Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 10th Edition Mary Townsend Test Bank
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Psychiatric mental health nursing
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Psychiatric Mental Health Nursing
Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice 10th Edition Mary Townsend Test Bank Test Bank for Davis Advantage for Psychiatric Mental Health Nursing, 10th Edition, Karyn I. Morgan, Mary C. Townsend, ISBN- 13: 9670 Table of Contents I. BASIC CONCEPTS IN PSYCHIATRIC-...
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Psychiatric Mental Health Nursing: Concepts of
Care in Evidence-Based Practice 10th Edition Mary
Townsend
Test Bank
David.jamin19@gmail.com
, Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based
Practice 10th Edition Mary 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 Changes
Questionnaire 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: C
C
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: 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-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 available
support 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 available
support before determining susceptibility to stress-related illness. A
6-month score of 300or a year-score of 500 or more on the Recent
Life 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 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 of
stress.
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.”
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