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Psychiatric Mental Health Nursing Concepts Of Care In Evidence-Based Practice 9th Edition by Mary C Townsend TEST BANK Chapter 1 - 38 Updated 2023$18.49
Chapter 35. Survivors of Abuse or Neglect Chapter
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36. Community Mental Health Nursing Chapter 37.
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The Bereaved Individual
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Chapter 38. Military Families
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,Test Bank - Psychiatric Mental Health Nursing by MaryTownsend (9th Edition)
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Chapter 01. The Concept of Stress Adaptation ll ll ll ll ll ll
Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
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Multiple Choice ll
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
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This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should
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the nurse evaluate this client data?
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A. The client is experiencing severe distress and is at risk for physical and psychological illness.
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B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
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stress-related illness.
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C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
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coping resources and available supports.
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D. The client may view these losses as challenges and perceive them as opportunities.
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ANS: C ll
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
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Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500 or
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more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support can
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limit susceptibility to stress-related illnesses.
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2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
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nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the
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nurse characterize the clients appraisal of the job loss stressor?
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A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D ll
The client perceives the situation of job loss as a challenge and an opportunity for growth.
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3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
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A. Ive found that avoiding contact with others helps me cope.
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B. I really enjoy journaling; its my private time.
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C. I signed up for a yoga class this week.
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D. I made an appointment to meet with a therapist.
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ANS: A ll
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
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learning appropriate coping skills and can prevent access to needed support systems.
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, Test Bank - Psychiatric Mental Health Nursing by MaryTownsend (9th Edition)
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4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When
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this occurs, which stage of stress is the student most likely experiencing?
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A. Alarm reaction stage ll ll
B. Stage of resistance ll ll
C. Stage of exhaustion ll ll
D. Fight-or-flight stage l l
ANS: C ll
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
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depleted. Diseases of adaptation occur more frequently in this stage.
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5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
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clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
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response?
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A. Teenagers! They dont know a thing about real stress. ll ll ll ll ll ll ll ll
B. Stress occurs only when there is a loss. ll ll ll ll ll ll ll
C. When you are in poor physical condition, you cant experience psychological well-being.
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D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
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ANS: D ll
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
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6. A bright student confides in the school nurse about conflicts related to attending college or working to add
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needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend
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l to the student at this time?
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A. Meditation
B. Problem-solving training ll
C. Relaxation
D. Journaling
ANS: B ll
The student must assess his or her situation and determine the best course of action. Problem-solving training,
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by providing structure and objectivity, can assist in decision making.
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