MentalHealthExam1. 100
m
% CORRECT Q AND A.
m m m m
,Exam1–
chapters1,2,3,5,27&32.ATI1,2,4,6&11 Chapter 01. The Conce m m m m
pt of Stress Adaptation
m m m
MultipleChoi ce
1. Amclientmhasm experiencedmthem death mofm am closem fami lymm em ber mandmatmthemsam em timem becom e
smunemployed. mThismsituationm hasmresultedminm am6-
monthmscorem ofm 110monm them Recentm Lifem Changesm Questionnaire. mHowm shouldmthem nursem evaluate
mthismclientm data?
A. Themclientmi smexperiencing m severem distressm andmismatmrisk m form physical mandm psychologi ca
lmillness.
B. Amscoremofm110m onmthemMi llerm andmRahem Recent mLifem Changesm Questionnairemindi catesm n
omsignificantmthreatm ofmstress-relatedmillness.
C. Suscepti bilitym tom stress-
relatedm physicalmorm psychologi calmillnessm cannotm bem estimatedm withoutmknowledgem ofm
coping mresourcesmandm avai lablemsupports.
D. Theclientmayviewtheselossesaschallengesandperceivethemasopportunities.
ANS:C
ThemRecentmLi fem Changesm Questionnairemismanm expandedm versionm ofmthemSchedule mofm Recentm Exp
eriencesmandmthem Rahe-Holm esm Social mReadjustm entm Rating m Scale. mA m6-
monthmscorem ofm 300morm ore, mormam year-
scoremtotalm ofm500m orm more, mi ndicatesmhighm stressmi nmam clientsm life. m However, m positi vem copi ng mm e
chanismsmand mstrong m socialm supportm can mlimitm suscepti bilitym tom stress-relatedmillnesses.
2. Amphysicallym andm em otionallym healthym clientmhas mjustm beenm fired. m Duri ng ma mroutinem officem visitm
hemstatesmtoma mnurse: m Perhapsmthism wasm them bestm thi ng mtom happen. mMaybemIllm look minto m pursuing m a
nmartmdegree. mHowm shouldmthem nursem characterizemthem clientsmappraisalm ofm them jobm lossm stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:D
Themclientpercei vesthesituati onofjob mlossm asam challengeandanopportunityfor mgrowth.
3. Whichmclientm statem ent mshouldm alertmam nursemthatma mcli entmm aym bemresponding m maladapti velymt
omstress?
A. I’vefoundthatavoi dingcontactwithothershelpsm ecope
B. Ireallyenjoyjournaling;itsmyprivatetime.
C. Isignedupforayogaclassthisweek.
D. Immadeanappointm enttomm eetwithatherapist.
ANS:A
,Reliancemonm socialmisolationmasma m copi ng mm echanism mismam maladapti vemm ethodmtomrelievemstress. m
Itmcanmpreventm learni ng m appropriatem coping m skillsmandm canm preventm accessmtom neededm supportsyst
ems.
, 4. Anursingstudentfindsthatshecomesdownwithasinusinfectiontowardtheendofevery msemest
er.Whenthisoccurs,whichstageofstressisthestudentmostlikelyexperiencing?
A. Alarmreacti onstage
B. Stageofresistance
C. Stageofexhaustion
D. Fight-or-flightstage
ANS:C
Atmthemstagem ofm exhaustion, m them students mexposure mtomstressm hasm beenm prolongedm andmadaptivem
energymhasm beenm depleted. m Diseasesm ofmadaptationm occurmm orem frequently minmthism stage.
5. Amschoolm nursemi smassessing mam fem alem highmschoolm studentm whomismoverlym concernedm aboutm her
appearance. mThem clientsmm otherm states, mThatsm notm som ething m tom bem stressedm about! mWhi chmismth
emmostmappropriatem nursi ng mresponse?
A. Teenagers!Theydon’tknowm athingaboutrealstress.
B. Stressoccursonlywhenthereisaloss.
C. Whenyouarei npoorphysi calcondition,youcan’texperiencepsychologi calwell-being.
D. Stresscanbepsychological.Athreattoself-esteemm ayresulti nhighstresslevels.
ANS:D
Stressmcanm be m physicalmorm psychologi calmi nmnature. m Am perceivedmthreatm tom self-
esteem mcanm bemasm stressfulmasmam physiologi calm change.
6. Ambrightmstudentm confi desmin mthemschoolm nursem aboutm confli cts mrelatedm tom attendi ng m collegemorm
working mtomaddm needed m financialm supportmtomthem family. m Whichm coping m strategymi smm ostmappropriat
emformthem nursem tom recom m end mtomthemstudent matm thismtim e?
A. Meditation
B. Problem-solvingtraining
C. Relaxation
D. Journaling
ANS:B
Themstudentmm ustm assess mhis mor mher msituationmandm determinem them bestm coursem ofmaction. m Problem
- msolving mtraining, m by mprovi ding m structuremandm objectivity, m canmassistminm decisionm maki ng.
7. Anmunemployedm collegemgraduatemism experienci ng mseveremanxi etym overm notm finding mam teaching
mpositionmandm hasm diffi cultym withmindependent m problem-
solving. mDuri ng mam routinem physi calm examination, m themgraduatem confi desmin mthem cli nicm nurse. mWhi
chmismthemmostm appropriatem nursing mintervention?
A. Encouragethestudenttousethealternativecopingmechanism ofrelaxation exercises.
B. Completetheproblem-solvingprocessfortheclient.
C. Workthroughtheproblem-solvi ngprocesswiththeclient.
D. Encouragethecli enttokeepa m journal.
ANS:C
m
% CORRECT Q AND A.
m m m m
,Exam1–
chapters1,2,3,5,27&32.ATI1,2,4,6&11 Chapter 01. The Conce m m m m
pt of Stress Adaptation
m m m
MultipleChoi ce
1. Amclientmhasm experiencedmthem death mofm am closem fami lymm em ber mandmatmthemsam em timem becom e
smunemployed. mThismsituationm hasmresultedminm am6-
monthmscorem ofm 110monm them Recentm Lifem Changesm Questionnaire. mHowm shouldmthem nursem evaluate
mthismclientm data?
A. Themclientmi smexperiencing m severem distressm andmismatmrisk m form physical mandm psychologi ca
lmillness.
B. Amscoremofm110m onmthemMi llerm andmRahem Recent mLifem Changesm Questionnairemindi catesm n
omsignificantmthreatm ofmstress-relatedmillness.
C. Suscepti bilitym tom stress-
relatedm physicalmorm psychologi calmillnessm cannotm bem estimatedm withoutmknowledgem ofm
coping mresourcesmandm avai lablemsupports.
D. Theclientmayviewtheselossesaschallengesandperceivethemasopportunities.
ANS:C
ThemRecentmLi fem Changesm Questionnairemismanm expandedm versionm ofmthemSchedule mofm Recentm Exp
eriencesmandmthem Rahe-Holm esm Social mReadjustm entm Rating m Scale. mA m6-
monthmscorem ofm 300morm ore, mormam year-
scoremtotalm ofm500m orm more, mi ndicatesmhighm stressmi nmam clientsm life. m However, m positi vem copi ng mm e
chanismsmand mstrong m socialm supportm can mlimitm suscepti bilitym tom stress-relatedmillnesses.
2. Amphysicallym andm em otionallym healthym clientmhas mjustm beenm fired. m Duri ng ma mroutinem officem visitm
hemstatesmtoma mnurse: m Perhapsmthism wasm them bestm thi ng mtom happen. mMaybemIllm look minto m pursuing m a
nmartmdegree. mHowm shouldmthem nursem characterizemthem clientsmappraisalm ofm them jobm lossm stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:D
Themclientpercei vesthesituati onofjob mlossm asam challengeandanopportunityfor mgrowth.
3. Whichmclientm statem ent mshouldm alertmam nursemthatma mcli entmm aym bemresponding m maladapti velymt
omstress?
A. I’vefoundthatavoi dingcontactwithothershelpsm ecope
B. Ireallyenjoyjournaling;itsmyprivatetime.
C. Isignedupforayogaclassthisweek.
D. Immadeanappointm enttomm eetwithatherapist.
ANS:A
,Reliancemonm socialmisolationmasma m copi ng mm echanism mismam maladapti vemm ethodmtomrelievemstress. m
Itmcanmpreventm learni ng m appropriatem coping m skillsmandm canm preventm accessmtom neededm supportsyst
ems.
, 4. Anursingstudentfindsthatshecomesdownwithasinusinfectiontowardtheendofevery msemest
er.Whenthisoccurs,whichstageofstressisthestudentmostlikelyexperiencing?
A. Alarmreacti onstage
B. Stageofresistance
C. Stageofexhaustion
D. Fight-or-flightstage
ANS:C
Atmthemstagem ofm exhaustion, m them students mexposure mtomstressm hasm beenm prolongedm andmadaptivem
energymhasm beenm depleted. m Diseasesm ofmadaptationm occurmm orem frequently minmthism stage.
5. Amschoolm nursemi smassessing mam fem alem highmschoolm studentm whomismoverlym concernedm aboutm her
appearance. mThem clientsmm otherm states, mThatsm notm som ething m tom bem stressedm about! mWhi chmismth
emmostmappropriatem nursi ng mresponse?
A. Teenagers!Theydon’tknowm athingaboutrealstress.
B. Stressoccursonlywhenthereisaloss.
C. Whenyouarei npoorphysi calcondition,youcan’texperiencepsychologi calwell-being.
D. Stresscanbepsychological.Athreattoself-esteemm ayresulti nhighstresslevels.
ANS:D
Stressmcanm be m physicalmorm psychologi calmi nmnature. m Am perceivedmthreatm tom self-
esteem mcanm bemasm stressfulmasmam physiologi calm change.
6. Ambrightmstudentm confi desmin mthemschoolm nursem aboutm confli cts mrelatedm tom attendi ng m collegemorm
working mtomaddm needed m financialm supportmtomthem family. m Whichm coping m strategymi smm ostmappropriat
emformthem nursem tom recom m end mtomthemstudent matm thismtim e?
A. Meditation
B. Problem-solvingtraining
C. Relaxation
D. Journaling
ANS:B
Themstudentmm ustm assess mhis mor mher msituationmandm determinem them bestm coursem ofmaction. m Problem
- msolving mtraining, m by mprovi ding m structuremandm objectivity, m canmassistminm decisionm maki ng.
7. Anmunemployedm collegemgraduatemism experienci ng mseveremanxi etym overm notm finding mam teaching
mpositionmandm hasm diffi cultym withmindependent m problem-
solving. mDuri ng mam routinem physi calm examination, m themgraduatem confi desmin mthem cli nicm nurse. mWhi
chmismthemmostm appropriatem nursing mintervention?
A. Encouragethestudenttousethealternativecopingmechanism ofrelaxation exercises.
B. Completetheproblem-solvingprocessfortheclient.
C. Workthroughtheproblem-solvi ngprocesswiththeclient.
D. Encouragethecli enttokeepa m journal.
ANS:C
