Test Bank For Townsend's Psychiatric Mental Health Nursing, 11th Edition by Karyn I. Morgan RN MSN APRN-CNS (Author) Chapter 1-41 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 the Recent Life Changes Questionnaire is 110. The nurse: 1. Understands the client is at risk of significant stress-related illness. 2. Determines the client is not at risk of significant stress-related illness. 3. Needs further assessment of the client‘s coping skills to determine susceptibility to stress-related illness. 4. Recognizes the client may view the losses as challenges and perceive them as opportunities. 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: Evaluation Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Stress and Coping Difficulty: Moderate
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Feedback 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 Life Changes Questionnaire is an expanded version of 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 illness. 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