Psychiatricg Mentalg Healthg Nursingg Conceptsg ofg Careg ing Evidence-
BasedgPracticeg10thgEditiongTownsendgTestgBank
Chapterg 1.g Theg Conceptg ofg Stressg Adaptation
MULTIPLEg CHOICE
1. Agclientghasgexperiencedgtheg deathgofgagcloseg familyg membergandg atgtheg
sameg timeg becomesg unemployed.gTheg client’sg 6-
monthg scoreg ong theg Recentg Lifeg ChangesgQuestionnairegisg110.gThegnurse:
A. Understandsgthegclientg isg atg riskg forg significant
stress-relatedg illness.
B. Determinesgthegclientgisgnotgatgriskg for
significantg stress-relatedg illness.
C. Needsg furtherg assessmentg ofg theg client’s
copingg skillsg tog determineg susceptibilityg t
ogstress-relatedgillness.
D. Recognizesg theg clientg mayg viewg theg lossesg asgc
hallengesgandgperceivegthemgas
opportunities.
ANS:g Cg
C
Chapterg learningg objective:g Explaing theg relationshipg betweeng stressg andg diseasesg
ofgadaptation.
Page:g5–6
Heading:gStressgasgangEnvironmentalgEventgIntegr
atedg Processes:g Nursingg Process:g EvaluationgClien
tgNeed:gPsychosocialgIntegrity
Cognitiveg Level:gApplicationg [Applying
]gConcept:gStress
Difficulty:g Moderate
Feedback
,A Thisg isg incorrect.gAssessmentg isg theg firstg stepg
ofg theg nursingg process.g Theg nurseg shouldgasse
ssgthegclient’sg copinggskillsg andgavailablegsup
portgbeforegdetermininggsusceptibilityg togstres
s-
relatedgphysicalgandgpsychologicalgillness.gTh
egRecentg Lifeg ChangesgQuestionnaireg isgangex
pandedgversiongofgthegScheduleg ofg Recentg Exp
eriencesg andg theg Rahe-
gHolmesg Socialg Readjustmentg Ratingg Scale.gAg
6-monthg scoreg ofg 300g org more,g org ag year-
scoregtotalgofg500gorg more,gindicatesghighg stre
ssg ingagclient’sglifegandgsusceptibilitygtog stress
-related
illnesses.
B Thisg isg incorrect.gAssessmentg isg theg firstg ste
pgingthegnursinggprocess.gThegnursegshouldga
ssessg theg client’sg copingg skillsg andg availableg
supportgbeforegdetermininggthegclient’sgperce
ptiong ofg theg currentg stresses.gAg6-
monthgscoregofg300gorgag year-
scoregofg500gorgmoregongthegRecentg Lifeg Ch
angesg Questionnairegindicatesghighgstressging
agclient’sglifegandgsusceptibilitygtog stress-
relatedgphysicalgand
psychologicalg illness.
C Thisgisgcorrect.gAssessmentgisgtheg firstgstepgin
gtheg nursingg process.gTheg nurseg shouldg assess
gtheg client’sg copingg skillsg andg availableg suppo
rtgbeforegdeterminingg susceptibilitygtogstress-
grelatedg physicalg andg psychologicalg illness.gAg
6-monthg scoreg ofg 300g org ag year-
scoreg ofg 500gorgmoregindicatesghighgstressging
agclient’sglifegandg riskg forg significantg stress-
relatedg physical
andg psychologicalg illness.
D Thisg isg incorrect.gAssessmentg isg theg firstg ste
pgingthegnursinggprocess.gThegnursegshouldga
ssessg theg client’sg copingg skillsg andg availableg
supportg beforeg determiningg susceptibilityg tog
stress-relatedg illness.gAg6-
monthg scoreg ofg 300gorgag year-
scoreg ofg500g org moregong thegRecentgLifeg Cha
ngesg Questionnaireg indicatesghighgstressginga
gclient’sglifegisgsusceptiblegtogsignificantgstre
ss-relatedgphysicalgand
psychologicalg illness.
,PTS:g 1 CON:g Stress
, 2. Agphysicallyg andg emotionallyg healthyg clientg hasg justg beeng fired.g Duringg
agroutineg officeg visit,g heg tellsg theg nurse,g “Perhapsg thisg wasg theg bestg thingg tog happen.g M
aybegI’llgconsidergpursuinggangartgdegree.”gThegnursegdeterminesgthegclientgperceivesgthe
gstressorgofghisgjobglossgas:
A. Irrelevant.
B. Harm/loss.
C. Agthreat.
D. Agchallenge.
ANS:g D
Chapter:g Chapterg 0,gTheg Conceptg ofg StressgAdaptation
Chapterg learningg objective:g Discussg adaptiveg copingg strategiesg ing theg managementg o
fgstress.
Page:g7
Heading:g Individual’sg Perceptiong ofg theg Eventg >g PrimarygAppraisalgI
ntegratedgProcesses:gNursinggProcess:gAssessment
ClientgNeed:gPsychosocialgIntegritygCog
nitiveg Level:gApplicationg [Applying]gCo
ncept:gStress
Difficulty:g Easy
Feedback
A Thisg isg incorrect.gTheg client’sg statement
indicatesghegperceivesgtheglossgofghisgjobgasgagc
hallengegandgangopportunityg forg growth.
B Thisgisgincorrect.gThegclient’sgstatementgindicat
esghegperceivesgtheglossgofghisgjobgasga
challengeg andg ang opportunityg forg growth.
C Thisg isg incorrect.gTheg client’sg statement
indicatesghegperceivesgtheglossgofghisgjobgasgagc
hallengegandgangopportunityg forg growth.
D Thisgisgcorrect.gThegclient’sgstatementgindica
tesghegperceivesgtheglossg ofghisgjobgasg a
challengeg andg ang opportunityg forg growth.
PTS:g 1 CON:g Stress
3. Whichg clientg statementg alertsg theg nurseg thatg theg clientg mayg beg respondi
nggmaladaptivelygtogstress?
A. “Avoidingg contactg withg othersg helpsg me
cope.”
BasedgPracticeg10thgEditiongTownsendgTestgBank
Chapterg 1.g Theg Conceptg ofg Stressg Adaptation
MULTIPLEg CHOICE
1. Agclientghasgexperiencedgtheg deathgofgagcloseg familyg membergandg atgtheg
sameg timeg becomesg unemployed.gTheg client’sg 6-
monthg scoreg ong theg Recentg Lifeg ChangesgQuestionnairegisg110.gThegnurse:
A. Understandsgthegclientg isg atg riskg forg significant
stress-relatedg illness.
B. Determinesgthegclientgisgnotgatgriskg for
significantg stress-relatedg illness.
C. Needsg furtherg assessmentg ofg theg client’s
copingg skillsg tog determineg susceptibilityg t
ogstress-relatedgillness.
D. Recognizesg theg clientg mayg viewg theg lossesg asgc
hallengesgandgperceivegthemgas
opportunities.
ANS:g Cg
C
Chapterg learningg objective:g Explaing theg relationshipg betweeng stressg andg diseasesg
ofgadaptation.
Page:g5–6
Heading:gStressgasgangEnvironmentalgEventgIntegr
atedg Processes:g Nursingg Process:g EvaluationgClien
tgNeed:gPsychosocialgIntegrity
Cognitiveg Level:gApplicationg [Applying
]gConcept:gStress
Difficulty:g Moderate
Feedback
,A Thisg isg incorrect.gAssessmentg isg theg firstg stepg
ofg theg nursingg process.g Theg nurseg shouldgasse
ssgthegclient’sg copinggskillsg andgavailablegsup
portgbeforegdetermininggsusceptibilityg togstres
s-
relatedgphysicalgandgpsychologicalgillness.gTh
egRecentg Lifeg ChangesgQuestionnaireg isgangex
pandedgversiongofgthegScheduleg ofg Recentg Exp
eriencesg andg theg Rahe-
gHolmesg Socialg Readjustmentg Ratingg Scale.gAg
6-monthg scoreg ofg 300g org more,g org ag year-
scoregtotalgofg500gorg more,gindicatesghighg stre
ssg ingagclient’sglifegandgsusceptibilitygtog stress
-related
illnesses.
B Thisg isg incorrect.gAssessmentg isg theg firstg ste
pgingthegnursinggprocess.gThegnursegshouldga
ssessg theg client’sg copingg skillsg andg availableg
supportgbeforegdetermininggthegclient’sgperce
ptiong ofg theg currentg stresses.gAg6-
monthgscoregofg300gorgag year-
scoregofg500gorgmoregongthegRecentg Lifeg Ch
angesg Questionnairegindicatesghighgstressging
agclient’sglifegandgsusceptibilitygtog stress-
relatedgphysicalgand
psychologicalg illness.
C Thisgisgcorrect.gAssessmentgisgtheg firstgstepgin
gtheg nursingg process.gTheg nurseg shouldg assess
gtheg client’sg copingg skillsg andg availableg suppo
rtgbeforegdeterminingg susceptibilitygtogstress-
grelatedg physicalg andg psychologicalg illness.gAg
6-monthg scoreg ofg 300g org ag year-
scoreg ofg 500gorgmoregindicatesghighgstressging
agclient’sglifegandg riskg forg significantg stress-
relatedg physical
andg psychologicalg illness.
D Thisg isg incorrect.gAssessmentg isg theg firstg ste
pgingthegnursinggprocess.gThegnursegshouldga
ssessg theg client’sg copingg skillsg andg availableg
supportg beforeg determiningg susceptibilityg tog
stress-relatedg illness.gAg6-
monthg scoreg ofg 300gorgag year-
scoreg ofg500g org moregong thegRecentgLifeg Cha
ngesg Questionnaireg indicatesghighgstressginga
gclient’sglifegisgsusceptiblegtogsignificantgstre
ss-relatedgphysicalgand
psychologicalg illness.
,PTS:g 1 CON:g Stress
, 2. Agphysicallyg andg emotionallyg healthyg clientg hasg justg beeng fired.g Duringg
agroutineg officeg visit,g heg tellsg theg nurse,g “Perhapsg thisg wasg theg bestg thingg tog happen.g M
aybegI’llgconsidergpursuinggangartgdegree.”gThegnursegdeterminesgthegclientgperceivesgthe
gstressorgofghisgjobglossgas:
A. Irrelevant.
B. Harm/loss.
C. Agthreat.
D. Agchallenge.
ANS:g D
Chapter:g Chapterg 0,gTheg Conceptg ofg StressgAdaptation
Chapterg learningg objective:g Discussg adaptiveg copingg strategiesg ing theg managementg o
fgstress.
Page:g7
Heading:g Individual’sg Perceptiong ofg theg Eventg >g PrimarygAppraisalgI
ntegratedgProcesses:gNursinggProcess:gAssessment
ClientgNeed:gPsychosocialgIntegritygCog
nitiveg Level:gApplicationg [Applying]gCo
ncept:gStress
Difficulty:g Easy
Feedback
A Thisg isg incorrect.gTheg client’sg statement
indicatesghegperceivesgtheglossgofghisgjobgasgagc
hallengegandgangopportunityg forg growth.
B Thisgisgincorrect.gThegclient’sgstatementgindicat
esghegperceivesgtheglossgofghisgjobgasga
challengeg andg ang opportunityg forg growth.
C Thisg isg incorrect.gTheg client’sg statement
indicatesghegperceivesgtheglossgofghisgjobgasgagc
hallengegandgangopportunityg forg growth.
D Thisgisgcorrect.gThegclient’sgstatementgindica
tesghegperceivesgtheglossg ofghisgjobgasg a
challengeg andg ang opportunityg forg growth.
PTS:g 1 CON:g Stress
3. Whichg clientg statementg alertsg theg nurseg thatg theg clientg mayg beg respondi
nggmaladaptivelygtogstress?
A. “Avoidingg contactg withg othersg helpsg me
cope.”
