NURS 3525 MENTAL HEALTH FINAL EXAM TEST BANK REAL EXAM QUESTIONS AND CORRECT ANSWERS|KEISER UNIVERSITY

NURS 3525 MENTAL HEALTH FINAL EXAM 2023-2024 TEST

BANK REAL EXAM QUESTIONS AND CORRECT ANSWERS|KEISER

UNIVERSITY

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 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

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

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

maladaptively to stress?

A. I’ve 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

4. A nursing student finds that she comes down with a sinus infection toward the

end of every semester. When this occurs, which stage of stress is the student most

likely experiencing?


A. Alarm reaction stage B. Stage of resistance C. Stage of exhaustion D. Fight-orflight stage ANS: C

At the stage of exhaustion, the students exposure to stress has been prolonged and

adaptive energy has been depleted. Diseases of adaptation occur more frequently

in this stage.

5. A school nurse is assessing a female high school student who is overly concerned

about her appearance. The clients mother states, Thats not something to be

stressed about! Which is the most appropriate nursing response?

A. Teenagers! They dont know a thing about real stress.

B. Stress occurs only when there is a loss.

C. When you are in poor physical condition, you cant experience psychological wellbeing.

D. Stress can be psychological. A threat to self-esteem may result in high stress

levels.

ANS: D

6. A bright student confides in the school nurse about conflicts related to attending

college or working to add needed financial support to the family. Which coping

strategy is most appropriate for the nurse to recommend to the student at this

time?

A. Meditation

B. Problem-solving training

C. Relaxation

D. Journaling

ANS: B

7. An unemployed college graduate is experiencing severe anxiety over not finding

a teaching position and has difficulty with independent problem-solving. During a

routine physical examination, the graduate confides in the clinic nurse. Which is the

most appropriate nursing intervention?

A. Encourage the student to use the alternative coping mechanism of relaxation

exercises. B. Complete the problem-solving process for the client.

C. Work through the problem-solving process with the client.

D. Encourage the client to keep a journal.

ANS: C


8. A school nurse is assessing a distraught female high school student who is overly

concerned because her parents cant afford horseback riding lessons. How should

the nurse interpret the students reaction to her perceived problem?

A. The problem is endangering her well-being.

B. The problem is personally relevant to her.

C. The problem is based on immaturity.

D. The problem is exceeding her capacity to cope. ANS: B

9. Meditation has been shown to be an effective stress management technique.

When meditation is effective, what should a nurse expect to assess?

A. An achieved state of relaxation

B. An achieved insight into ones feelings

C. A demonstration of appropriate role behaviors

D. An enhanced ability to problem-solve

ANS: A

10. A distraught, single, first-time mother cries and asks a nurse, How can I go to

work if I cant afford childcare? What is the nurses initial action in assisting the client

with the problem-solving process?

A. Determine the risks and benefits for each alternative. B. Formulate goals for

resolution of the problem.

C. Evaluate the outcome of the implemented alternative. D. Assess the facts of the

situation.

ANS: D

11. A nursing instructor is asking students about diseases of adaptation and when

they are likely to occur. Which student response indicates that learning has

occurred?

A. When an individual has limited experience dealing with stress

B. When an individual inherits maladaptive genes

C. When an individual experiences existing conditions that exacerbate stress

D. When an individuals physiological and psychological resources have become

depleted ANS: D

12. When an individuals stress response is sustained over a long period of time,

which physiological effect of the endocrine system should a nurse anticipate?

A. Decreased resistance to disease B. Increased libido

C. Decreased blood pressure

D. Increased inflammatory response ANS: A


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