QUESTIONS AND ANSWERS
lOMoARcPSD|454 649 74
MENTAL HEALTH TEST
BANK FOR NURSES.
QUESTION AND ANSW ER
Multiple Choice
LATEST UPDATE
,QUESTIONS AND ANSWERS
Chapter 1.
The Concept of Stress Adaptation
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.
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 maladaptive to
,QUESTIONS AND ANSWERS
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.
, QUESTIONS AND ANSWERS
D. I made an appointment to meet with a therapist.
ANS: A
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
lOMoARcPSD|454 649 74
MENTAL HEALTH TEST
BANK FOR NURSES.
QUESTION AND ANSW ER
Multiple Choice
LATEST UPDATE
,QUESTIONS AND ANSWERS
Chapter 1.
The Concept of Stress Adaptation
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.
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 maladaptive to
,QUESTIONS AND ANSWERS
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.
, QUESTIONS AND ANSWERS
D. I made an appointment to meet with a therapist.
ANS: A
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
