Instructor Manual for Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice 8th Edition By Mary C. Townsend-Test Bank

Question Bank For Tutor Manual in Psychiatric Mental Health Nursing Ideas of Care in Evidence-Based Practice 8th Edition By Mary C. Townsend

ISBN-10:9780803640924 , ISBN-13:978-0803640924

Chapter 1. The Idea of Tension Adaptation

Multiple Choice

1. A customer has faced the loss of a close family member and simultaneously lost their job. This scenario has led to a 6-month score of 110 on the Recent Life Changes Questionnaire. How should the clinician assess this customer data?
2. The customer is under intense distress and prone to physical and mental health issues.
3. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire suggests no significant threat of stress-related ailments.
4. Estimating susceptibility to stress-related physical or psychological disorders is not possible without knowledge of coping resources and available support.
5. The customer might interpret these setbacks as challenges and see them as prospects.

ANS: C

The Recent Life Changes Questionnaire is an extended 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 total yearly score of 500 or more, suggests high stress in an individual’s life. Nevertheless, positive coping mechanisms and strong social backup can restrain susceptibility to stress-related illnesses.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need: Psychosocial Integrity

2. A physically and mentally fit individual has just been terminated from employment. During a regular office visit, they express to a clinician: “Maybe this was for the best. Perhaps I will consider pursuing an art qualification.” How should the clinician describe the person’s assessment of the job loss stressor?
3. Irrelevant
4. Harm/loss
5. Threatening
6. Challenging

ANS: D

The individual views the job loss as a challenge and an avenue for personal growth.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need: Psychosocial Integrity

3. Which comment from a customer should raise concern that they may be reacting maladaptively to stress?
4. “I’ve found that avoiding contact with others helps me manage.”
5. “I genuinely enjoy writing in my journal; it’s my private time.”
6. “I enrolled in a yoga class this week.”
7. “I scheduled a meeting with a therapist.”

ANS: A

Relying on social isolation as a coping strategy is an inappropriate way to alleviate stress. It can hinder the development of suitable coping skills and obstruct access to essential support systems.

 KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need: Psychosocial Integrity

4. A nursing pupil notices that they develop a sinus infection towards the end of every semester. In such cases, which stage of stress is the student likely undergoing?
5. Alarm reaction stage
6. Stage of resistance
7. Stage of exhaustion
8. Fight-or-flight stage

ANS: C

At the point of exhaustion, the student has been exposed to stress for an extended period, and adaptive energy has been depleted. In this stage, diseases linked to adaptation occur more frequently.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need: Psychosocial Integrity

5. A school clinician is evaluating a teenage female student overly concerned about her appearance. The student’s mother remarks, “That’s not something to stress over!” What is the most suitable response from the clinician?
6. “Teenagers! They have no idea about actual stress.”
7. “Stress arises only from loss.”
8. “Without good physical health, you can’t achieve psychological well-being.”
9. “Stress can be psychological. A threat to self-esteem can lead to high stress levels.”

ANS: D

Stress can manifest in both physical and psychological forms. A perceived challenge to self-esteem can be as stressful as a physical change.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need: Psychosocial Integrity

6. A diligent student confides in the school clinician about dilemmas associated with pursuing higher education or working to contribute necessary financial support to the family. Which coping strategy should the clinician recommend to the student at this moment?
7. Meditation
8. Problem-solving training
9. Relaxation
10. Journaling

ANS: B

The student should evaluate their circumstances and decide on the best course of action. Problem-solving training, by offering structure and objectivity, can aid in decision-making.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need: Psychosocial Integrity

7. An unemployed college graduate is undergoing severe anxiety due to the inability to secure a teaching position and struggles with independent problem-solving. In the course of a routine physical check-up, the graduate confides in the clinic clinician. What is the most apt nursing approach?
8. Encourage the graduate to try the alternative coping technique of relaxation exercises.
9. Complete the problem-solving process on behalf of the graduate.
10. Collaborate on the problem-solving process with the graduate.
11. Urge the graduate to maintain a journal.

ANS: C

During periods of heightened anxiety and stress, individuals may require more help in problem-solving and decision-making.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need: Psychosocial Integrity

8. A school clinician is evaluating a distressed female high school student who is extremely upset because her parents cannot afford horseback riding classes. How should the clinician interpret the student’s response to her perceived issue?
9. The problem poses a threat to her well-being.
10. The problem holds personal significance for her.
11. The problem stems from immaturity.
12. The problem surpasses her coping capacity.

ANS: B

Psychological stressors related to self-esteem and self-image are linked to how the individual perceives the situation or event. For adolescents, self-image is particularly crucial, as they feel entitled to enjoy the same privileges as their peers.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need: Psychosocial Integrity

9. Meditation has proven to be an effective stress management method. When meditation yields results, what should a clinician expect to observe?
10. Attainment of a state of relaxation
11. Insight into one’s emotions
12. Demonstration of appropriate role behaviors
13. Enhanced problem-solving ability

ANS: A

Meditation induces relaxation by cultivating a unique state of consciousness through focused concentration.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need: Psychosocial Integrity

10. A distressed, single, first-time mother weeps and asks a clinician, “How can I go to work if I can’t afford childcare?” What is the clinician’s initial step in assisting the client with the problem-solving process?
11. Evaluate the risks and benefits for each option.
12. Establish goals for resolving the issue.
13. Assess the outcomes of the implemented choice.
14. Review the facts of the situation.

ANS: D

Before proceeding with any other actions, one must gather and evaluate accurate data about the circumstances.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need: Psychosocial Integrity

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