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Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice 10th Edition Townsend Test Bank
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  • Chamberlain College Of Nursing
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  • Psychiatric Mental Health Nursing

Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice 10th Edition Townsend Test Bank

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  • March 24, 2022
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Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based
Practice 10th Edition Townsend Test Bank

Chapter 1. The Concept of Stress Adaptation


MULTIPLE CHOICE

1. A client has experienced the death of a close family member and at the same
time becomes unemployed. The client’s 6-month score on the Recent Life Changes
Questionnaire is 110. The nurse:
A.
stress-related illness.
com
Understands the client is at risk for significant

B.

p.
Determines the client is not at risk
for significant stress-related illness.

C.

stpre
Needs further assessment of the client’s
coping skills to determine susceptibility
to stress-related illness.

D.

gte
Recognizes the client may view the losses
as challenges and perceive them as
opportunities.

ANS: C C

www.mynursin
Chapter learning objective: Explain the relationship between stress and diseases of
adaptation.
Page: 5–6
Heading: Stress as an Environmental Event

,Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
Feedback

A This is incorrect. Assessment is the first
step of the nursing process. The nurse
should assess the client’s coping skills and
available support before determining
susceptibility to stress-related physical and
psychological illness. The Recent Life
Changes
Questionnaire is an expanded version of the
Schedule of Recent Experiences and the
Rahe Holmes Social Readjustment Rating
Scale. A 6-month score of 300 or more, or a
year-score total of 500 or more, indicates
high stress in a client’s life and susceptibility
to stress-related illnesses.



Feedback

A This is incorrect. Assessment is the first
step of the nursing process. The nurse
should assess the client’s coping skills and
available support before determining
susceptibility to stress-related physical and
psychological illness. The Recent Life
Changes
Questionnaire is an expanded version of the
Schedule of Recent Experiences and the
Rahe Holmes Social Readjustment Rating
Scale. A 6-month score of 300 or more, or a
year-score total of 500 or more, indicates
high stress in a client’s life and
susceptibility to stress-related illnesses.

B

gtestprep.com
This is incorrect. Assessment is the first
step in the nursing process. The nurse
should assess the client’s coping skills and

, available support before determining the
client’s perception of the current stresses. A
6-month score of 300 or a year-score of
500 or more on the Recent Life Changes
Questionnaire indicates high stress in a
client’s life and susceptibility to stress-
related physical and psychological illness.

This is correct. Assessment is the first step in
the nursing process. The nurse should assess
w.mynursin the client’s coping skills and available
support before determining susceptibility to
C
stress related physical and psychological
illness. A 6-month score of 300 or a year-
score of 500 or more indicates high stress in
a client’s life and risk for significant stress-
related physical and psychological illness.

This is incorrect. Assessment is the first
step in the nursing process. The nurse
D
ww should assess the client’s coping skills and
available support before determining
susceptibility to stress-related illness. A 6-
month score of 300 or a year-score of 500
or more on the Recent Life Changes
Questionnaire indicates high stress in a
client’s life is susceptible to significant
stress-related physical and psychological
illness.
2. A physically and emotionally healthy client has just been fired. During a routine
office visit, he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
consider pursuing an art degree.” The nurse determines the client perceives the stressor of
his job loss as:
A. Irrelevant.

B. Harm/loss.

C. A threat.

D. A challenge.



ANS: D


gtestprep.com
Chapter: Chapter 0, The Concept of Stress Adaptation

, Chapter learning objective: Discuss adaptive coping strategies in the management of
stress.
Page: 7
Heading: Individual’s Perception of the Event > Primary Appraisal
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Easy
Feedback
n
This is incorrect. The client’s statement
indicates he perceives the loss of his job as
ursi a challenge and an opportunity for growth.
A

This is incorrect. The client’s statement
indicates he perceives the loss of his job as
myn a challenge and an opportunity for growth.
B

This is incorrect. The client’s statement
indicates he perceives the loss of his job as
ww. a challenge and an opportunity for growth.
C

This is correct. The client’s statement
D
w indicates he perceives the loss of his job as
a challenge and an opportunity for growth.



PTS: 1 CON: Stress

3. Which client statement alerts the nurse that the client may be responding
maladaptively to stress?
A. “Avoiding contact with others helps
me cope.”

B. “I really enjoy journaling; it’s my
private time.”

C. “I signed up for a yoga class this week.”

D. “I made an appointment to meet with
a therapist.”

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