,
,Chaptery1.yTheyConceptyofyStressyAdaptation
Test Bank: Davis Advantage for Psychiatric Mental Health Nursing Tenth Edition
MULTIPLEyCHOICE
1. Ayclientyhasyexperiencedytheydeathyofyaycloseyfamilyymemberyandyatytheysameytimebecomesyune
mployed.yTheyclient’sy6-
monthyscoreyonytheyRecentyLifeyChangesyQuestionnaireyisy110.yTheynurse:yUnderstandsytheyclient
yisyatyriskyforysignificantystress-relatedyillness.
Determinesytheyclientyisynotyatyriskyforysignificantystress-relatedyillness.
Needsyfurtheryassessmentyofytheyclient’sycopingyskillsytoydetermineysusceptibilityytostress-
relatedyillness.
Recognizesytheyclientymayyviewytheylossesyasychallengesyandyperceiveythemyasopportunities.
ANS:y3
Chapter:yChaptery1,yTheyConceptyofyStressyAdaptation
Objective:yExplainytheyrelationshipybetweenystressyandydiseasesyofyadaptation.Page:y5
Heading:yStressyasyanyEnvironmentalyEventyIntegratedyProcesses:yNursingyProcess:yEvaluationClienty
Need:yPsychosocialyIntegrity
CognitiveyLevel:yApplicationy[Applying]Concept:yStressyDifficul
ty:yModerate
Feedback
1. Thisyisyincorrect.yAssessmentyisytheyfirstystepyofytheynursingyprocess.yTheynurseyshou
ldyassessytheyclient’sycopingyskillsyandyavailableysupportybeforeydeterminingysuscepti
bilityytoystress-
relatedyphysicalyandypsychologicalyillnesses.yTheyRecentyLifeChangesyQuestionnairey
isyanyexpandedyversionyofytheyScheduleyofyRecentyExperiencesyandytheyRahe-
HolmesySocialyReadjustmentyRatingyScale.yAy6-
monthyscoreyofy300yorymoreyoryayyear-
scoreytotalyofy500yorymoreyindicatesyhighystressyinya
client’sylifeyandysusceptibilityytoystress-relatedyillnesses.
2. Thisyisyincorrect.yAssessmentyisytheyfirstystepyinytheynursingyprocess.yTheynurseyshoul
dyassessytheyclient’sycopingyskillsyandyavailableysupportybeforeydeterminingytheyclient
’syperceptionyofytheycurrentystresses.yAy6-monthyscoreyofy300yorymoreyoryayyear-
scoreytotalyofy500yorymoreyonytheyRecentyLifeyChangesyQuestionnaireyindicatesyhighy
stressyinyayclient’sylifeyandysusceptibilityytoystress-
relatedyphysicalyandypsychologicalyillnesses.
3. Thisyisycorrect.yAssessmentyisytheyfirstystepyinytheynursingyprocess.yTheynurseyshouldy
assessytheyclient’sycopingyskillsyandyavailableysupportybeforeydeterminingysusceptibilit
y
toystress-relatedyphysicalyandypsychologicalyillnesses.yAy6-monthyscore
, ofy300yorymoreyoryayyear-
scoreyofy500yorymoreyindicatesyhighystressyinyayclient’sylifeand
riskyforysignificantystress-relatedyphysicalyandypsychologicalyillness.
4. Thisyisyincorrect.yAssessmentyisytheyfirstystepyinytheynursingyprocess.yTheynurseyshou
ldyassessytheyclient’sycopingyskillsyandyavailableysupportybeforeydeterminingysuscepti
bilityytoystress-relatedyillness.yAy6-monthyscoreyofy300yorymoreyoryayyear-
yscoreyofy500yorymoreyonytheyRecentyLifeyChangesyQuestionnaireyindicatesyhighystres
sinyayclient’sylifeyisysusceptibleytoysignificantystress-
relatedyphysicalyandypsychologicalillness.
CON:yStress
2. Ayphysicallyyandyemotionallyyhealthyyclientyhasyjustybeenyfired.yDuringyayroutineyofficeyvisit,yhey
tellsytheynurse,y“Perhapsythisywasytheybestythingytoyhappen.yMaybeyI’ll
considerypursuingyanyartydegree.”yTheynurseydeterminesytheyclientyperceivesytheystressorofyhisyjobylossyas:
IrrelevantyH
armyorylossy
Threateningy
Aychallenge
ANS:y4
Chapter:yChaptery1,yTheyConceptyofyStressyAdaptation
Objective:yDiscussyadaptiveycopingystrategiesyinytheymanagementyofystress.Page:y7Heading:
yStressyasyaytransactionybetweenytheyindividualyandytheyenvironment
>Individual’syPerceptionyofytheyEventy>yPrimaryyAppraisalIntegratedyProcesses:yNursingyProcess:yAss
essment
ClientyNeed:yPsychosocialyIntegrityyCognitiveyLevel:yApplicationy[Applying]Concept:yStres
syDifficulty:yEasy
Feedback
1. Thisyisyincorrect.yAnyirrelevantyperceptionyisyoneywhereytheyeventyholdsynosignificanc
e
forytheyindividual.
2. Thisyisyincorrect.yAyharmyorylossyappraisalyrefersytoydamageyorylossyalreadyexperience
d
byytheyindividual.
3. Thisyisyincorrect.yAythreateningyappraisalyisyperceivedyasyanticipatedyharmsyorylosses.
4. Thisyisycorrect.yTheyclient’systatementyindicatesyheyperceivesytheylossyofyhisyjobyasyay
challengeyandyanyopportunityyforygrowth,ydemonstratedybyyhisystatementytoyconsidera
n
artydegree.
CON:yStress
,Chaptery1.yTheyConceptyofyStressyAdaptation
Test Bank: Davis Advantage for Psychiatric Mental Health Nursing Tenth Edition
MULTIPLEyCHOICE
1. Ayclientyhasyexperiencedytheydeathyofyaycloseyfamilyymemberyandyatytheysameytimebecomesyune
mployed.yTheyclient’sy6-
monthyscoreyonytheyRecentyLifeyChangesyQuestionnaireyisy110.yTheynurse:yUnderstandsytheyclient
yisyatyriskyforysignificantystress-relatedyillness.
Determinesytheyclientyisynotyatyriskyforysignificantystress-relatedyillness.
Needsyfurtheryassessmentyofytheyclient’sycopingyskillsytoydetermineysusceptibilityytostress-
relatedyillness.
Recognizesytheyclientymayyviewytheylossesyasychallengesyandyperceiveythemyasopportunities.
ANS:y3
Chapter:yChaptery1,yTheyConceptyofyStressyAdaptation
Objective:yExplainytheyrelationshipybetweenystressyandydiseasesyofyadaptation.Page:y5
Heading:yStressyasyanyEnvironmentalyEventyIntegratedyProcesses:yNursingyProcess:yEvaluationClienty
Need:yPsychosocialyIntegrity
CognitiveyLevel:yApplicationy[Applying]Concept:yStressyDifficul
ty:yModerate
Feedback
1. Thisyisyincorrect.yAssessmentyisytheyfirstystepyofytheynursingyprocess.yTheynurseyshou
ldyassessytheyclient’sycopingyskillsyandyavailableysupportybeforeydeterminingysuscepti
bilityytoystress-
relatedyphysicalyandypsychologicalyillnesses.yTheyRecentyLifeChangesyQuestionnairey
isyanyexpandedyversionyofytheyScheduleyofyRecentyExperiencesyandytheyRahe-
HolmesySocialyReadjustmentyRatingyScale.yAy6-
monthyscoreyofy300yorymoreyoryayyear-
scoreytotalyofy500yorymoreyindicatesyhighystressyinya
client’sylifeyandysusceptibilityytoystress-relatedyillnesses.
2. Thisyisyincorrect.yAssessmentyisytheyfirstystepyinytheynursingyprocess.yTheynurseyshoul
dyassessytheyclient’sycopingyskillsyandyavailableysupportybeforeydeterminingytheyclient
’syperceptionyofytheycurrentystresses.yAy6-monthyscoreyofy300yorymoreyoryayyear-
scoreytotalyofy500yorymoreyonytheyRecentyLifeyChangesyQuestionnaireyindicatesyhighy
stressyinyayclient’sylifeyandysusceptibilityytoystress-
relatedyphysicalyandypsychologicalyillnesses.
3. Thisyisycorrect.yAssessmentyisytheyfirstystepyinytheynursingyprocess.yTheynurseyshouldy
assessytheyclient’sycopingyskillsyandyavailableysupportybeforeydeterminingysusceptibilit
y
toystress-relatedyphysicalyandypsychologicalyillnesses.yAy6-monthyscore
, ofy300yorymoreyoryayyear-
scoreyofy500yorymoreyindicatesyhighystressyinyayclient’sylifeand
riskyforysignificantystress-relatedyphysicalyandypsychologicalyillness.
4. Thisyisyincorrect.yAssessmentyisytheyfirstystepyinytheynursingyprocess.yTheynurseyshou
ldyassessytheyclient’sycopingyskillsyandyavailableysupportybeforeydeterminingysuscepti
bilityytoystress-relatedyillness.yAy6-monthyscoreyofy300yorymoreyoryayyear-
yscoreyofy500yorymoreyonytheyRecentyLifeyChangesyQuestionnaireyindicatesyhighystres
sinyayclient’sylifeyisysusceptibleytoysignificantystress-
relatedyphysicalyandypsychologicalillness.
CON:yStress
2. Ayphysicallyyandyemotionallyyhealthyyclientyhasyjustybeenyfired.yDuringyayroutineyofficeyvisit,yhey
tellsytheynurse,y“Perhapsythisywasytheybestythingytoyhappen.yMaybeyI’ll
considerypursuingyanyartydegree.”yTheynurseydeterminesytheyclientyperceivesytheystressorofyhisyjobylossyas:
IrrelevantyH
armyorylossy
Threateningy
Aychallenge
ANS:y4
Chapter:yChaptery1,yTheyConceptyofyStressyAdaptation
Objective:yDiscussyadaptiveycopingystrategiesyinytheymanagementyofystress.Page:y7Heading:
yStressyasyaytransactionybetweenytheyindividualyandytheyenvironment
>Individual’syPerceptionyofytheyEventy>yPrimaryyAppraisalIntegratedyProcesses:yNursingyProcess:yAss
essment
ClientyNeed:yPsychosocialyIntegrityyCognitiveyLevel:yApplicationy[Applying]Concept:yStres
syDifficulty:yEasy
Feedback
1. Thisyisyincorrect.yAnyirrelevantyperceptionyisyoneywhereytheyeventyholdsynosignificanc
e
forytheyindividual.
2. Thisyisyincorrect.yAyharmyorylossyappraisalyrefersytoydamageyorylossyalreadyexperience
d
byytheyindividual.
3. Thisyisyincorrect.yAythreateningyappraisalyisyperceivedyasyanticipatedyharmsyorylosses.
4. Thisyisycorrect.yTheyclient’systatementyindicatesyheyperceivesytheylossyofyhisyjobyasyay
challengeyandyanyopportunityyforygrowth,ydemonstratedybyyhisystatementytoyconsidera
n
artydegree.
CON:yStress
