TEST BANK FOR DAVIS ADVANTAGE FOR
PSYCHIATRIC MENTAL HEALTH NURSING 11TH
EDITION BY KARYN I. MORGAN; MARY C.
TOWNSEND
,CH 1. The Concept of Stress Adaptation
MULTIPLE CHOICE
1. A hospital patient has experienced the death of a close family member and at the same timebecomes
unemployed. The hospital patient’s 6-month score on the Recent Life Changes Questionnaire is 110. The professional nur
Understands the hospital patient is at risk for significant stress-related illness.
Determines the hospital patient is not at risk for significant stress-related
illness.
Needs further assessment of the hospital patient’s coping skills to determine susceptibility
tostress-related illness.
Recognizes the hospital patient may view the losses as challenges and perceive them asopportunities.
RIGHT CHOICE:->3
CH : CH 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: EvaluationHospital
patient Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress DIFF:
Moderate
Elaboration
1. This is incorrect. Assessment is the first step of the nursing process. The professional
nurse should assess the hospital patient’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
hospital patient’s life and susceptibility to stress-related illnesses.
2. This is incorrect. Assessment is the first step in the nursing process. The professional
nurse should assess the hospital patient’s coping skills and available support before
determining the hospital patient’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
hospital patient’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 professional
nurse should assess the hospital patient’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 hospital
patient’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 professional
nurse should assess the hospital patient’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 hospital patient’s life is susceptible to significant stress-related physical and
psychologicalillness.
CON: Stress
2. A physically and emotionally healthy hospital patient has just been fired. During a routine office
visit, he tells the professional nurse, “Perhaps this was the best thing to happen. Maybe I’ll
consider pursuing an art degree.” The professional nurse determines the hospital patient perceives the stressorof his job lo
as:
Irrelevant
Harm or loss
Threatening
A challenge
RIGHT CHOICE:->4
CH : CH 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
Hospital patient Need: Psychosocial Integrity Cognitive Level: Application
[Applying]Concept: Stress DIFF: Easy
Elaboration
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 hospital patient’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 hospital patient statement alerts the professional nurse that the hospital patient may be maladaptivelyresponding
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.”
RIGHT CHOICE:->1
CH : CH 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: EvaluationHospital patient Need: Psychosocial
Integrity Cognitive Level: Application [Applying]Concept: Stress
DIFF: Easy
Elaboration
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
RIGHT CHOICE:->3
CH : CH 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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