Psychiatric Mental Health Nursing Test
Bank Chapter 1 Exam Question &
Answers 2025
ANS: C
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 clients life. However,
positive coping mechanisms and strong social support
can limit susceptibility to stress-related illnesses.-
CORRECT ANSWERS ✔✔1. A client has experienced
the death of a close family member and at the same time
becomes unemployed. This situation has resulted in a 6-
month score of 110 on the Recent Life Changes
Questionnaire. How should
the nurse evaluate this client data?
A. The client is experiencing severe distress and is at risk
for physical and psychological illness.
B. A score of 110 on the Miller and Rahe Recent Life
Changes Questionnaire indicates no significant threat of
stress-related illness.
,Psychiatric Mental Health Nursing Test
Bank Chapter 1 Exam Question &
Answers 2025
C. Susceptibility to stress-related physical or
psychological illness cannot be estimated without
knowledge of
coping resources and available supports.
D. The client may view these losses as challenges and
perceive them as opportunities.
2. A physically and emotionally healthy client has just
been fired. During a routine office visit he states to a
nurse: Perhaps this was the best thing to happen. Maybe
Ill look into pursuing an art degree. How should the
nurse characterize the clients appraisal of the job loss
stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging-CORRECT ANSWERS ✔✔ANS: D
The client perceives the situation of job loss as a
challenge and an opportunity for growth.
, Psychiatric Mental Health Nursing Test
Bank Chapter 1 Exam Question &
Answers 2025
3. Which client statement should alert a nurse that a
client may be responding maladaptively to stress?
A. Ive found that avoiding contact with others helps me
cope.
B. I really enjoy journaling; its my private time.
C. I signed up for a yoga class this week.
D. I made an appointment to meet with a therapist.-
CORRECT ANSWERS ✔✔ANS: A
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.
4. A nursing student finds that she comes down with a
sinus infection toward the end of every semester. When
this occurs, which stage of stress is the student most
likely experiencing?
A. Alarm reaction stage
B. Stage of resistance
C. Stage of exhaustion
Bank Chapter 1 Exam Question &
Answers 2025
ANS: C
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 clients life. However,
positive coping mechanisms and strong social support
can limit susceptibility to stress-related illnesses.-
CORRECT ANSWERS ✔✔1. A client has experienced
the death of a close family member and at the same time
becomes unemployed. This situation has resulted in a 6-
month score of 110 on the Recent Life Changes
Questionnaire. How should
the nurse evaluate this client data?
A. The client is experiencing severe distress and is at risk
for physical and psychological illness.
B. A score of 110 on the Miller and Rahe Recent Life
Changes Questionnaire indicates no significant threat of
stress-related illness.
,Psychiatric Mental Health Nursing Test
Bank Chapter 1 Exam Question &
Answers 2025
C. Susceptibility to stress-related physical or
psychological illness cannot be estimated without
knowledge of
coping resources and available supports.
D. The client may view these losses as challenges and
perceive them as opportunities.
2. A physically and emotionally healthy client has just
been fired. During a routine office visit he states to a
nurse: Perhaps this was the best thing to happen. Maybe
Ill look into pursuing an art degree. How should the
nurse characterize the clients appraisal of the job loss
stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging-CORRECT ANSWERS ✔✔ANS: D
The client perceives the situation of job loss as a
challenge and an opportunity for growth.
, Psychiatric Mental Health Nursing Test
Bank Chapter 1 Exam Question &
Answers 2025
3. Which client statement should alert a nurse that a
client may be responding maladaptively to stress?
A. Ive found that avoiding contact with others helps me
cope.
B. I really enjoy journaling; its my private time.
C. I signed up for a yoga class this week.
D. I made an appointment to meet with a therapist.-
CORRECT ANSWERS ✔✔ANS: A
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.
4. A nursing student finds that she comes down with a
sinus infection toward the end of every semester. When
this occurs, which stage of stress is the student most
likely experiencing?
A. Alarm reaction stage
B. Stage of resistance
C. Stage of exhaustion
