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PSYCHIATRIC MENTAL HEALTH NURSING TEST BANK WITH VERIFIED ANSWERS

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PSYCHIATRIC MENTAL HEALTH NURSING TEST BANK WITH VERIFIED ANSWERS 1. A client has experienced the death of a close family member and at the same time becomes unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should the nurse evaluate this client data? A. The client is experiencing severe distress and is at risk for physical and psychological illness. B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of stress-related illness. C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of coping resources and available supports. D. The client may view these losses as challenges and perceive them as opportunities. ANS: C The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500 or more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support can limit susceptibility to stress-related illnesses. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need: Psychosocial Integrity 2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the nurse characterize the clients appraisal of the job loss stressor? A. Irrelevant B. Harm/loss C. Threatening D. Challenging ANS: D The client perceives the situation of job loss as a challenge and an opportunity for growth. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need: Psychosocial Integrity 3. Which client statement should alert a nurse that a client may be responding maladaptively to stress? A. Ive found that avoiding contact with others helps me cope. B. I really enjoy journaling; its my private time. C. I signed up for a yoga class this week. D. I made an appointment to meet with a therapist. ANS: A Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent learning appropriate coping skills and can prevent access to needed support systems.

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Test bBank b- bPsychiatric bMental bHealth bNursing bby bMary bTownsend b(9th 1
bEdition, b2017)


Table bof bContents
Table bof bContents 1
Chapter b01. bThe bConcept bof bStress bAdaptation 2
Chapter b02. bMental bHealth/Mental bIllness: bHistorical band bTheoretical bConcepts 9
Chapter b03. bPsychopharmacology 20
Chapter b04. bConcepts bof bPsychobiology 28
Chapter b05. bEthical band bLegal bIssues bin bPsychiatric/Mental bHealth bNursing 37
Chapter b06. bCultural band bSpiritual bConcepts bRelevant bto bPsychiatric/Mental bHealth
bNursing
47
Chapter b07. bRelationship 54
bDevelopment b Chapter b08. 62
bTherapeutic bCommunication 74
Chapter b09. bThe bNursing bProcess bin bPsychiatric/Mental bHealth 85
bNursing b Chapter b10. bTherapeutic bGroups 93
Chapter b11. bIntervention bWith bFamilies 99
Chapter b12. bMilieu bTherapy b- bThe bTherapeutic 104
bCommunity b Chapter b13. bCrisis bIntervention 109
Chapter b14. bAssertiveness bTraining 117
b Chapter b15. bPromoting bSelf- 123
Esteem 130
Chapter b16. bAnger/Aggression bManagement 139
b Chapter b17. bThe bSuicidal bClient 146
Chapter b18. bBehavior bTherapy 155
b Chapter b19. bCognitive bTherapy 162
Chapter b20. bElectroconvulsive 169
bTherapy b Chapter b21. bThe 175
bRecovery bModel b Chapter b22. 186
bNeurocognitive bDisorders 197
Chapter b23. bSubstance-Related band bAddictive bDisorders 208
Chapter b24. bSchizophrenia bSpectrum band bOther bPsychotic 219
bDisorders b Chapter b25. bDepressive bDisorders 230
Chapter b26. bBipolar band bRelated bDisorders 238
Chapter b27. bAnxiety, bObsessive-Compulsive, band bRelated 244
bDisorders b Chapter b28: bTrauma band bStressor-Related 249
bDisorders 257
Chapter b29. bSomatic bSymptom band bDissociative bDisorders 269
Chapter b30. bIssues bRelated bto bHuman bSexuality band bGender 279
bDysphoria b Chapter b31. bEating bDisorders 284
Chapter b32. bPersonality bDisorders 290
b Chapter b33. bChildren band 297
bAdolescents b Chapter b34. bThe 302
bAging bIndividual
Chapter b35. bSurvivors bof bAbuse bor
bNeglect b Chapter b36. bCommunity bMental
bHealth bNursing b Chapter b37. bThe
bBereaved bIndividual
Chapter b38. bMilitary bFamilies

,Test bBank b- bPsychiatric bMental bHealth bNursing bby bMary bTownsend b(9th 2
bEdition, b2017)


Chapter b01. bThe bConcept bof bStress bAdaptation
Multiple b Choice

1. A bclient bhas bexperienced bthe bdeath bof ba bclose bfamily bmember band bat bthe bsame btime
bbecomes bunemployed. b This bsituation bhas bresulted bin ba b6-month bscore bof b110 bon bthe
bRecent bLife bChanges bQuestionnaire. bHow bshould b the bnurse bevaluate bthis bclient bdata?

A. The bclient bis bexperiencing bsevere bdistress band bis bat brisk bfor bphysical band bpsychological
billness.

B. A bscore bof b110 bon bthe bMiller band bRahe bRecent bLife bChanges bQuestionnaire bindicates bno
bsignificant bthreat bof b stress-related b illness.

C. Susceptibility bto bstress-related bphysical bor bpsychological billness bcannot bbe bestimated bwithout
bknowledge bof b coping bresources band bavailable bsupports.

D. The bclient bmay bview bthese blosses bas bchallenges band bperceive bthem bas bopportunities.

ANS: bC

The bRecent bLife bChanges bQuestionnaire bis ban bexpanded bversion bof bthe bSchedule bof bRecent
bExperiences band bthe b Rahe-Holmes bSocial bReadjustment bRating bScale. bA b6-month bscore bof b300
bor bmore, bor ba byear-score btotal bof b500 b or bmore, bindicates bhigh bstress bin ba bclients blife.
bHowever, bpositive bcoping bmechanisms band bstrong bsocial bsupport b can blimit bsusceptibility bto
bstress-related billnesses.

KEY: bCognitive bLevel: bApplication b| bIntegrated bProcesses: bNursing bProcess: bEvaluation b|
bClient bNeed:
Psychosocial b Integrity

2. A bphysically band bemotionally bhealthy bclient bhas bjust bbeen bfired. bDuring ba broutine boffice
bvisit bhe bstates bto ba b nurse: bPerhaps bthis bwas bthe bbest bthing bto bhappen. bMaybe bIll blook
binto bpursuing ban bart bdegree. bHow bshould bthe b nurse bcharacterize bthe bclients bappraisal bof
bthe bjob bloss bstressor?

A. Irrelevant

B. Harm/loss

C. Threatening

D. Challenging

ANS: bD

The bclient bperceives bthe bsituation bof bjob bloss bas ba bchallenge band ban bopportunity bfor bgrowth.

KEY: bCognitive bLevel: bApplication b| bIntegrated bProcesses: bNursing bProcess: bAssessment b|
bClient bNeed:
Psychosocial b Integrity

3. Which bclient bstatement bshould balert ba bnurse bthat ba bclient bmay bbe bresponding bmaladaptively
bto bstress?

A. Ive bfound bthat bavoiding bcontact bwith bothers bhelps bme bcope.

B. I breally benjoy bjournaling; bits bmy bprivate btime.

C. I bsigned bup bfor ba byoga bclass bthis bweek.

D. I bmade ban bappointment bto bmeet bwith ba btherapist.

ANS: bA

,Test bBank b- bPsychiatric bMental bHealth bNursing bby bMary bTownsend b(9th 3
bEdition, b2017)
Reliance bon bsocial bisolation bas ba bcoping bmechanism bis ba bmaladaptive bmethod bto brelieve
bstress. bIt bcan bprevent b learning bappropriate bcoping bskills band bcan bprevent baccess bto bneeded
bsupport bsystems.

, Test bBank b- bPsychiatric bMental bHealth bNursing bby bMary bTownsend b(9th 4
bEdition, b2017)

KEY: bCognitive bLevel: bApplication b| bIntegrated bProcesses: bNursing bProcess: bEvaluation b|
bClient bNeed:
Psychosocial b Integrity

4. A bnursing bstudent bfinds bthat bshe bcomes bdown bwith ba bsinus binfection btoward bthe bend bof
bevery bsemester. bWhen b this boccurs, bwhich bstage bof bstress bis bthe bstudent bmost blikely
bexperiencing?

A. Alarm breaction bstage

B. Stage bof bresistance

C. Stage bof bexhaustion

D. Fight-or-flight b stage

ANS: bC

At bthe bstage bof bexhaustion, bthe bstudents bexposure bto bstress bhas bbeen bprolonged band
badaptive benergy bhas bbeen bdepleted. bDiseases bof badaptation boccur bmore bfrequently bin bthis
bstage.

KEY: bCognitive bLevel: bApplication b| bIntegrated bProcesses: bNursing bProcess: bAssessment b|
bClient bNeed:
Psychosocial b Integrity

5. A bschool bnurse bis bassessing ba bfemale bhigh bschool bstudent bwho bis boverly bconcerned babout
bher bappearance. bThe b clients bmother bstates, bThats bnot bsomething bto bbe bstressed babout! bWhich
bis bthe bmost bappropriate bnursing b response?

A. Teenagers! bThey bdont bknow ba bthing babout breal bstress.

B. Stress boccurs bonly bwhen bthere bis ba bloss.

C. When byou bare bin bpoor bphysical bcondition, byou bcant bexperience bpsychological bwell-being.

D. Stress bcan bbe bpsychological. bA bthreat bto bself-esteem bmay bresult bin bhigh bstress blevels.

ANS: bD

Stress bcan bbe bphysical bor bpsychological bin bnature. bA bperceived bthreat bto bself-esteem bcan bbe
bas bstressful bas ba b physiological b change.

KEY: bCognitive bLevel: bApplication b| bIntegrated bProcesses: bNursing bProcess: bImplementation b|
bClient bNeed:
Psychosocial b Integrity

6. A bbright bstudent bconfides bin bthe bschool bnurse babout bconflicts brelated bto battending bcollege
bor bworking bto badd b needed bfinancial bsupport bto bthe bfamily. bWhich bcoping bstrategy bis bmost
bappropriate bfor bthe bnurse bto brecommend b to bthe bstudent bat bthis btime?

A. Meditation

B. Problem-solving b training

C. Relaxation

D. Journaling

ANS: bB

The bstudent bmust bassess bhis bor bher bsituation band bdetermine bthe bbest bcourse bof baction.
bProblem-solving btraining, b by bproviding bstructure band bobjectivity, bcan bassist bin bdecision
bmaking.

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