,
,Townsend
10th EDITON
PMHN, 10e
Chapter 1 - ETB
abirb.com/test
Chapter 1. The Concept of Stress Adaptation
abirb.com/test
MULTIPLE CHOICE
abirb.com/test
1. A client has experienced the death of a close family member and at the same time
becomes unemployed. The client’s 6-month score on the Recent abirb.com/test
Life Changes
Questionnaire is 110. The nurse:
1. Understands the client is at risk for significant stress-related illness.
2. Determines the client is not at risk for significant stress-related illness.
3. Needs further assessment of the client’s coping skills to determine susceptibility to
abirb.com/test
stress-related illness.
4. Recognizes the client may view the losses as challenges and perceive them as
opportunities. abirb.com/test
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases ofabirb.com/test
adaptation.
Page: 5
Heading: Stress as an Environmental Event
Integrated Processes: Nursing Process: Evaluation abirb.com/test
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate abirb.com/test
Feedback
1. This is incorrect. Assessment is the first step of the nursingabirb.com/test
process. The nurse
should assess the client’s coping skills and available support before determining
susceptibility to stress-related physical and psychological illnesses. The Recent Life
Changes Questionnaire is an expanded version of the Schedule of Recent
abirb.com/test
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
client’s life and susceptibility to stress-related illnesses.
2. This is incorrect. Assessment is the first step in the nursingabirb.com/test
process. The nurse
should assess the client’s coping skills and available support before determining the
client’s perception of the current stresses. A 6-month score of 300 or more or a year-
score total of 500 or more on the Recent Life Changes Questionnaire indicates high
abirb.com/test
stress in a client’s life and susceptibility to stress-related physical and psychological
illnesses.
3. This is correct. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining
abirb.com/test
susceptibility to stress-related physical and psychological illnesses. A 6-month score
abirb.com/test
abirb.com/test
, Townsend
PMHN, 10e
Chapter 1 - ETB
abirb.com/test
of 300 or more or a year-score of 500 or more indicates high stress in a client’s life
and risk for significant stress-related physical and psychological illness.
4. This is incorrect. Assessment is the first step in the nursing process. The nurse
should assess the client’s coping skills and available support abirb.com/test
before determining
susceptibility to stress-related illness. A 6-month score of 300 or more or a year-
score of 500 or more on the Recent Life Changes Questionnaire indicates high stress
in a client’s life is susceptible to significant stress-related physical and psychological
abirb.com/test
illness.
CON: Stress
abirb.com/test
2. A physically and emotionally healthy client has just been fired.abirb.com/test
During a routine
office visit, he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
consider pursuing an art degree.” The nurse determines the client perceives the stressor
of his job loss as:
abirb.com/test
1. Irrelevant
2. Harm or loss
3. Threatening
4. A challenge abirb.com/test
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the managementabirb.com/test
of stress.
Page: 7
Heading: Stress as a transaction between the individual and the environment
>Individual’s Perception of the Event > Primary Appraisal abirb.com/test
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
abirb.com/test
Concept: Stress
Difficulty: Easy
Feedback abirb.com/test
1. This is incorrect. An irrelevant perception is one where the event holds no
significance for the individual.
2. This is incorrect. A harm or loss appraisal refers to damageabirb.com/test
or loss already
experienced by the individual.
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
4. This is correct. The client’s statement indicates he perceives the loss of his job as a
challenge and an opportunity for growth, demonstrated by abirb.com/test
his statement to consider
an art degree.
CON: Stress abirb.com/test
abirb.com/test
abirb.com/test
,Townsend
10th EDITON
PMHN, 10e
Chapter 1 - ETB
abirb.com/test
Chapter 1. The Concept of Stress Adaptation
abirb.com/test
MULTIPLE CHOICE
abirb.com/test
1. A client has experienced the death of a close family member and at the same time
becomes unemployed. The client’s 6-month score on the Recent abirb.com/test
Life Changes
Questionnaire is 110. The nurse:
1. Understands the client is at risk for significant stress-related illness.
2. Determines the client is not at risk for significant stress-related illness.
3. Needs further assessment of the client’s coping skills to determine susceptibility to
abirb.com/test
stress-related illness.
4. Recognizes the client may view the losses as challenges and perceive them as
opportunities. abirb.com/test
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases ofabirb.com/test
adaptation.
Page: 5
Heading: Stress as an Environmental Event
Integrated Processes: Nursing Process: Evaluation abirb.com/test
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate abirb.com/test
Feedback
1. This is incorrect. Assessment is the first step of the nursingabirb.com/test
process. The nurse
should assess the client’s coping skills and available support before determining
susceptibility to stress-related physical and psychological illnesses. The Recent Life
Changes Questionnaire is an expanded version of the Schedule of Recent
abirb.com/test
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
client’s life and susceptibility to stress-related illnesses.
2. This is incorrect. Assessment is the first step in the nursingabirb.com/test
process. The nurse
should assess the client’s coping skills and available support before determining the
client’s perception of the current stresses. A 6-month score of 300 or more or a year-
score total of 500 or more on the Recent Life Changes Questionnaire indicates high
abirb.com/test
stress in a client’s life and susceptibility to stress-related physical and psychological
illnesses.
3. This is correct. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining
abirb.com/test
susceptibility to stress-related physical and psychological illnesses. A 6-month score
abirb.com/test
abirb.com/test
, Townsend
PMHN, 10e
Chapter 1 - ETB
abirb.com/test
of 300 or more or a year-score of 500 or more indicates high stress in a client’s life
and risk for significant stress-related physical and psychological illness.
4. This is incorrect. Assessment is the first step in the nursing process. The nurse
should assess the client’s coping skills and available support abirb.com/test
before determining
susceptibility to stress-related illness. A 6-month score of 300 or more or a year-
score of 500 or more on the Recent Life Changes Questionnaire indicates high stress
in a client’s life is susceptible to significant stress-related physical and psychological
abirb.com/test
illness.
CON: Stress
abirb.com/test
2. A physically and emotionally healthy client has just been fired.abirb.com/test
During a routine
office visit, he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
consider pursuing an art degree.” The nurse determines the client perceives the stressor
of his job loss as:
abirb.com/test
1. Irrelevant
2. Harm or loss
3. Threatening
4. A challenge abirb.com/test
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the managementabirb.com/test
of stress.
Page: 7
Heading: Stress as a transaction between the individual and the environment
>Individual’s Perception of the Event > Primary Appraisal abirb.com/test
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
abirb.com/test
Concept: Stress
Difficulty: Easy
Feedback abirb.com/test
1. This is incorrect. An irrelevant perception is one where the event holds no
significance for the individual.
2. This is incorrect. A harm or loss appraisal refers to damageabirb.com/test
or loss already
experienced by the individual.
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
4. This is correct. The client’s statement indicates he perceives the loss of his job as a
challenge and an opportunity for growth, demonstrated by abirb.com/test
his statement to consider
an art degree.
CON: Stress abirb.com/test
abirb.com/test
abirb.com/test
