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.