ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 18 : Stress and Mental Health Questions
Question 1 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 2 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.
Question 3 of 5
A group of students are reviewing the events associated with the fight-or-flight response. They demonstrate understanding of the information when they identify which of the following results from sympathetic nervous stimulation?
Correct Answer: B
Rationale: The fight-or-flight response, driven by sympathetic nervous stimulation, causes tachycardia (increased heart rate) to prepare for action. Hypoglycemia, hypotension, and hypercoagulability are not primary outcomes of this response.
Question 4 of 5
During an interview, a patient states, 'I feel so guilty, and I?m so ashamed of what I did.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: Guilt and shame are negative emotions, reflecting distress or self-criticism. Positive emotions involve joy or pride, borderline emotion is not a standard term, and nonemotion implies no emotional response, which does not apply.
Question 5 of 5
A group of nursing students is reviewing information about emotional responses to stress and the themes associated with them. The students demonstrate understanding of the information when they identify which emotion as associated with being moved by another?s suffering and wanting to help?
Correct Answer: C
Rationale: Compassion is the emotion associated with being moved by another?s suffering and desiring to help. Relief involves stress reduction, hope anticipates positive outcomes, and love is a broader emotional bond, not specific to suffering.