1. A client has experienced the death of a close family member and at the
same time becomes unemployed. This
... [Show More] situation has resulted in a 6-month score
of 110 on the Recent Life Changes Questionnaire. How should the nurse
evaluate this client data?
A. The client is experiencing severe distress and is at risk for physical
and psychological illness.
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire
indicates no significant threat of stress-related illness.
C. Susceptibility to stress-related physical or psychological illness cannot be
estimated without knowledge of coping resources and available supports.
D. The client may view these losses as challenges and perceive them as
opportunities.
ANS: C
The Recent Life Changes 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 clients life. However, positive coping mechanisms and strong social
support can limit susceptibility to stress-related illnesses.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Evaluation |
Client Need:
Psychosocial Integrity
2. A physically and emotionally healthy client has just been fired. During a
routine office visit he states to a nurse: Perhaps this was the best thing
to happen. Maybe Ill look into pursuing an art degree. How should the
nurse characterize the clients appraisal of the job loss stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D
The client perceives the situation of job loss as a challenge and an
opportunity for growth.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment |
Client Need:
Psychosocial Integrity
3. Which client statement should alert a nurse that a client may be
responding maladaptively to stress?
A. Ive found that avoiding contact with others helps me cope.
B. I really enjoy journaling; its my private time.
C. I signed up for a yoga class this week.
D. I made an appointment to meet with a therapist.
ANS: A
Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th
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. [Show Less]