Test Bank for Psychiatric Mental
Health Nursing, 9th Edition by Sheila
L. Videbeck, 9781975184773
Exam
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. - answer1. 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.
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 - answerANS: D
The client perceives the situation of job loss as a challenge and an opportunity for
growth.
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. - answerANS: 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
D. Fight-or-flight stage - answerANS: C
At the stage of exhaustion, the students exposure to stress has been prolonged and
adaptive energy has been
depleted. Diseases of adaptation occur more frequently in this stage.
5. A school nurse is assessing a female high school student who is overly concerned
about her appearance. The
clients mother states, Thats not something to be stressed about! Which is the most
appropriate nursing
response?
A. Teenagers! They dont know a thing about real stress.
B. Stress occurs only when there is a loss.
C. When you are in poor physical condition, you cant experience psychological well-
being.
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
- answerANS: D
Stress can be physical or psychological in nature. A perceived threat to self-esteem can
be as stressful as a
physiological change.
6. A bright student confides in the school nurse about conflicts related to attending
college or working to add
Health Nursing, 9th Edition by Sheila
L. Videbeck, 9781975184773
Exam
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. - answer1. 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.
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 - answerANS: D
The client perceives the situation of job loss as a challenge and an opportunity for
growth.
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. - answerANS: 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
D. Fight-or-flight stage - answerANS: C
At the stage of exhaustion, the students exposure to stress has been prolonged and
adaptive energy has been
depleted. Diseases of adaptation occur more frequently in this stage.
5. A school nurse is assessing a female high school student who is overly concerned
about her appearance. The
clients mother states, Thats not something to be stressed about! Which is the most
appropriate nursing
response?
A. Teenagers! They dont know a thing about real stress.
B. Stress occurs only when there is a loss.
C. When you are in poor physical condition, you cant experience psychological well-
being.
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
- answerANS: D
Stress can be physical or psychological in nature. A perceived threat to self-esteem can
be as stressful as a
physiological change.
6. A bright student confides in the school nurse about conflicts related to attending
college or working to add
