NSG 388 MENTAL HEALTH STUFF EXAM QUESTIONS AND ANSWERS EXPLAINED
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Chapter 01. The Concept of Stress Adaptation
Multiple Choice
• Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between the
effects of life change and illness. This research led to the development of the Recent Life Changes
Questionnaire (RLCQ). Which principle most limits the effectiveness of this tool?
A. Specific illnesses are not identified.
B. The numerical values associated with specific life events are randomly assigned
C. Stress is viewed as only a physiological response.
D. Personal perception of the event is excluded.
CORRECT ASWER: D
Individuals differ in response to life events. The RLCQ uses a scale that does not take these differences
into consideration.
• A client who experiences stress on a regular basis asks a nurse what causes these feelings. Which
is the most appropriate nursing response?
,A. Genetics have nothing to do with your temperament.
B. How you reacted to past experiences influences how you feel now.
C. If youre in good physical health, your stress level will be low.
D. Stress can always be avoided if appropriate coping mechanisms are employed.
CORRECT ASWER: B
Past experiences are occurrences that result in learned patterns that can influence an individuals current
adaptation response. They include previous exposure to the stressor or other stressors in general,
learned coping responses, and degree of adaptation to previous stressors.
• A school nurse is assessing a distraught female high school student who is overly concerned
because her parents cant afford horseback riding lessons. How should the nurse interpret the students
reaction to her perceived problem?
A. The problem is endangering her well-being.
B. The problem is personally relevant to her.
C. The problem is based on immaturity.
D. The problem is exceeding her capacity to cope.
CORRECT ASWER: B
,Psychological stressors to self-esteem and self-image are related to how the individual perceives the
situation or event. Self-image is of particular importance to adolescents, who feel entitled to have all the
advantages that other adolescents experience.
• A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I cant afford
childcare? What is the nurses initial action in assisting the client with the problem-solving process?
A. Determine the risks and benefits for each alternative.
, B. Formulate goals for resolution of the problem.
C. Evaluate the outcome of the implemented alternative.
D. Assess the facts of the situation.
CORRECT ASWER: D
Before any other steps can be taken, accurate information about the situation must be gathered and
assessed.
• A nursing instructor is asking students about diseases of adaptation and when they are likely to
occur. Which student response indicates that learning has occurred?
A. When an individual has limited experience dealing with stress
B. When an individual inherits maladaptive genes
C. When an individual experiences existing conditions that exacerbate stress
D. When an individuals physiological and psychological resources have become depleted
CORRECT ASWER: D
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