Test Bank: Psychiatric Mental Health Nursing, 9th Edition, by Townsend,

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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 t... he 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 Chapter: Chapter 1, The Concept of Stress Adaptation 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-score total 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-month score 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 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 300 or 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 psychologicalillness. 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 1, 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 [Show More]

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