situational
Nature The Student Is Describing.
2. This Is Incorrect. Listening To Music May Assist With The Stress Symptoms;
However,It
Does Not Address The Underlying Problem.
3. This Is Correct. Assist The Client With Problem-Solving. During Times Of High
Anxiety And Stress, Clients Will Need More Assistance In Problem-Solving And
Decision- Making.
4. This Is Incorrect. A Daily Journal May Assist Her With Managing Her Symptoms
Butdoes
Not Address The Underlying Concern The Client Is Expressing.
CON: Stress
7. A Student Confides In The School Nurse That He Is Feeling Stress About Deciding Whether
to Go To College Or Work To Provide Needed Income For His Family. Which Is The Best
Approach By The Nurse To Assist The Student?
1. Teach The Student Meditation Techniques.
2. Assist The Student With Problem-Solving Strategies.
3. Suggest Relaxation Methods For The Student.
4. Recommend Getting A Pet For The Student.
Test Bank Complete_
Davis Advantage For Townsend's Psychiatric Mental Health Nursing 11th Edition, (2023)
By Karyn I. Morgan
All Chapters 1-41| 5 Units| Latest With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,UNIT I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING -----------------------------------------------------------
Chapter 1. The Concept Of Stress Adaptation ------------------------------------------------------------------------------------------------------
Chapter 2. Mental Health And Mental Illness: Historical And Theoretical Concepts------------------------------------------------------
UNIT II. FOUNDATIONS FOR PSYCHIATRIC MENTAL HEALTH NURSING ----------------------------------------------------------
Chapter 3. Concepts Of Psychobiology ---------------------------------------------------------------------------------------------------------------
Chapter 4. Psychopharmacology --------------------------------------------------------------------------------------------------------------------- 1
Chapter 5. Ethical And Legal Issues ------------------------------------------------------------------------------------------------------------------ 1
UNIT III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE---------------------------------------------------------- 2
Chapter 6. Relationship Development -------------------------------------------------------------------------------------------------------------- 2
Chapter 7. Therapeutic Communication------------------------------------------------------------------------------------------------------------ 2
Chapter 8. The Nursing Process In Psychiatric-Mental Health Nursing --------------------------------------------------------------------- 3
Chapter 9. Therapeutic Groups ----------------------------------------------------------------------------------------------------------------------- 3
Chapter 10. Intervention With Families------------------------------------------------------------------------------------------------------------ 4
Chapter 11. Psychosocial Interventions and Spiritual Care ----------------------------------------------------------------------------------- 4
Chapter 12. Crisis Intervention ----------------------------------------------------------------------------------------------------------------------- 4
Chapter 13. Assertiveness Training ------------------------------------------------------------------------------------------------------------------ 5
Chapter 14. Promoting Self-Esteem ----------------------------------------------------------------------------------------------------------------- 5
Chapter 15. Anger And Aggression Management ------------------------------------------------------------------------------------------------ 5
Chapter 16. Suicide Prevention ----------------------------------------------------------------------------------------------------------------------- 6
Chapter 17. Behavior Therapy ------------------------------------------------------------------------------------------------------------------------ 6
Chapter 18. Cognitive Behavior Therapy ----------------------------------------------------------------------------------------------------------- 7
Chapter 19. Electroconvulsive Therapy ------------------------------------------------------------------------------------------------------------- 7
Chapter 20. The Recovery Model -------------------------------------------------------------------------------------------------------------------- 7
UNIT IV. NURSING CARE OF CLIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION------------------------------- 8
Chapter 21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
------------------- 8
Chapter 22. Neurocognitive Disorders -------------------------------------------------------------------------------------------------------------- 8
Chapter 23. Substance-Related And Addictive Disorders -------------------------------------------------------------------------------------- 8
Chapter 24. Schizophrenia Spectrum And Other Psychotic Disorders ---------------------------------------------------------------------- 9
Chapter 25. Depressive Disorders ------------------------------------------------------------------------------------------------------------------- 10
Chapter 26. Bipolar And Related Disorders ------------------------------------------------------------------------------------------------------- 10
Chapter 27. Anxiety, Obsessive-Compulsive, And Related Disorders ---------------------------------------------------------------------- 11
Chapter 28. Trauma- And Stressor-Related Disorders ----------------------------------------------------------------------------------------- 11
Chapter 29. Somatic Symptom And Dissociative Disorders ---------------------------------------------------------------------------------- 12
Chapter 30. Eating Disorders ------------------------------------------------------------------------------------------------------------------------- 12
Chapter 31. Personality Disorders ------------------------------------------------------------------------------------------------------------------ 13
UNIT V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS ---------------------------------------------- 13
,Chapter 32. Children And Adolescents ------------------------------------------------------------------------------------------------------------ 13
Chapter 33. The Aging Individual-------------------------------------------------------------------------------------------------------------------- 14
Chapter 34. Survivors Of Abuse Or Neglect ------------------------------------------------------------------------------------------------------ 14
Chapter 35. Community Mental Health Nursing ------------------------------------------------------------------------------------------------ 15
Chapter 36. The Bereaved Individual -------------------------------------------------------------------------------------------------------------- 15
Chapter 37. Military Families ------------------------------------------------------------------------------------------------------------------------ 16
Chapter 38. Theoretical Models Of Personality Development ------------------------------------------------------------------------------ 16
Chapter 39. Cultural And Spiritual Concepts Relevant To Psychiatric-Mental Health Nursing -------------------------------------- 17
Chapter 40. Complementary Therapies and Integrative Health ---------------------------------------------------------------------------- 17
Chapter 42. Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunctions -------------------------------------------------------- 17
,UNIT I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
Chapter 1. The Concept Of Stress Adaptation
Karyn I. Morgan: Davis Advantage For Townsend's Psychiatric Mental Health Nursing 11th Edition, (2023) Test Bank
MULTIPLE CHOICE
1. A Client Has Experienced The Death Of A Close Family Member And At The Same Time
becomes Unemployed. The Client’s 6-Month Score On The Recent Life Changes
Questionnaire Is 110. The Nurse:
1. Understands The Client Is At Risk For Significant Stress-Related Illness.
2. Determines The Client Is Not At Risk For Significant Stress-Related Illness.
3. Needs Further Assessment Of The Client’s Coping Skills To Determine Susceptibility To
stress-Related Illness.
4. Recognizes The Client May View The Losses As Challenges And Perceive Them As opportunities.
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: Evaluation
client 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
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 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
1. Irrelevant
2. Harm or loss
3. Threatening
4. A Challenge
ANS: 4
Chapter: Chapter 1, The Concept Of Stress Adaptation
Objective: Discuss Adaptive Coping Strategies In The Management Of Stress.Page:
7Heading: 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 Maladaptively responding To Stress?
1. “Avoiding Contact With Others Helps Me Cope.”
2. “I Really Enjoy Journaling; It’s My Private Time.”
3. “I Signed Up For A Yoga Class This Week.”
4. “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:
8Heading: 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?
1. Alarm Reaction
2. Resistance
3. Exhaustion
4. 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
5. A School Nurse Is Assessing A High School Student Who Is Overly Concerned About Her
appearance. The Client’s Parent States, “That’s Not Something To Be Stressed About!” Which
Response By The Nurse Is Best?
1. “Teenagers Don’t Truly Understand Stress.”
2. “Why Are You So Concerned About Your Appearance?”
3. “You Surely Know That Isn’t Something To Be Concerned With.”
4. “I Understand You Feel Stressed About This; Tell Me More About Your Stress.”
ANS: 4
Chapter: Chapter 1, The Concept Of Stress Adaptation
Objective: Describe The Core Concept Of Stress As An Environmental Event.Page: 8
Heading: Stress As A Transaction Between The Individual And The Environment integrated
Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept:
Stress Difficulty: Moderate
Feedback
1. This Is Incorrect. This Response Is Judgmental And Nontherapeutic. This Response
Minimizes The Student’s Concerns.
2. This Is Incorrect. This Response Puts The Student In A Defensive Position To Justify
Her Feelings. It Is Nontherapeutic.
3. This Is Incorrect. This Is A Nontherapeutic Response That Minimizes The Student’s
, Feelings. This Does Not Allow The Student To Verbalize Her Concerns.
4. This Is Correct. Determination Of An Event As Stressful Depends On The
Individual’s Cognitive Appraisal Of The Situation, Which Is An Individual’s
Evaluation Of The Personal Significance Of The Event Or Occurrence. Stress Can Be
Physical Or Psychological In Nature. A Perceived Threat To Self-Esteem Can Be As
Stressful As A Physiological Change. This Response Recognizes The Situation And
Helps To Explore Thesituation.
CON: Stress
6. An Unemployed College Graduate Confides In The Clinic Nurse That She Is Experiencing
severe Anxiety Over Not Finding A Teaching Position And That She Is Having Difficulty With
independent Problem-Solving. Which Nursing Intervention Is Best?
1. Encourage Her To Seek Counseling From A Therapist.
2. Instruct Her To Listen To Her Favorite Music Daily.
3. Assist Her With The Problem-Solving Process.
4. Encourage Her To Keep A Daily Journal Of Feelings.
ANS: 3
Chapter: Chapter 1, The Concept Of Stress Adaptation
Objective: Discuss Adaptive Coping Strategies In The Management Of Stress.Page: 8
Heading: Stress Management> Adaptive Coping Strategiesintegrated Processes: Nursing
Process: Implementation Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This Is Incorrect. Counseling Is Not Likely Needed In This Case Due To The
Situational
Nature The Student Is Describing.
2. This Is Incorrect. Listening To Music May Assist With The Stress Symptoms;
However,It
Does Not Address The Underlying Problem.
3. This Is Correct. Assist The Client With Problem-Solving. During Times Of High
Anxiety And Stress, Clients Will Need More Assistance In Problem-Solving And
Decision- Making.
4. This Is Incorrect. A Daily Journal May Assist Her With Managing Her Symptoms
Butdoes
Not Address The Underlying Concern The Client Is Expressing.
CON: Stress
7. A Student Confides In The School Nurse That He Is Feeling Stress About Deciding Whether
to Go To College Or Work To Provide Needed Income For His Family. Which Is The Best
Approach By The Nurse To Assist The Student?
1. Teach The Student Meditation Techniques.
2. Assist The Student With Problem-Solving Strategies.
3. Suggest Relaxation Methods For The Student.
4. Recommend Getting A Pet For The Student.
