ANS: C
The Recent Life Changes Ques onnaire is an expanded version of the Schedule of Recent Experiences
and the
Rahe-Holmes Social Readjustment Ra ng 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, posi ve coping mechanisms and strong social
support
can limit suscep bility to stress-related illnesses. - 1. A client has experienced the death of a close family
member and at the same me becomes unemployed. This situa on has resulted in a 6-month score of
110 on the Recent Life Changes Ques onnaire. How should
the nurse evaluate this client data?
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 Ques onnaire indicates no significant
threat of
stress-related illness.
C. Suscep bility to stress-related physical or psychological illness cannot be es mated without
knowledge of
coping resources and available supports.
D. The client may view these losses as challenges and perceive them as opportuni es.
2. A physically and emo onally healthy client has just been fired. During a rou ne 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
nurse characterize the clients appraisal of the job loss stressor?
, A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging - ANS: D
The client perceives the situa on of job loss as a challenge and an opportunity for growth.
3. Which client statement should alert a nurse that a client may be responding maladap vely to stress?
A. Ive found that avoiding contact with others helps me cope.
B. I really enjoy journaling; its my private me.
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 isola on as a coping mechanism is a maladap ve method to relieve stress. It can
prevent
learning appropriate coping skills and can prevent access to needed support systems.
4. A nursing student finds that she comes down with a sinus infec on toward the end of every semester.
When
this occurs, which stage of stress is the student most likely experiencing?
A. Alarm reac on stage
B. Stage of resistance
C. Stage of exhaus on
D. Fight-or-flight stage - ANS: C
At the stage of exhaus on, the students exposure to stress has been prolonged and adap ve energy has
been
depleted. Diseases of adapta on occur more frequently in this stage.
The Recent Life Changes Ques onnaire is an expanded version of the Schedule of Recent Experiences
and the
Rahe-Holmes Social Readjustment Ra ng 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, posi ve coping mechanisms and strong social
support
can limit suscep bility to stress-related illnesses. - 1. A client has experienced the death of a close family
member and at the same me becomes unemployed. This situa on has resulted in a 6-month score of
110 on the Recent Life Changes Ques onnaire. How should
the nurse evaluate this client data?
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 Ques onnaire indicates no significant
threat of
stress-related illness.
C. Suscep bility to stress-related physical or psychological illness cannot be es mated without
knowledge of
coping resources and available supports.
D. The client may view these losses as challenges and perceive them as opportuni es.
2. A physically and emo onally healthy client has just been fired. During a rou ne 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
nurse characterize the clients appraisal of the job loss stressor?
, A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging - ANS: D
The client perceives the situa on of job loss as a challenge and an opportunity for growth.
3. Which client statement should alert a nurse that a client may be responding maladap vely to stress?
A. Ive found that avoiding contact with others helps me cope.
B. I really enjoy journaling; its my private me.
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 isola on as a coping mechanism is a maladap ve method to relieve stress. It can
prevent
learning appropriate coping skills and can prevent access to needed support systems.
4. A nursing student finds that she comes down with a sinus infec on toward the end of every semester.
When
this occurs, which stage of stress is the student most likely experiencing?
A. Alarm reac on stage
B. Stage of resistance
C. Stage of exhaus on
D. Fight-or-flight stage - ANS: C
At the stage of exhaus on, the students exposure to stress has been prolonged and adap ve energy has
been
depleted. Diseases of adapta on occur more frequently in this stage.
