TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING CONCEPTS OF CARE IN EVIDENCE BASED PRACTICE, 6TH EDITION: TOWNSEND

Chapter 1: The Concept of Stress Adaptation 1. A client has experienced the death of his mother and the loss of his job, which resulted in a 6- month score of 110 on the Recent Life Changes Questionnaire. Based on this information, which nursing conclusions are appropriate? A) The client is experiencing severe distress and is at risk for physical and psychological illness. B) The client has scored only 110 on the Miller and Rahe Recent Life Changes Questionnaire, so there is no significant threat of stress-related illness. C) The client's susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of his coping resources and available supports. D) The client views these losses as challenges, and sees them as potentials for growth. 2. A nurse is interviewing a client who is a happily-married husband and father of two healthy children. He is in good physical and emotional health. The client was recently dismissed from his job after his company downsized. The client reports: "Perhaps this was the best thing to happen. Maybe I'll look into pursuing that art degree that I abandoned back in college." How should the nurse characterize the client's appraisal of the stressor of losing his job? A) Irrelevant B) Harm/loss C) Threatening D) Challenging 3. A nurse is interviewing a client who is distressed over the loss of a job that the client has worked for 15 years. Which questions would best assist the nurse determining the client's appraisal of the situation? Select all that apply. A) What resources do you rely on in difficult times? B) Have you ever experienced a similar situation; if so, what did you do? C) Who do you think is to blame for this situation? D) What options are available to you at this time? 4. Which client statement should alert a nurse that a client may be responding maladaptively to stress? A) "I've found that a few glasses of wine each evening really helps me unwind." B) "I really enjoy journaling; it's my private time." C) "I signed up for a yoga class this week." D) "I made an appointment to meet with a therapist." 5. 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 client most likely experiencing? A) Alarm reaction stage B) Stage of resistance C) Stage of exhaustion D) Fight-or-flight stage