ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 18 : Stress and Mental Health Questions
Question 1 of 5
A nurse is conducting an assessment of a patient?s social network. Which of the following would the nurse assess? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Assessing a social network includes size (
A), benefits (
B), support providers (
C), interconnectedness (
D), and potential service needs (E), as these provide a comprehensive view of the network?s structure and function.
Question 2 of 5
After teaching a group of students about appraisal and the stress response, the instructor determines that additional teaching is needed when the students identify which of the following as part of the primary appraisal?
Correct Answer: D
Rationale: Primary appraisal involves evaluating the relevance (
A), consistency with values (
B), and personal commitment (
C) to a stressor. Outcome explanation (
D) is part of secondary appraisal, assessing coping options, indicating a need for further teaching.
Question 3 of 5
While leading a student class presentation about general adaptation syndrome and its stages, which of the following would the student describe as the final stage?
Correct Answer: D
Rationale: In Selye?s general adaptation syndrome, the final stage is exhaustion, where resources are depleted if stress persists. Perception of a threat, coping mechanisms, and physiologic response occur earlier in the alarm and resistance stages.
Question 4 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 5 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).