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Test Bank for Davis Advantage for Psychiatric Mental Health Nursing 10th Edition by Karyn I. Morgan and Mary C. Townsend All Chapters Complete ISBN: 9780803699670 Newest Edition 2024 Instant Pdf Download $18.49
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Test Bank for Davis Advantage for Psychiatric Mental Health Nursing 10th Edition by Karyn I. Morgan and Mary C. Townsend All Chapters Complete ISBN: 9780803699670 Newest Edition 2024 Instant Pdf Download

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  • Psychiatric Mental Health Nursing
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  • Psychiatric Mental Health Nursing

Test Bank for Davis Advantage for Psychiatric Mental Health Nursing 10th Edition by Karyn I. Morgan and Mary C. Townsend All Chapters Complete ISBN: 9780803699670 Newest Edition 2024 Instant Pdf Download Test Bank For TEST BANK FOR DAVIS ADVANTAGE FOR PSYCHIATRIC MENTAL HEALTH NURSING 10TH EDITION ...

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  • September 4, 2024
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  • Psychiatric Mental Health Nursing
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Test Bank for Davis Advantage for Psychiatric Mental Health Nursing
10th Edition by Karyn I. Morgan and Mary C. Townsend




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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 timebecomes 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 tostress-relatedillness. Recognizes the
client may view the losses as challenges and perceive them asopportunities.


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: EvaluationClientNeed: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: StressDifficulty:
Moderate

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 susceptibilityto stress-related physical and psychological
illnesses. The Recent LifeChanges 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 totalof 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 susceptibilityto 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 lifeandrisk forsignificant stress-
related physical and psychological illness.
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 susceptibilityto 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 stressin a
client’s life issusceptible to significant stress- related physical and psychologicalillness.


CON: Stress



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


ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7Heading: Stress as a transaction
between the individual and the environment
>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:Assessment Client Need:
Psychosocial Integrity Cognitive Level: Application [Applying]Concept: StressDifficulty:
Easy

Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificancefor the individual.

2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperiencedby 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 consideranart degree.


CON: Stress




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3. Which client statement alerts the nurse that the client may be maladaptivelyresponding to stress?
“Avoiding contact with others helps me cope.” “I really enjoy
journaling; it’s my private time.”“I signedup 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: 8Heading: Stress Management
Integrated Processes: Nursing Process: EvaluationClient Need: Psychosocial IntegrityCognitiveLevel: Application
[Applying]Concept: Stress
Difficulty: Easy

Feedback
1. This is correct. Reliance on social isolation as a coping mechanism is a maladaptivemethod
to relieve stress. It can prevent learning appropriate coping skills and can prevent access toneeded support
systems.
2. This is incorrect. Journaling is a form of adaptive coping and interpersonalcommunication.

3. This is incorrect. Group exercise is a form of adaptive coping, relaxation.
4. This is incorrect. Seeing a therapist is not considered a maladaptive coping method.

CON: Stress



4. A nursing student comes down with a sinus infection toward the end of every semester. Which stageof stress is the student
most likely experiencing when this occurs?
Alarm reaction
Resistance
Exhaustion Fight
or flight


ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 2 Heading: Stress as a Biological
Response Integrated Processes: Nursing Process: Assessment




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