Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based
th th th th th th th
Practice 10th Edition Townsend Test Bank th th th th th
Chapter 1. The Concept of Stress Adaptation
th th th th th th
MULTIPLE CHOICE th
1. A client has experienced the death of a close family member and at the same
th th th th th th th th th th th th th th t
time becomes unemployed. The client’s 6-
h th th th th th
month score on the Recent Life Changes Questionnaire is 110. The nurse:
th th th th th th th th th th th
A. Understands the client is at risk for significant th th th th th th th
stress-related illness. t h
B. Determines the client is not at risk for th th th th th th th
significant stress-related illness. th t h
C. Needs further assessment of the client’s copin th th th th th th
g skills to determine susceptibility to th th th th th
stress-related illness. t h
D. Recognizes the client may view the losses as th th th th th th th
challenges and perceive them as opportunities th th th th th
.
ANS: C th th
C
Chapter learning objective: Explain the relationship between stress and diseases of adapt
th th th th th th th th th th th
ation.
Page: 5–6 th
Heading: Stress as an Environmental Event Integra
th th th th th th
ted Processes: Nursing Process: Evaluation Client
th th th th th th
Need: Psychosocial Integrity
th th
Cognitive Level: Application [Applying]
th th th th
Concept: Stress th
Difficulty: Moderate th
Feedback
,A This is incorrect. Assessment is the first step o
th th th th th th th t h
f the nursing process. The nurse should assess
th th th th th th t h th
the client’s coping skills and available support
th th th th th th th
before determining susceptibility to stress-
th th th th
related physical and psychological illness. The
th th th th th th
Recent Life Changes Questionnaire is an expa
th th t h th th th
nded version of the Schedule of Recent Experie
th th th th th th th
nces and the Rahe- th th th
Holmes Social Readjustment Rating Scale. A
th th th th th th t h
6-month score of 300 or more, or a year- th th th th th th th th
score total of 500 or more, indicates high stress
th th th th th th th th th
in a client’s life and susceptibility to stress-
th th th th th th th
related
illnesses.
B This is incorrect. Assessment is the first step i
th th th th th th th th
n the nursing process. The nurse should asses
th th th th th th th
s the client’s coping skills and available supp
th th th th th th th
ort before determining the client’s perception
th th th th th th
of the current stresses. A 6-
th th th th th
month score of 300 or a year- th th th th th th
score of 500 or more on the Recent Life Chan
th th th th th th th th th
ges Questionnaire indicates high stress in a cl
th th th th th th th
ient’s life and susceptibility to stress-
th th th th th
related physical and th th
psychological illness. t h
C This is correct. Assessment is the first step in th
th th th th th th th th th
e nursing process. The nurse should assess the c
th th th th th th th th
lient’s coping skills and available support befor
th th th th th th
e determining susceptibility to stress-
th th th th
related physical and psychological illness. A
th th th th th th t h
6-month score of 300 or a year- th th th th th th
score of 500 or more indicates high stress in a
th th t h th th th th th th t
client’s life and risk for significant stress-
h th th th th th th
related physical th
and psychological illness.
th th
D This is incorrect. Assessment is the first step i
th th th th th th th th
n the nursing process. The nurse should assess
th th th th th th th th
the client’s coping skills and available support
th th th th th th t
before determining susceptibility to stress-
h th th th th
related illness. A 6- th th th
month score of 300 or a year- th th th th th th
score of 500 or more on the Recent Life Chang
th th th th th th th th th
es Questionnaire indicates high stress in a clie
th th th th th th th
nt’s life is susceptible to significant stress-
th th th th th th
related physical and th th
psychological illness. t h
PTS: 1
t h CON: Stress
th
, 2. A physically and emotionally healthy client has just been fired. During a ro
th th th th th th th th th th th th
utine office visit, he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll c
th th th th th th th th th th th th th th th th th
onsider pursuing an art degree.” The nurse determines the client perceives the stressor of hi
th th th th th th th th th th th th th th
s job loss as:
th th th
A. Irrelevant.
B. Harm/loss.
C. A threat. th
D. A challenge. th
ANS: D t h
Chapter: Chapter 0, The Concept of Stress Adaptation
th th th th th th th
Chapter learning objective: Discuss adaptive coping strategies in the management of stre
th th th th th th th th th th th
ss.
Page: 7 th
Heading: Individual’s Perception of the Event > Primary Appraisal Int
th th th th th th th th th
egrated Processes: Nursing Process: Assessment
th th th th
Client Need: Psychosocial Integrity Cogni
th th th th
tive Level: Application [Applying] Conce
th th th th
pt: Stress
th
Difficulty: Easy th
Feedback
A This is incorrect. The client’s statement th th th th th
indicates he perceives the loss of his job as a chal th th th th th th th th th th
lenge and an opportunity for growth. th th th th th
B This is incorrect. The client’s statement indic th th th th th th
ates he perceives the loss of his job as a th th th th th th th th th
challenge and an opportunity for growth. th th th th th
C This is incorrect. The client’s statement th th th th th
indicates he perceives the loss of his job as a chal th th th th th th th th th th
lenge and an opportunity for growth. th th th th th
D This is correct. The client’s statement indicate th th th th th th
s he perceives the loss of his job as a th th th th th th th th th
challenge and an opportunity for growth. th th th th th
PTS: 1 t h CON: Stress th
3. Which client statement alerts the nurse that the client may be responding m
th th th th th th th th th th th th
aladaptively to stress? th th
A. “Avoiding contact with others helps me th th th th th
cope.”
, B. “I really enjoy journaling; it’s my private
th th th th th th
time.”
C. “I signed up for a yoga class this week.”
th th th th th th th th
D. “I made an appointment to meet with a
th th th th th th th
therapist.”
ANS: A t h
Chapter: Chapter 0, The Concept of Stress Adaptation
th th th th th th th
Chapter learning objective: Discuss adaptive coping strategies in the management of stre
th th th th th th th th th th th
ss.
Page: 8–9 th
Heading: Stress Management
th th
Integrated Processes: Nursing Process: Evaluation
th th th th th
Client Need: Psychosocial Integrity
th th th
Cognitive Level: Application [Applying]
th th th th
Concept: Stress th
Difficulty: Easy th
Feedback
A This is correct. Reliance on social isolation as th th th th th th th th
a coping mechanism is a maladaptive method t th th th th th th th
o relieve stress. It can prevent learning appropr th th th th th th th
iate coping skills and can prevent th th th th th
access to needed support systems. th th th th
B This is incorrect. Journaling is not considered th th th th th th
a maladaptive coping method. th th th
C This is incorrect. Group exercise is not th th th th th th
considered a maladaptive coping method. th th th th
D This is incorrect. Seeing a therapist is not th th th th th th th
considered a maladaptive coping method. th th th th
PTS: 1 t h CON: Stress th
4. A nursing student comes down with a sinus infection toward the end of ev
th th th th th th th th th th th th th
ery semester. Which stage of stress is the student most likely experiencing when this occu
th th th th th th th th th th th th th th
rs?
A. Alarm reaction th
B. Resistance
C. Exhaustion
D. Fight or flight th th
ANS: C t h
th th th th th th th
Practice 10th Edition Townsend Test Bank th th th th th
Chapter 1. The Concept of Stress Adaptation
th th th th th th
MULTIPLE CHOICE th
1. A client has experienced the death of a close family member and at the same
th th th th th th th th th th th th th th t
time becomes unemployed. The client’s 6-
h th th th th th
month score on the Recent Life Changes Questionnaire is 110. The nurse:
th th th th th th th th th th th
A. Understands the client is at risk for significant th th th th th th th
stress-related illness. t h
B. Determines the client is not at risk for th th th th th th th
significant stress-related illness. th t h
C. Needs further assessment of the client’s copin th th th th th th
g skills to determine susceptibility to th th th th th
stress-related illness. t h
D. Recognizes the client may view the losses as th th th th th th th
challenges and perceive them as opportunities th th th th th
.
ANS: C th th
C
Chapter learning objective: Explain the relationship between stress and diseases of adapt
th th th th th th th th th th th
ation.
Page: 5–6 th
Heading: Stress as an Environmental Event Integra
th th th th th th
ted Processes: Nursing Process: Evaluation Client
th th th th th th
Need: Psychosocial Integrity
th th
Cognitive Level: Application [Applying]
th th th th
Concept: Stress th
Difficulty: Moderate th
Feedback
,A This is incorrect. Assessment is the first step o
th th th th th th th t h
f the nursing process. The nurse should assess
th th th th th th t h th
the client’s coping skills and available support
th th th th th th th
before determining susceptibility to stress-
th th th th
related physical and psychological illness. The
th th th th th th
Recent Life Changes Questionnaire is an expa
th th t h th th th
nded version of the Schedule of Recent Experie
th th th th th th th
nces and the Rahe- th th th
Holmes Social Readjustment Rating Scale. A
th th th th th th t h
6-month score of 300 or more, or a year- th th th th th th th th
score total of 500 or more, indicates high stress
th th th th th th th th th
in a client’s life and susceptibility to stress-
th th th th th th th
related
illnesses.
B This is incorrect. Assessment is the first step i
th th th th th th th th
n the nursing process. The nurse should asses
th th th th th th th
s the client’s coping skills and available supp
th th th th th th th
ort before determining the client’s perception
th th th th th th
of the current stresses. A 6-
th th th th th
month score of 300 or a year- th th th th th th
score of 500 or more on the Recent Life Chan
th th th th th th th th th
ges Questionnaire indicates high stress in a cl
th th th th th th th
ient’s life and susceptibility to stress-
th th th th th
related physical and th th
psychological illness. t h
C This is correct. Assessment is the first step in th
th th th th th th th th th
e nursing process. The nurse should assess the c
th th th th th th th th
lient’s coping skills and available support befor
th th th th th th
e determining susceptibility to stress-
th th th th
related physical and psychological illness. A
th th th th th th t h
6-month score of 300 or a year- th th th th th th
score of 500 or more indicates high stress in a
th th t h th th th th th th t
client’s life and risk for significant stress-
h th th th th th th
related physical th
and psychological illness.
th th
D This is incorrect. Assessment is the first step i
th th th th th th th th
n the nursing process. The nurse should assess
th th th th th th th th
the client’s coping skills and available support
th th th th th th t
before determining susceptibility to stress-
h th th th th
related illness. A 6- th th th
month score of 300 or a year- th th th th th th
score of 500 or more on the Recent Life Chang
th th th th th th th th th
es Questionnaire indicates high stress in a clie
th th th th th th th
nt’s life is susceptible to significant stress-
th th th th th th
related physical and th th
psychological illness. t h
PTS: 1
t h CON: Stress
th
, 2. A physically and emotionally healthy client has just been fired. During a ro
th th th th th th th th th th th th
utine office visit, he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll c
th th th th th th th th th th th th th th th th th
onsider pursuing an art degree.” The nurse determines the client perceives the stressor of hi
th th th th th th th th th th th th th th
s job loss as:
th th th
A. Irrelevant.
B. Harm/loss.
C. A threat. th
D. A challenge. th
ANS: D t h
Chapter: Chapter 0, The Concept of Stress Adaptation
th th th th th th th
Chapter learning objective: Discuss adaptive coping strategies in the management of stre
th th th th th th th th th th th
ss.
Page: 7 th
Heading: Individual’s Perception of the Event > Primary Appraisal Int
th th th th th th th th th
egrated Processes: Nursing Process: Assessment
th th th th
Client Need: Psychosocial Integrity Cogni
th th th th
tive Level: Application [Applying] Conce
th th th th
pt: Stress
th
Difficulty: Easy th
Feedback
A This is incorrect. The client’s statement th th th th th
indicates he perceives the loss of his job as a chal th th th th th th th th th th
lenge and an opportunity for growth. th th th th th
B This is incorrect. The client’s statement indic th th th th th th
ates he perceives the loss of his job as a th th th th th th th th th
challenge and an opportunity for growth. th th th th th
C This is incorrect. The client’s statement th th th th th
indicates he perceives the loss of his job as a chal th th th th th th th th th th
lenge and an opportunity for growth. th th th th th
D This is correct. The client’s statement indicate th th th th th th
s he perceives the loss of his job as a th th th th th th th th th
challenge and an opportunity for growth. th th th th th
PTS: 1 t h CON: Stress th
3. Which client statement alerts the nurse that the client may be responding m
th th th th th th th th th th th th
aladaptively to stress? th th
A. “Avoiding contact with others helps me th th th th th
cope.”
, B. “I really enjoy journaling; it’s my private
th th th th th th
time.”
C. “I signed up for a yoga class this week.”
th th th th th th th th
D. “I made an appointment to meet with a
th th th th th th th
therapist.”
ANS: A t h
Chapter: Chapter 0, The Concept of Stress Adaptation
th th th th th th th
Chapter learning objective: Discuss adaptive coping strategies in the management of stre
th th th th th th th th th th th
ss.
Page: 8–9 th
Heading: Stress Management
th th
Integrated Processes: Nursing Process: Evaluation
th th th th th
Client Need: Psychosocial Integrity
th th th
Cognitive Level: Application [Applying]
th th th th
Concept: Stress th
Difficulty: Easy th
Feedback
A This is correct. Reliance on social isolation as th th th th th th th th
a coping mechanism is a maladaptive method t th th th th th th th
o relieve stress. It can prevent learning appropr th th th th th th th
iate coping skills and can prevent th th th th th
access to needed support systems. th th th th
B This is incorrect. Journaling is not considered th th th th th th
a maladaptive coping method. th th th
C This is incorrect. Group exercise is not th th th th th th
considered a maladaptive coping method. th th th th
D This is incorrect. Seeing a therapist is not th th th th th th th
considered a maladaptive coping method. th th th th
PTS: 1 t h CON: Stress th
4. A nursing student comes down with a sinus infection toward the end of ev
th th th th th th th th th th th th th
ery semester. Which stage of stress is the student most likely experiencing when this occu
th th th th th th th th th th th th th th
rs?
A. Alarm reaction th
B. Resistance
C. Exhaustion
D. Fight or flight th th
ANS: C t h
