,Med C
, Chapter 01. The Concept of Stress Adaptation
Townsend: Psychiatric Mental Health Nursing 10th Edition
MULTIPLE CHOICE
პატარა მზიან ეზოში ცხოვრობდა ნინო, რომელიც ხელით
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
ამზადებდა ფერად
This situation has resulted ქაღალდის
in a 6-month score of 110 on the ვარსკვლავებს. მისი
Recent Life Changes Questionnaire. Howსამუშაო
should
მაგიდა სავსე იყო მბზინავი ფურცლებით, წებოთი და თხელი
the nurse evaluate this client data?
ძაფებით.
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.
ერთ დღეს სკოლაში ზამთრის წარმოდგენა დაიგეგმა და ნინოს
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
სთხოვეს,
coping resources andსცენის გასაფორმებლად ვარსკვლავები შეექმნა. მან
available supports.
თითოეულ
D. The client may view ვარსკვლავს განსხვავებული
these losses as challenges ზომა და ბრწყინვალებ
and perceive them as opportunities.
მისცა.
ANS: C
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
როდესაც წარმოდგენა დაიწყო და ვარსკვლავები განათდა,
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
დარბაზი ზღაპრულ სივრცედ გადაიქცა. ნინომ გაიაზრა, რომ
can limit susceptibility to stress-related illnesses.
მისი ხელოვნება
KEY: Cognitive ოცნებებს
Level: Application ანათებდა.
| Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
ქალაქის წყნარ უბანში ცხოვრობდა ბექა, რომელიც ხელით
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
ამზადებდა
nurse characterize the პატარა კერამიკულ
clients appraisal ჭურჭელს მცენარეებისთვის. მი
of the job loss stressor?
სახელოსნო
A. Irrelevant სავსე იყო თიხით, ფორმებით და ბუნებრივი
ფერებით.
B. Harm/loss
C. Threatening
ერთ დღეს ახალმა კაფემ სთხოვა, რომ მაგიდებისთვის პატარა
D. Challenging
ქოთნები
ANS: D შეექმნა. ბექამ თითოეულ ქოთანს უნიკალური დიზაი
მისცა და ფერებით გააფორმა.
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:
როდესაც ქოთნები კაფეში განათავსეს და მცენარეები ჩარგეს,
Psychosocial Integrity
სივრცე
3. Which clientუფრო მყუდრო
statement should დაa client
alert a nurse that სასიამოვნო
may be responding გახდა.
maladaptivelyბექამ
to stress? გაიაზრა,
რომ მისი
A. Ive found ხელოვნება
that avoiding ყოველდღიურ
contact with others helps me cope. გარემოს სიცოცხლეს
მატებდა.
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
, Chapter 01. The Concept of Stress Adaptation
Townsend: Psychiatric Mental Health Nursing 10th Edition
MULTIPLE CHOICE
პატარა მზიან ეზოში ცხოვრობდა ნინო, რომელიც ხელით
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
ამზადებდა ფერად
This situation has resulted ქაღალდის
in a 6-month score of 110 on the ვარსკვლავებს. მისი
Recent Life Changes Questionnaire. Howსამუშაო
should
მაგიდა სავსე იყო მბზინავი ფურცლებით, წებოთი და თხელი
the nurse evaluate this client data?
ძაფებით.
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.
ერთ დღეს სკოლაში ზამთრის წარმოდგენა დაიგეგმა და ნინოს
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
სთხოვეს,
coping resources andსცენის გასაფორმებლად ვარსკვლავები შეექმნა. მან
available supports.
თითოეულ
D. The client may view ვარსკვლავს განსხვავებული
these losses as challenges ზომა და ბრწყინვალებ
and perceive them as opportunities.
მისცა.
ANS: C
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
როდესაც წარმოდგენა დაიწყო და ვარსკვლავები განათდა,
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
დარბაზი ზღაპრულ სივრცედ გადაიქცა. ნინომ გაიაზრა, რომ
can limit susceptibility to stress-related illnesses.
მისი ხელოვნება
KEY: Cognitive ოცნებებს
Level: Application ანათებდა.
| Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
ქალაქის წყნარ უბანში ცხოვრობდა ბექა, რომელიც ხელით
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
ამზადებდა
nurse characterize the პატარა კერამიკულ
clients appraisal ჭურჭელს მცენარეებისთვის. მი
of the job loss stressor?
სახელოსნო
A. Irrelevant სავსე იყო თიხით, ფორმებით და ბუნებრივი
ფერებით.
B. Harm/loss
C. Threatening
ერთ დღეს ახალმა კაფემ სთხოვა, რომ მაგიდებისთვის პატარა
D. Challenging
ქოთნები
ANS: D შეექმნა. ბექამ თითოეულ ქოთანს უნიკალური დიზაი
მისცა და ფერებით გააფორმა.
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:
როდესაც ქოთნები კაფეში განათავსეს და მცენარეები ჩარგეს,
Psychosocial Integrity
სივრცე
3. Which clientუფრო მყუდრო
statement should დაa client
alert a nurse that სასიამოვნო
may be responding გახდა.
maladaptivelyბექამ
to stress? გაიაზრა,
რომ მისი
A. Ive found ხელოვნება
that avoiding ყოველდღიურ
contact with others helps me cope. გარემოს სიცოცხლეს
მატებდა.
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
