TestBank-
v v
PsychiatricMentalHealthNursingbyMary Townsend (9
v v v v v v v v
th Edition, 2017)
v v
TEST BANK v
,Chapter 01. The Concept of Stress Adaptation
v v v v v v
Multiplev Choice
1.vAvclientvhasvexperiencedvthevdeathvofvavclosevfamilyvmembervandvatvthevsamevtimevbecomesvunemployed.vTh
isvsituationvhasvresultedvinvav6-
monthvscorevofv110vonvthevRecentvLifevChangesvQuestionnaire.vHowvshouldvthevnursevevaluatevthisvclientvdata?
A. Thevclientvisvexperiencingvseverevdistressvandv isvatvriskvforvphysicalvandvpsychologicalvillness.
B. Avscorevofv110vonvthevMillervandvRahevRecentvLifevChangesvQuestionnairevindicatesvnovsignificantvthreatvofvst
ress-relatedvillness.
C. Susceptibilityvtovstress-
relatedvphysicalvorvpsychologicalvillnessvcannotvbevestimatedvwithoutvknowledgevofvcopingvresourcesvandvavaila
blevsupports.
D. Thevclientvmayv viewv thesevlossesvasvchallengesvandvperceivevthemvasvopportunities.
ANS:v C
ThevRecentvLifevChangesvQuestionnairevisvanvexpandedvversionvofvthevSchedulevofvRecentvExperiencesvandvthevRa
he-Holmesv Socialv Readjustmentv Ratingv Scale.v Av 6-monthv scorev ofv 300v orv more,v orv av year-
scorev totalv ofv 500vorvmore,vindicatesvhighvstressvinvavclientsvlife.vHowever,vpositivevcopingvmechanismsvandvstrong
vsocialvsupportv canvlimitvsusceptibilityvtovstress-relatedvillnesses.
KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vEvaluationv |vClientvNeed:
Psychosocialv Integrity
2.vAvphysicallyvandvemotionallyvhealthyvclientvhasvjustvbeenvfired.vDuringvavroutinevofficevvisitvhevstatesvtovavnu
rse:vPerhapsvthisvwasvthevbestvthingvtovhappen.vMaybe vIllvlookvintovpursuingvanvartvdegree.vHowvshouldvthe
NURSINGTB.COM
nursevcharacterizevthevclientsvappraisalvofvthe jobv lossv stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:v D
Thevclientvperceivesvthevsituationvofvjobvlossvasvavchallengevandvanvopportunityvforvgrowth.
KEY:vCognitivevLevel:vApplicationv |vIntegratedvProcesses:vNursingvProcess:vAssessmentv |vClientv Need:
Psychosocialv Integrity
3. Whichvclientvstatementvshouldvalertvavnursevthatvavclientvmayvbevrespondingvmaladaptivelyvtov stress?
A. Ivevfoundvthatvavoidingv contactvwithvothersvhelpsv mevcope.
B. Ivreallyvenjoyv journaling;vitsv myvprivatev time.
C. Ivsignedvupvforvav yogavclassvthisvweek.
D. Iv madevanvappointmentvtov meetvwithvav therapist.
ANS:v A
Reliancevonvsocialvisolationvasvavcopingvmechanismvisvavmaladaptivevmethodvtovrelievevstress.vItvcanvpreventvlea
rningvappropriatevcopingvskillsvandvcanvpreventvaccessvtovneededvsupportvsystems.
,KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vEvaluationv |vClientvNeed:
Psychosocialv Integrity
4. Avnursingvstudentvfindsvthatvshevcomesvdownvwithvavsinusvinfectionvtowardvthevendvofveveryvsemester.vWhenvth
isvoccurs,vwhichvstagevofvstressvisvthevstudentvmostvlikelyvexperiencing?
A. Alarmv reactionv stage
B. Stagev ofv resistance
C. Stagev ofv exhaustion
D. Fight-or-flightv stage
ANS:v C
Atvthevstagevofvexhaustion,vthevstudentsvexposurevtovstressvhasvbeenvprolongedvandvadaptivevenergyvhasvbeenvde
pleted.vDiseasesvofvadaptationvoccurvmorevfrequentlyvinvthisvstage.
KEY:vCognitivevLevel:vApplicationv |vIntegratedvProcesses:vNursingvProcess:vAssessmentv |vClientv Need:
Psychosocialv Integrity
5. Avschoolvnursevisvassessingvavfemalevhighvschoolvstudentvwhovisvoverlyvconcernedvaboutvhervappearance.vThevcl
ientsv motherv states,v Thatsv notv somethingv tov bev stressedv about!v Whichv isv thev mostv appropriatev nursingvresponse
?
A. Teenagers!vTheyvdontvknowv av thingvaboutvrealvstress.
B. Stressvoccursvonlyvwhenvtherevisvav loss.
C. Whenvyouv arev inv poorv physicalvcondition,v yNoU
uvR
caSnIN
tv eGxTpB
er.C
ieO
ncMev psychologicalv well-being.
D. Stressvcanvbevpsychological.vAvthreatvtovself-esteemvmayvresultvinvhighvstressv levels.
ANS:v D
Stressvcanvbevphysicalvorvpsychologicalvinvnature.vAvperceivedvthreatvtovself-
esteemvcanvbevasvstressfulvasvavphysiologicalv change.
KEY:vCognitivevLevel:vApplicationv |vIntegratedvProcesses:vNursingv Process:vImplementationv |vClientv Need:
Psychosocialv Integrity
6. Avbrightvstudentvconfidesvinvthevschoolvnursevaboutvconflictsvrelatedvtovattendingvcollegevorvworkingvtovaddvne
ededvfinancialvsupportvtovthevfamily.vWhichvcopingvstrategyvisvmostvappropriatevforvthevnursevtovrecommendv tovt
hevstudentvatvthisvtime?
A. Meditation
B. Problem-solvingv training
C. Relaxation
D. Journaling
ANS:v B
Thevstudentvmustvassessvhisvorvhervsituationvandvdeterminevthevbestvcoursevofvaction.vProblem-
solvingvtraining,vbyvprovidingvstructurevandvobjectivity,vcanvassistvinvdecisionvmaking.
KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vImplementationv |vClientv Need:
Psychosocialv Integrity
, 7. Anvunemployedvcollegevgraduatevisvexperiencingvseverevanxietyvovervnotvfindingvavteachingvpositionvandvhasvdi
fficultyvwithvindependentvproblem-
solving.vDuringvavroutinevphysicalvexamination,vthevgraduatevconfidesvinv thevclinicvnurse.vWhichvisvthevmostvappr
opriatevnursingvintervention?
A. Encouragevthevstudentvtovusevthev alternativevcopingv mechanismvofvrelaxationv exercises.
B. Completevthev problem-solvingv processvforv thevclient.
C. Workvthroughvthevproblem-solvingv processvwithvthev client.
D. Encouragevthevclientvtovkeepvavjournal.
ANS:v C
Duringvtimesvofvhighvanxietyvandvstress,vclientsvwillvneedvmorevassistancevinvproblem-
solvingvandvdecisionvmaking.
KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vImplementationv |vClientv Need:
Psychosocialv Integrity
8. Avschoolvnursevisvassessingvavdistraughtvfemalevhighvschoolvstudentvwhovisvoverlyvconcernedvbecausevhervp
arentsvcantvaffordvhorsebackvridingvlessons.vHowvshouldvthevnursevinterpretvthevstudentsvreactionvtovhervpercei
vedvproblem?
A. Thev problemv isvendangeringv herv well-being.
B. Thevproblemvisvpersonallyv relevantvtov her.
C. Thev problemv isvbasedv onv immaturity.
D. ThevproblemvisvexceedingvhervcapacityvtovcN
opUeR.vSINGTB.COM
ANS:v B
Psychologicalvstressorsvtovself-esteemvandvself-
imagevarevrelatedvtovhowvthevindividualvperceivesvthevsituationvorvevent.vSelf-
imagevisvofvparticularvimportancevtovadolescents,vwhovfeelventitledvtovhavevallvthevadvantagesvthatv othervadolesce
ntsvexperience.
KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vEvaluationv |vClientvNeed:
Psychosocialv Integrity
9. Meditationvhasvbeenvshownvtovbevanveffectivevstressvmanagementvtechnique.vWhenvmeditationvisveffective,v
whatvshouldvavnursevexpectvtovassess?
A. Anvachievedv statev ofv relaxation
B. Anvachievedvinsightv intovonesv feelings
C. Av demonstrationv ofvappropriatev rolev behaviors
D. Anvenhancedv abilityv tov problem-solve
ANS:v A
Meditationvproducesv relaxationv byv creatingv av specialvstatev ofvconsciousnessv throughvfocusedv concentration.
KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vEvaluationv |vClientvNeed:
Psychosocialv Integrity
10. Avdistraught,vsingle,vfirst-
timevmothervcriesvandvasksvavnurse,vHowvcanvIvgovtovworkvifvIvcantvaffordvchildcare?vWhatvisvthevnursesvi
nitialvactionvinvassistingvthevclientvwithvthevproblem-solvingvprocess?
v v
PsychiatricMentalHealthNursingbyMary Townsend (9
v v v v v v v v
th Edition, 2017)
v v
TEST BANK v
,Chapter 01. The Concept of Stress Adaptation
v v v v v v
Multiplev Choice
1.vAvclientvhasvexperiencedvthevdeathvofvavclosevfamilyvmembervandvatvthevsamevtimevbecomesvunemployed.vTh
isvsituationvhasvresultedvinvav6-
monthvscorevofv110vonvthevRecentvLifevChangesvQuestionnaire.vHowvshouldvthevnursevevaluatevthisvclientvdata?
A. Thevclientvisvexperiencingvseverevdistressvandv isvatvriskvforvphysicalvandvpsychologicalvillness.
B. Avscorevofv110vonvthevMillervandvRahevRecentvLifevChangesvQuestionnairevindicatesvnovsignificantvthreatvofvst
ress-relatedvillness.
C. Susceptibilityvtovstress-
relatedvphysicalvorvpsychologicalvillnessvcannotvbevestimatedvwithoutvknowledgevofvcopingvresourcesvandvavaila
blevsupports.
D. Thevclientvmayv viewv thesevlossesvasvchallengesvandvperceivevthemvasvopportunities.
ANS:v C
ThevRecentvLifevChangesvQuestionnairevisvanvexpandedvversionvofvthevSchedulevofvRecentvExperiencesvandvthevRa
he-Holmesv Socialv Readjustmentv Ratingv Scale.v Av 6-monthv scorev ofv 300v orv more,v orv av year-
scorev totalv ofv 500vorvmore,vindicatesvhighvstressvinvavclientsvlife.vHowever,vpositivevcopingvmechanismsvandvstrong
vsocialvsupportv canvlimitvsusceptibilityvtovstress-relatedvillnesses.
KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vEvaluationv |vClientvNeed:
Psychosocialv Integrity
2.vAvphysicallyvandvemotionallyvhealthyvclientvhasvjustvbeenvfired.vDuringvavroutinevofficevvisitvhevstatesvtovavnu
rse:vPerhapsvthisvwasvthevbestvthingvtovhappen.vMaybe vIllvlookvintovpursuingvanvartvdegree.vHowvshouldvthe
NURSINGTB.COM
nursevcharacterizevthevclientsvappraisalvofvthe jobv lossv stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:v D
Thevclientvperceivesvthevsituationvofvjobvlossvasvavchallengevandvanvopportunityvforvgrowth.
KEY:vCognitivevLevel:vApplicationv |vIntegratedvProcesses:vNursingvProcess:vAssessmentv |vClientv Need:
Psychosocialv Integrity
3. Whichvclientvstatementvshouldvalertvavnursevthatvavclientvmayvbevrespondingvmaladaptivelyvtov stress?
A. Ivevfoundvthatvavoidingv contactvwithvothersvhelpsv mevcope.
B. Ivreallyvenjoyv journaling;vitsv myvprivatev time.
C. Ivsignedvupvforvav yogavclassvthisvweek.
D. Iv madevanvappointmentvtov meetvwithvav therapist.
ANS:v A
Reliancevonvsocialvisolationvasvavcopingvmechanismvisvavmaladaptivevmethodvtovrelievevstress.vItvcanvpreventvlea
rningvappropriatevcopingvskillsvandvcanvpreventvaccessvtovneededvsupportvsystems.
,KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vEvaluationv |vClientvNeed:
Psychosocialv Integrity
4. Avnursingvstudentvfindsvthatvshevcomesvdownvwithvavsinusvinfectionvtowardvthevendvofveveryvsemester.vWhenvth
isvoccurs,vwhichvstagevofvstressvisvthevstudentvmostvlikelyvexperiencing?
A. Alarmv reactionv stage
B. Stagev ofv resistance
C. Stagev ofv exhaustion
D. Fight-or-flightv stage
ANS:v C
Atvthevstagevofvexhaustion,vthevstudentsvexposurevtovstressvhasvbeenvprolongedvandvadaptivevenergyvhasvbeenvde
pleted.vDiseasesvofvadaptationvoccurvmorevfrequentlyvinvthisvstage.
KEY:vCognitivevLevel:vApplicationv |vIntegratedvProcesses:vNursingvProcess:vAssessmentv |vClientv Need:
Psychosocialv Integrity
5. Avschoolvnursevisvassessingvavfemalevhighvschoolvstudentvwhovisvoverlyvconcernedvaboutvhervappearance.vThevcl
ientsv motherv states,v Thatsv notv somethingv tov bev stressedv about!v Whichv isv thev mostv appropriatev nursingvresponse
?
A. Teenagers!vTheyvdontvknowv av thingvaboutvrealvstress.
B. Stressvoccursvonlyvwhenvtherevisvav loss.
C. Whenvyouv arev inv poorv physicalvcondition,v yNoU
uvR
caSnIN
tv eGxTpB
er.C
ieO
ncMev psychologicalv well-being.
D. Stressvcanvbevpsychological.vAvthreatvtovself-esteemvmayvresultvinvhighvstressv levels.
ANS:v D
Stressvcanvbevphysicalvorvpsychologicalvinvnature.vAvperceivedvthreatvtovself-
esteemvcanvbevasvstressfulvasvavphysiologicalv change.
KEY:vCognitivevLevel:vApplicationv |vIntegratedvProcesses:vNursingv Process:vImplementationv |vClientv Need:
Psychosocialv Integrity
6. Avbrightvstudentvconfidesvinvthevschoolvnursevaboutvconflictsvrelatedvtovattendingvcollegevorvworkingvtovaddvne
ededvfinancialvsupportvtovthevfamily.vWhichvcopingvstrategyvisvmostvappropriatevforvthevnursevtovrecommendv tovt
hevstudentvatvthisvtime?
A. Meditation
B. Problem-solvingv training
C. Relaxation
D. Journaling
ANS:v B
Thevstudentvmustvassessvhisvorvhervsituationvandvdeterminevthevbestvcoursevofvaction.vProblem-
solvingvtraining,vbyvprovidingvstructurevandvobjectivity,vcanvassistvinvdecisionvmaking.
KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vImplementationv |vClientv Need:
Psychosocialv Integrity
, 7. Anvunemployedvcollegevgraduatevisvexperiencingvseverevanxietyvovervnotvfindingvavteachingvpositionvandvhasvdi
fficultyvwithvindependentvproblem-
solving.vDuringvavroutinevphysicalvexamination,vthevgraduatevconfidesvinv thevclinicvnurse.vWhichvisvthevmostvappr
opriatevnursingvintervention?
A. Encouragevthevstudentvtovusevthev alternativevcopingv mechanismvofvrelaxationv exercises.
B. Completevthev problem-solvingv processvforv thevclient.
C. Workvthroughvthevproblem-solvingv processvwithvthev client.
D. Encouragevthevclientvtovkeepvavjournal.
ANS:v C
Duringvtimesvofvhighvanxietyvandvstress,vclientsvwillvneedvmorevassistancevinvproblem-
solvingvandvdecisionvmaking.
KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vImplementationv |vClientv Need:
Psychosocialv Integrity
8. Avschoolvnursevisvassessingvavdistraughtvfemalevhighvschoolvstudentvwhovisvoverlyvconcernedvbecausevhervp
arentsvcantvaffordvhorsebackvridingvlessons.vHowvshouldvthevnursevinterpretvthevstudentsvreactionvtovhervpercei
vedvproblem?
A. Thev problemv isvendangeringv herv well-being.
B. Thevproblemvisvpersonallyv relevantvtov her.
C. Thev problemv isvbasedv onv immaturity.
D. ThevproblemvisvexceedingvhervcapacityvtovcN
opUeR.vSINGTB.COM
ANS:v B
Psychologicalvstressorsvtovself-esteemvandvself-
imagevarevrelatedvtovhowvthevindividualvperceivesvthevsituationvorvevent.vSelf-
imagevisvofvparticularvimportancevtovadolescents,vwhovfeelventitledvtovhavevallvthevadvantagesvthatv othervadolesce
ntsvexperience.
KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vEvaluationv |vClientvNeed:
Psychosocialv Integrity
9. Meditationvhasvbeenvshownvtovbevanveffectivevstressvmanagementvtechnique.vWhenvmeditationvisveffective,v
whatvshouldvavnursevexpectvtovassess?
A. Anvachievedv statev ofv relaxation
B. Anvachievedvinsightv intovonesv feelings
C. Av demonstrationv ofvappropriatev rolev behaviors
D. Anvenhancedv abilityv tov problem-solve
ANS:v A
Meditationvproducesv relaxationv byv creatingv av specialvstatev ofvconsciousnessv throughvfocusedv concentration.
KEY:vCognitivevLevel:vApplicationv |vIntegratedv Processes:vNursingv Process:vEvaluationv |vClientvNeed:
Psychosocialv Integrity
10. Avdistraught,vsingle,vfirst-
timevmothervcriesvandvasksvavnurse,vHowvcanvIvgovtovworkvifvIvcantvaffordvchildcare?vWhatvisvthevnursesvi
nitialvactionvinvassistingvthevclientvwithvthevproblem-solvingvprocess?
