TEST BANK FOR DAVIS ADVANTAGE FOR PSYCHIATRIC MENTAL HEALTH NURSING, 10TH EDITION, KARYN I. MORGAN,MARY C. TOWNSEND

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TEST BANK FOR DAVIS ADVANTAGE FOR PSYCHIATR
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IC MENTAL HEALTH NURSING, 10TH EDITION, KARY
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N I. MORGAN,MARY C. TOWNSEND, ISBN-
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13: 9780803699670 u




Chapter 1. The Concept of Stress Adaptation u u u u u u




MULTIPLE CHOICE u




1.
A client has experienced the death of a close family member and at the same timebecomes u
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nemployed. The client’s 6- u u u




month score on the Recent Life Changes Questionnaire is 110. The nurse: Understands the client is
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at risk for significant stress-related illness.
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Determines the client is not at risk for significant stress-related illness.
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Needs further assessment of the client’s coping skills to determine susceptibility tostress-
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related illness. u




Recognizes the client may view the losses as challenges and perceive them asopportunities.
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ANS: 3 u




Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
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Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClie
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nt Need: Psychosocial Integrity
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Cognitive Level: Application [Applying]Concept: Stress Difficulty: Moderate
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Feedback
1.
This is incorrect. Assessment is the first step of the nursing process. The nurse should assess
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the client’s coping skills and available support before determining susceptibility to stress-
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related physical and psychological illnesses. The Recent LifeChanges Questionnaire is an expande
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d version of the Schedule of Recent Experiences and the Rahe-
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Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more or a year-
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score total of 500 or more indicates high stress in a
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client’s life and susceptibility to stress-related illnesses.
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2.
This is incorrect. Assessment is the first step in the nursing process. The nurse should assess
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the client’s coping skills and available support before determining the client’s perception of the curr
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ent stresses. A 6-month score of 300 or more or a year-
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score total of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a client’
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s life and susceptibility to stress-related physical and psychological illnesses.
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3.
This is correct. Assessment is the first step in the nursing process. The nurse should assess th
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e client’s coping skills and available support before determining susceptibility
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to stress-related physical and psychological illnesses. A 6-month score
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of 300 or more or a year-score of 500 or more indicates high stress in a client’s lifeand
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risk for significant stress-related physical and psychological illness.
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4.
This is incorrect. Assessment is the first step in the nursing process. The nurse should assess
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the client’s coping skills and available support before determining susceptibility to stress-
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related illness. A 6-month score of 300 or more or a year-
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u score of 500 or more on the Recent Life Changes Questionnaire indicates high stressin a client’s life
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u is susceptible to significant stress-related physical and psychologicalillness.
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CON: Stress u




2.
A physically and emotionally healthy client has just been fired. During a routine office visit,
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he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
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consider pursuing an art degree.” The nurse determines the client perceives the stressorof his job los
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s as:
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Irrelevant Harm or loss Threatening A challenge
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ANS: 4 u




Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Discuss adaptive coping strategies in the management of stress.Page: 7Heading: Stress a
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s a transaction between the individual and the environment
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>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
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Assessment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress Diffi
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culty: Easy u




Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance
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for the individual.
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2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
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by the individual.
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3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
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4.
This is correct. The client’s statement indicates he perceives the loss of his job as a challenge
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u and an opportunity for growth, demonstrated by his statement to consideran
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art degree.
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CON: Stress u


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3.
Which client statement alerts the nurse that the client may be maladaptivelyresponding to str
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ess?



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“Avoiding contact with others helps me cope.” “I really enjoy journaling; it’s my private time.” “I si
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gned up for a yoga class this week.”
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“I made an appointment to meet with a therapist.”
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ANS: 1 u




Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Discuss adaptive coping strategies in the management of stress.Page: 8Heading: Stress
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Management
Integrated Processes: Nursing Process: EvaluationClient Need: Psychosocial Integrity Cognitive L
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evel: Application [Applying]Concept: Stress
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Difficulty: Easy u




Feedback
1.
This is correct. Reliance on social isolation as a coping mechanism is a maladaptive method
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to relieve stress. It can prevent learning appropriate coping skills and can prevent access to needed s
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upport systems. u




2. This is incorrect. Journaling is a form of adaptive coping and interpersonal
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communication.
3. This is incorrect. Group exercise is a form of adaptive coping, relaxation.
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4. This is incorrect. Seeing a therapist is not considered a maladaptive coping method.
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CON: Stress u




4.
A nursing student comes down with a sinus infection toward the end of every semester. Whi
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ch stage of stress is the student most likely experiencing when this occurs?
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Alarm reaction Resistance Exhaustion Fight or flight
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ANS: 3 u




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