Exam (elaborations)
Chapter 19: Stress and Mental Health
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Chapter 19: Stress and Mental Health
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CHAPTER 19: STRESS AND MENTALHEALTH QUESTIONS WITH COMPLETE
SOLUTION
uWhich intervention would be most effective for friends and family members to implement in order to
boost the self-esteem of a person who has just experienced trauma or abuse?
a) To help them to refocus their view of themselves from being victims to being survivors
b) To identify a list of support people or activities in the community
c) To remind them to calm down when they appear to be experiencing a flashback
d) To encourage them to tell their story repeatedly to everyone they meet - a) To help them to refocus
their view of themselves from being victims to being survivors
A nurse is meeting with a young woman who has recently lost her mother and her job and has moved
with her husband to a new city. The client is complaining of acute anxiety and depression. What does the
nurse know that would be helpful to this client?
a) Acute anxiety and depression are seldom associated with stress.
b) Sometimes too many stressors disrupt homeostasis, and, if adaptation fails, the result is disease.
c) Adaptation often fails during stressful events and results in homeostasis.
d) Stress is a part of our lives, and, eventually, this young woman will adapt. - b) Sometimes too many
stressors disrupt homeostasis, and, if adaptation fails, the result is disease.
A nurse is interviewing several clients who survived a school shooting ten years ago when they were in
high school. Which clients should the nurse identify as having achieved adaptation following this event?
Select all that apply.
a) Single father with a history of spousal abuse.
b) Nurse manager for the local hospital.
c) Married, mother of three, who is a stay at home mother.
d) Father of two who works in a tire store and has a second job as a mechanic.
e) Local lawyer with a history of drug addiction. - b) Nurse manager for the local hospital.
c) Married, mother of three, who is a stay at home mother.
,d) Father of two who works in a tire store and has a second job as a mechanic.
A nurse is describing a client having a Type B personality. The nurse is describing the client as ...
a) Tense
b) Outgoing
c) Restless
d) Relaxed - d) Relaxed
The nurse is seeing a client who is the primary caregiver for a parent with dementia. The client reports
having a low mood and anxiety. The client tells the nurse, "I think I am completely burnt out." Select the
nurse's best response.
a) "What has helped you in the past when you have felt like this?"
b) "Do you think it is time to send your parent to a respite caregiver?"
c) "Can other family members step in to look after your parent?"
d) "Should you be taking anti-anxiolytic medication to manage these feelings?" - a) "What has helped
you in the past when you have felt like this?"
A client being evaluated in the emergency room can not speak logically or follow directions. The client's
family states she has been under a great deal of stress for about six months. Which of the following
stages of Selye's stress adaptation stages is the client experiencing?
a) Exhaustion
b) Alarm
c) Deliberation
d) Resistance - a) Exhaustion
A 35-year-old women comes to the local health center with a large mass in her right breast. She has felt
the lump for about a year but was afraid to come to the clinic because she was sure it was cancer. What
is the most appropriate nursing diagnosis for this client?
a) Compromised family coping
b) Ineffective coping
c) Self-esteem disturbance
, d) Ineffective denial - b) Ineffective coping
A client who has been admitted for an appendectomy states, "I'm really afraid of the surgery because my
mother died when she was admitted for an emergency surgery." When preparing to work with the client
concerning this anxiety about the surgery, the nurse recognizes what?
a) The client has "signal anxiety," which is always the first symptom of anxiety.
b) The client is expressing fear about the surgery. The client's fear is the body's physiologic and
emotional response to a known danger.
c) The client has "trait anxiety," and this reflects the client's anger toward the client's mother's surgeon.
d) The client is expressing "free-floating anxiety" and needs to have medication in order to bring it under
control. - b) The client is expressing fear about the surgery. The client's fear is the body's physiologic and
emotional response to a known danger.
A client is learning to cope with anxiety and stress. The expected outcome is that the client will ...
a) Ignore situations that cause stress
b) Change reactions to stressors
c) Revise his or her lifestyle
d) Limit major stressors in his or her life - b) Change reactions to stressors
The nurse assesses a client's emotional response to a current life crisis. Which question does the nurse
ask to determine if the client is experiencing negative emotions?
"Are you experiencing confusion or awe?"
"Are you experiencing sympathy or empathy?"
"Are you experiencing anger or anxiety?"
"Are you experiencing pride or relief?" - N/A
The nurse provides care to a client who states, "I recently separated from my spouse." Which response
by the nurse is appropriate when assessing the client's emotional state during the psychosocial
assessment?
a) "Are you having trouble sleeping?"
b) "Let's discuss how you have been feeling."
c) "Let's discuss your dietary intake."
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