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, Table of Contents
Chapter 01. The Concept of Stress Adaptation
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
Chapter 03. Psychopharmacology
Chapter 04. Concepts of Psychobiology
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
Chapter 07. Relationship Development
Chapter 08. Therapeutic Communication
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
Chapter 10. Therapeutic Groups
Chapter 11. Intervention With Families
Chapter 12. Milieu Therapy - The Therapeutic Community
Chapter 13. Crisis Intervention
Chapter 14. Assertiveness Training
Chapter 15. Promoting Self-Esteem
Chapter 16. Anger/Aggression Management
Chapter 17. The Suicidal Client
Chapter 18. Behavior Therapy
Chapter 19. Cognitive Therapy
Chapter 20. Electroconvulsive Therapy
Chapter 21. The Recovery Model
Chapter 22. Neurocognitive Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 25. Depressive Disorders
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,Chapter 26. Bipolar and Related Disorders
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
Chapter 28: Trauma and Stressor-Related Disorders
Chapter 29. Somatic Symptom and Dissociative Disorders
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
Chapter 31. Eating Disorders
Chapter 32. Personality Disorders
Chapter 33. Children and Adolescents
Chapter 34. The Aging Individual
Chapter 35. Survivors of Abuse or Neglect
Chapter 36. Community Mental Health Nursing
Chapter 37. The Bereaved Individual
Chapter 38. Military Families
Chapter 01. The Concept of Stress Adaptation
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
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, 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 systems.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
4|Page
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mailto:https://www.stuvia.com/en-us/user/techgrades
, Table of Contents
Chapter 01. The Concept of Stress Adaptation
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
Chapter 03. Psychopharmacology
Chapter 04. Concepts of Psychobiology
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
Chapter 07. Relationship Development
Chapter 08. Therapeutic Communication
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
Chapter 10. Therapeutic Groups
Chapter 11. Intervention With Families
Chapter 12. Milieu Therapy - The Therapeutic Community
Chapter 13. Crisis Intervention
Chapter 14. Assertiveness Training
Chapter 15. Promoting Self-Esteem
Chapter 16. Anger/Aggression Management
Chapter 17. The Suicidal Client
Chapter 18. Behavior Therapy
Chapter 19. Cognitive Therapy
Chapter 20. Electroconvulsive Therapy
Chapter 21. The Recovery Model
Chapter 22. Neurocognitive Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 25. Depressive Disorders
2|Page
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,Chapter 26. Bipolar and Related Disorders
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
Chapter 28: Trauma and Stressor-Related Disorders
Chapter 29. Somatic Symptom and Dissociative Disorders
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
Chapter 31. Eating Disorders
Chapter 32. Personality Disorders
Chapter 33. Children and Adolescents
Chapter 34. The Aging Individual
Chapter 35. Survivors of Abuse or Neglect
Chapter 36. Community Mental Health Nursing
Chapter 37. The Bereaved Individual
Chapter 38. Military Families
Chapter 01. The Concept of Stress Adaptation
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
3|Page
mailto:https://www.stuvia.com/en-us/user/techgrades
, 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 systems.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
4|Page
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