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Test Bank - Townsend's Psychiatric Mental Health Nursing, 11th Edition (Morgan, 2024

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Test Bank - Townsend's Psychiatric Mental Health Nursing, 11th Edition (Morgan, 2024Chapter 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 ...

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test bank townsends psychiatric mental health n
chapter 1 the concept of stress adaptation multip

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Test Bank - Townsend's Psychiatric Mental Health Nursing, 11th Edition (Morgan, 2024)
Morgan
PMHN, 11e
Chapter 1 - ETB

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:
1. Understands the client is at risk of significant stress-related illness.
2. Determines the client is not at risk of significant stress-related illness.
3. Needs further assessment of the client’s coping skills to determine susceptibility to
stress-related illness.
4. 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
Cognitive Level: Application [Applying]
Concept: Stress and Coping
Difficulty: 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
susceptibility to stress-related physical and psychological illnesses. The Recent Life
Changes Questionnaire is an expanded version of 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
illness.
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
illness.
3. This is correct. Assessment is the first step in the nursing process. The nurse should

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Test Bank - Townsend's Psychiatric Mental Health Nursing, 11th Edition (Morgan, 2024)
Morgan
PMHN, 11e
Chapter 1 - ETB

assess the client’s coping skills and available support before determining
susceptibility to stress-related physical and psychological illness. 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 of significant 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
susceptibility to stress-related illness. 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 significant stress-related physical and
psychological illness.

CON: Stress and Coping

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:
1. Irrelevant
2. Harm or loss
3. Threatening
4. 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 and Coping
Difficulty: Easy

Feedback
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

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