Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based
Practice 10th Edition Townsend Test Bank
Chapter | 1. | The | Concept |of | Stress | Adaptation
MULTIPLE |CHOICE
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 |Life
|Changes |Questionnaire |is |110. |The |nurse:
A. Understands |the |client |is |at |risk |for
| significant
stress-related | illness.
B. Determines |the |client |is |not |at |risk |for
significant | stress-related | illness.
C. Needs |further |assessment |of |the |client’s
|coping |skills |to |determine |susceptibility |to
stress-related | illness.
D. Recognizes |the | client |may | view | the |losses |as
challenges |and |perceive |them |as
|opportunities.
ANS: |C
|C
Chapter |learning |objective: |Explain |the |relationship |between |stress |and |diseases |of
|adaptation.
Page: | 5–6
Heading: |Stress |as |an |Environmental |Event
|Integrated |Processes: |Nursing |Process:
|Evaluation |Client |Need: |Psychosocial |Integrity
Cognitive |Level: |Application |[Applying]
|Concept: |Stress
Difficulty: | Moderate
Feedback
, A This |is |incorrect. |Assessment |is |the |first |step
| of |the |nursing |process. |The |nurse |should
| assess |the |client’s |coping |skills |and |available
|support |before |determining |susceptibility |to
|stress-related |physical |and |psychological
|illness. |The |Recent |Life |Changes
| Questionnaire |is |an |expanded |version |of |the
|Schedule |of |Recent |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.
B This |is |incorrect. |Assessment |is |the |first |step
|in |the |nursing |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 |a |year-score |of |500
|or |more |on |the |Recent |Life |Changes
|Questionnaire |indicates |high |stress |in |a
|client’s |life |and |susceptibility |to |stress-
related |physical |and
psychological | illness.
C 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 |susceptibility |to
|stress- |related |physical |and |psychological
|illness. |A | 6-month |score |of |300 |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.
D This |is |incorrect. |Assessment |is |the |first |step
|in |the |nursing |process. |The |nurse |should
|assess |the |client’s |coping |skills |and |available
|support |before |determining |susceptibility |to
|stress-related |illness. |A |6-month |score |of |300
|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 | illness.
PTS: | 1 CON: | Stress
, 2. A |physically |and |emotionally |healthy |client |has |just |been |fired. |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:
A. Irrelevant.
B. Harm/loss.
C. A |threat.
D. A |challenge.
ANS: | D
Chapter: | Chapter | 0, |The | Concept | of | Stress |Adaptation
Chapter |learning |objective: |Discuss |adaptive |coping |strategies |in |the |management |of
|stress.
Page: | 7
Heading: |Individual’s |Perception |of |the |Event |> |Primary |Appraisal
|Integrated |Processes: |Nursing |Process: |Assessment
Client |Need: |Psychosocial |Integrity
|Cognitive |Level: |Application |[Applying]
|Concept: |Stress
Difficulty: | Easy
Feedback
A This |is |incorrect. |The |client’s |statement
indicates |he |perceives |the |loss |of |his |job |as |a
|challenge |and |an |opportunity |for |growth.
B This |is |incorrect. |The |client’s |statement
|indicates |he |perceives |the |loss |of |his |job |as
|a
challenge | and | an | opportunity | for | growth.
C This |is |incorrect. |The |client’s |statement
indicates |he |perceives |the |loss |of |his |job |as |a
|challenge |and |an |opportunity |for |growth.
D This |is |correct. |The |client’s |statement
|indicates |he |perceives |the |loss |of |his |job |as
|a
challenge | and | an | opportunity | for | growth.
PTS: | 1 CON: | Stress
3. Which |client |statement |alerts |the |nurse |that |the |client |may |be |responding
|maladaptively |to |stress?
, A. “Avoiding |contact |with |others |helps |me
cope.”
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.”
ANS: | A
Chapter: | Chapter | 0, |The | Concept | of | Stress |Adaptation
Chapter |learning |objective: |Discuss |adaptive |coping |strategies |in |the |management |of
|stress.
Page: | 8–9
Heading: | Stress | Management
Integrated |Processes: |Nursing |Process: |Evaluation
|Client |Need: |Psychosocial |Integrity
Cognitive |Level: |Application |[Applying]
|Concept: |Stress
Difficulty: | Easy
Feedback
A This |is |correct. |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.
B This |is | incorrect. | Journaling | is | not | considered
a | maladaptive | coping | method.
C This |is | incorrect. | Group |exercise | is | not
considered | a | maladaptive | coping | method.
D This |is | incorrect. | Seeing |a | therapist | is | not
considered | a | maladaptive | coping | method.
PTS: | 1 CON: | Stress
4. A |nursing |student |comes |down |with |a |sinus |infection |toward |the |end |of
|every |semester. |Which |stage |of |stress |is |the |student |most |likely |experiencing |when
|this |occurs?
A. Alarm | reaction
B. Resistance
C. Exhaustion
Practice 10th Edition Townsend Test Bank
Chapter | 1. | The | Concept |of | Stress | Adaptation
MULTIPLE |CHOICE
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 |Life
|Changes |Questionnaire |is |110. |The |nurse:
A. Understands |the |client |is |at |risk |for
| significant
stress-related | illness.
B. Determines |the |client |is |not |at |risk |for
significant | stress-related | illness.
C. Needs |further |assessment |of |the |client’s
|coping |skills |to |determine |susceptibility |to
stress-related | illness.
D. Recognizes |the | client |may | view | the |losses |as
challenges |and |perceive |them |as
|opportunities.
ANS: |C
|C
Chapter |learning |objective: |Explain |the |relationship |between |stress |and |diseases |of
|adaptation.
Page: | 5–6
Heading: |Stress |as |an |Environmental |Event
|Integrated |Processes: |Nursing |Process:
|Evaluation |Client |Need: |Psychosocial |Integrity
Cognitive |Level: |Application |[Applying]
|Concept: |Stress
Difficulty: | Moderate
Feedback
, A This |is |incorrect. |Assessment |is |the |first |step
| of |the |nursing |process. |The |nurse |should
| assess |the |client’s |coping |skills |and |available
|support |before |determining |susceptibility |to
|stress-related |physical |and |psychological
|illness. |The |Recent |Life |Changes
| Questionnaire |is |an |expanded |version |of |the
|Schedule |of |Recent |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.
B This |is |incorrect. |Assessment |is |the |first |step
|in |the |nursing |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 |a |year-score |of |500
|or |more |on |the |Recent |Life |Changes
|Questionnaire |indicates |high |stress |in |a
|client’s |life |and |susceptibility |to |stress-
related |physical |and
psychological | illness.
C 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 |susceptibility |to
|stress- |related |physical |and |psychological
|illness. |A | 6-month |score |of |300 |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.
D This |is |incorrect. |Assessment |is |the |first |step
|in |the |nursing |process. |The |nurse |should
|assess |the |client’s |coping |skills |and |available
|support |before |determining |susceptibility |to
|stress-related |illness. |A |6-month |score |of |300
|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 | illness.
PTS: | 1 CON: | Stress
, 2. A |physically |and |emotionally |healthy |client |has |just |been |fired. |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:
A. Irrelevant.
B. Harm/loss.
C. A |threat.
D. A |challenge.
ANS: | D
Chapter: | Chapter | 0, |The | Concept | of | Stress |Adaptation
Chapter |learning |objective: |Discuss |adaptive |coping |strategies |in |the |management |of
|stress.
Page: | 7
Heading: |Individual’s |Perception |of |the |Event |> |Primary |Appraisal
|Integrated |Processes: |Nursing |Process: |Assessment
Client |Need: |Psychosocial |Integrity
|Cognitive |Level: |Application |[Applying]
|Concept: |Stress
Difficulty: | Easy
Feedback
A This |is |incorrect. |The |client’s |statement
indicates |he |perceives |the |loss |of |his |job |as |a
|challenge |and |an |opportunity |for |growth.
B This |is |incorrect. |The |client’s |statement
|indicates |he |perceives |the |loss |of |his |job |as
|a
challenge | and | an | opportunity | for | growth.
C This |is |incorrect. |The |client’s |statement
indicates |he |perceives |the |loss |of |his |job |as |a
|challenge |and |an |opportunity |for |growth.
D This |is |correct. |The |client’s |statement
|indicates |he |perceives |the |loss |of |his |job |as
|a
challenge | and | an | opportunity | for | growth.
PTS: | 1 CON: | Stress
3. Which |client |statement |alerts |the |nurse |that |the |client |may |be |responding
|maladaptively |to |stress?
, A. “Avoiding |contact |with |others |helps |me
cope.”
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.”
ANS: | A
Chapter: | Chapter | 0, |The | Concept | of | Stress |Adaptation
Chapter |learning |objective: |Discuss |adaptive |coping |strategies |in |the |management |of
|stress.
Page: | 8–9
Heading: | Stress | Management
Integrated |Processes: |Nursing |Process: |Evaluation
|Client |Need: |Psychosocial |Integrity
Cognitive |Level: |Application |[Applying]
|Concept: |Stress
Difficulty: | Easy
Feedback
A This |is |correct. |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.
B This |is | incorrect. | Journaling | is | not | considered
a | maladaptive | coping | method.
C This |is | incorrect. | Group |exercise | is | not
considered | a | maladaptive | coping | method.
D This |is | incorrect. | Seeing |a | therapist | is | not
considered | a | maladaptive | coping | method.
PTS: | 1 CON: | Stress
4. A |nursing |student |comes |down |with |a |sinus |infection |toward |the |end |of
|every |semester. |Which |stage |of |stress |is |the |student |most |likely |experiencing |when
|this |occurs?
A. Alarm | reaction
B. Resistance
C. Exhaustion
