Unit I Mental Health Test Bank Questions & (Correct Answer) 100% Correct!!

1.1 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? - ANSWERANSWER: C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of coping resources and available supports. RATIONALE: 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 client's life. (However, positive coping mechanisms and strong social support can limit susceptibility to stress-related illnesses.) 1.2. 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 I'll look into pursuing an art degree." How should the nurse characterize the client's appraisal of the job loss stressor? - ANSWERANSWER: D. Challenging RATIONALE: the client perceives the situation of job loss as a challenge and an opportunity for growth. 1.3. Which client statement should alert a nurse that a client may be responding maladaptively to stress? - ANSWERANSWER: A. I've found that avoiding contact with others helps me cope. RATIONALE: 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. 1.4. 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? - ANSWERANSWER: C. Stage of exhaustion RATIONALE: At the stage of exhaustion, the student's exposure to stress has been prolonged and adaptive energy has been depleted. Diseases of adaptation occur more frequently in this stage.