MENTAL HEALTH TEST BANK EXAM 1 2026
EXAMINATION TEST WITH FULL SOLVED
QUESTIONS
⩥1.2. 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 I'll look into pursuing an art degree." How
should the nurse characterize the client's appraisal of the job loss
stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging - ANSWER: D
RATIONALE: the client perceives the situation of job loss as a
challenge and an opportunity for growth.
⩥1.3. 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
,RATIONALE: 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.
⩥1.4. 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
B. Stage of resistance
C. Stage of exhaustion
D. Fight-or-flight stage - ANSWER: C
RATIONALE: At the stage of
exhaustion, the student's exposure to stress has been prolonged and
adaptive energy has been depleted. Diseases of adaptation occur more
frequently in this stage.
⩥1.5. A school nurse is assessing a female high school student who is
overly concerned about her appearance. The clients mother states, That's
not something to be stressed about! Which is the most appropriate
nursing response?
A. Teenagers! They don't know a thing about real stress.
B. Stress occurs only when there is a loss.
C. When you are in poor physical condition, you cant experience
psychological well-being.
,D. Stress can be psychological. A threat to self-esteem may result in high
stress levels. - ANSWER: D
RATIONALE: Stress can be physical or psychological in nature. A
perceived threat to self-esteem can be as stressful as a physiological
change.
⩥1.6. A bright student confides in the school nurse about conflicts
related to attending college or working to add needed financial support
to the family. Which coping strategy is most appropriate for the nurse to
recommend to the student at this time?
A. Meditation
B. Problem-solving training
C. Relaxation
D. Journaling - ANSWER: B
RATIONALE: The student must assess his or her situation and
determine the best course of action. Problem-solving training, by
providing structure and objectivity, can assist in decision making.
⩥1.7. An unemployed college graduate is experiencing severe anxiety
over not finding a teaching position and has difficulty with independent
problem-solving. During a routine physical examination, the graduate
confides in the clinic nurse. Which is the most appropriate nursing
intervention?
, A. Encourage the student to use the alternative coping mechanism of
relaxation exercises.
B. Complete the problem-solving process for the client.
C. Work through the problem-solving process with the client.
D. Encourage the client to keep a journal. - ANSWER: C
RATIONALE: During times of high anxiety and stress, clients will need
more assistance in problem-solving and decision making.
⩥1.8. A school nurse is assessing a distraught female high school student
who is overly concerned because her parents can't afford horseback
riding lessons. How should the nurse interpret the student's reaction to
her perceived problem?
A. The problem is endangering her well-being.
B. The problem is personally relevant to her.
C. The problem is based on immaturity.
D. The problem is exceeding her capacity to cope. - ANSWER: B
RATIONALE: Psychological stressors to self-esteem and self-image are
related to how the individual perceives the situation or event. Self-image
is of particular importance to adolescents, who feel entitled to have all
the advantages that other adolescents experience.
EXAMINATION TEST WITH FULL SOLVED
QUESTIONS
⩥1.2. 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 I'll look into pursuing an art degree." How
should the nurse characterize the client's appraisal of the job loss
stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging - ANSWER: D
RATIONALE: the client perceives the situation of job loss as a
challenge and an opportunity for growth.
⩥1.3. 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
,RATIONALE: 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.
⩥1.4. 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
B. Stage of resistance
C. Stage of exhaustion
D. Fight-or-flight stage - ANSWER: C
RATIONALE: At the stage of
exhaustion, the student's exposure to stress has been prolonged and
adaptive energy has been depleted. Diseases of adaptation occur more
frequently in this stage.
⩥1.5. A school nurse is assessing a female high school student who is
overly concerned about her appearance. The clients mother states, That's
not something to be stressed about! Which is the most appropriate
nursing response?
A. Teenagers! They don't know a thing about real stress.
B. Stress occurs only when there is a loss.
C. When you are in poor physical condition, you cant experience
psychological well-being.
,D. Stress can be psychological. A threat to self-esteem may result in high
stress levels. - ANSWER: D
RATIONALE: Stress can be physical or psychological in nature. A
perceived threat to self-esteem can be as stressful as a physiological
change.
⩥1.6. A bright student confides in the school nurse about conflicts
related to attending college or working to add needed financial support
to the family. Which coping strategy is most appropriate for the nurse to
recommend to the student at this time?
A. Meditation
B. Problem-solving training
C. Relaxation
D. Journaling - ANSWER: B
RATIONALE: The student must assess his or her situation and
determine the best course of action. Problem-solving training, by
providing structure and objectivity, can assist in decision making.
⩥1.7. An unemployed college graduate is experiencing severe anxiety
over not finding a teaching position and has difficulty with independent
problem-solving. During a routine physical examination, the graduate
confides in the clinic nurse. Which is the most appropriate nursing
intervention?
, A. Encourage the student to use the alternative coping mechanism of
relaxation exercises.
B. Complete the problem-solving process for the client.
C. Work through the problem-solving process with the client.
D. Encourage the client to keep a journal. - ANSWER: C
RATIONALE: During times of high anxiety and stress, clients will need
more assistance in problem-solving and decision making.
⩥1.8. A school nurse is assessing a distraught female high school student
who is overly concerned because her parents can't afford horseback
riding lessons. How should the nurse interpret the student's reaction to
her perceived problem?
A. The problem is endangering her well-being.
B. The problem is personally relevant to her.
C. The problem is based on immaturity.
D. The problem is exceeding her capacity to cope. - ANSWER: B
RATIONALE: Psychological stressors to self-esteem and self-image are
related to how the individual perceives the situation or event. Self-image
is of particular importance to adolescents, who feel entitled to have all
the advantages that other adolescents experience.
