TestBank-
u u
PsychiatricMentalHealthNursingbyMary Townsend (9
u u u u u u u u
th Edition, 2017)
u u
TEST BANK u
,Chapter 01. The Concept of Stress Adaptation
u u u u u u
Multipleu Choice
1.uAuclientuhasuexperiencedutheudeathuofuaucloseufamilyumemberuanduatutheusameutimeubecomesuunemployed.uTh
isusituationuhasuresulteduinuau6-
monthuscoreuofu110uonutheuRecentuLifeuChangesuQuestionnaire.uHowushouldutheunurseuevaluateuthisuclientudata?
A. Theuclientuisu experiencingu severeu distressu andu isu atu riskuforu physicaluandu psychologicaluillness.
B. Auscoreuofu110uonutheuMilleruanduRaheuRecentuLifeuChangesuQuestionnaireuindicatesunousignificantuthreatuofust
ress-relateduillness.
C. Susceptibilityutoustress-
relateduphysicaluorupsychologicaluillnessucannotubeuestimateduwithoutuknowledgeuofucopinguresourcesuanduavaila
bleusupports.
D. Theuclientumayu viewu theseu lossesu asu challengesu anduperceiveu themu asu opportunities.
ANS:u C
TheuRecentuLifeuChangesuQuestionnaireuisuanuexpandeduversionuofutheuScheduleuofuRecentuExperiencesuandutheuRa
he-Holmesu Socialu Readjustmentu Ratingu Scale.u Au 6-monthu scoreu ofu 300u oru more,u oru au year-
scoreu totalu ofu 500uorumore,uindicatesuhighustressuinuauclientsulife.uHowever,upositiveucopingumechanismsuandustrong
usocialusupportu canulimitususceptibilityutoustress-relateduillnesses.
KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uEvaluationu |uClientuNeed:
Psychosocialu Integrity
2.uAuphysicallyuanduemotionallyuhealthyuclientuhasujustubeenufired.uDuringuauroutineuofficeuvisituheustatesutouaunu
rse:uPerhapsuthisuwasutheubestuthingutouhappen.uMaybe uIllulookuintoupursuinguanuartudegree.uHowushoulduthe
NURSINGTB.COM
nurseucharacterizeutheuclientsuappraisaluofuthe jobu lossu stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:u D
Theuclientuperceivesu theu situationu ofu jobu lossuasu auchallengeu anduanu opportunityu foru growth.
KEY:uCognitiveuLevel:uApplicationu |uIntegrateduProcesses:uNursingu Process:uAssessmentu |uClientu Need:
Psychosocialu Integrity
3. Whichuclientustatementushouldu alertuau nurseuthatuauclientumayu beu respondingumaladaptivelyu tou stress?
A. Iveu foundu thatuavoidingu contactuwithu othersu helpsu meu cope.
B. Iureallyuenjoyu journaling;uitsu myuprivateu time.
C. Iusignedu upu foruau yogau classuthisuweek.
D. Iu madeu anuappointmentutou meetuwithu au therapist.
ANS:u A
Relianceuonusocialuisolationuasuaucopingumechanismuisuaumaladaptiveumethodutourelieveustress.uItucanupreventule
arninguappropriateucopinguskillsuanducanupreventuaccessutouneededusupportusystems.
,KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uEvaluationu |uClientuNeed:
Psychosocialu Integrity
4. Aunursingustudentufindsuthatusheucomesudownuwithuausinusuinfectionutowardutheuenduofueveryusemester.uWhenuth
isuoccurs,uwhichustageuofustressuisutheustudentumostulikelyuexperiencing?
A. Alarmu reactionu stage
B. Stageu ofu resistance
C. Stageu ofu exhaustion
D. Fight-or-flightu stage
ANS:u C
Atutheustageuofuexhaustion,utheustudentsuexposureutoustressuhasubeenuprolongeduanduadaptiveuenergyuhasubeenude
pleted.uDiseasesuofuadaptationuoccurumoreufrequentlyuinuthisustage.
KEY:uCognitiveuLevel:uApplicationu |uIntegrateduProcesses:uNursingu Process:uAssessmentu |uClientu Need:
Psychosocialu Integrity
5. Auschoolunurseuisuassessinguaufemaleuhighuschoolustudentuwhouisuoverlyuconcerneduaboutuheruappearance.uTheucl
ientsu motheru states,u Thatsu notu somethingu tou beu stressedu about!u Whichu isu theu mostu appropriateu nursinguresponse
?
A. Teenagers!u Theyu dontu knowuau thingu abouturealustress.
B. Stressuoccursu onlyuwhenu thereu isu au loss.
C. Whenuyouu areu inu pooru physicalu condition,u yNoU
uuR
caSnIN
tu eGxTpB
er.C
ieO
ncMeu psychologicalu well-being.
D. Stressucanu beu psychological.uAu threatutou self-esteemu mayuresultuinu highu stressu levels.
ANS:u D
Stressucanubeuphysicaluorupsychologicaluinunature.uAuperceiveduthreatutouself-
esteemucanubeuasustressfuluasuauphysiologicalu change.
KEY:uCognitiveuLevel:uApplicationu |uIntegrateduProcesses:u Nursingu Process:uImplementationu |uClientu Need:
Psychosocialu Integrity
6. Aubrightustudentuconfidesuinutheuschoolunurseuaboutuconflictsurelatedutouattendingucollegeuoruworkingutouaddune
ededufinancialusupportutoutheufamily.uWhichucopingustrategyuisumostuappropriateuforutheunurseutourecommendu tout
heustudentuatuthisutime?
A. Meditation
B. Problem-solvingu training
C. Relaxation
D. Journaling
ANS:u B
Theustudentumustuassessuhisuoruherusituationuandudetermineutheubestucourseuofuaction.uProblem-
solvingutraining,ubyuprovidingustructureuanduobjectivity,ucanuassistuinudecisionumaking.
KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uImplementationu |uClientu Need:
Psychosocialu Integrity
, 7. Anuunemployeducollegeugraduateuisuexperiencingusevereuanxietyuoverunotufindinguauteachingupositionuanduhasudi
fficultyuwithuindependentuproblem-
solving.uDuringuauroutineuphysicaluexamination,utheugraduateuconfidesuinu theuclinicunurse.uWhichuisutheumostuappr
opriateunursinguintervention?
A. Encourageu theu studentutou useu theu alternativeu copingu mechanismu ofu relaxationu exercises.
B. Completeu theu problem-solvingu processu foru theu client.
C. Worku throughu theu problem-solvingu processuwithu theu client.
D. Encourageu theu clientu toukeepuau journal.
ANS:u C
Duringutimesuofuhighuanxietyuandustress,uclientsuwilluneedumoreuassistanceuinuproblem-
solvinguandudecisionumaking.
KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uImplementationu |uClientu Need:
Psychosocialu Integrity
8. Auschoolunurseuisuassessinguaudistraughtufemaleuhighuschoolustudentuwhouisuoverlyuconcernedubecauseuherup
arentsucantuafforduhorsebackuridingulessons.uHowushouldutheunurseuinterpretutheustudentsureactionutouherupercei
veduproblem?
A. Theu problemu isu endangeringu heru well-being.
B. Theu problemu isupersonallyu relevantutou her.
C. Theu problemu isu basedu onu immaturity.
D. Theuproblemu isu exceedingu herucapacityu tou cN
opUeR.uSINGTB.COM
ANS:u B
Psychologicalustressorsutouself-esteemuanduself-
imageuareurelatedutouhowutheuindividualuperceivesutheusituationuoruevent.uSelf-
imageuisuofuparticularuimportanceutouadolescents,uwhoufeeluentitledutouhaveuallutheuadvantagesuthatu otheruadolesce
ntsuexperience.
KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uEvaluationu |uClientuNeed:
Psychosocialu Integrity
9. Meditationuhasubeenushownutoubeuanueffectiveustressumanagementutechnique.uWhenumeditationuisueffective,u
whatushoulduaunurseuexpectutouassess?
A. Anu achievedu stateu ofu relaxation
B. Anu achievedu insightu intou onesu feelings
C. Au demonstrationu ofu appropriateu roleu behaviors
D. Anu enhancedu abilityu tou problem-solve
ANS:u A
Meditationu producesu relaxationu byu creatingu au specialu stateu ofu consciousnessu throughu focusedu concentration.
KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uEvaluationu |uClientuNeed:
Psychosocialu Integrity
10. Audistraught,usingle,ufirst-
timeumotherucriesuanduasksuaunurse,uHowucanuIugoutouworkuifuIucantuafforduchildcare?uWhatuisutheunursesui
nitialuactionuinuassistingutheuclientuwithutheuproblem-solvinguprocess?
u u
PsychiatricMentalHealthNursingbyMary Townsend (9
u u u u u u u u
th Edition, 2017)
u u
TEST BANK u
,Chapter 01. The Concept of Stress Adaptation
u u u u u u
Multipleu Choice
1.uAuclientuhasuexperiencedutheudeathuofuaucloseufamilyumemberuanduatutheusameutimeubecomesuunemployed.uTh
isusituationuhasuresulteduinuau6-
monthuscoreuofu110uonutheuRecentuLifeuChangesuQuestionnaire.uHowushouldutheunurseuevaluateuthisuclientudata?
A. Theuclientuisu experiencingu severeu distressu andu isu atu riskuforu physicaluandu psychologicaluillness.
B. Auscoreuofu110uonutheuMilleruanduRaheuRecentuLifeuChangesuQuestionnaireuindicatesunousignificantuthreatuofust
ress-relateduillness.
C. Susceptibilityutoustress-
relateduphysicaluorupsychologicaluillnessucannotubeuestimateduwithoutuknowledgeuofucopinguresourcesuanduavaila
bleusupports.
D. Theuclientumayu viewu theseu lossesu asu challengesu anduperceiveu themu asu opportunities.
ANS:u C
TheuRecentuLifeuChangesuQuestionnaireuisuanuexpandeduversionuofutheuScheduleuofuRecentuExperiencesuandutheuRa
he-Holmesu Socialu Readjustmentu Ratingu Scale.u Au 6-monthu scoreu ofu 300u oru more,u oru au year-
scoreu totalu ofu 500uorumore,uindicatesuhighustressuinuauclientsulife.uHowever,upositiveucopingumechanismsuandustrong
usocialusupportu canulimitususceptibilityutoustress-relateduillnesses.
KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uEvaluationu |uClientuNeed:
Psychosocialu Integrity
2.uAuphysicallyuanduemotionallyuhealthyuclientuhasujustubeenufired.uDuringuauroutineuofficeuvisituheustatesutouaunu
rse:uPerhapsuthisuwasutheubestuthingutouhappen.uMaybe uIllulookuintoupursuinguanuartudegree.uHowushoulduthe
NURSINGTB.COM
nurseucharacterizeutheuclientsuappraisaluofuthe jobu lossu stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:u D
Theuclientuperceivesu theu situationu ofu jobu lossuasu auchallengeu anduanu opportunityu foru growth.
KEY:uCognitiveuLevel:uApplicationu |uIntegrateduProcesses:uNursingu Process:uAssessmentu |uClientu Need:
Psychosocialu Integrity
3. Whichuclientustatementushouldu alertuau nurseuthatuauclientumayu beu respondingumaladaptivelyu tou stress?
A. Iveu foundu thatuavoidingu contactuwithu othersu helpsu meu cope.
B. Iureallyuenjoyu journaling;uitsu myuprivateu time.
C. Iusignedu upu foruau yogau classuthisuweek.
D. Iu madeu anuappointmentutou meetuwithu au therapist.
ANS:u A
Relianceuonusocialuisolationuasuaucopingumechanismuisuaumaladaptiveumethodutourelieveustress.uItucanupreventule
arninguappropriateucopinguskillsuanducanupreventuaccessutouneededusupportusystems.
,KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uEvaluationu |uClientuNeed:
Psychosocialu Integrity
4. Aunursingustudentufindsuthatusheucomesudownuwithuausinusuinfectionutowardutheuenduofueveryusemester.uWhenuth
isuoccurs,uwhichustageuofustressuisutheustudentumostulikelyuexperiencing?
A. Alarmu reactionu stage
B. Stageu ofu resistance
C. Stageu ofu exhaustion
D. Fight-or-flightu stage
ANS:u C
Atutheustageuofuexhaustion,utheustudentsuexposureutoustressuhasubeenuprolongeduanduadaptiveuenergyuhasubeenude
pleted.uDiseasesuofuadaptationuoccurumoreufrequentlyuinuthisustage.
KEY:uCognitiveuLevel:uApplicationu |uIntegrateduProcesses:uNursingu Process:uAssessmentu |uClientu Need:
Psychosocialu Integrity
5. Auschoolunurseuisuassessinguaufemaleuhighuschoolustudentuwhouisuoverlyuconcerneduaboutuheruappearance.uTheucl
ientsu motheru states,u Thatsu notu somethingu tou beu stressedu about!u Whichu isu theu mostu appropriateu nursinguresponse
?
A. Teenagers!u Theyu dontu knowuau thingu abouturealustress.
B. Stressuoccursu onlyuwhenu thereu isu au loss.
C. Whenuyouu areu inu pooru physicalu condition,u yNoU
uuR
caSnIN
tu eGxTpB
er.C
ieO
ncMeu psychologicalu well-being.
D. Stressucanu beu psychological.uAu threatutou self-esteemu mayuresultuinu highu stressu levels.
ANS:u D
Stressucanubeuphysicaluorupsychologicaluinunature.uAuperceiveduthreatutouself-
esteemucanubeuasustressfuluasuauphysiologicalu change.
KEY:uCognitiveuLevel:uApplicationu |uIntegrateduProcesses:u Nursingu Process:uImplementationu |uClientu Need:
Psychosocialu Integrity
6. Aubrightustudentuconfidesuinutheuschoolunurseuaboutuconflictsurelatedutouattendingucollegeuoruworkingutouaddune
ededufinancialusupportutoutheufamily.uWhichucopingustrategyuisumostuappropriateuforutheunurseutourecommendu tout
heustudentuatuthisutime?
A. Meditation
B. Problem-solvingu training
C. Relaxation
D. Journaling
ANS:u B
Theustudentumustuassessuhisuoruherusituationuandudetermineutheubestucourseuofuaction.uProblem-
solvingutraining,ubyuprovidingustructureuanduobjectivity,ucanuassistuinudecisionumaking.
KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uImplementationu |uClientu Need:
Psychosocialu Integrity
, 7. Anuunemployeducollegeugraduateuisuexperiencingusevereuanxietyuoverunotufindinguauteachingupositionuanduhasudi
fficultyuwithuindependentuproblem-
solving.uDuringuauroutineuphysicaluexamination,utheugraduateuconfidesuinu theuclinicunurse.uWhichuisutheumostuappr
opriateunursinguintervention?
A. Encourageu theu studentutou useu theu alternativeu copingu mechanismu ofu relaxationu exercises.
B. Completeu theu problem-solvingu processu foru theu client.
C. Worku throughu theu problem-solvingu processuwithu theu client.
D. Encourageu theu clientu toukeepuau journal.
ANS:u C
Duringutimesuofuhighuanxietyuandustress,uclientsuwilluneedumoreuassistanceuinuproblem-
solvinguandudecisionumaking.
KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uImplementationu |uClientu Need:
Psychosocialu Integrity
8. Auschoolunurseuisuassessinguaudistraughtufemaleuhighuschoolustudentuwhouisuoverlyuconcernedubecauseuherup
arentsucantuafforduhorsebackuridingulessons.uHowushouldutheunurseuinterpretutheustudentsureactionutouherupercei
veduproblem?
A. Theu problemu isu endangeringu heru well-being.
B. Theu problemu isupersonallyu relevantutou her.
C. Theu problemu isu basedu onu immaturity.
D. Theuproblemu isu exceedingu herucapacityu tou cN
opUeR.uSINGTB.COM
ANS:u B
Psychologicalustressorsutouself-esteemuanduself-
imageuareurelatedutouhowutheuindividualuperceivesutheusituationuoruevent.uSelf-
imageuisuofuparticularuimportanceutouadolescents,uwhoufeeluentitledutouhaveuallutheuadvantagesuthatu otheruadolesce
ntsuexperience.
KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uEvaluationu |uClientuNeed:
Psychosocialu Integrity
9. Meditationuhasubeenushownutoubeuanueffectiveustressumanagementutechnique.uWhenumeditationuisueffective,u
whatushoulduaunurseuexpectutouassess?
A. Anu achievedu stateu ofu relaxation
B. Anu achievedu insightu intou onesu feelings
C. Au demonstrationu ofu appropriateu roleu behaviors
D. Anu enhancedu abilityu tou problem-solve
ANS:u A
Meditationu producesu relaxationu byu creatingu au specialu stateu ofu consciousnessu throughu focusedu concentration.
KEY:uCognitiveuLevel:uApplicationu |uIntegratedu Processes:uNursingu Process:uEvaluationu |uClientuNeed:
Psychosocialu Integrity
10. Audistraught,usingle,ufirst-
timeumotherucriesuanduasksuaunurse,uHowucanuIugoutouworkuifuIucantuafforduchildcare?uWhatuisutheunursesui
nitialuactionuinuassistingutheuclientuwithutheuproblem-solvinguprocess?
