ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 18 : Stress and Mental Health Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is caring for a patient with chronic stress for the past month because of job loss and financial difficulties. When evaluating the patient?s assessment findings, the nurse would anticipate finding an elevated antibody titer to which of the following?
Correct Answer: A
Rationale: Chronic stress suppresses immunity, increasing reactivation of latent herpes simplex viruses, leading to elevated antibody titers. Herpes zoster may reactivate, but HSV is more common. AIDS and influenza are not directly linked to stress-induced immune changes.
Question 4 of 5
The nurse is caring for a patient who has been under severe stress while caring for her elderly mother who is in the advanced stages of Alzheimer?s disease. The nurse explains that the patient is adapting to the stress is she is experiencing because of which of the following?
Correct Answer: B
Rationale: Accepting others? help indicates adaptive coping by leveraging social support to manage stress. Survival, problem-solving, and goal-setting are aspects of coping, but accepting help directly reflects adaptation in this caregiving context.
Question 5 of 5
The nurse is preparing to care for a patient under severe stress resulting from caring for her elderly aunt diagnosed with leukemia. When assessing the patient?s psychological domain, which question would the nurse ask first?
Correct Answer: A
Rationale: Starting with an open-ended question like 'Let?s talk about what you have been feeling' allows exploration of the patient?s psychological state broadly, establishing rapport. Specific questions about depression, duration, or feeling overwhelmed are more focused and better suited for later.