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
... [Show More] becomes
unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110.
The nurse:
A. Understands the client is at risk for significant stress-related illness.
B. Determines the client is not at risk for significant stress-related illness.
C. Needs further assessment of the client’s coping skills to determine susceptibility to
stress-related illness.
D. Recognizes the client may view the losses as challenges and perceive them as
opportunities.
ANS: C
Chapter: Chapter 1, The Concept of Stress Adaptation
Chapter learning objective: Explain the relationship between stress and diseases of adaptation.
Page: 5–6
Heading: Stress as an Environmental Event
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
Feedback
A 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 illness. 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 client’s life and susceptibility to stress-related illnesses.
B 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 a
year-score 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 illness.
C 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 illness. A 6-month
score of 300 or a year-score of 500 or more indicates high stress in a client’s life
and risk for significant stress-related physical and psychological illness.
D 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 a year-score of
500 or more on the Recent Life Changes Questionnaire indicates high stress in a
client’s life is susceptible to significant stress-related physical and psychological [Show Less]