Mental Health Test Bank ch 1 5 25.
Mental Health Test
Bank Chapter 1
Chapter 01. The Concept of Stress Adaptation
Multiple Choice
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.
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.
ANS: C
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 ANS: D
3. Which client statement should alert a nurse that a client may be responding
maladaptively to stress?
A. I’ve 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.
ANS: A
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?
,Mental Health Test Bank ch 1 5 25.
A. Alarm reaction stage B. Stage of resistance C. Stage of exhaustion D. Fight-or-
flight stage ANS: 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.
ANS: D
6. A bright student confides in the school nurse about conflicts related to attending
college or working to add needed financial support to the family. Which coping
strategy is most appropriate for the nurse to recommend to the student at this
time?
A. Meditation
B. Problem-solving training
C. Relaxation
D. Journaling
ANS: B
7. An unemployed college graduate is experiencing severe anxiety over not finding
a teaching position and has difficulty with independent problem-solving. During a
routine physical examination, the graduate confides in the clinic nurse. Which is the
most appropriate nursing intervention?
A. Encourage the student to use the alternative coping mechanism of relaxation
exercises. B. Complete the problem-solving process for the client.
C. Work through the problem-solving process with the client.
D. Encourage the client to keep a journal.
ANS: C
, Mental Health Test Bank ch 1 5 25.
8. A school nurse is assessing a distraught female high school student who is overly
concerned because her parents cant afford horseback riding lessons. How should
the nurse interpret the students reaction to her perceived problem?
A. The problem is endangering her well-being.
B. The problem is personally relevant to her.
C. The problem is based on immaturity.
D. The problem is exceeding her capacity to cope. ANS: B
9. Meditation has been shown to be an effective stress management technique.
When meditation is effective, what should a nurse expect to assess?
A. An achieved state of relaxation
B. An achieved insight into ones feelings
C. A demonstration of appropriate role behaviors
D. An enhanced ability to problem-solve
ANS: A
10. A distraught, single, first-time mother cries and asks a nurse, How can I go to
work if I cant afford childcare? What is the nurses initial action in assisting the client
with the problem-solving process?
A. Determine the risks and benefits for each alternative. B. Formulate goals for
resolution of the problem.
C. Evaluate the outcome of the implemented alternative. D. Assess the facts of the
situation.
ANS: D
11. A nursing instructor is asking students about diseases of adaptation and when
they are likely to occur. Which student response indicates that learning has
occurred?
A. When an individual has limited experience dealing with stress
B. When an individual inherits maladaptive genes
C. When an individual experiences existing conditions that exacerbate stress
D. When an individuals physiological and psychological resources have become
depleted ANS: D
12. When an individuals stress response is sustained over a long period of time,
which physiological effect of the endocrine system should a nurse anticipate?
A. Decreased resistance to disease B. Increased libido
C. Decreased blood pressure
D. Increased inflammatory response ANS: A
Mental Health Test
Bank Chapter 1
Chapter 01. The Concept of Stress Adaptation
Multiple Choice
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.
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.
ANS: C
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 ANS: D
3. Which client statement should alert a nurse that a client may be responding
maladaptively to stress?
A. I’ve 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.
ANS: A
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?
,Mental Health Test Bank ch 1 5 25.
A. Alarm reaction stage B. Stage of resistance C. Stage of exhaustion D. Fight-or-
flight stage ANS: 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.
ANS: D
6. A bright student confides in the school nurse about conflicts related to attending
college or working to add needed financial support to the family. Which coping
strategy is most appropriate for the nurse to recommend to the student at this
time?
A. Meditation
B. Problem-solving training
C. Relaxation
D. Journaling
ANS: B
7. An unemployed college graduate is experiencing severe anxiety over not finding
a teaching position and has difficulty with independent problem-solving. During a
routine physical examination, the graduate confides in the clinic nurse. Which is the
most appropriate nursing intervention?
A. Encourage the student to use the alternative coping mechanism of relaxation
exercises. B. Complete the problem-solving process for the client.
C. Work through the problem-solving process with the client.
D. Encourage the client to keep a journal.
ANS: C
, Mental Health Test Bank ch 1 5 25.
8. A school nurse is assessing a distraught female high school student who is overly
concerned because her parents cant afford horseback riding lessons. How should
the nurse interpret the students reaction to her perceived problem?
A. The problem is endangering her well-being.
B. The problem is personally relevant to her.
C. The problem is based on immaturity.
D. The problem is exceeding her capacity to cope. ANS: B
9. Meditation has been shown to be an effective stress management technique.
When meditation is effective, what should a nurse expect to assess?
A. An achieved state of relaxation
B. An achieved insight into ones feelings
C. A demonstration of appropriate role behaviors
D. An enhanced ability to problem-solve
ANS: A
10. A distraught, single, first-time mother cries and asks a nurse, How can I go to
work if I cant afford childcare? What is the nurses initial action in assisting the client
with the problem-solving process?
A. Determine the risks and benefits for each alternative. B. Formulate goals for
resolution of the problem.
C. Evaluate the outcome of the implemented alternative. D. Assess the facts of the
situation.
ANS: D
11. A nursing instructor is asking students about diseases of adaptation and when
they are likely to occur. Which student response indicates that learning has
occurred?
A. When an individual has limited experience dealing with stress
B. When an individual inherits maladaptive genes
C. When an individual experiences existing conditions that exacerbate stress
D. When an individuals physiological and psychological resources have become
depleted ANS: D
12. When an individuals stress response is sustained over a long period of time,
which physiological effect of the endocrine system should a nurse anticipate?
A. Decreased resistance to disease B. Increased libido
C. Decreased blood pressure
D. Increased inflammatory response ANS: A
