, 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
Добре дошли в моята Stuvia къща, където отличността
the nurse evaluate this client data?
се среща с удобството в пътя ви към академичен успех.
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
B.Аз сеofспециализирам
A score 110 on the Miller and Rahe Recent в предоставянето на no significant threat of
Life Changes Questionnaire indicates
stress-related illness.
висококачествени тестови банки, които са внимателно
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
изработени,
coping за да
resources and available ви помогнат да успеете във вашите
supports.
D.изпити.
The client mayВсяка
view these тестова банка
losses as challenges е всеобхватна,
and perceive them as opportunities. обхващаща
всички
ANS: C ключови теми с детайлни обяснения, въпроси с
множество
The Recent Life Changes избор и практически
Questionnaire is an expanded version of сценарии, които
the Schedule of Recent Experiences and the
отразяват
Rahe-Holmes Social реалните
Readjustment Ratingусловия
Scale. A 6-monthна изпита.
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
Защо
can да изберете
limit susceptibility to stress-relatedмоите
illnesses. тестови банки? Те са черпени
от Cognitive
KEY: надеждни материали,
Level: Application редовно
| Integrated Processes: Nursingактуализирани, за да
Process: Evaluation | Client Need:
отразяват най-новите промени в учебните програми, и
Psychosocial Integrity
са създадени от експерти в областта. Дали се учите за
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
медицинска
nurse сестра,
characterize the clients appraisal ofбизнес, инженерство или друга
the job loss stressor?
A.дисциплина,
Irrelevant ще намерите персонализирани ресурси,
B.които
Harm/lossповишават увереността и резултатите ви.
C.Не се задоволявайте с посредствени учебни помагала.
Threatening
D.Инвестирайте
Challenging в качество, което носи резултати.
Разгледайте колекцията ми днес и направете първата
ANS: D
стъпка към академичен триумф. С незабавни сваляния
The client perceives the situation of job loss as a challenge and an opportunity for growth.
и достъпни цени, подготовката за изпитите никога не е
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
била по-лесна.
Psychosocial Integrity (148 думи)
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.
Med C
, KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When
this occurs, which stage of stress is the student most likely experiencing?
A. Alarm reaction stage
B. Stage of resistance
C. Stage of exhaustion
D. Fight-or-flight stage
ANS: C
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
depleted. Diseases of adaptation occur more frequently in this stage.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
response?
A. Teenagers! They dont know a thing about real stress.
B. Stress occurs only when there is a loss.
C. When you are in poor physical condition, you cant experience psychological well-being.
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
ANS: D
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
physiological change.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
Psychosocial Integrity
6. A bright student confides in the school nurse about conflicts related to attending college or working to add
needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend
to the student at this time?
A. Meditation
B. Problem-solving training
C. Relaxation
D. Journaling
ANS: B
The student must assess his or her situation and determine the best course of action. Problem-solving training,
by providing structure and objectivity, can assist in decision making.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
Psychosocial Integrity
Med C