Test bank
,Table of content
Chapter 1: The Concept of Stress Adaptation
Chapter 2: Mental Health and Mental Illness: Historical and Theoretical Concepts
Chapter 3: Concepts of Psychobiology
Chapter 4: Psychopharmacology
Chapter 5: Ethical and Legal Issues
Chapter 6: Relationship Development
Chapter 7: Therapeutic Communication
Chapter 8: The Nursing Process in Psychiatric-Mental Health Nursing
Chapter 9: Therapeutic Groups
Chapter 10: Intervention With Families
Chapter 11: Milieu Therapy—The Therapeutic Community
Chapter 12: Crisis Intervention
Chapter 13: Assertiveness Training
Chapter 14: Promoting Self-Esteem
Chapter 15: Anger and Aggression Management
Chapter 16: Suicide Prevention
Chapter 17: Behavior Therapy
Chapter 18: Cognitive Behavior Therapy
Chapter 19: Electroconvulsive Therapy
Chapter 20: The Recovery Model
Chapter 21: Caring for Patients With Mental Illness and Substance Use Disorders in General Practice
Chapter 22: Neurocognitive Disorders
Chapter 23: Substance-Related and Addictive Disorders
Chapter 24: Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 25: Depressive Disorders
Chapter 26: Bipolar and Related Disorders
Chapter 27: Anxiety, Obsessive-Compulsive, and Related Disorders
Chapter 28: Trauma- and Stressor-Related Disorders
Chapter 29: Somatic Symptom and Dissociative Disorders
Chapter 30: Eating Disorders
Chapter 31: Personality Disorders
Chapter 32: Children and Adolescents
Chapter 33: The Aging Individual
Chapter 34: Survivors of Abuse or Neglect
Chapter 35: Community Mental Health Nursing
Chapter 36: The Bereaved Individual
Chapter 37: Military Families
Chapter 38: Theoretical Models of Personality Development
Chapter 39: Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing
Chapter 40: Complementary and Psychosocial Therapies
Chapter 41: Relaxation Therapy
Chapter 42: Issues Related to Human Sexuality and Gender Dysphoria
Chapter 43: Forensic Nursing
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Med C
Chapter 1. The Concept of Stress Adaptation
MULTIPLE CHOICE
1. A client has experienced the death of a close family member and at the same timebecomes
unemployed. The client‘s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
Understands the client is at risk for significant stress-related illness.
Determines the client is not at risk for significant stress-related illness.
Needs further assessment of the client‘s coping skills to determine susceptibility tostress-related
illness.
Recognizes the client may view the losses as challenges and perceive them asopportunities.
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient
Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
assess the client‘s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. The Recent LifeChanges
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
client‘s life and susceptibility to stress-related illnesses.
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client‘s coping skills and available support before determining the client‘s
perception of the current stresses. A 6-month score of 300 or more or a year-score total
of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a
client‘s life and susceptibility to stress-related physical and psychological illnesses.
3. This is correct. Assessment is the first step in the nursing process. The nurse should
assess the client‘s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. A 6-month score
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of 300 or more or a year-score of 500 or more indicates high stress in a client‘s lifeand
risk for significant stress-related physical and psychological illness.
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client‘s coping skills and available support before determining susceptibility
to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or
more on the Recent Life Changes Questionnaire indicates high stressin a client‘s life is
susceptible to significant stress-related physical and psychologicalillness.
CON: Stress
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells
the nurse, ―Perhaps this was the best thing to happen. Maybe I‘ll
consider pursuing an art degree.‖ The nurse determines the client perceives the stressorof his job loss as:
Irrelevant
Harm or loss
Threatening
A challenge
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7
Heading: Stress as a transaction between the individual and the environment
>Individual‘s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
Assessment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance
for the individual.
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
by the individual.
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
4. This is correct. The client‘s statement indicates he perceives the loss of his job as a
challenge and an opportunity for growth, demonstrated by his statement to consideran
art degree.
CON: Stress
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,Table of content
Chapter 1: The Concept of Stress Adaptation
Chapter 2: Mental Health and Mental Illness: Historical and Theoretical Concepts
Chapter 3: Concepts of Psychobiology
Chapter 4: Psychopharmacology
Chapter 5: Ethical and Legal Issues
Chapter 6: Relationship Development
Chapter 7: Therapeutic Communication
Chapter 8: The Nursing Process in Psychiatric-Mental Health Nursing
Chapter 9: Therapeutic Groups
Chapter 10: Intervention With Families
Chapter 11: Milieu Therapy—The Therapeutic Community
Chapter 12: Crisis Intervention
Chapter 13: Assertiveness Training
Chapter 14: Promoting Self-Esteem
Chapter 15: Anger and Aggression Management
Chapter 16: Suicide Prevention
Chapter 17: Behavior Therapy
Chapter 18: Cognitive Behavior Therapy
Chapter 19: Electroconvulsive Therapy
Chapter 20: The Recovery Model
Chapter 21: Caring for Patients With Mental Illness and Substance Use Disorders in General Practice
Chapter 22: Neurocognitive Disorders
Chapter 23: Substance-Related and Addictive Disorders
Chapter 24: Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 25: Depressive Disorders
Chapter 26: Bipolar and Related Disorders
Chapter 27: Anxiety, Obsessive-Compulsive, and Related Disorders
Chapter 28: Trauma- and Stressor-Related Disorders
Chapter 29: Somatic Symptom and Dissociative Disorders
Chapter 30: Eating Disorders
Chapter 31: Personality Disorders
Chapter 32: Children and Adolescents
Chapter 33: The Aging Individual
Chapter 34: Survivors of Abuse or Neglect
Chapter 35: Community Mental Health Nursing
Chapter 36: The Bereaved Individual
Chapter 37: Military Families
Chapter 38: Theoretical Models of Personality Development
Chapter 39: Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing
Chapter 40: Complementary and Psychosocial Therapies
Chapter 41: Relaxation Therapy
Chapter 42: Issues Related to Human Sexuality and Gender Dysphoria
Chapter 43: Forensic Nursing
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Med C
Chapter 1. The Concept of Stress Adaptation
MULTIPLE CHOICE
1. A client has experienced the death of a close family member and at the same timebecomes
unemployed. The client‘s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
Understands the client is at risk for significant stress-related illness.
Determines the client is not at risk for significant stress-related illness.
Needs further assessment of the client‘s coping skills to determine susceptibility tostress-related
illness.
Recognizes the client may view the losses as challenges and perceive them asopportunities.
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient
Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
assess the client‘s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. The Recent LifeChanges
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
client‘s life and susceptibility to stress-related illnesses.
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client‘s coping skills and available support before determining the client‘s
perception of the current stresses. A 6-month score of 300 or more or a year-score total
of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a
client‘s life and susceptibility to stress-related physical and psychological illnesses.
3. This is correct. Assessment is the first step in the nursing process. The nurse should
assess the client‘s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. A 6-month score
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Med C
of 300 or more or a year-score of 500 or more indicates high stress in a client‘s lifeand
risk for significant stress-related physical and psychological illness.
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client‘s coping skills and available support before determining susceptibility
to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or
more on the Recent Life Changes Questionnaire indicates high stressin a client‘s life is
susceptible to significant stress-related physical and psychologicalillness.
CON: Stress
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells
the nurse, ―Perhaps this was the best thing to happen. Maybe I‘ll
consider pursuing an art degree.‖ The nurse determines the client perceives the stressorof his job loss as:
Irrelevant
Harm or loss
Threatening
A challenge
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7
Heading: Stress as a transaction between the individual and the environment
>Individual‘s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
Assessment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance
for the individual.
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
by the individual.
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
4. This is correct. The client‘s statement indicates he perceives the loss of his job as a
challenge and an opportunity for growth, demonstrated by his statement to consideran
art degree.
CON: Stress
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