,TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition) 2
,TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition) 3
Chapter01.TheConceptofStressAdaptation
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition)
MultipleChoice
1. Aclienthasexperiencedthedeathofaclosefamilymemberandatthesametimebecomesunemployed.Thissituat
ionhasresultedina6-
monthscoreof110ontheRecentLifeChangesQuestionnaire.Howshouldthenurseevaluatethisclientdata?
A. Theclientisexperiencingseveredistressandisatriskforphysicalandpsychologicalillness.
B. Ascoreof110ontheMillerandRaheRecentLifeChangesQuestionnaireindicatesnosignificantthreatofstress-
relatedillness.
C. Susceptibilitytostress-
relatedphysicalorpsychologicalillnesscannotbeestimatedwithoutknowledgeofcopingresourcesandavailablesup
ports.
D. Theclientmayviewtheselossesaschallengesandperceivethemasopportunities.
ANS:C
TheRecentLifeChangesQuestionnaireisanexpandedversionoftheScheduleofRecentExperiencesandtheRahe-
HolmesSocialReadjustmentRatingScale.A6-monthscoreof300ormore,orayear-
scoretotalof500ormore,indicateshighstressinaclientslife.However,positivecopingmechanismsandstrongsocial
supportcanlimitsusceptibilitytostress-relatedillnesses.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity
2. Aphysicallyandemotionallyhealthyclienthasjustbeenfired.Duringaroutineofficevisithestatestoanurse:Per
hapsthiswasthebestthingtohappen.MaybeIlllookintopursuinganartdegree.Howshouldthenursecharacterizethecl
ientsappraisalofthejoblossstressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:D
Theclientperceivesthesituationofjoblossasachallengeandanopportunityforgrowth.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity
3. Whichclientstatementshouldalertanursethataclientmayberespondingmaladaptivelytostress?
A. Ivefoundthatavoidingcontactwithothershelpsmecope.
B. Ireallyenjoyjournaling;itsmyprivatetime.
C. Isignedupforayogaclassthisweek.
D. Imadeanappointmenttomeetwithatherapist.
ANS:A
Relianceonsocialisolationasacopingmechanismisamaladaptivemethodtorelievestress.Itcanpreventlearningappr
opriatecopingskillsandcanpreventaccesstoneededsupportsystems.
, TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition) 4
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity
4. Anursingstudentfindsthatshecomesdownwithasinusinfectiontowardtheendofeverysemester.Whenthisoccurs,w
hichstageofstressisthestudentmostlikelyexperiencing?
A. Alarmreactionstage
B. Stageofresistance
C. Stageofexhaustion
D. Fight-or-flightstage
ANS:C
Atthestageofexhaustion,thestudentsexposuretostresshasbeenprolongedandadaptiveenergyhasbeendepleted.Disease
sofadaptationoccurmorefrequentlyinthisstage.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity
5. Aschoolnurseisassessingafemalehighschoolstudentwhoisoverlyconcernedaboutherappearance.Theclientsmoth
erstates,Thatsnotsomethingtobestressedabout!Whichisthemostappropriatenursingresponse?
A. Teenagers!Theydontknowathingaboutrealstress.
B. Stressoccursonlywhenthereisaloss.
C. Whenyouareinpoorphysicalcondition,youcantexperiencepsychologicalwell-being.
D. Stresscanbepsychological.Athreattoself-esteemmayresultinhighstresslevels.
ANS:D
Stresscanbephysicalorpsychologicalinnature.Aperceivedthreattoself-
esteemcanbeasstressfulasaphysiologicalchange.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity
6. Abrightstudentconfidesintheschoolnurseaboutconflictsrelatedtoattendingcollegeorworkingtoaddneededfi
nancialsupporttothefamily.Whichcopingstrategyismostappropriateforthenursetorecommendtothestudentatthisti
me?
A. Meditation
B. Problem-solvingtraining
C. Relaxation
D. Journaling
ANS:B
Thestudentmustassesshisorhersituationanddeterminethebestcourseofaction.Problem-
solvingtraining,byprovidingstructureandobjectivity,canassistindecisionmaking.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity