Test Bank Psychiatric Mental Health Nursing Concepts of Care in Evidence-BasedPractice 10th Edition TownsendChapter 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 sc...
Psychiatric Mental Health Nursing Concepts of Care in Evidence-BasedPractice 10th 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 as
opportunities.
ANS: CC
Chapter learning objective: Explain the relationship between stress and diseases of
adaptation.
Page: 5–6
Heading: Stress as an Environmental Event Integrated
Processes: Nursing Process: EvaluationClient Need:
Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
Feedback
1|Page
, 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-related
illnesses.
B 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 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 supportbefore
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 a client’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|Page
, 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. MaybeI’ll consider
pursuing an art degree.” The nurse determines the client perceives the 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 a
challenge 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 a
challenge 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 be responding
maladaptively to stress?
A. “Avoiding contact with others helps me
cope.”
3|Page
, 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 of
adaptation.
Page: 9
Heading: Stress as a Biological Response > Stage of ExhaustionIntegrated
4|Page
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Dreamer001. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
