Mental Health Exam 1. 10
m m m m
0% CORRECT Q AND A
m m m m
.
,Exam 1 – m m
chapters 1, 2, 3, 5, 27 & 32. ATI 1, 2, 4, 6 & 11 Chapter 01. Th
m m m m m m m m m m m m m m m m m m
e Concept of Stress Adaptation
m m m m
MultiplemChoi ce
1. Amclientmhasm experiencedmthem death mofm am closem fami lymm em ber mandmatmthemsam em timem becom e
smunemployed. mThismsituationm hasmresultedminm am6-
monthmscorem ofm 110monm them Recentm Lifem Changesm Questionnaire. mHowm shouldmthem nursem evaluate
mthismclientm data?
A. Themclientmi smexperiencing m severem distressm andmismatmrisk m form physical mandm psychologi ca
lmillness.
B. Amscoremofm110m onmthemMi llerm andmRahem Recent mLifem Changesm Questionnairemindi catesm n
omsignificantmthreatm ofmstress-relatedmillness.
C. Suscepti bilitym tom stress-
relatedm physicalmorm psychologi calmillnessm cannotm bem estimatedm withoutmknowledgem ofm
coping mresourcesmandm avai lablemsupports.
D. Themclientmmaymviewmthesemlossesmasmchallengesmandmperceivemthem masmopportunities.
ANS: m C
ThemRecentmLi fem Changesm Questionnairemismanm expandedm versionm ofmthemSchedule mofm Recentm Exp
eriencesmandmthem Rahe-Holm esm Social mReadjustm entm Rating m Scale. mA m6-
monthmscorem ofm 300morm more, m orm am year-
scoremtotalm ofm500m orm more, mi ndicatesmhighm stressmi nmam clientsm life. m However, m positi vem copi ng mm e
chanismsmand mstrong m socialm supportm can mlimitm suscepti bilitym tom stress-relatedmillnesses.
2. Amphysicallym andm em otionallym healthym clientmhas mjustm beenm fired. m Duri ng ma mroutinem officem visitm
hemstatesmtoma mnurse: m Perhapsmthism wasm them bestm thi ng mtom happen. mMaybemIllm look minto m pursuing m a
nmartmdegree. mHowm shouldmthem nursem characterizemthem clientsmappraisalm ofm them jobm lossm stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: mD
Themclient m percei vesm the msituationm ofm jobm lossmasm am challengem andm anmopportunitym formgrowth.
3. Whichmclientm statem ent mshouldm alertmam nursemthatma mcli entmm aym bemresponding m maladapti velymt
omstress?
A. I’vemfound mthatmavoidi ng m contactm withmothersm helpsm m emcope
B. Im reallym enjoym journaling; m itsm mym privatem time.
C. Imsignedmupmformamyogamclassmthismweek.
D. Immademanmappointm entm to mm eetm withm amtherapist.
ANS: mA
,Reliancemonm socialmisolationmasma m copi ng mm echanism mismam maladapti vemm ethodmtomrelievemstress. m
Itmcanmpreventm learni ng m appropriatem coping m skillsmandm canm preventm accessmtom neededm supportm sy
stems.
, 4. Amnursing mstudentmfindsmthatmshemcomesmdownmwithmamsinusminfectionmtowardmthemendmofmev
erymsemester. mWhenmthismoccurs, mwhichmstagemofmstressmismthemstudentmmostmlikelymexperien
cing?
A. Alarm mreacti onmstage
B. Stagem ofm resistance
C. Stagem ofm exhaustion
D. Fight-or-flightm stage
ANS: m C
Atmthemstagem ofm exhaustion, m them students mexposure mtomstressm hasm beenm prolongedm andmadaptivem
energymhasm beenm depleted. m Diseasesm ofmadaptationm occurmm orem frequently minmthism stage.
5. Amschoolm nursemi smassessing mam fem alem highmschoolm studentm whomismoverlym concernedm aboutm her
m appearance. mThem clientsm m other m states, m Thatsm notm som ething m tom bem stressedm about! m Whichmism t
hemmostmappropriatem nursi ng mresponse?
A. Teenagers! m Theym don’tm knowm amthi ng maboutm realm stress.
B. Stressmoccursmonlymwhenmtheremismamloss.
C. Whenmyoumaremin m poorm physical m conditi on, m youm can’tm experiencem psychologicalm well-being.
D. Stressm canm bem psychologi cal. m Am threatm tom self- esteem m m aymresultm inm highm stressm levels.
ANS: mD
Stressmcanm be m physicalmorm psychologi calmi nmnature. m Am perceivedmthreatm tom self-
esteem mcanm bemasm stressfulmasmam physiologi calm change.
6. Ambrightmstudentm confi desmin mthemschoolm nursem aboutm confli cts mrelatedm tom attendi ng m collegemorm
working mtomaddm needed m financialm supportmtomthem family. m Whichm coping m strategymi smm ostmappropriat
emformthem nursem tom recom m end mtomthemstudent matm thismtim e?
A. Meditation
B. Problem-solving m training
C. Relaxation
D. Journaling
ANS: mB
Themstudentmm ustm assess mhis mor mher msituationmandm determinem them bestm coursem ofmaction. m Problem
- msolving mtraining, m by mprovi ding m structuremandm objectivity, m canmassistminm decisionm maki ng.
7. Anmunemployedm collegemgraduatemism experienci ng mseveremanxi etym overm notm finding mam teaching
mpositionmandm hasm diffi cultym withmindependent m problem-
solving. mDuri ng mam routinem physi calm examination, m themgraduatem confi desmin mthem cli nicm nurse. mWhi
chmismthemmostm appropriatem nursing mintervention?
A. Encouragemthem studentm to musem them alternativem copi ng m m echanism m of mrelaxation mexercises.
B. Completem them problem-solving m processm form them client.
C. Workmthroughm them problem-solvi ng m processm withm them client.
D. Encouragemthem client mtomkeepmam journal.
ANS: m C
m m m m
0% CORRECT Q AND A
m m m m
.
,Exam 1 – m m
chapters 1, 2, 3, 5, 27 & 32. ATI 1, 2, 4, 6 & 11 Chapter 01. Th
m m m m m m m m m m m m m m m m m m
e Concept of Stress Adaptation
m m m m
MultiplemChoi ce
1. Amclientmhasm experiencedmthem death mofm am closem fami lymm em ber mandmatmthemsam em timem becom e
smunemployed. mThismsituationm hasmresultedminm am6-
monthmscorem ofm 110monm them Recentm Lifem Changesm Questionnaire. mHowm shouldmthem nursem evaluate
mthismclientm data?
A. Themclientmi smexperiencing m severem distressm andmismatmrisk m form physical mandm psychologi ca
lmillness.
B. Amscoremofm110m onmthemMi llerm andmRahem Recent mLifem Changesm Questionnairemindi catesm n
omsignificantmthreatm ofmstress-relatedmillness.
C. Suscepti bilitym tom stress-
relatedm physicalmorm psychologi calmillnessm cannotm bem estimatedm withoutmknowledgem ofm
coping mresourcesmandm avai lablemsupports.
D. Themclientmmaymviewmthesemlossesmasmchallengesmandmperceivemthem masmopportunities.
ANS: m C
ThemRecentmLi fem Changesm Questionnairemismanm expandedm versionm ofmthemSchedule mofm Recentm Exp
eriencesmandmthem Rahe-Holm esm Social mReadjustm entm Rating m Scale. mA m6-
monthmscorem ofm 300morm more, m orm am year-
scoremtotalm ofm500m orm more, mi ndicatesmhighm stressmi nmam clientsm life. m However, m positi vem copi ng mm e
chanismsmand mstrong m socialm supportm can mlimitm suscepti bilitym tom stress-relatedmillnesses.
2. Amphysicallym andm em otionallym healthym clientmhas mjustm beenm fired. m Duri ng ma mroutinem officem visitm
hemstatesmtoma mnurse: m Perhapsmthism wasm them bestm thi ng mtom happen. mMaybemIllm look minto m pursuing m a
nmartmdegree. mHowm shouldmthem nursem characterizemthem clientsmappraisalm ofm them jobm lossm stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: mD
Themclient m percei vesm the msituationm ofm jobm lossmasm am challengem andm anmopportunitym formgrowth.
3. Whichmclientm statem ent mshouldm alertmam nursemthatma mcli entmm aym bemresponding m maladapti velymt
omstress?
A. I’vemfound mthatmavoidi ng m contactm withmothersm helpsm m emcope
B. Im reallym enjoym journaling; m itsm mym privatem time.
C. Imsignedmupmformamyogamclassmthismweek.
D. Immademanmappointm entm to mm eetm withm amtherapist.
ANS: mA
,Reliancemonm socialmisolationmasma m copi ng mm echanism mismam maladapti vemm ethodmtomrelievemstress. m
Itmcanmpreventm learni ng m appropriatem coping m skillsmandm canm preventm accessmtom neededm supportm sy
stems.
, 4. Amnursing mstudentmfindsmthatmshemcomesmdownmwithmamsinusminfectionmtowardmthemendmofmev
erymsemester. mWhenmthismoccurs, mwhichmstagemofmstressmismthemstudentmmostmlikelymexperien
cing?
A. Alarm mreacti onmstage
B. Stagem ofm resistance
C. Stagem ofm exhaustion
D. Fight-or-flightm stage
ANS: m C
Atmthemstagem ofm exhaustion, m them students mexposure mtomstressm hasm beenm prolongedm andmadaptivem
energymhasm beenm depleted. m Diseasesm ofmadaptationm occurmm orem frequently minmthism stage.
5. Amschoolm nursemi smassessing mam fem alem highmschoolm studentm whomismoverlym concernedm aboutm her
m appearance. mThem clientsm m other m states, m Thatsm notm som ething m tom bem stressedm about! m Whichmism t
hemmostmappropriatem nursi ng mresponse?
A. Teenagers! m Theym don’tm knowm amthi ng maboutm realm stress.
B. Stressmoccursmonlymwhenmtheremismamloss.
C. Whenmyoumaremin m poorm physical m conditi on, m youm can’tm experiencem psychologicalm well-being.
D. Stressm canm bem psychologi cal. m Am threatm tom self- esteem m m aymresultm inm highm stressm levels.
ANS: mD
Stressmcanm be m physicalmorm psychologi calmi nmnature. m Am perceivedmthreatm tom self-
esteem mcanm bemasm stressfulmasmam physiologi calm change.
6. Ambrightmstudentm confi desmin mthemschoolm nursem aboutm confli cts mrelatedm tom attendi ng m collegemorm
working mtomaddm needed m financialm supportmtomthem family. m Whichm coping m strategymi smm ostmappropriat
emformthem nursem tom recom m end mtomthemstudent matm thismtim e?
A. Meditation
B. Problem-solving m training
C. Relaxation
D. Journaling
ANS: mB
Themstudentmm ustm assess mhis mor mher msituationmandm determinem them bestm coursem ofmaction. m Problem
- msolving mtraining, m by mprovi ding m structuremandm objectivity, m canmassistminm decisionm maki ng.
7. Anmunemployedm collegemgraduatemism experienci ng mseveremanxi etym overm notm finding mam teaching
mpositionmandm hasm diffi cultym withmindependent m problem-
solving. mDuri ng mam routinem physi calm examination, m themgraduatem confi desmin mthem cli nicm nurse. mWhi
chmismthemmostm appropriatem nursing mintervention?
A. Encouragemthem studentm to musem them alternativem copi ng m m echanism m of mrelaxation mexercises.
B. Completem them problem-solving m processm form them client.
C. Workmthroughm them problem-solvi ng m processm withm them client.
D. Encouragemthem client mtomkeepmam journal.
ANS: m C
