Test Bank Complete for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 9th Edition
Test Bank Complete for Psychiatric Mental
Health Nursing: Concepts of Care in Evidence-
Based Practice 9th Edition
Chapter 01. The Concept of Stress Adaptation
Multiple Choices
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
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.
Test Bank Page 1
, Test Bank Complete for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 9th Edition
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client
Need:
Psychosocial Integrity
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
The client perceives the situation of job loss as a challenge and an opportunity for growth.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client
Need:
Psychosocial Integrity
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.
ANS: A
Test Bank Page 2
, Test Bank Complete for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 9th Edition
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.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client
Need:
Psychosocial Integrity
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
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.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client
Need:
Psychosocial Integrity
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.
Test Bank Page 3
, Test Bank Complete for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 9th Edition
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
ANS: D
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as
stressful as a physiological change.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
Need:
Psychosocial Integrity
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
The student must assess his or her situation and determine the best course of action. Problem-
solving training, by providing structure and objectivity, can assist in decision making.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
Need:
Psychosocial Integrity
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
Test Bank Page 4
Test Bank Complete for Psychiatric Mental
Health Nursing: Concepts of Care in Evidence-
Based Practice 9th Edition
Chapter 01. The Concept of Stress Adaptation
Multiple Choices
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
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.
Test Bank Page 1
, Test Bank Complete for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 9th Edition
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client
Need:
Psychosocial Integrity
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
The client perceives the situation of job loss as a challenge and an opportunity for growth.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client
Need:
Psychosocial Integrity
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.
ANS: A
Test Bank Page 2
, Test Bank Complete for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 9th Edition
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.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client
Need:
Psychosocial Integrity
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
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.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client
Need:
Psychosocial Integrity
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.
Test Bank Page 3
, Test Bank Complete for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 9th Edition
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
ANS: D
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as
stressful as a physiological change.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
Need:
Psychosocial Integrity
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
The student must assess his or her situation and determine the best course of action. Problem-
solving training, by providing structure and objectivity, can assist in decision making.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client
Need:
Psychosocial Integrity
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
Test Bank Page 4
