TEST BANK FOR Davis Advantage for Townsend's Psychiatric Mental Health Nursing, 11th Edition by Karyn I. Morgan ISBN: 978-1719648240 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!

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, Chapter 01. The Concept of Stress Adaptation M br br br br br br br




ultiple Choice br




1. A client has experienced the death of a close family member and at the same time becomes u
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nemployed. This situation has resulted in a 6- br br br br br br br



month score of 110 on the Recent Life Changes Questionnaire. How should the nurse evaluate t
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his client data?
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A. The client is experiencing severe distress and is at risk for physical and psychological illness.
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B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant t
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hreat of stress-related illness.
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C. Susceptibility to stress- br br



related physical or psychological illness cannot be estimated without knowledge of coping reso
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urces and available supports.
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D. The client may view these losses as challenges and perceive them as opportunities.
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ANS: C br



The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences an
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d the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-
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score total of 500 or more, indicates high stress in a clients life. However, positive coping mechanisms and
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strong social support can limit susceptibility to stress-related illnesses.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need: Psychos
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ocial Integrity br




2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
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nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should t
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he nurse characterize the clients appraisal of the job loss stressor?
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A. Irrelevant

B. Harm/loss

C. Threatening

D. Challenging b




ANS: D
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The client perceives the situation of job loss as a challenge and an opportunity for growth.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need: Ps
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ychosocial Integrity br




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, 3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
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A. Ive found that avoiding contact with others helps me cope.
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B. I really enjoy journaling; its my private time.
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C. I signed up for a yoga class this week.
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D. I made an appointment to meet with a therapist.
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ANS: A br




Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
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learning appropriate coping skills and can prevent access to needed support systems.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need: Psychos
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ocial Integrity br




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