Test Bank -Z Z
Z Psychiatric Mental Health Nursing by MaryTownsend (9
Z Z Z Z Z Z Z
th Edition, 2017)
Z Z
TEST BANK Z
,Chapter 01. The Concept of Stress Adaptation
Z Z Z Z Z Z
MultipleZ Choice
1. AZ clientZhasZ experiencedZtheZdeathZ ofZ aZcloseZ familyZ memberZandZ atZtheZ sameZtimeZ becomesZunemployed.
ZThisZ situationZ hasZ resultedZ inZ aZ 6-
monthZ scoreZofZ 110ZonZ theZ RecentZLifeZ ChangesZQuestionnaire.Z HowZ shouldZtheZnurseZ evaluateZ thisZ clientZ da
ta?
A. TheZclientZisZ experiencingZ severeZdistressZ andZ isZ atZriskZ forZphysicalZandZ psychologicalZillness.
B. AZ scoreZofZ 110ZonZ theZMillerZ andZ RaheZRecentZLifeZ ChangesZQuestionnaireZ indicatesZnoZ significantZthreatZ
ofZstress-relatedZ illness.
C. SusceptibilityZ toZ stress-
relatedZ physicalZorZ psychologicalZillnessZ cannotZ beZ estimatedZ withoutZ knowledgeZ ofZcopingZ resourcesZ andZ av
ailableZ supports.
D. TheZ clientZmayZ viewZ theseZ lossesZ asZ challengesZandZ perceiveZthemZ asZopportunities.
ANS:Z C
TheZRecentZLifeZChangesZQuestionnaireZisZanZexpandedZversionZofZtheZScheduleZofZRecentZExperiencesZandZtheZ
Rahe-HolmesZ SocialZ ReadjustmentZ RatingZ Scale.Z AZ 6-monthZ scoreZ ofZ 300Z orZ more,Z orZ aZ year-
scoreZ totalZ ofZ 500ZorZ more,Z indicatesZ highZ stressZ inZ aZ clientsZ life.Z However,Z positiveZ copingZ mechanismsZ andZ st
rongZ socialZ supportZcanZ limitZ susceptibilityZ toZ stress-relatedZ illnesses.
KEY:Z CognitiveZ Level:Z ApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z EvaluationZ |ZClientZ Need:
PsychosocialZ Integrity
2. AZ physicallyZandZemotionallyZ healthyZclientZhasZjustZbeenZfired.ZDuringZaZ routineZ officeZ visitZheZstatesZtoZ
aZnurse:ZPerhapsZ thisZwasZ theZbestZthingZ toZ happen.Z MaybeZIllZlookZ intoZ pursuingZanZ artZdegree.ZHowZ should
Z the
NURSINGTB.COM
nurseZcharacterizeZtheZclientsZappraisalZofZ th jobZ lossZ stressor?
e
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:Z D
TheZ clientZperceivesZ theZsituationZ ofZjobZ lossZasZaZchallengeZ andZanZ opportunityZforZ growth.
KEY:Z CognitiveZ Level:ZApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z AssessmentZ |ZClientZ Need:
PsychosocialZ Integrity
3. WhichZclientZstatementZshouldZ alertZaZ nurseZthatZaZclientZ mayZbeZ respondingZ maladaptivelyZ toZstress?
A. IveZfoundZthatZavoidingZ contactZwithZ othersZhelpsZ meZ cope.
B. IZreallyZenjoyZ journaling;Z itsZmyZ privateZtime.
C. IZsignedZupZforZaZ yogaZclassZthisZweek.
D. IZ madeZanZappointmentZtoZ meetZwithZ aZ therapist.
ANS:Z A
RelianceZonZ socialZisolationZ asZaZ copingZ mechanismZisZ aZmaladaptiveZ methodZtoZ relieveZ stress.Z ItZcanZ preventZl
,earningZ appropriateZ copingZ skillsZ andZ canZ preventZ accessZ toZ neededZ supportZ systems.
, KEY:Z CognitiveZ Level:Z ApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z EvaluationZ |ZClientZ Need:
PsychosocialZ Integrity
4. AZ nursingZstudentZfindsZ thatZsheZ comesZdownZwithZ aZ sinusZinfectionZ towardZ theZ endZ ofZeveryZ semester.ZWh
enZthisZoccurs,Z whichZ stageZ ofZstressZ isZ theZ studentZ mostZ likelyZ experiencing?
A. AlarmZ reactionZ stage
B. StageZ ofZ resistance
C. StageZ ofZ exhaustion
D. Fight-or-flightZ stage
ANS:Z C
AtZtheZ stageZ ofZexhaustion,ZtheZ studentsZexposureZ toZ stressZhasZ beenZ prolongedZandZ adaptiveZ energyZhasZ beenZ
depleted.ZDiseasesZ ofZ adaptationZ occurZ moreZfrequentlyZ inZ thisZ stage.
KEY:Z CognitiveZ Level:ZApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z AssessmentZ |ZClientZ Need:
PsychosocialZ Integrity
5. AZ schoolZnurseZ isZ assessingZ aZ femaleZ highZ schoolZstudentZwhoZ isZ overlyZ concernedZ aboutZherZ appearance.ZT
heZclientsZ motherZ states,ZThatsZ notZsomethingZ toZ beZ stressedZ about!Z WhichZ isZ theZ mostZappropriateZ nursingZresp
onse?
A. Teenagers!Z TheyZ dontZknowZ aZ thingZ aboutZrealZ stress.
B. StressZoccursZonlyZwhenZ thereZ isZaZ loss.
C. WhenZ youZ areZ inZ poorZ physicalZ condition,Z yNoU
uZR
caSnIN
tZ eGxTpB
er.C
ieO
ncMeZ psychologicalZ well-being.
D. StressZcanZbeZpsychological.ZAZ threatZtoZself-esteemZ mayZresultZ inZ highZstressZ levels.
ANS:Z D
StressZcanZ beZphysicalZorZpsychologicalZinZnature.ZAZperceivedZ threatZtoZ self-
esteemZcanZ beZasZ stressfulZasZ aZphysiologicalZ change.
KEY:Z CognitiveZ Level:ZApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z ImplementationZ |ZClientZ Need:
PsychosocialZ Integrity
6. AZ brightZstudentZconfidesZinZtheZ schoolZnurseZ aboutZconflictsZ relatedZtoZ attendingZ collegeZorZworkingZ toZad
dZneededZfinancialZsupportZtoZ theZ family.ZWhichZcopingZ strategyZ isZ mostZappropriateZ forZ theZ nurseZ toZrecomm
endZtoZtheZ studentZatZthisZ time?
A. Meditation
B. Problem-solvingZ training
C. Relaxation
D. Journaling
ANS:Z B
TheZ studentZmustZassessZhisZ orZ herZ situationZandZ determineZ theZbestZcourseZofZ action.ZProblem-
solvingZ training,ZbyZ providingZ structureZ andZ objectivity,Z canZ assistZ inZ decisionZ making.
KEY:Z CognitiveZ Level:ZApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z ImplementationZ |ZClientZ Need:
PsychosocialZ Integrity
Z Psychiatric Mental Health Nursing by MaryTownsend (9
Z Z Z Z Z Z Z
th Edition, 2017)
Z Z
TEST BANK Z
,Chapter 01. The Concept of Stress Adaptation
Z Z Z Z Z Z
MultipleZ Choice
1. AZ clientZhasZ experiencedZtheZdeathZ ofZ aZcloseZ familyZ memberZandZ atZtheZ sameZtimeZ becomesZunemployed.
ZThisZ situationZ hasZ resultedZ inZ aZ 6-
monthZ scoreZofZ 110ZonZ theZ RecentZLifeZ ChangesZQuestionnaire.Z HowZ shouldZtheZnurseZ evaluateZ thisZ clientZ da
ta?
A. TheZclientZisZ experiencingZ severeZdistressZ andZ isZ atZriskZ forZphysicalZandZ psychologicalZillness.
B. AZ scoreZofZ 110ZonZ theZMillerZ andZ RaheZRecentZLifeZ ChangesZQuestionnaireZ indicatesZnoZ significantZthreatZ
ofZstress-relatedZ illness.
C. SusceptibilityZ toZ stress-
relatedZ physicalZorZ psychologicalZillnessZ cannotZ beZ estimatedZ withoutZ knowledgeZ ofZcopingZ resourcesZ andZ av
ailableZ supports.
D. TheZ clientZmayZ viewZ theseZ lossesZ asZ challengesZandZ perceiveZthemZ asZopportunities.
ANS:Z C
TheZRecentZLifeZChangesZQuestionnaireZisZanZexpandedZversionZofZtheZScheduleZofZRecentZExperiencesZandZtheZ
Rahe-HolmesZ SocialZ ReadjustmentZ RatingZ Scale.Z AZ 6-monthZ scoreZ ofZ 300Z orZ more,Z orZ aZ year-
scoreZ totalZ ofZ 500ZorZ more,Z indicatesZ highZ stressZ inZ aZ clientsZ life.Z However,Z positiveZ copingZ mechanismsZ andZ st
rongZ socialZ supportZcanZ limitZ susceptibilityZ toZ stress-relatedZ illnesses.
KEY:Z CognitiveZ Level:Z ApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z EvaluationZ |ZClientZ Need:
PsychosocialZ Integrity
2. AZ physicallyZandZemotionallyZ healthyZclientZhasZjustZbeenZfired.ZDuringZaZ routineZ officeZ visitZheZstatesZtoZ
aZnurse:ZPerhapsZ thisZwasZ theZbestZthingZ toZ happen.Z MaybeZIllZlookZ intoZ pursuingZanZ artZdegree.ZHowZ should
Z the
NURSINGTB.COM
nurseZcharacterizeZtheZclientsZappraisalZofZ th jobZ lossZ stressor?
e
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:Z D
TheZ clientZperceivesZ theZsituationZ ofZjobZ lossZasZaZchallengeZ andZanZ opportunityZforZ growth.
KEY:Z CognitiveZ Level:ZApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z AssessmentZ |ZClientZ Need:
PsychosocialZ Integrity
3. WhichZclientZstatementZshouldZ alertZaZ nurseZthatZaZclientZ mayZbeZ respondingZ maladaptivelyZ toZstress?
A. IveZfoundZthatZavoidingZ contactZwithZ othersZhelpsZ meZ cope.
B. IZreallyZenjoyZ journaling;Z itsZmyZ privateZtime.
C. IZsignedZupZforZaZ yogaZclassZthisZweek.
D. IZ madeZanZappointmentZtoZ meetZwithZ aZ therapist.
ANS:Z A
RelianceZonZ socialZisolationZ asZaZ copingZ mechanismZisZ aZmaladaptiveZ methodZtoZ relieveZ stress.Z ItZcanZ preventZl
,earningZ appropriateZ copingZ skillsZ andZ canZ preventZ accessZ toZ neededZ supportZ systems.
, KEY:Z CognitiveZ Level:Z ApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z EvaluationZ |ZClientZ Need:
PsychosocialZ Integrity
4. AZ nursingZstudentZfindsZ thatZsheZ comesZdownZwithZ aZ sinusZinfectionZ towardZ theZ endZ ofZeveryZ semester.ZWh
enZthisZoccurs,Z whichZ stageZ ofZstressZ isZ theZ studentZ mostZ likelyZ experiencing?
A. AlarmZ reactionZ stage
B. StageZ ofZ resistance
C. StageZ ofZ exhaustion
D. Fight-or-flightZ stage
ANS:Z C
AtZtheZ stageZ ofZexhaustion,ZtheZ studentsZexposureZ toZ stressZhasZ beenZ prolongedZandZ adaptiveZ energyZhasZ beenZ
depleted.ZDiseasesZ ofZ adaptationZ occurZ moreZfrequentlyZ inZ thisZ stage.
KEY:Z CognitiveZ Level:ZApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z AssessmentZ |ZClientZ Need:
PsychosocialZ Integrity
5. AZ schoolZnurseZ isZ assessingZ aZ femaleZ highZ schoolZstudentZwhoZ isZ overlyZ concernedZ aboutZherZ appearance.ZT
heZclientsZ motherZ states,ZThatsZ notZsomethingZ toZ beZ stressedZ about!Z WhichZ isZ theZ mostZappropriateZ nursingZresp
onse?
A. Teenagers!Z TheyZ dontZknowZ aZ thingZ aboutZrealZ stress.
B. StressZoccursZonlyZwhenZ thereZ isZaZ loss.
C. WhenZ youZ areZ inZ poorZ physicalZ condition,Z yNoU
uZR
caSnIN
tZ eGxTpB
er.C
ieO
ncMeZ psychologicalZ well-being.
D. StressZcanZbeZpsychological.ZAZ threatZtoZself-esteemZ mayZresultZ inZ highZstressZ levels.
ANS:Z D
StressZcanZ beZphysicalZorZpsychologicalZinZnature.ZAZperceivedZ threatZtoZ self-
esteemZcanZ beZasZ stressfulZasZ aZphysiologicalZ change.
KEY:Z CognitiveZ Level:ZApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z ImplementationZ |ZClientZ Need:
PsychosocialZ Integrity
6. AZ brightZstudentZconfidesZinZtheZ schoolZnurseZ aboutZconflictsZ relatedZtoZ attendingZ collegeZorZworkingZ toZad
dZneededZfinancialZsupportZtoZ theZ family.ZWhichZcopingZ strategyZ isZ mostZappropriateZ forZ theZ nurseZ toZrecomm
endZtoZtheZ studentZatZthisZ time?
A. Meditation
B. Problem-solvingZ training
C. Relaxation
D. Journaling
ANS:Z B
TheZ studentZmustZassessZhisZ orZ herZ situationZandZ determineZ theZbestZcourseZofZ action.ZProblem-
solvingZ training,ZbyZ providingZ structureZ andZ objectivity,Z canZ assistZ inZ decisionZ making.
KEY:Z CognitiveZ Level:ZApplicationZ |ZIntegratedZ Processes:Z NursingZ Process:Z ImplementationZ |ZClientZ Need:
PsychosocialZ Integrity
