ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 18 : Stress and Mental Health Questions
Question 1 of 5
A patient has come to the clinic to discuss the stress she is experiencing because of failing two exams at school. Initially, she described her failures as the worst thing that has ever happened to me, and she stated, 'There is absolutely nothing I can do to pass this course now.' In response to the nurse?s questions, the nurse finds out there are three more equally weighted exams scheduled for the course in question. The nurse and patient collaborate and decide to use interventions to facilitate emotion-focused coping. Which additional comment from the patient would the nurse identify as providing support for this decision?
Correct Answer: C
Rationale: The comment 'I overreacted; surely together we can figure out something' supports emotion-focused coping by acknowledging exaggerated emotions and openness to collaboration, aligning with managing feelings. Other comments reflect helplessness or problem-focused demands.
Question 2 of 5
A nurse is reviewing the assessment findings of several patients. Which patient would the nurse identify as having a type D personality?
Correct Answer: D
Rationale: Type D personality is characterized by negative affectivity and social inhibition, as seen in the man who reacts negatively but suppresses feelings. Threatening behavior, quiet reading, or succumbing to peer pressure do not align with Type D traits.
Question 3 of 5
A patient is talking to the nurse about her friendship with another person. She comments, 'That person is always there for me, and I am always there for her. We help each other out; sometimes she?s helping me, and sometimes I am helping her.' The nurse interprets the patient?s statements about her social network as reflecting which of the following?
Correct Answer: B
Rationale: The patient?s description of mutual help reflects reciprocity, a core feature of social networks where support is exchanged. Denseness refers to interconnectedness, social support is broader, and constraints involve limitations, not mutual aid.
Question 4 of 5
After interviewing a patient about social supports, the nurse determines that the patient is experiencing emotional support from these social supports based on which statement?
Correct Answer: A
Rationale: The statement 'I?m glad I have someone that I can talk to' directly indicates emotional support through interpersonal connection. Lawn care, grants, and booklets reflect instrumental or informational support, not emotional.
Question 5 of 5
A nurse is assessing a patient and uses the Recent Life Changes Questionnaire as part of the assessment. The nurse determines that the patient has experienced major life crisis with which score on the questionnaire?
Correct Answer: D
Rationale: The Recent Life Changes Questionnaire (based on the Holmes-Rahe Stress Scale) indicates a major life crisis with a score of 300 or higher, with 450 reflecting significant stress. Lower scores (150, 250) suggest moderate stress, and 350 is borderline but not definitive.