Exam (elaborations)
Chapter 1. The Concept of Stress Adaptation
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 1. The Concept of Stress Adaptation
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Chapter 1. The Concept of Stress AdaptationMULTIPLE CHOICE
1. A client has experienced the death of a close family member and at the same timebecomes
unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
Understands the client is at risk for significant stress-related illness.
Determines the client is not at risk for significant stress-related illness.
Needs further assessment of the client’s coping skills to determine susceptibility tostress-
related illness.
Recognizes the client may view the losses as challenges and perceive them asopportunities.
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient
Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. 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 illnesses. The Recent LifeChanges
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.
2. 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 more or a year-score total
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 illnesses.
3. 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 illnesses. A 6-month score
, of 300 or more or a year-score of 500 or more indicates high stress in a client’s lifeand
risk for significant stress-related physical and psychological illness.
4. 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 more or a year- score of 500 or
more on the Recent Life Changes Questionnaire indicates high stressin a client’s life is
susceptible to significant stress-related physical and psychologicalillness.
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 stressorof his job loss as:
Irrelevant
Harm or loss
Threatening
A challenge
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7
Heading: Stress as a transaction between the individual and the environment
>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing
Process: Assessment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance
for the individual.
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
by the individual.
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
4. This is correct. The client’s statement indicates he perceives the loss of his job as a
challenge and an opportunity for growth, demonstrated by his statement to consideran
art degree.
CON: Stress
, 3. Which client statement alerts the nurse that the client may be maladaptivelyresponding to stress?
“Avoiding contact with others helps me cope.”
“I really enjoy journaling; it’s my private time.”
“I signed up for a yoga class this week.”
“I made an appointment to meet with a therapist.”
ANS: 1
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 8
Heading: Stress Management
Integrated Processes: Nursing Process: EvaluationClient Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Easy
Feedback
1. This is correct. Reliance on social isolation as a coping mechanism is a maladaptive
method to relieve stress. It can prevent learning appropriate coping skills and can
prevent access to needed support systems.
2. This is incorrect. Journaling is a form of adaptive coping and interpersonal
communication.
3. This is incorrect. Group exercise is a form of adaptive coping, relaxation.
4. This is incorrect. Seeing a therapist is not considered a maladaptive coping method.
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?
Alarm reaction
Resistance
Exhaustion
Fight or flight
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 2
Heading: Stress as a Biological Response Integrated Processes: Nursing Process: Assessment
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