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TEST BANK FOR DAVIS ADVANTAGE FOR
PSYCHIATRIC MENTAL HEALTH NURSING,10TH
EDITION, KARYN I.MORGAN, MARY
C.TOWNSEND
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:
Understands the client is at risk for significant stress-related
illness.
Determines the client is not at risk for significant stress-related
illness.
Needs further assessment of the client’s coping skills to determine
susceptibility to stress-related illness.
Recognizes the client may view the losses as challenges and
perceive them as opportunities.
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of
adaptation. Page: 5
Heading: Stress as an Environmental Event Integrated Processes: Nursing
Process: Evaluation Client Need: Psychosocial Integrity
Feedback
1. 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 illnesses. 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.
2. 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 more or a
year- score total 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
illnesses.
3. This is correct. Assessment is the first step in the nursing
process. The nurse should assess the client’s coping skills and
available support before determining susceptibility to stress-
related physical and psychological illnesses. A 6-month score
of 300 or more 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.
. .) . ..
, lOMoARcPSD|27929433
.
.
4. 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 susceptibility to stress-
related illness. A 6-month score of 300 or more 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.
CON: Stress
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: Irrelevant
Harm or loss
Threatening
A challenge
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of
stress. Page: 7
Heading: Stress as a transaction between the individual and the
environment
>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
. .) . ..
, lOMoARcPSD|27929433
.
.
1. This is incorrect. An irrelevant perception is one where the
event holds no significance for the individual.
2. This is incorrect. A harm or loss appraisal refers to damage or
loss already experienced by the individual.
3. This is incorrect. A threatening appraisal is perceived as
anticipated harms or losses.
4. This is correct. The client’s statement indicates he perceives
the loss of his job as a challenge and an opportunity for
growth, demonstrated by his statement to consider an art
degree.
CON: Stress
3. Which client statement alerts the nurse that the client may be
maladaptively responding to stress? “Avoiding contact with others
helps me cope.”
“I really enjoy journaling; it’s my private time.”
“I signed up for a yoga class this
week.” “I made an appointment to
meet with a therapist.”
ANS: 1
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management
of stress. Page: 8
Heading: Stress Management
Integrated Processes: Nursing Process: Evaluation Client Need:
Psychosocial Integrity
Cognitive Level: Application [Applying] Concept: Stress
Difficulty: Easy
Feedback
. .) . ..
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