PSYCHIATRIC MENTAL HEALTH NURSING
TEST BANK CHAPTER 1 EXAM QUESTIONS
AND ANSWERS
1. A client has experienced the death of a close family member and at
the same time becomes unemployed. This situation has resulted in a 6-
month score of 110 on the Recent Life Changes Questionnaire. 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 *)(_)(_)(_()_(
Questionnaire indicates no significant threat of stress-related illness.)_))(_()_((__)
(_)(_)()()*()*(
C. Susceptibility to stress-related physical or psychological illness )*()*()*)(*)
cannot be estimated without knowledge of coping resources and
available supports.
D. The client may view these losses as challenges and perceive them as
opportunities.
ANSWER: The Recent Life Changes Questionnaire is an expanded
version of the Schedule of Recent Experiences and the 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 can
limit susceptibility to stress-related illnesses.
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 nurse characterize the clients appraisal of the job loss
stressor?
, PSYCHIATRIC MENTAL HEALTH NURSING
TEST BANK CHAPTER 1 EXAM QUESTIONS
AND ANSWERS
A. Irrelevant
B. Harm/loss
C. Threatening @!#@$%$^
&%&*^*&*(
D. Challenging - ANSWER: D &(***(*(&*
&*^&%^&*(
The client perceives the situation 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 maladaptively to stress?
A. Ive found that avoiding contact with others helps me cope.
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. - ANSWER: 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.
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
TEST BANK CHAPTER 1 EXAM QUESTIONS
AND ANSWERS
1. A client has experienced the death of a close family member and at
the same time becomes unemployed. This situation has resulted in a 6-
month score of 110 on the Recent Life Changes Questionnaire. 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 *)(_)(_)(_()_(
Questionnaire indicates no significant threat of stress-related illness.)_))(_()_((__)
(_)(_)()()*()*(
C. Susceptibility to stress-related physical or psychological illness )*()*()*)(*)
cannot be estimated without knowledge of coping resources and
available supports.
D. The client may view these losses as challenges and perceive them as
opportunities.
ANSWER: The Recent Life Changes Questionnaire is an expanded
version of the Schedule of Recent Experiences and the 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 can
limit susceptibility to stress-related illnesses.
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 nurse characterize the clients appraisal of the job loss
stressor?
, PSYCHIATRIC MENTAL HEALTH NURSING
TEST BANK CHAPTER 1 EXAM QUESTIONS
AND ANSWERS
A. Irrelevant
B. Harm/loss
C. Threatening @!#@$%$^
&%&*^*&*(
D. Challenging - ANSWER: D &(***(*(&*
&*^&%^&*(
The client perceives the situation 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 maladaptively to stress?
A. Ive found that avoiding contact with others helps me cope.
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. - ANSWER: 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.
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
