Module 1-3 : Mental Health Exam 1
Questions and Answers
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?
A. Alarm Reaction
B. Resistance
C. Exhaustion
D. Fight or Flight - correct answer: C. Exhaustion
A school nurse is assessing a high school student overly concerned about her appearance. The
client's parent states, "That is not something to be stressed about!" Which response by the
nurse is best?
A. "Teenagers do not truly understand stress."
B. "Why are you so concerned about your appearance?"
C. "You surely know that is not something to be concerned with."
D."I understand you feel stressed about this; tell me more about your stress." - correct answer:
D. "I understand you feel stressed about this; tell me more about your stress."
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?
A. Teach the student meditation techniques
B. Assist the student with problem-solving strategies.
C .Suggest relaxation methods for the student.
D. Recommend getting a pet for the student. - correct answer: B. Assist the student with
problem-solving strategies.
Meditation is an effective stress management technique. Which finding indicates meditation has
been effective?
A. Achieving a state of relaxation
,B. Attaining insight into one's feelings
C. Demonstrating appropriate role behaviors
D. Enhanced problem-solving skills - correct answer: A. Achieving a state of relaxation
When an individual's stress response is sustained over time, does the nurse anticipate which
physiological effect?
A. Decreased resistance to disease
B. Increased libido
C. Decreased blood pressure
D .Increased feelings of well-being - correct answer: A. Decreased resistance to disease
Which is a typical part of flight-or-flight syndrome?
A. Decreased heart rate
B. Decreased peristalsis
C. Increased salivation
D. Pupil constriction - correct answer: B. Decreased peristalsis
A nurse provides education on anxiety and stress management. Which of the following should
be identified as the most critical initial step in learning how to manage anxiety?
A. Diagnostic Blood Test
B. Awareness of factors creating stress
C. Relaxation exercises
D. Identification of support systems. - correct answer: B. Awareness of factors creating stress.
A client presents in the emergency department immediately following a shooting incident in a
school where she has been teaching. Which are common initial biological responses to stress
the teacher might demonstrate? Select all that apply.
A. Constricted Pupils
B. Watery Eyes
C. Unusual food cravings
D. Increased Heart Rate
, E. Increased respirations - correct answer: B. Watery Eyes
D. Increased heart rate
E. Increased respirations
A 32-year-old person is speaking to the office nurse at an initial visit. The nurse asked, "What
brings you in today?" The client replied, "I have been having headaches three to four times a
week for the past month or so. I'm not sleeping well and feel tired most of the time. I work 60
hours per week and am going through a divorce." The nurse determines the client's symptoms
represent which of the following?
A. Adaptive coping
B. Maladaptive coping
C. Problem Solving
D. Self Awareness - correct answer: B. Maladaptive Coping
The nurse in the intensive care unit (ICU) is giving report to the nurse on the cardiac step-down
unit. The nurse states, "The client is a 48-year-old admitted 3 days ago for chest pain and a stent
placement. Vital signs are stable, but I am worried about her stress level. She said she just
moved here due to a job transfer, and her spouse stayed behind to sell the house. She told me
they have a high insurance deductible, and she is worried about the hospital bill." Which factor
has the most significant influence on the client's health?
A. Coping Skills
B. Existing conditions
C. Individual vulnerability
D. Perceived Threat - correct answer: B. Existing conditions.
A mental health nurse is speaking with parents who are concerned about their teenage
children's responses to stress. One child becomes anxious and irritable and the other withdraws
and cries. Which is the nurse's best response?
A. "Individual responses to stress are affected by many factors and can vary."
B. "Children from the same family should not react so differently to stress."
C. "Children should have similar dispositions and responses to stress."
D. "Environmental factors influence stress responses more than genetic factors." - correct
answer: A. "Individual responses to stress are affected by many factors and can vary."
Questions and Answers
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?
A. Alarm Reaction
B. Resistance
C. Exhaustion
D. Fight or Flight - correct answer: C. Exhaustion
A school nurse is assessing a high school student overly concerned about her appearance. The
client's parent states, "That is not something to be stressed about!" Which response by the
nurse is best?
A. "Teenagers do not truly understand stress."
B. "Why are you so concerned about your appearance?"
C. "You surely know that is not something to be concerned with."
D."I understand you feel stressed about this; tell me more about your stress." - correct answer:
D. "I understand you feel stressed about this; tell me more about your stress."
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?
A. Teach the student meditation techniques
B. Assist the student with problem-solving strategies.
C .Suggest relaxation methods for the student.
D. Recommend getting a pet for the student. - correct answer: B. Assist the student with
problem-solving strategies.
Meditation is an effective stress management technique. Which finding indicates meditation has
been effective?
A. Achieving a state of relaxation
,B. Attaining insight into one's feelings
C. Demonstrating appropriate role behaviors
D. Enhanced problem-solving skills - correct answer: A. Achieving a state of relaxation
When an individual's stress response is sustained over time, does the nurse anticipate which
physiological effect?
A. Decreased resistance to disease
B. Increased libido
C. Decreased blood pressure
D .Increased feelings of well-being - correct answer: A. Decreased resistance to disease
Which is a typical part of flight-or-flight syndrome?
A. Decreased heart rate
B. Decreased peristalsis
C. Increased salivation
D. Pupil constriction - correct answer: B. Decreased peristalsis
A nurse provides education on anxiety and stress management. Which of the following should
be identified as the most critical initial step in learning how to manage anxiety?
A. Diagnostic Blood Test
B. Awareness of factors creating stress
C. Relaxation exercises
D. Identification of support systems. - correct answer: B. Awareness of factors creating stress.
A client presents in the emergency department immediately following a shooting incident in a
school where she has been teaching. Which are common initial biological responses to stress
the teacher might demonstrate? Select all that apply.
A. Constricted Pupils
B. Watery Eyes
C. Unusual food cravings
D. Increased Heart Rate
, E. Increased respirations - correct answer: B. Watery Eyes
D. Increased heart rate
E. Increased respirations
A 32-year-old person is speaking to the office nurse at an initial visit. The nurse asked, "What
brings you in today?" The client replied, "I have been having headaches three to four times a
week for the past month or so. I'm not sleeping well and feel tired most of the time. I work 60
hours per week and am going through a divorce." The nurse determines the client's symptoms
represent which of the following?
A. Adaptive coping
B. Maladaptive coping
C. Problem Solving
D. Self Awareness - correct answer: B. Maladaptive Coping
The nurse in the intensive care unit (ICU) is giving report to the nurse on the cardiac step-down
unit. The nurse states, "The client is a 48-year-old admitted 3 days ago for chest pain and a stent
placement. Vital signs are stable, but I am worried about her stress level. She said she just
moved here due to a job transfer, and her spouse stayed behind to sell the house. She told me
they have a high insurance deductible, and she is worried about the hospital bill." Which factor
has the most significant influence on the client's health?
A. Coping Skills
B. Existing conditions
C. Individual vulnerability
D. Perceived Threat - correct answer: B. Existing conditions.
A mental health nurse is speaking with parents who are concerned about their teenage
children's responses to stress. One child becomes anxious and irritable and the other withdraws
and cries. Which is the nurse's best response?
A. "Individual responses to stress are affected by many factors and can vary."
B. "Children from the same family should not react so differently to stress."
C. "Children should have similar dispositions and responses to stress."
D. "Environmental factors influence stress responses more than genetic factors." - correct
answer: A. "Individual responses to stress are affected by many factors and can vary."
