FULL TEST BANK
PSYCHIATRIC MENTAL HEALTH NURSING
CONCEPTS OF CARE IN EVIDENCE-BASED
PRACTICE 11TH EDITION BY MARY C TOWNSEND
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, Psychiatric Mental Health Nursing Concepts Of Care In Evidence-
BasedPractice 11th Edition Townsend Test Bank
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 ChangesQuestionnaire Is 110. The NURSE:
A. Understands The Client Is At Risk For
Significant
Stress-Related Illness.
B. Determines The Client Is Not At Risk For
Significant Stress-Related Illness.
C. Needs Further Assessment Of The
Client’s Coping Skills To Determine
Susceptibility To
Stress-Related Illness.
D. Recognizes The Client May View The Losses
As
Challenges And Perceive Them
AsOpportunities.
ANS: C
Chapter Learning Objective: Explain The Relationship Between Stress And Diseases
OfAdaptation.
Page: 5–6
Heading: Stress As An Environmental Event
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
, Feedback
A 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 Illness. 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-ScoreTotal Of
500 Or More, Indicates High Stress In A
Client’s Life And Susceptibility To Stress-
RelatedIllnesses.
B This Is Incorrect. Assessment Is The First
StepIn The Nursing Process. The NURSE
Should Assess The Client’s Coping Skills
And AvailableSupport Before Determining
The Client’s Perception Of The Current
Stresses. A 6-MonthScore Of 300 Or A
Year-Score 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.
C 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 Illness. A 6-Month Score Of
300 Or A Year- Score Of 500 Or More
Indicates High Stress In AClient’s Life And
Risk For Significant Stress- Related Physical
And Psychological Illness.
D This Is Incorrect. Assessment Is The First
Step In The Nursing Process. The NURSE
Should Assess The Client’s Coping Skills
And AvailableSupport Before Determining
Susceptibility To Stress-Related Illness. A 6-
Month Score Of 300Or A Year-Score Of
500 Or More On The RecentLife Changes
Questionnaire Indicates High Stress In A
Client’s Life Is Susceptible To Significant
Stress-Related Physical And
Psychological Illness.
,PTS: 1 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 PerceivesThe Stressor Of His Job Loss As:
A. Irrelevant.
B. Harm/Loss.
C. A Threat.
D. A Challenge.
ANS: D
Chapter: Chapter 0, The Concept Of Stress Adaptation
Chapter Learning Objective: Discuss Adaptive Coping Strategies In The Management
OfStress.
Page: 7
Heading: 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
A This Is Incorrect. The Client’s Statement
Indicates He Perceives The Loss Of His Job
As AChallenge And An Opportunity For
Growth.
B This Is Incorrect. The Client’s Statement
Indicates He Perceives The Loss Of His Job
As A
Challenge And An Opportunity For Growth.
C This Is Incorrect. The Client’s Statement
Indicates He Perceives The Loss Of His Job
As AChallenge And An Opportunity For
Growth.
D This Is Correct. The Client’s Statement
Indicates He Perceives The Loss Of His Job
As A
Challenge And An Opportunity For Growth.
PTS: 1 CON: Stress
3. Which Client Statement Alerts The NURSE That The Client
May BeResponding Maladaptively To Stress?
A. “Avoiding Contact With Others Helps Me
Cope.”
, B. “I Really Enjoy Journaling; It’s My Private
Time.”
C. “I Signed Up For A Yoga Class This Week.”
D. “I Made An Appointment To Meet With A
Therapist.”
ANS: A
Chapter: Chapter 0, The Concept Of Stress Adaptation
Chapter Learning Objective: Discuss Adaptive Coping Strategies In The Management
OfStress.
Page: 8–9
Heading: Stress Management
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Easy
Feedback
A This Is Correct. Reliance On Social Isolation
AsA Coping Mechanism Is A Maladaptive
MethodTo Relieve Stress. It Can Prevent
Learning Appropriate Coping Skills And Can
Prevent
Access To Needed Support Systems.
B This Is Incorrect. Journaling Is Not Considered
A Maladaptive Coping Method.
C This Is Incorrect. Group Exercise Is Not
Considered A Maladaptive Coping Method.
D This Is Incorrect. Seeing A Therapist Is Not
Considered A Maladaptive Coping Method.
PTS: 1 CON: Stress
4. A Nursing Student Comes Down With A Sinus Infection Toward The
End Of Every Semester. Which Stage Of Stress Is The Student Most Likely
Experiencing When This Occurs?
A. Alarm Reaction
B. Resistance
C. Exhaustion
D. Fight Or Flight
ANS: C
,Chapter: Chapter 0, The Concept Of Stress Adaptation
Chapter Learning Objective: Explain The Relationship Between Stress And Diseases
OfAdaptation.
Page: 9
Heading: Stress As A Biological Response > Stage Of Exhaustion
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Stress
Difficulty: Easy
Feedback
A This Is Incorrect. At The Alarm Reaction Stage,
Physiological Responses Of The Fight-Or-
FlightSyndrome Are Initiated.
B This Is Incorrect. At The Stage Of
Resistance, The Individual Uses The
Physiological Responses Of The First Stage
As A Defense In TheAttempt To Adapt To
The Stressor. Physiological
Symptoms May Disappear.
C This Is Correct. At The Stage Of Exhaustion,
TheStudent’s Exposure To Stress Has Been
Prolonged And Adaptive Energy Has Been
Depleted. Diseases Of Adaptation Occur
More
Frequently In This Stage.
D This Is Incorrect. The Fight-Or-Flight
Syndrome
Occurs During The Alarm Reaction Stage.
PTS: 1 CON: Stress
5. A School NURSE Is Assessing A Female High-School Student Who Is
OverlyConcerned About Her Appearance. The Client’s Mother States, “That’s Not
Something To Be Stressed About!” Which Response By The NURSE Is Best?
A. “Teenagers! They Don’t Know A Thing About
Real Stress.”
B. “Psychological Or Physical Stress Occur Only
When There Is A Loss.”
C. “Poor Physical Condition Can Interfere With
Psychological Well-Being.”
D. “A Threat To Self-Esteem Can Result In
Psychological Stress.”
ANS: D
,Chapter: Chapter 0, The Concept Of Stress Adaptation
Chapter Learning Objective: Describe The Core Concept Of Stress As An
EnvironmentalEvent.
Page: 7
Heading: Stress As A Transaction Between The Individual And The Environment
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
Feedback
A This Is Incorrect. This Response Is Judgmental
And Nontherapeutic.
B This Is Incorrect. Physical And Psychological
Stress Can Be Precipitated By Events Other
ThanLoss.
C This Is Incorrect. Stress Can Be Physical Or
Psychological In Nature. A Perceived Threat
ToSelf-Esteem Can Be As Stressful As A
Physiological Change.
D This Is Correct. Determination Of An Event
As Stressful Depends On The Individual’s
CognitiveAppraisal Of The Situation, Which
Is An Individual’s Evaluation Of The
Personal Significance Of The Event Or
Occurrence. StressCan Be Physical Or
Psychological In Nature. A Perceived Threat
To Self-Esteem Can Be As
Stressful As A Physiological Change.
PTS: 1 CON: Stress
6. A Student Confides In The School NURSE That He Is “Stressed Out”
AboutDeciding Whether To Go To College Or Work To Provide Income The Family
Needs. Which Coping Strategy Is The NURSE’s Best Recommendation?
A. Meditation
B. Problem-Solving Training
C. Relaxation
D. Journaling
ANS: B
Chapter: Chapter 0, The Concept Of Stress Adaptation
Chapter Learning Objective: Discuss Adaptive Coping Strategies In The Management Of
, Stress.
Page: 8
Heading: Stress Management
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
Feedback
A This Is Incorrect. The Student Must Assess His
Or Her Situation And Determine Which
CopingStrategy Is Best For Him.
B This Is Correct. The Student Must Assess His
OrHer Situation And Determine Which
Coping Strategy Is Best For Him. Problem-
Solving Training, By Providing Structure
And
Objectivity, Can Assist In Decision-Making.
C This Is Incorrect. The Student Must Assess
HisOr Her Situation And Determine Which
Coping
Strategy Is Best For Him.
D This Is Incorrect. The Student Must Assess His
Or Her Situation And Determine Which
CopingStrategy Is Best For Him.
PTS: 1 CON: Stress
7. An Unemployed College Graduate Confides In The Clinic NURSE That
She Is Experiencing Severe Anxiety Over Not Finding A Teaching Position And
That She Is Having Difficulty With Independent Problem-Solving. Which Nursing
Intervention IsBest?
A. Encourage Her To Use Other Coping
Mechanisms.
B. Complete The Problem-Solving Process For
Her.
C. Assist Her With The Problem-Solving Process.
D. Encourage Her To Keep A Daily Journal Of
Feelings.
ANS: C
Chapter: Chapter 0, The Concept Of Stress Adaptation
Chapter Learning Objective: Discuss Adaptive Coping Strategies In The Management
OfStress.
Page: 9
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