TestBank-PsychiatricMentalHealthNursingbyMary
c c c c c c c c
Townsend (9th Edition, 2017)
c c c c
TEST BANK c
,Chapter 01. The Concept of Stress Adaptation c c c c c c
Multiple Choice c
1. A client has experienced the death of a close family member and at the same time becomes unemployed. This
c c c c c c c c c c c c c c c c c c c
situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should the
c c c c c c c c c c c c c c c c c c
nurse evaluate this client data?
c c c c c
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
c c c c c c c c c c c c c c
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
c c c c c c c c c c c c c c c c c
stress-related illness.
c c
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
c c c c c c c c c c c c
coping resources and available supports.
c c c c c
D. The client may view these losses as challenges and perceive them as opportunities.
c c c c c c c c c c c c
ANS: C c
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
c c c c c c c c c c c c c c c c
Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of
c c c c c c c c c c c c c c c c c
500 or more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support
c c c c c c c c c c c c c c c c c c
ccan limit susceptibility to stress-related illnesses.
c c c c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
c c c c c c c c c c c c c c c c c c c
nurse: Perhaps this was the best thing to happen.NURSINGTB.COM
c c Maybe Ill look into pursuing an art degree. How should the
c c c c c c c c c c c c c c c c c c
nurse characterize the clients appraisal of the job loss stressor?
c c c c c c c c
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D c
The client perceives the situation of job loss as a challenge and an opportunity for growth.
c c c c c c c c c c c c c c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
c c c c c c c c c c c c c c c
A. Ive found that avoiding contact with others helps me cope.
c c c c c c c c c
B. I really enjoy journaling; its my private time.
c c c c c c c
C. I signed up for a yoga class this week.
c c c c c c c c
D. I made an appointment to meet with a therapist.
c c c c c c c c
ANS: A c
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
c c c c c c c c c c c c c c c c c
learning appropriate coping skills and can prevent access to needed support systems.
c c c c c c c c c c c c
,KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When this
c c c c c c c c c c c c c c c c c c c
occurs, which stage of stress is the student most likely experiencing?
c c c c c c c c c c c
A. Alarm reaction stage c c
B. Stage of resistance c c
C. Stage of exhaustion c c
D. Fight-or-flight stage c
ANS: C c
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
c c c c c c c c c c c c c c c c c
depleted. Diseases of adaptation occur more frequently in this stage.
c c c c c c c c c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
c c c c c c c c c c c c c c c c c
clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
c c c c c c c c c c c c c c c c
response?
c
A. Teenagers! They dont know a thing about real stress. c c c c c c c c
B. Stress occurs only when there is a loss.
c c c c c c c
C. When you are in poor physical condition, yNoU
c uR
caSnIN
t eGxTpB
er.C
ieO
ncMe psychological well-being.
c c c c c c c c c c
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
c c c c c c c c c c c c c
ANS: D c
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
c c c c c c c c c c c c c c c c c c
physiological change.
c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
6. A bright student confides in the school nurse about conflicts related to attending college or working to add
c c c c c c c c c c c c c c c c c
needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend to
c c c c c c c c c c c c c c c c c c
the student at this time?
c c c c c
A. Meditation
B. Problem-solving training c
C. Relaxation
D. Journaling
ANS: B c
The student must assess his or her situation and determine the best course of action. Problem-solving training,
c c c c c c c c c c c c c c c c
by providing structure and objectivity, can assist in decision making.
c c c c c c c c c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
, 7. An unemployed college graduate is experiencing severe anxiety over not finding a teaching position and has
c c c c c c c c c c c c c c c
difficulty with independent problem-solving. During a routine physical examination, the graduate confides in
c c c c c c c c c c c c c
cthe clinic nurse. Which is the most appropriate nursing intervention?
c c c c c c c c c
A. Encourage the student to use the alternative coping mechanism of relaxation exercises.
c c c c c c c c c c c
B. Complete the problem-solving process for the client. c c c c c c
C. Work through the problem-solving process with the client.
c c c c c c c
D. Encourage the client to keep a journal. c c c c c c
ANS: C c
During times of high anxiety and stress, clients will need more assistance in problem-solving and decision
c c c c c c c c c c c c c c c
making.
c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
8. A school nurse is assessing a distraught female high school student who is overly concerned because her
c c c c c c c c c c c c c c c c
parents cant afford horseback riding lessons. How should the nurse interpret the students reaction to her
c c c c c c c c c c c c c c c c
perceived problem?
c c
A. The problem is endangering her well-being.
c c c c c
B. The problem is personally relevant to her.
c c c c c c
C. The problem is based on immaturity.
c c c c c
D. The problem is exceeding her capacity to cN
c opUeR. SINGTB.COM c c c c c c c
ANS: B c
Psychological stressors to self-esteem and self-image are related to how the individual perceives the situation or
c c c c c c c c c c c c c c c
event. Self-image is of particular importance to adolescents, who feel entitled to have all the advantages that
c c c c c c c c c c c c c c c c c
cother adolescents experience.
c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
9. Meditation has been shown to be an effective stress management technique. When meditation is effective,
c c c c c c c c c c c c c c
what should a nurse expect to assess?
c c c c c c c
A. An achieved state of relaxation
c c c c
B. An achieved insight into ones feelings
c c c c c
C. A demonstration of appropriate role behaviors
c c c c c
D. An enhanced ability to problem-solve
c c c c
ANS: A c
Meditation produces relaxation by creating a special state of consciousness through focused concentration.
c c c c c c c c c c c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
10. A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I cant afford
c c c c c c c c c c c c c c c c c c c
childcare? What is the nurses initial action in assisting the client with the problem-solving process?
c c c c c c c c c c c c c c c
c c c c c c c c
Townsend (9th Edition, 2017)
c c c c
TEST BANK c
,Chapter 01. The Concept of Stress Adaptation c c c c c c
Multiple Choice c
1. A client has experienced the death of a close family member and at the same time becomes unemployed. This
c c c c c c c c c c c c c c c c c c c
situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should the
c c c c c c c c c c c c c c c c c c
nurse evaluate this client data?
c c c c c
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
c c c c c c c c c c c c c c
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
c c c c c c c c c c c c c c c c c
stress-related illness.
c c
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
c c c c c c c c c c c c
coping resources and available supports.
c c c c c
D. The client may view these losses as challenges and perceive them as opportunities.
c c c c c c c c c c c c
ANS: C c
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
c c c c c c c c c c c c c c c c
Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of
c c c c c c c c c c c c c c c c c
500 or more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support
c c c c c c c c c c c c c c c c c c
ccan limit susceptibility to stress-related illnesses.
c c c c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
c c c c c c c c c c c c c c c c c c c
nurse: Perhaps this was the best thing to happen.NURSINGTB.COM
c c Maybe Ill look into pursuing an art degree. How should the
c c c c c c c c c c c c c c c c c c
nurse characterize the clients appraisal of the job loss stressor?
c c c c c c c c
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D c
The client perceives the situation of job loss as a challenge and an opportunity for growth.
c c c c c c c c c c c c c c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
c c c c c c c c c c c c c c c
A. Ive found that avoiding contact with others helps me cope.
c c c c c c c c c
B. I really enjoy journaling; its my private time.
c c c c c c c
C. I signed up for a yoga class this week.
c c c c c c c c
D. I made an appointment to meet with a therapist.
c c c c c c c c
ANS: A c
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
c c c c c c c c c c c c c c c c c
learning appropriate coping skills and can prevent access to needed support systems.
c c c c c c c c c c c c
,KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When this
c c c c c c c c c c c c c c c c c c c
occurs, which stage of stress is the student most likely experiencing?
c c c c c c c c c c c
A. Alarm reaction stage c c
B. Stage of resistance c c
C. Stage of exhaustion c c
D. Fight-or-flight stage c
ANS: C c
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
c c c c c c c c c c c c c c c c c
depleted. Diseases of adaptation occur more frequently in this stage.
c c c c c c c c c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
c c c c c c c c c c c c c c c c c
clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
c c c c c c c c c c c c c c c c
response?
c
A. Teenagers! They dont know a thing about real stress. c c c c c c c c
B. Stress occurs only when there is a loss.
c c c c c c c
C. When you are in poor physical condition, yNoU
c uR
caSnIN
t eGxTpB
er.C
ieO
ncMe psychological well-being.
c c c c c c c c c c
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
c c c c c c c c c c c c c
ANS: D c
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
c c c c c c c c c c c c c c c c c c
physiological change.
c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
6. A bright student confides in the school nurse about conflicts related to attending college or working to add
c c c c c c c c c c c c c c c c c
needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend to
c c c c c c c c c c c c c c c c c c
the student at this time?
c c c c c
A. Meditation
B. Problem-solving training c
C. Relaxation
D. Journaling
ANS: B c
The student must assess his or her situation and determine the best course of action. Problem-solving training,
c c c c c c c c c c c c c c c c
by providing structure and objectivity, can assist in decision making.
c c c c c c c c c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
, 7. An unemployed college graduate is experiencing severe anxiety over not finding a teaching position and has
c c c c c c c c c c c c c c c
difficulty with independent problem-solving. During a routine physical examination, the graduate confides in
c c c c c c c c c c c c c
cthe clinic nurse. Which is the most appropriate nursing intervention?
c c c c c c c c c
A. Encourage the student to use the alternative coping mechanism of relaxation exercises.
c c c c c c c c c c c
B. Complete the problem-solving process for the client. c c c c c c
C. Work through the problem-solving process with the client.
c c c c c c c
D. Encourage the client to keep a journal. c c c c c c
ANS: C c
During times of high anxiety and stress, clients will need more assistance in problem-solving and decision
c c c c c c c c c c c c c c c
making.
c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
8. A school nurse is assessing a distraught female high school student who is overly concerned because her
c c c c c c c c c c c c c c c c
parents cant afford horseback riding lessons. How should the nurse interpret the students reaction to her
c c c c c c c c c c c c c c c c
perceived problem?
c c
A. The problem is endangering her well-being.
c c c c c
B. The problem is personally relevant to her.
c c c c c c
C. The problem is based on immaturity.
c c c c c
D. The problem is exceeding her capacity to cN
c opUeR. SINGTB.COM c c c c c c c
ANS: B c
Psychological stressors to self-esteem and self-image are related to how the individual perceives the situation or
c c c c c c c c c c c c c c c
event. Self-image is of particular importance to adolescents, who feel entitled to have all the advantages that
c c c c c c c c c c c c c c c c c
cother adolescents experience.
c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
9. Meditation has been shown to be an effective stress management technique. When meditation is effective,
c c c c c c c c c c c c c c
what should a nurse expect to assess?
c c c c c c c
A. An achieved state of relaxation
c c c c
B. An achieved insight into ones feelings
c c c c c
C. A demonstration of appropriate role behaviors
c c c c c
D. An enhanced ability to problem-solve
c c c c
ANS: A c
Meditation produces relaxation by creating a special state of consciousness through focused concentration.
c c c c c c c c c c c c
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
c c c c c c c c c c c c
Psychosocial Integrity c
10. A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I cant afford
c c c c c c c c c c c c c c c c c c c
childcare? What is the nurses initial action in assisting the client with the problem-solving process?
c c c c c c c c c c c c c c c
