ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 18 : Stress and Mental Health Questions
Question 1 of 5
When describing the concept of allostatic load to a group of students, which of the following would the instructor identify as abnormalities of which of the following as indicative of the overall changes?
Correct Answer: B
Rationale: Allostatic load reflects cumulative stress effects, often shown through abnormal laboratory test results (e.g., cortisol, inflammatory markers). Nuclear imaging, bone radiographs, and cardiac studies are less directly indicative of stress-related changes.
Question 2 of 5
A nurse is providing an in-service presentation on coping and adaptation. Which of the following would the nurse most likely include? Select all that apply.
Correct Answer: B,C,E
Rationale: Effective coping leads to adaptation (
B), reappraisal occurs with coping (
C) as part of ongoing stress evaluation, and coping is deliberate and planned (E). Coping strategies vary (A is false), and different strategies are used per situation (D is false).
Question 3 of 5
A nurse is performing an assessment interview with a patient. The patient tells the nurse that he has a type A personality. Based on the nurse?s interpretation, the nurse would expect which behavior by the patient?
Correct Answer: B
Rationale: Type A personality is characterized by impatience, competitiveness, and urgency, so the patient would likely want the interview to end quickly. Relaxed behavior, satisfaction with pace, or slow responses are more typical of Type B personalities.
Question 4 of 5
A nurse is assessing a patient and the patient?s social networks. When evaluating this area, the nurse integrates knowledge that which of the following is an important component?
Correct Answer: C
Rationale: Reciprocity, the mutual exchange of support, is a key component of social networks, fostering interdependence. Blood relationships, bonding, and emotional support are important but secondary to the structural aspect of reciprocity.
Question 5 of 5
A patient visits the clinic and tells the nurse about being under a great deal of stress on the job for the past month. Applying the factors that determine the stress response, which question would be most appropriate for the nurse to ask?
Correct Answer: C
Rationale: Identifying the specific event causing stress helps pinpoint the stressor, a key factor in the stress response. Effects on performance, family social networks, or timing of stress awareness are secondary to understanding the stressor itself.