PSYCHIATRIC MENTAL HEALTH NURSING TEST
BANK CHAPTER 1 QUESTIONS AND ANSWERS
1. A client has experienced the death of a close family
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member and at the same time becomes unemployed.
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This situation has resulted in a 6-month score of 110
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on the Recent Life Changes Questionnaire. How should
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the nurse evaluate this client data?
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A. The client is experiencing severe distress and is at
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risk for physical and psychological illness.
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B. A score of 110 on the Miller and Rahe Recent Life
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Changes Questionnaire indicates no significant threat of
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stress-related illness. R
C. Susceptibility to stress-related physical or
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psychological illness cannot be estimated without
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knowledge of
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coping resources and available supports.
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, D. The client may view these losses as challenges and
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perceive them as opportunities.
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ANS: C R
The Recent Life Changes Questionnaire is an expanded
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version of the Schedule of Recent Experiences and the
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Rahe-Holmes Social Readjustment Rating Scale. A 6- R R R R R R
month score of 300 or more, or a year-score total of 500
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or more, indicates high stress in a clients life. However,
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positive coping mechanisms and strong social support
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can limit susceptibility to stress-related illnesses
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2. A physically and emotionally healthy client has just
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been fired. During a routine office visit he states to a
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nurse: Perhaps this was the best thing to happen.
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Maybe Ill look into pursuing an art degree. How should
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the
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nurse characterize the clients appraisal of the job loss
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stressor?
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A. Irrelevant
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B. Harm/loss
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C. Threatening
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