Test Bank For Davis Advantage for Psy
2@ 2@ 2@ 2@ 2@ 2@
chiatric Mental Health Nursing 10thEdi
2@ 2@ 2@ 2@ @
2
tion By Karyn I. Morgan; Mary C. Tow
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nsend
TEST BANK 2 @
,Table of Contents
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I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
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1. The Concept of Stress Adaptation
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2. Mental Health and Mental Illness: Historical and Theoretical Concepts
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
2@ 2@ 2@ 2@
3. Concepts of Psychobiology
2@ 2@
4. Psychopharmacology
5. Ethical and Legal Issues
2@ 2@ 2@
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
2@ 2@ 2@ 2@ 2@
6. Relationship Development 2@
7. Therapeutic Communication 2@
8. The Nursing Process in Psychiatric-Mental Health Nursing
2@ 2@ 2@ 2@ 2@ 2@
9. Therapeutic Groups 2@
10. Intervention with Families 2@ 2@
11. Milieu Therapy—The Therapeutic Community
2@ 2@ 2@
12. Crisis Intervention
2@
13. Assertiveness Training 2@
14. Promoting Self Esteem 2@ 2@
15. Anger and Aggression Management
2@ 2@ 2@
16. Suicide Prevention
2@
17. Behavior Therapy 2@
18. Cognitive Behavioral Therapy
2@ 2@
19. Electroconvulsive Therapy 2@
20. The Recovery Model
2@ 2@
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
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21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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22. Neurocognitive Disorders 2@
23. Substance-Related and Addictive Disorders 2@ 2@ 2@
24. Schizophrenia Spectrum and Other Psychotic Disorders
2@ 2@ 2@ 2@ 2@
25. Depressive Disorders 2@
26. Bipolar and Related Disorders
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27. Anxiety, Obsessive-Compulsive, and Related Disorders
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28. Trauma and Stressor-Related Disorders
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29. Somatic Symptom and Dissociative Disorders
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30. Eating Disorders
2@
31. Personality Disorders 2@
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS 2@ 2@ 2@ 2@ 2@
32. Children and Adolescents
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33. The Aging Individual
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34. Survivors of Abuse or Neglect
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35. Community Mental Health Nursing2@ 2@ 2@
36. The Bereaved Individual
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37. Military Families2@
eBook Bonus Chapters
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38. Theoretical Models of Personality Development
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39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
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40. Complementary and Psychosocial Therapies 2@ 2@ 2@
41. Relaxation Therapy 2@
42. Issues Related to Human Sexuality and Gender Dysphoria
2@ 2@ 2@ 2@ 2@ 2@ 2@
43. Forensic Nursing 2@
,Chapter 1. The Concept of Stress Adaptation
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MULTIPLE CHOICE 2@
1. A client has experienced the death of a close family member and at the same timebecome
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
s unemployed. The client’s 6-
2@ 2@ 2@ 2@
month score on the Recent Life Changes Questionnaire is 110. The nurse: Understands the c
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ @
2 2@ 2@
lient is at risk for significant stress-related illness.
2@ 2@ 2@ 2@ 2@ 2@ 2@
Determines the client is not at risk for significant stress-related illness.
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Needs further assessment of the client’s coping skills to determine susceptibility tostress-
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related illness. 2@
Recognizes the client may view the losses as challenges and perceive them asopportunities.
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ANS: 3 2@
Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
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Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClie
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nt Need: Psychosocial Integrity
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2 2@ 2@
Cognitive Level: Application [Applying]Concept: Str
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ess Difficulty: Moderate
@
2 2@
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2
@should assess the client’s coping skills and available support before determining
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
susceptibility to stress-
2@ 2@ 2@
related physical and psychological illnesses. The Recent LifeChanges Questionnai
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
re is an expanded version of the Schedule of Recent Experiences and the Rahe-
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Holmes Social Readjustment Rating Scale. A 6-
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month score of 300 or more or a year-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
score total of 500 or more indicates high stress in a
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
client’s life and susceptibility to stress-related illnesses.
2@ 2@ 2@ 2@ 2@ 2@
2. This is incorrect. Assessment is the first step in the nursing process. The nurse
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
should assess the client’s coping skills and available support before determining
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
the client’s perception of the current stresses. A 6-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
month score of 300 or more or a year-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
score total of 500 or more on the Recent Life Changes Questionnaire indicates hi
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
gh stress in a
2@ 2@ 2@
client’s life and susceptibility to stress-
2@ 2@ 2@ 2@ 2@
related physical and psychological illnesses.
2@ 2@ 2@ 2@
3. This is correct. Assessment is the first step in the nursing process. The nurse sh
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
ould assess the client’s coping skills and available support before determining su
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
sceptibility to stress-related physical and psychological illnesses. A 6-month score
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
, of 300 or more or a year-
2@ 2@ 2@ 2@ 2@ 2@
score of 500 or more indicates high stress in a client’s lifeand risk for significan
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
t stress-related physical and psychological illness.
2@ 2@ 2@ 2@ 2@
4. This is incorrect. Assessment is the first step in the nursing process. The nurse
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
should assess the client’s coping skills and available support before determining
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
susceptibility to stress-related illness. A 6-month score of 300 or more or a year-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
score of 500 or more on the Recent Life Changes Questionnaire indicates high
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2
@stressin a client’s life is susceptible to significant stress-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
related physical and psychologicalillness.
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CON: Stress 2@
2. A physically and emotionally healthy client has just been fired. During a routine office visi
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t, he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
2@ 2@ @
2 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
consider pursuing an art degree.” The nurse determines the client perceives the stressorof his job loss as:
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Irrelevant H 2@
arm or loss 2@ 2@ 2@
Threatening 2
@A challeng
2@
e
ANS: 4 2@
Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Discuss adaptive coping strategies in the management of stress.Page: 7 H
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2
eading: Stress as a transaction between the individual and the environment
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>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
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2
Assessment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: St
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
ress Difficulty: Easy
@
2 2@
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignif
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icance for the individual.
2@ 2@ 2@
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexpe
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
rienced by the individual.2@ 2@ 2@
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or los
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
ses.
4. This is correct. The client’s statement indicates he perceives the loss of his job
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2
@as a challenge and an opportunity for growth, demonstrated by his statement t
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
o consideran art degree.
2@ 2@ 2@
CON: Stress 2@
2@ 2@ 2@ 2@ 2@ 2@
chiatric Mental Health Nursing 10thEdi
2@ 2@ 2@ 2@ @
2
tion By Karyn I. Morgan; Mary C. Tow
2@ 2@ 2@ 2@ 2@ 2@ 2@
nsend
TEST BANK 2 @
,Table of Contents
2@ 2@
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
2@ 2@ 2@ 2@ 2@
1. The Concept of Stress Adaptation
2@ 2@ 2@ 2@
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
2@ 2@ 2@ 2@
3. Concepts of Psychobiology
2@ 2@
4. Psychopharmacology
5. Ethical and Legal Issues
2@ 2@ 2@
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
2@ 2@ 2@ 2@ 2@
6. Relationship Development 2@
7. Therapeutic Communication 2@
8. The Nursing Process in Psychiatric-Mental Health Nursing
2@ 2@ 2@ 2@ 2@ 2@
9. Therapeutic Groups 2@
10. Intervention with Families 2@ 2@
11. Milieu Therapy—The Therapeutic Community
2@ 2@ 2@
12. Crisis Intervention
2@
13. Assertiveness Training 2@
14. Promoting Self Esteem 2@ 2@
15. Anger and Aggression Management
2@ 2@ 2@
16. Suicide Prevention
2@
17. Behavior Therapy 2@
18. Cognitive Behavioral Therapy
2@ 2@
19. Electroconvulsive Therapy 2@
20. The Recovery Model
2@ 2@
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
22. Neurocognitive Disorders 2@
23. Substance-Related and Addictive Disorders 2@ 2@ 2@
24. Schizophrenia Spectrum and Other Psychotic Disorders
2@ 2@ 2@ 2@ 2@
25. Depressive Disorders 2@
26. Bipolar and Related Disorders
2@ 2@ 2@
27. Anxiety, Obsessive-Compulsive, and Related Disorders
2@ 2@ 2@ 2@
28. Trauma and Stressor-Related Disorders
2@ 2@ 2@
29. Somatic Symptom and Dissociative Disorders
2@ 2@ 2@ 2@
30. Eating Disorders
2@
31. Personality Disorders 2@
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS 2@ 2@ 2@ 2@ 2@
32. Children and Adolescents
2@ 2@
33. The Aging Individual
2@ 2@
34. Survivors of Abuse or Neglect
2@ 2@ 2@ 2@
35. Community Mental Health Nursing2@ 2@ 2@
36. The Bereaved Individual
2@ 2@
37. Military Families2@
eBook Bonus Chapters
2@ 2@
38. Theoretical Models of Personality Development
2@ 2@ 2@ 2@
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
40. Complementary and Psychosocial Therapies 2@ 2@ 2@
41. Relaxation Therapy 2@
42. Issues Related to Human Sexuality and Gender Dysphoria
2@ 2@ 2@ 2@ 2@ 2@ 2@
43. Forensic Nursing 2@
,Chapter 1. The Concept of Stress Adaptation
2@ 2@ 2@ 2@ 2@ 2@
MULTIPLE CHOICE 2@
1. A client has experienced the death of a close family member and at the same timebecome
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
s unemployed. The client’s 6-
2@ 2@ 2@ 2@
month score on the Recent Life Changes Questionnaire is 110. The nurse: Understands the c
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ @
2 2@ 2@
lient is at risk for significant stress-related illness.
2@ 2@ 2@ 2@ 2@ 2@ 2@
Determines the client is not at risk for significant stress-related illness.
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
Needs further assessment of the client’s coping skills to determine susceptibility tostress-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
related illness. 2@
Recognizes the client may view the losses as challenges and perceive them asopportunities.
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
ANS: 3 2@
Chapter: Chapter 1, The Concept of Stress Adaptation
2@ 2@ 2@ 2@ 2@ 2@ 2@
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClie
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
nt Need: Psychosocial Integrity
@
2 2@ 2@
Cognitive Level: Application [Applying]Concept: Str
2@ 2@ 2@ 2@
ess Difficulty: Moderate
@
2 2@
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2
@should assess the client’s coping skills and available support before determining
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
susceptibility to stress-
2@ 2@ 2@
related physical and psychological illnesses. The Recent LifeChanges Questionnai
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
re is an expanded version of the Schedule of Recent Experiences and the Rahe-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
Holmes Social Readjustment Rating Scale. A 6-
2@ 2@ 2@ 2@ 2@ 2@
month score of 300 or more or a year-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
score total of 500 or more indicates high stress in a
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
client’s life and susceptibility to stress-related illnesses.
2@ 2@ 2@ 2@ 2@ 2@
2. This is incorrect. Assessment is the first step in the nursing process. The nurse
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
should assess the client’s coping skills and available support before determining
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
the client’s perception of the current stresses. A 6-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
month score of 300 or more or a year-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
score total of 500 or more on the Recent Life Changes Questionnaire indicates hi
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
gh stress in a
2@ 2@ 2@
client’s life and susceptibility to stress-
2@ 2@ 2@ 2@ 2@
related physical and psychological illnesses.
2@ 2@ 2@ 2@
3. This is correct. Assessment is the first step in the nursing process. The nurse sh
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
ould assess the client’s coping skills and available support before determining su
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
sceptibility to stress-related physical and psychological illnesses. A 6-month score
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
, of 300 or more or a year-
2@ 2@ 2@ 2@ 2@ 2@
score of 500 or more indicates high stress in a client’s lifeand risk for significan
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
t stress-related physical and psychological illness.
2@ 2@ 2@ 2@ 2@
4. This is incorrect. Assessment is the first step in the nursing process. The nurse
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
should assess the client’s coping skills and available support before determining
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
susceptibility to stress-related illness. A 6-month score of 300 or more or a year-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
score of 500 or more on the Recent Life Changes Questionnaire indicates high
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2
@stressin a client’s life is susceptible to significant stress-
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
related physical and psychologicalillness.
2@ 2@ 2@
CON: Stress 2@
2. A physically and emotionally healthy client has just been fired. During a routine office visi
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
t, he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
2@ 2@ @
2 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
consider pursuing an art degree.” The nurse determines the client perceives the stressorof his job loss as:
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
Irrelevant H 2@
arm or loss 2@ 2@ 2@
Threatening 2
@A challeng
2@
e
ANS: 4 2@
Chapter: Chapter 1, The Concept of Stress Adaptation
2@ 2@ 2@ 2@ 2@ 2@ 2@
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7 H
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ @
2
eading: Stress as a transaction between the individual and the environment
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ @
2
Assessment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: St
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
ress Difficulty: Easy
@
2 2@
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignif
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
icance for the individual.
2@ 2@ 2@
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexpe
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
rienced by the individual.2@ 2@ 2@
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or los
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
ses.
4. This is correct. The client’s statement indicates he perceives the loss of his job
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2
@as a challenge and an opportunity for growth, demonstrated by his statement t
2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@ 2@
o consideran art degree.
2@ 2@ 2@
CON: Stress 2@