Graded A

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. This situation has resulted in a 6-month score of 110 on the

RecentLife Changes Questionnaire. How should the nurse evaluate this client data?

A. The client is experiencing severe distress and is at risk for physical and

psychologicalillness.

B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire

indicates nosignificant threat of stress-related illness.

C. Susceptibility to stress-related physical or psychological illness cannot be

estimatedwithout 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 300or 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.

2. A physically and emotionally healthy client has just been fired. During a routine

office visithe 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.

3. Which client statement should alert a nurse that a client may be responding

maladaptivelyto stress?