Test Bank -g g
g Psychiatric Mental Health Nursing by MaryTownsend (9
g g g g g g g
th Edition, 2017)
g g
TEST BANK g
,Chapter 01. The Concept of Stress Adaptation
g g g g g g
Multipleg Choice
1. Ag clientg hasg experiencedg theg deathg ofg ag closeg familyg memberg andg atgtheg sameg timeg becomesg unemployed.gT
hisg situationg hasg resultedg ing ag 6-
monthg scoreg ofg 110g ong theg Recentg Lifeg ChangesgQuestionnaire.g Howg shouldgtheg nurseg evaluateg thisg clientg data
?
A. Theg clientg isg experiencingg severeg distressg andg isg atg riskg forg physicalg andg psychologicalgillness.
B. Ag scoreg ofg 110g ong theg Millerg andg RahegRecentg Lifeg Changesg Questionnaireg indicatesgnog significantgthreatg ofg
stress-relatedg illness.
C. Susceptibilityg tog stress-
relatedg physicalg org psychologicalg illnessg cannotg beg estimatedg withoutg knowledgeg ofgcopingg resourcesg andg avail
ableg supports.
D. Theg clientg mayg viewg theseg lossesg asg challengesg andg perceiveg themg asg opportunities.
ANS:g C
ThegRecentgLifegChangesgQuestionnairegisgangexpandedgversiongofgthegSchedulegofgRecentgExperiencesgandgthegRa
he-Holmesg Socialg Readjustmentg Ratingg Scale.g Ag 6-monthg scoreg ofg 300g org more,g org ag year-
scoreg totalg ofg 500gorg more,g indicatesg highg stressg ing ag clientsg life.g However,g positiveg copingg mechanismsg andg stro
ngg socialg supportgcang limitg susceptibilityg tog stress-relatedg illnesses.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Evaluationg |gClientg Need:
Psychosocialg Integrity
2. Ag physicallyg andg emotionallyg healthyg clientghasg justgbeeng fired.g Duringg ag routineg officeg visitgheg statesg tog ag
nurse:gPerhapsg thisg wasg thegbestg thingg tog happen. g Maybeg Illg lookg intog pursuingg ang artgdegree.g Howg shouldg the
NURSINGTB.COM
nurseg characterizeg theg clientsg appraisalgofg the jobg lossg stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:g D
Theg clientgperceivesg theg situationg ofg jobg lossg asg ag challengeg andg ang opportunityg forg growth.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Assessmentg |gClientg Need:
Psychosocialg Integrity
3. Whichg clientg statementg shouldg alertg ag nurseg thatg ag clientg mayg beg respondingg maladaptivelyg tog stress?
A. Iveg foundg thatg avoidingg contactg withg othersg helpsg meg cope.
B. Ig reallyg enjoyg journaling;g itsg myg privateg time.
C. Ig signedg upg forg ag yogag classg thisg week.
D. Ig madeg ang appointmentg tog meetgwithg ag therapist.
ANS:g A
Relianceg ong socialg isolationg asg ag copingg mechanismg isg ag maladaptiveg methodg tog relieveg stress.g Itg cang preventglear
ningg appropriateg copingg skillsg andg cang preventg accessg tog neededg supportg systems.
,KEY:g Cognitiveg Level:g Applicationg |gIntegratedg Processes:g Nursingg Process:g Evaluationg |gClientg Need:
Psychosocialg Integrity
4. Ag nursingg studentg findsg thatgsheg comesg downg withg ag sinusg infectiong towardg theg endg ofg everyg semester.g Whengt
hisg occurs,g whichg stageg ofg stressg isg theg studentg mostg likelyg experiencing?
A. Alarmg reactiong stage
B. Stageg ofg resistance
C. Stageg ofg exhaustion
D. Fight-or-flightg stage
ANS:g C
Atg theg stageg ofg exhaustion,g theg studentsg exposureg tog stressg hasg beeng prolongedg andg adaptiveg energyg hasg beengde
pleted.g Diseasesg ofg adaptationg occurg moreg frequentlyg ing thisg stage.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Assessmentg |gClientg Need:
Psychosocialg Integrity
5. Ag schoolg nurseg isg assessinggag femaleg highg schoolg studentg whog isg overlyg concernedg aboutg herg appearance.g Theg
clientsg motherg states,g Thatsg notg somethingg tog beg stressedg about!g Whichg isg theg mostg appropriateg nursinggresponse
?
A. Teenagers!g Theyg dontg knowg ag thingg aboutgrealg stress.
B. Stressgoccursg onlyg wheng thereg isg ag loss.
C. Wheng youg areg ing poorg physicalg condition,g yNoU
ugR
caSnIN
tg eGxTpB
er.C
ieO
ncMeg psychologicalg well-being.
D. Stressg cang beg psychological.g Ag threatg tog self-esteemg mayg resultg ing highg stressg levels.
ANS:g D
Stressg cang beg physicalg org psychologicalg ing nature.g Ag perceivedg threatgtog self-
esteemgcang beg asg stressfulgasg agphysiologicalg change.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Implementationg |g Clientg Need:
Psychosocialg Integrity
6. Ag brightg studentg confidesg ingtheg schoolgnurseg aboutg conflictsg relatedg tog attendingg collegeg org workingg tog addg
neededg financialg supportg tog theg family.g Whichg copingg strategyg isg mostg appropriateg forg theg nurseg tog recommendgt
og theg studentg atg thisg time?
A. Meditation
B. Problem-solvingg training
C. Relaxation
D. Journaling
ANS:g B
Theg studentg mustg assessg hisg org herg situationg andg determineg theg bestg courseg ofg action.gProblem-
solvingg training,gbyg providingg structureg andg objectivity,g cang assistg ing decisiong making.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Implementationg |gClientg Need:
Psychosocialg Integrity
, 7. Ang unemployedg collegeg graduateg isg experiencingg severeg anxietyg overg notg findingg ag teachingg positiong andg hasg
difficultyg withg independentg problem-
solving.g Duringg ag routineg physicalg examination,g theg graduateg confidesg ingtheg clinicg nurse.g Whichg isg theg mostg ap
propriateg nursingg intervention?
A. Encourageg theg studentg tog useg theg alternativeg copingg mechanismg ofg relaxationg exercises.
B. Completeg theg problem-solvingg processg forg theg client.
C. Workg throughg theg problem-solvingg processg withg theg client.
D. Encourageg theg clientg tog keepg ag journal.
ANS:g C
Duringg timesg ofg highg anxietyg andg stress,g clientsg willg needg moreg assistanceg ing problem-
solvingg andg decisiongmaking.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Implementationg |gClientg Need:
Psychosocialg Integrity
8. Ag schoolg nurseg isg assessingg ag distraughtg femaleg highg schoolg studentg whog isg overlyg concernedg becauseg herg
parentsg cantg affordg horsebackg ridingg lessons.gHowg shouldg theg nurseg interpretg theg studentsg reactiong tog hergper
ceivedg problem?
A. Theg problemg isg endangeringg herg well-being.
B. Theg problemg isg personallyg relevantg tog her.
C. Theg problemg isg basedg ong immaturity.
D. Theg problemg isg exceedingg herg capacityg tog cN
opUeR.gSINGTB.COM
ANS:g B
Psychologicalg stressorsg tog self-esteemg andg self-
imageg areg relatedg tog howg theg individualg perceivesg theg situationg orgevent.g Self-
imageg isg ofg particularg importanceg tog adolescents,g whog feelg entitledg tog haveg allg theg advantagesg thatgotherg adolesce
ntsg experience.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Evaluationg |gClientg Need:
Psychosocialg Integrity
9. Meditationg hasg beeng showng tog beg ang effectiveg stressg managementg technique.g Wheng meditationg isg effective,g
whatg shouldg ag nurseg expectg tog assess?
A. Ang achievedg stateg ofg relaxation
B. Ang achievedg insightg intog onesg feelings
C. Ag demonstrationg ofg appropriateg roleg behaviors
D. Ang enhancedg abilityg tog problem-solve
ANS:g A
Meditationg producesg relaxationg byg creatingg ag specialg stateg ofg consciousnessg throughg focusedg concentration.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Evaluationg |gClientg Need:
Psychosocialg Integrity
10. Ag distraught,g single,g first-
timeg mothergcriesg andg asksg agnurse,gHowg cang Ig gog tog workgifg Ig cantg affordgchildcare?g Whatg isg theg nursesg
initialg actiong ing assistingg theg clientg withg theg problem-solvingg process?
g Psychiatric Mental Health Nursing by MaryTownsend (9
g g g g g g g
th Edition, 2017)
g g
TEST BANK g
,Chapter 01. The Concept of Stress Adaptation
g g g g g g
Multipleg Choice
1. Ag clientg hasg experiencedg theg deathg ofg ag closeg familyg memberg andg atgtheg sameg timeg becomesg unemployed.gT
hisg situationg hasg resultedg ing ag 6-
monthg scoreg ofg 110g ong theg Recentg Lifeg ChangesgQuestionnaire.g Howg shouldgtheg nurseg evaluateg thisg clientg data
?
A. Theg clientg isg experiencingg severeg distressg andg isg atg riskg forg physicalg andg psychologicalgillness.
B. Ag scoreg ofg 110g ong theg Millerg andg RahegRecentg Lifeg Changesg Questionnaireg indicatesgnog significantgthreatg ofg
stress-relatedg illness.
C. Susceptibilityg tog stress-
relatedg physicalg org psychologicalg illnessg cannotg beg estimatedg withoutg knowledgeg ofgcopingg resourcesg andg avail
ableg supports.
D. Theg clientg mayg viewg theseg lossesg asg challengesg andg perceiveg themg asg opportunities.
ANS:g C
ThegRecentgLifegChangesgQuestionnairegisgangexpandedgversiongofgthegSchedulegofgRecentgExperiencesgandgthegRa
he-Holmesg Socialg Readjustmentg Ratingg Scale.g Ag 6-monthg scoreg ofg 300g org more,g org ag year-
scoreg totalg ofg 500gorg more,g indicatesg highg stressg ing ag clientsg life.g However,g positiveg copingg mechanismsg andg stro
ngg socialg supportgcang limitg susceptibilityg tog stress-relatedg illnesses.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Evaluationg |gClientg Need:
Psychosocialg Integrity
2. Ag physicallyg andg emotionallyg healthyg clientghasg justgbeeng fired.g Duringg ag routineg officeg visitgheg statesg tog ag
nurse:gPerhapsg thisg wasg thegbestg thingg tog happen. g Maybeg Illg lookg intog pursuingg ang artgdegree.g Howg shouldg the
NURSINGTB.COM
nurseg characterizeg theg clientsg appraisalgofg the jobg lossg stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:g D
Theg clientgperceivesg theg situationg ofg jobg lossg asg ag challengeg andg ang opportunityg forg growth.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Assessmentg |gClientg Need:
Psychosocialg Integrity
3. Whichg clientg statementg shouldg alertg ag nurseg thatg ag clientg mayg beg respondingg maladaptivelyg tog stress?
A. Iveg foundg thatg avoidingg contactg withg othersg helpsg meg cope.
B. Ig reallyg enjoyg journaling;g itsg myg privateg time.
C. Ig signedg upg forg ag yogag classg thisg week.
D. Ig madeg ang appointmentg tog meetgwithg ag therapist.
ANS:g A
Relianceg ong socialg isolationg asg ag copingg mechanismg isg ag maladaptiveg methodg tog relieveg stress.g Itg cang preventglear
ningg appropriateg copingg skillsg andg cang preventg accessg tog neededg supportg systems.
,KEY:g Cognitiveg Level:g Applicationg |gIntegratedg Processes:g Nursingg Process:g Evaluationg |gClientg Need:
Psychosocialg Integrity
4. Ag nursingg studentg findsg thatgsheg comesg downg withg ag sinusg infectiong towardg theg endg ofg everyg semester.g Whengt
hisg occurs,g whichg stageg ofg stressg isg theg studentg mostg likelyg experiencing?
A. Alarmg reactiong stage
B. Stageg ofg resistance
C. Stageg ofg exhaustion
D. Fight-or-flightg stage
ANS:g C
Atg theg stageg ofg exhaustion,g theg studentsg exposureg tog stressg hasg beeng prolongedg andg adaptiveg energyg hasg beengde
pleted.g Diseasesg ofg adaptationg occurg moreg frequentlyg ing thisg stage.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Assessmentg |gClientg Need:
Psychosocialg Integrity
5. Ag schoolg nurseg isg assessinggag femaleg highg schoolg studentg whog isg overlyg concernedg aboutg herg appearance.g Theg
clientsg motherg states,g Thatsg notg somethingg tog beg stressedg about!g Whichg isg theg mostg appropriateg nursinggresponse
?
A. Teenagers!g Theyg dontg knowg ag thingg aboutgrealg stress.
B. Stressgoccursg onlyg wheng thereg isg ag loss.
C. Wheng youg areg ing poorg physicalg condition,g yNoU
ugR
caSnIN
tg eGxTpB
er.C
ieO
ncMeg psychologicalg well-being.
D. Stressg cang beg psychological.g Ag threatg tog self-esteemg mayg resultg ing highg stressg levels.
ANS:g D
Stressg cang beg physicalg org psychologicalg ing nature.g Ag perceivedg threatgtog self-
esteemgcang beg asg stressfulgasg agphysiologicalg change.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Implementationg |g Clientg Need:
Psychosocialg Integrity
6. Ag brightg studentg confidesg ingtheg schoolgnurseg aboutg conflictsg relatedg tog attendingg collegeg org workingg tog addg
neededg financialg supportg tog theg family.g Whichg copingg strategyg isg mostg appropriateg forg theg nurseg tog recommendgt
og theg studentg atg thisg time?
A. Meditation
B. Problem-solvingg training
C. Relaxation
D. Journaling
ANS:g B
Theg studentg mustg assessg hisg org herg situationg andg determineg theg bestg courseg ofg action.gProblem-
solvingg training,gbyg providingg structureg andg objectivity,g cang assistg ing decisiong making.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Implementationg |gClientg Need:
Psychosocialg Integrity
, 7. Ang unemployedg collegeg graduateg isg experiencingg severeg anxietyg overg notg findingg ag teachingg positiong andg hasg
difficultyg withg independentg problem-
solving.g Duringg ag routineg physicalg examination,g theg graduateg confidesg ingtheg clinicg nurse.g Whichg isg theg mostg ap
propriateg nursingg intervention?
A. Encourageg theg studentg tog useg theg alternativeg copingg mechanismg ofg relaxationg exercises.
B. Completeg theg problem-solvingg processg forg theg client.
C. Workg throughg theg problem-solvingg processg withg theg client.
D. Encourageg theg clientg tog keepg ag journal.
ANS:g C
Duringg timesg ofg highg anxietyg andg stress,g clientsg willg needg moreg assistanceg ing problem-
solvingg andg decisiongmaking.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Implementationg |gClientg Need:
Psychosocialg Integrity
8. Ag schoolg nurseg isg assessingg ag distraughtg femaleg highg schoolg studentg whog isg overlyg concernedg becauseg herg
parentsg cantg affordg horsebackg ridingg lessons.gHowg shouldg theg nurseg interpretg theg studentsg reactiong tog hergper
ceivedg problem?
A. Theg problemg isg endangeringg herg well-being.
B. Theg problemg isg personallyg relevantg tog her.
C. Theg problemg isg basedg ong immaturity.
D. Theg problemg isg exceedingg herg capacityg tog cN
opUeR.gSINGTB.COM
ANS:g B
Psychologicalg stressorsg tog self-esteemg andg self-
imageg areg relatedg tog howg theg individualg perceivesg theg situationg orgevent.g Self-
imageg isg ofg particularg importanceg tog adolescents,g whog feelg entitledg tog haveg allg theg advantagesg thatgotherg adolesce
ntsg experience.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Evaluationg |gClientg Need:
Psychosocialg Integrity
9. Meditationg hasg beeng showng tog beg ang effectiveg stressg managementg technique.g Wheng meditationg isg effective,g
whatg shouldg ag nurseg expectg tog assess?
A. Ang achievedg stateg ofg relaxation
B. Ang achievedg insightg intog onesg feelings
C. Ag demonstrationg ofg appropriateg roleg behaviors
D. Ang enhancedg abilityg tog problem-solve
ANS:g A
Meditationg producesg relaxationg byg creatingg ag specialg stateg ofg consciousnessg throughg focusedg concentration.
KEY:g Cognitiveg Level:gApplicationg |gIntegratedg Processes:g Nursingg Process:g Evaluationg |gClientg Need:
Psychosocialg Integrity
10. Ag distraught,g single,g first-
timeg mothergcriesg andg asksg agnurse,gHowg cang Ig gog tog workgifg Ig cantg affordgchildcare?g Whatg isg theg nursesg
initialg actiong ing assistingg theg clientg withg theg problem-solvingg process?
