Test Bank -n n
n Psychiatric Mental Health Nursing by MaryTownsend (9
n n n n n n n
th Edition, 2017)
n n
TEST BANK n
,Chapter 01. The Concept of Stress Adaptation
n n n n n n
Multiplen Choice
1. An clientn hasn experiencedn then deathn ofn an closen familyn membern andn atn then samen timen becomesn unemployed.nT
hisn situationn hasn resultedn inn an 6-
monthn scoren ofn 110n onn then Recentn Lifen Changesn Questionnaire.n Hown shouldnthen nursen evaluaten thisn clientn data
?
A. Then clientn isn experiencingn severen distressn andn isn atn riskn forn physicaln andn psychologicaln illness.
B. An scoren ofn 110n onn then Millern andn Rahen Recentn Lifen Changesn Questionnairen indicatesn non significantn threatn ofn
stress-relatedn illness.
C. Susceptibilityn ton stress-
relatedn physicaln orn psychologicaln illnessn cannotn ben estimatedn withoutn knowledgen ofncopingn resourcesn andn avail
ablen supports.
D. Then clientn mayn viewn thesen lossesn asn challengesn andn perceiven themn asn opportunities.
ANS:n C
ThenRecentnLifenChangesnQuestionnairenisnannexpandednversionnofnthenSchedulenofnRecentnExperiencesnandnthenRa
he-Holmesn Socialn Readjustmentn Ratingn Scale.n An 6-monthn scoren ofn 300n orn more,n orn an year-
scoren totaln ofn 500norn more,n indicatesn highn stressn inn an clientsn life.n However,n positiven copingn mechanismsn andn stro
ngn socialn supportncann limitn susceptibilityn ton stress-relatedn illnesses.
KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Evaluationn |n Clientn Need:
Psychosocialn Integrity
2. An physicallyn andn emotionallyn healthyn clientn hasn justnbeenn fired.n Duringn an routinen officen visitn hen statesn ton an
nurse:nPerhapsn thisn wasn then bestn thingn ton happen.n Mayben Illn lookn inton pursuingn ann artndegree.n Hown shouldn the
NURSINGTB.COM
nursen characterizen then clientsn appraisaln ofn the jobn lossn stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:n D
Then clientn perceivesn then situationn ofn jobn lossn asn an challengen andn ann opportunityn forn growth.
KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Assessmentn |nClientn Need:
Psychosocialn Integrity
3. Whichn clientn statementn shouldn alertn an nursen thatn an clientn mayn ben respondingn maladaptivelyn ton stress?
A. Iven foundn thatn avoidingn contactn withn othersn helpsn men cope.
B. In reallyn enjoyn journaling;n itsn myn privaten time.
C. In signedn upn forn an yogan classn thisn week.
D. In maden ann appointmentn ton meetn withn an therapist.
ANS:n A
Reliancen onn socialn isolationn asn an copingn mechanismn isn an maladaptiven methodn ton relieven stress.n Itn cann preventnlear
ningn appropriaten copingn skillsn andn cann preventn accessn ton neededn supportn systems.
,KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Evaluationn |n Clientn Need:
Psychosocialn Integrity
4. An nursingn studentn findsn thatnshen comesn downn withn an sinusn infectionn towardn then endn ofn everyn semester.n Whennt
hisn occurs,n whichn stagen ofn stressn isn then studentn mostn likelyn experiencing?
A. Alarmn reactionn stage
B. Stagen ofn resistance
C. Stagen ofn exhaustion
D. Fight-or-flightn stage
ANS:n C
Atn then stagen ofn exhaustion,n then studentsn exposuren ton stressn hasn beenn prolongedn andn adaptiven energyn hasn beennde
pleted.n Diseasesn ofn adaptationn occurn moren frequentlyn inn thisn stage.
KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Assessmentn |nClientn Need:
Psychosocialn Integrity
5. An schooln nursen isn assessingn an femalen highn schooln studentn whon isn overlyn concernedn aboutn hern appearance.n Then
clientsn mothern states,n Thatsn notn somethingn ton ben stressedn about!n Whichn isn then mostn appropriaten nursingnresponse
?
A. Teenagers!n Theyn dontn known an thingn aboutnrealn stress.
B. Stressn occursn onlyn whenn theren isn an loss.
C. Whenn youn aren inn poorn physicaln condition,n yNoU
unR
caSnIN
tn eGxTpB
er.C
ieO
ncMen psychologicaln well-being.
D. Stressn cann ben psychological.n An threatn ton self-esteemn mayn resultn inn highn stressn levels.
ANS:n D
Stressn cann ben physicaln orn psychologicaln inn nature.n An perceivedn threatn ton self-
esteemn cann ben asn stressfuln asn anphysiologicaln change.
KEY:n Cognitiven Level:nApplicationn |n Integratedn Processes:n Nursingn Process:n Implementationn |n Clientn Need:
Psychosocialn Integrity
6. An brightn studentn confidesn innthen schoolnnursen aboutn conflictsn relatedn ton attendingn collegen orn workingn ton addn
neededn financialn supportn ton then family.n Whichn copingn strategyn isn mostn appropriaten forn then nursen ton recommendnt
on then studentn atn thisn time?
A. Meditation
B. Problem-solvingn training
C. Relaxation
D. Journaling
ANS:n B
Then studentn mustn assessn hisn orn hern situationn andn determinen then bestn coursen ofn action.n Problem-
solvingn training,nbyn providingn structuren andn objectivity,n cann assistn inn decisionn making.
KEY:n Cognitiven Level:nApplicationn |n Integratedn Processes:n Nursingn Process:n Implementationn |n Clientn Need:
Psychosocialn Integrity
, 7. Ann unemployedn collegen graduaten isn experiencingn severen anxietyn overn notn findingn an teachingn positionn andn hasn
difficultyn withn independentn problem-
solving.n Duringn an routinen physicaln examination,n then graduaten confidesn innthen clinicn nurse.n Whichn isn then mostn ap
propriaten nursingn intervention?
A. Encouragen then studentn ton usen then alternativen copingn mechanismn ofn relaxationn exercises.
B. Completen then problem-solvingn processn forn then client.
C. Workn throughn then problem-solvingn processn withn then client.
D. Encouragen then clientn ton keepn an journal.
ANS:n C
Duringn timesn ofn highn anxietyn andn stress,n clientsn willn needn moren assistancen inn problem-
solvingn andn decisionnmaking.
KEY:n Cognitiven Level:nApplicationn |n Integratedn Processes:n Nursingn Process:n Implementationn |n Clientn Need:
Psychosocialn Integrity
8. An schooln nursen isn assessingn an distraughtn femalen highn schooln studentn whon isn overlyn concernedn becausen hern
parentsn cantn affordn horsebackn ridingn lessons.n Hown shouldn then nursen interpretn then studentsn reactionn ton hernper
ceivedn problem?
A. Then problemn isn endangeringn hern well-being.
B. Then problemn isn personallyn relevantn ton her.
C. Then problemn isn basedn onn immaturity.
D. Then problemn isn exceedingn hern capacityn ton cN
opUeR.nSINGTB.COM
ANS:n B
Psychologicaln stressorsn ton self-esteemn andn self-
imagen aren relatedn ton hown then individualn perceivesn then situationn ornevent.n Self-
imagen isn ofn particularn importancen ton adolescents,n whon feeln entitledn ton haven alln then advantagesn thatnothern adolesce
ntsn experience.
KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Evaluationn |n Clientn Need:
Psychosocialn Integrity
9. Meditationn hasn beenn shownn ton ben ann effectiven stressn managementn technique.n Whenn meditationn isn effective,n
whatn shouldn an nursen expectn ton assess?
A. Ann achievedn staten ofn relaxation
B. Ann achievedn insightn inton onesn feelings
C. An demonstrationn ofn appropriaten rolen behaviors
D. Ann enhancedn abilityn ton problem-solve
ANS:n A
Meditationn producesn relaxationn byn creatingn an specialn staten ofn consciousnessn throughn focusedn concentration.
KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Evaluationn |n Clientn Need:
Psychosocialn Integrity
10. An distraught,n single,n first-
timen mothern criesn andn asksn annurse,nHown cann In gon ton workn ifn In cantn affordnchildcare?n Whatn isn then nursesn
initialn actionn inn assistingn then clientn withn then problem-solvingn process?
n Psychiatric Mental Health Nursing by MaryTownsend (9
n n n n n n n
th Edition, 2017)
n n
TEST BANK n
,Chapter 01. The Concept of Stress Adaptation
n n n n n n
Multiplen Choice
1. An clientn hasn experiencedn then deathn ofn an closen familyn membern andn atn then samen timen becomesn unemployed.nT
hisn situationn hasn resultedn inn an 6-
monthn scoren ofn 110n onn then Recentn Lifen Changesn Questionnaire.n Hown shouldnthen nursen evaluaten thisn clientn data
?
A. Then clientn isn experiencingn severen distressn andn isn atn riskn forn physicaln andn psychologicaln illness.
B. An scoren ofn 110n onn then Millern andn Rahen Recentn Lifen Changesn Questionnairen indicatesn non significantn threatn ofn
stress-relatedn illness.
C. Susceptibilityn ton stress-
relatedn physicaln orn psychologicaln illnessn cannotn ben estimatedn withoutn knowledgen ofncopingn resourcesn andn avail
ablen supports.
D. Then clientn mayn viewn thesen lossesn asn challengesn andn perceiven themn asn opportunities.
ANS:n C
ThenRecentnLifenChangesnQuestionnairenisnannexpandednversionnofnthenSchedulenofnRecentnExperiencesnandnthenRa
he-Holmesn Socialn Readjustmentn Ratingn Scale.n An 6-monthn scoren ofn 300n orn more,n orn an year-
scoren totaln ofn 500norn more,n indicatesn highn stressn inn an clientsn life.n However,n positiven copingn mechanismsn andn stro
ngn socialn supportncann limitn susceptibilityn ton stress-relatedn illnesses.
KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Evaluationn |n Clientn Need:
Psychosocialn Integrity
2. An physicallyn andn emotionallyn healthyn clientn hasn justnbeenn fired.n Duringn an routinen officen visitn hen statesn ton an
nurse:nPerhapsn thisn wasn then bestn thingn ton happen.n Mayben Illn lookn inton pursuingn ann artndegree.n Hown shouldn the
NURSINGTB.COM
nursen characterizen then clientsn appraisaln ofn the jobn lossn stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:n D
Then clientn perceivesn then situationn ofn jobn lossn asn an challengen andn ann opportunityn forn growth.
KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Assessmentn |nClientn Need:
Psychosocialn Integrity
3. Whichn clientn statementn shouldn alertn an nursen thatn an clientn mayn ben respondingn maladaptivelyn ton stress?
A. Iven foundn thatn avoidingn contactn withn othersn helpsn men cope.
B. In reallyn enjoyn journaling;n itsn myn privaten time.
C. In signedn upn forn an yogan classn thisn week.
D. In maden ann appointmentn ton meetn withn an therapist.
ANS:n A
Reliancen onn socialn isolationn asn an copingn mechanismn isn an maladaptiven methodn ton relieven stress.n Itn cann preventnlear
ningn appropriaten copingn skillsn andn cann preventn accessn ton neededn supportn systems.
,KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Evaluationn |n Clientn Need:
Psychosocialn Integrity
4. An nursingn studentn findsn thatnshen comesn downn withn an sinusn infectionn towardn then endn ofn everyn semester.n Whennt
hisn occurs,n whichn stagen ofn stressn isn then studentn mostn likelyn experiencing?
A. Alarmn reactionn stage
B. Stagen ofn resistance
C. Stagen ofn exhaustion
D. Fight-or-flightn stage
ANS:n C
Atn then stagen ofn exhaustion,n then studentsn exposuren ton stressn hasn beenn prolongedn andn adaptiven energyn hasn beennde
pleted.n Diseasesn ofn adaptationn occurn moren frequentlyn inn thisn stage.
KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Assessmentn |nClientn Need:
Psychosocialn Integrity
5. An schooln nursen isn assessingn an femalen highn schooln studentn whon isn overlyn concernedn aboutn hern appearance.n Then
clientsn mothern states,n Thatsn notn somethingn ton ben stressedn about!n Whichn isn then mostn appropriaten nursingnresponse
?
A. Teenagers!n Theyn dontn known an thingn aboutnrealn stress.
B. Stressn occursn onlyn whenn theren isn an loss.
C. Whenn youn aren inn poorn physicaln condition,n yNoU
unR
caSnIN
tn eGxTpB
er.C
ieO
ncMen psychologicaln well-being.
D. Stressn cann ben psychological.n An threatn ton self-esteemn mayn resultn inn highn stressn levels.
ANS:n D
Stressn cann ben physicaln orn psychologicaln inn nature.n An perceivedn threatn ton self-
esteemn cann ben asn stressfuln asn anphysiologicaln change.
KEY:n Cognitiven Level:nApplicationn |n Integratedn Processes:n Nursingn Process:n Implementationn |n Clientn Need:
Psychosocialn Integrity
6. An brightn studentn confidesn innthen schoolnnursen aboutn conflictsn relatedn ton attendingn collegen orn workingn ton addn
neededn financialn supportn ton then family.n Whichn copingn strategyn isn mostn appropriaten forn then nursen ton recommendnt
on then studentn atn thisn time?
A. Meditation
B. Problem-solvingn training
C. Relaxation
D. Journaling
ANS:n B
Then studentn mustn assessn hisn orn hern situationn andn determinen then bestn coursen ofn action.n Problem-
solvingn training,nbyn providingn structuren andn objectivity,n cann assistn inn decisionn making.
KEY:n Cognitiven Level:nApplicationn |n Integratedn Processes:n Nursingn Process:n Implementationn |n Clientn Need:
Psychosocialn Integrity
, 7. Ann unemployedn collegen graduaten isn experiencingn severen anxietyn overn notn findingn an teachingn positionn andn hasn
difficultyn withn independentn problem-
solving.n Duringn an routinen physicaln examination,n then graduaten confidesn innthen clinicn nurse.n Whichn isn then mostn ap
propriaten nursingn intervention?
A. Encouragen then studentn ton usen then alternativen copingn mechanismn ofn relaxationn exercises.
B. Completen then problem-solvingn processn forn then client.
C. Workn throughn then problem-solvingn processn withn then client.
D. Encouragen then clientn ton keepn an journal.
ANS:n C
Duringn timesn ofn highn anxietyn andn stress,n clientsn willn needn moren assistancen inn problem-
solvingn andn decisionnmaking.
KEY:n Cognitiven Level:nApplicationn |n Integratedn Processes:n Nursingn Process:n Implementationn |n Clientn Need:
Psychosocialn Integrity
8. An schooln nursen isn assessingn an distraughtn femalen highn schooln studentn whon isn overlyn concernedn becausen hern
parentsn cantn affordn horsebackn ridingn lessons.n Hown shouldn then nursen interpretn then studentsn reactionn ton hernper
ceivedn problem?
A. Then problemn isn endangeringn hern well-being.
B. Then problemn isn personallyn relevantn ton her.
C. Then problemn isn basedn onn immaturity.
D. Then problemn isn exceedingn hern capacityn ton cN
opUeR.nSINGTB.COM
ANS:n B
Psychologicaln stressorsn ton self-esteemn andn self-
imagen aren relatedn ton hown then individualn perceivesn then situationn ornevent.n Self-
imagen isn ofn particularn importancen ton adolescents,n whon feeln entitledn ton haven alln then advantagesn thatnothern adolesce
ntsn experience.
KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Evaluationn |n Clientn Need:
Psychosocialn Integrity
9. Meditationn hasn beenn shownn ton ben ann effectiven stressn managementn technique.n Whenn meditationn isn effective,n
whatn shouldn an nursen expectn ton assess?
A. Ann achievedn staten ofn relaxation
B. Ann achievedn insightn inton onesn feelings
C. An demonstrationn ofn appropriaten rolen behaviors
D. Ann enhancedn abilityn ton problem-solve
ANS:n A
Meditationn producesn relaxationn byn creatingn an specialn staten ofn consciousnessn throughn focusedn concentration.
KEY:n Cognitiven Level:n Applicationn |n Integratedn Processes:n Nursingn Process:n Evaluationn |n Clientn Need:
Psychosocialn Integrity
10. An distraught,n single,n first-
timen mothern criesn andn asksn annurse,nHown cann In gon ton workn ifn In cantn affordnchildcare?n Whatn isn then nursesn
initialn actionn inn assistingn then clientn withn then problem-solvingn process?
