1
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
Chapter 01. The Concept of Stress Adaptation
Multiple Choice
• Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between the effects of life
change and illness. This research led to the development of the Recent Life Changes Questionnaire (RLCQ).
Which principle most limits the effectiveness of this tool?
A. Specific illnesses are not identified.
B. The numerical values associated with specific life events are randomly assigned
C. Stress is viewed as only a physiological response.
D. Personal perception of the event is excluded.
ANS: D
Individuals differ in response to life events. The RLCQ uses a scale that does not take these differences into
consideration.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Health Promotion and Maintenance
• A client who experiences stress on a regular basis asks a nurse what causes these feelings. Which is the
most appropriate nursing response?
A. Genetics have nothing to do with your temperament.
B. How you reacted to past experiences influences how you feel now.
C. If youre in good physical health, your stress level will be low.
D. Stress can always be avoided if appropriate coping mechanisms are employed.
ANS: B
Past experiences are occurrences that result in learned patterns that can influence an individuals current
adaptation response. They include previous exposure to the stressor or other stressors in general, learned
coping responses, and degree of adaptation to previous stressors.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
Psychosocial Integrity
Multiple Response
• A school nurse is assessing a distraught female high school student who is overly concerned because her
parents cant afford horseback riding lessons. How should the nurse interpret the students reaction to her
perceived problem?
A. The problem is endangering her well-being.
B. The problem is personally relevant to her.
C. The problem is based on immaturity.
D. The problem is exceeding her capacity to cope.
ANS: B
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED SUCCESS
NEW UPDATE 2022
, 2
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
Psychological stressors to self-esteem and self-image are related to how the individual perceives the situation
or event. Self-image is of particular importance to adolescents, who feel entitled to have all the advantages that
other adolescents experience.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
• Meditation has been shown to be an effective stress management technique. When meditation is effective,
what should a nurse expect to assess?
A. An achieved state of relaxation
B. An achieved insight into ones feelings
C. A demonstration of appropriate role behaviors
D. An enhanced ability to problem-solve
ANS: A
Meditation produces relaxation by creating a special state of consciousness through focused concentration.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
• A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I cant afford
childcare? What is the nurses initial action in assisting the client with the problem-solving process?
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED SUCCESS
NEW UPDATE 2022
, 3
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
A. Determine the risks and benefits for each alternative.
B. Formulate goals for resolution of the problem.
C. Evaluate the outcome of the implemented alternative.
D. Assess the facts of the situation.
ANS: D
Before any other steps can be taken, accurate information about the situation must be gathered and assessed.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
Psychosocial Integrity
• A nursing instructor is asking students about diseases of adaptation and when they are likely to occur.
Which student response indicates that learning has occurred?
A. When an individual has limited experience dealing with stress
B. When an individual inherits maladaptive genes
C. When an individual experiences existing conditions that exacerbate stress
D. When an individuals physiological and psychological resources have become depleted
ANS: D
During the stage of exhaustion of the general adaptation syndrome, the individual loses the capacity to adapt
effectively because physiological and psychological resources have become depleted. This is the time when
diseases of adaptation may occur.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Health Promotion and Maintenance
• When an individuals stress response is sustained over a long period of time, which physiological effect of
the endocrine system should a nurse anticipate?
A. Decreased resistance to disease
B. Increased libido
C. Decreased blood pressure
D. Increased inflammatory response
ANS: A
In a general adaptation syndrome, prolonged exposure to stress leads to the stage of exhaustion at which time
the bodys compensatory mechanisms no longer function effectively and diseases of adaptation occur. A
decreased immune response is seen at this stage.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Physiological Integrity
• Which symptom should a nurse identify as typical of the fight-or-flight response?
A. Pupil constriction
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED SUCCESS
NEW UPDATE 2022
, 4
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
B. Increased heart rate
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED SUCCESS
NEW UPDATE 2022
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
Chapter 01. The Concept of Stress Adaptation
Multiple Choice
• Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between the effects of life
change and illness. This research led to the development of the Recent Life Changes Questionnaire (RLCQ).
Which principle most limits the effectiveness of this tool?
A. Specific illnesses are not identified.
B. The numerical values associated with specific life events are randomly assigned
C. Stress is viewed as only a physiological response.
D. Personal perception of the event is excluded.
ANS: D
Individuals differ in response to life events. The RLCQ uses a scale that does not take these differences into
consideration.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Health Promotion and Maintenance
• A client who experiences stress on a regular basis asks a nurse what causes these feelings. Which is the
most appropriate nursing response?
A. Genetics have nothing to do with your temperament.
B. How you reacted to past experiences influences how you feel now.
C. If youre in good physical health, your stress level will be low.
D. Stress can always be avoided if appropriate coping mechanisms are employed.
ANS: B
Past experiences are occurrences that result in learned patterns that can influence an individuals current
adaptation response. They include previous exposure to the stressor or other stressors in general, learned
coping responses, and degree of adaptation to previous stressors.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
Psychosocial Integrity
Multiple Response
• A school nurse is assessing a distraught female high school student who is overly concerned because her
parents cant afford horseback riding lessons. How should the nurse interpret the students reaction to her
perceived problem?
A. The problem is endangering her well-being.
B. The problem is personally relevant to her.
C. The problem is based on immaturity.
D. The problem is exceeding her capacity to cope.
ANS: B
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED SUCCESS
NEW UPDATE 2022
, 2
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
Psychological stressors to self-esteem and self-image are related to how the individual perceives the situation
or event. Self-image is of particular importance to adolescents, who feel entitled to have all the advantages that
other adolescents experience.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
• Meditation has been shown to be an effective stress management technique. When meditation is effective,
what should a nurse expect to assess?
A. An achieved state of relaxation
B. An achieved insight into ones feelings
C. A demonstration of appropriate role behaviors
D. An enhanced ability to problem-solve
ANS: A
Meditation produces relaxation by creating a special state of consciousness through focused concentration.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
• A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I cant afford
childcare? What is the nurses initial action in assisting the client with the problem-solving process?
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED SUCCESS
NEW UPDATE 2022
, 3
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
A. Determine the risks and benefits for each alternative.
B. Formulate goals for resolution of the problem.
C. Evaluate the outcome of the implemented alternative.
D. Assess the facts of the situation.
ANS: D
Before any other steps can be taken, accurate information about the situation must be gathered and assessed.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
Psychosocial Integrity
• A nursing instructor is asking students about diseases of adaptation and when they are likely to occur.
Which student response indicates that learning has occurred?
A. When an individual has limited experience dealing with stress
B. When an individual inherits maladaptive genes
C. When an individual experiences existing conditions that exacerbate stress
D. When an individuals physiological and psychological resources have become depleted
ANS: D
During the stage of exhaustion of the general adaptation syndrome, the individual loses the capacity to adapt
effectively because physiological and psychological resources have become depleted. This is the time when
diseases of adaptation may occur.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Health Promotion and Maintenance
• When an individuals stress response is sustained over a long period of time, which physiological effect of
the endocrine system should a nurse anticipate?
A. Decreased resistance to disease
B. Increased libido
C. Decreased blood pressure
D. Increased inflammatory response
ANS: A
In a general adaptation syndrome, prolonged exposure to stress leads to the stage of exhaustion at which time
the bodys compensatory mechanisms no longer function effectively and diseases of adaptation occur. A
decreased immune response is seen at this stage.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Physiological Integrity
• Which symptom should a nurse identify as typical of the fight-or-flight response?
A. Pupil constriction
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED SUCCESS
NEW UPDATE 2022
, 4
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
B. Increased heart rate
NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND
ANSWERS EXPLAINED BEST RATED A+ GUARANTEED SUCCESS
NEW UPDATE 2022
