Mental Health Nursing, 10th Edition, Karyn I.
Morgan, Mary C. Townsend
Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice
10th Edition Townsend Test Bank
TABLE OF CONTENT
UNIT I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
Chapter 1. The Concept of Stress Adaptation
Chapter 2. Mental Health and Mental Illness: Historical and Theoretical Concepts
UNIT II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
Chapter 3. Concepts of Psychobiology
Chapter 4. Psychopharmacology
Chapter 5. Ethical and Legal Issues
UNIT III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
Chapter 6. Relationship Development
Chapter 7. Therapeutic Communication
Chapter 8. The Nursing Process in Psychiatric-Mental Health Nursing
, Chapter 9. Therapeutic Groups
Chapter 10. Intervention with Families
Chapter 11. Milieu Therapy--The Therapeutic Community
Chapter 12. Crisis Intervention
Chapter 13. Assertiveness Training
Chapter 14. Promoting Self Esteem
Chapter 15. Anger and Aggression Management
Chapter 16. Suicide Prevention
Chapter 17. Behavior Therapy
Chapter 18. Cognitive Behavioral Therapy
Chapter 19. Electroconvulsive Therapy
Chapter 20. The Recovery Model
UNIT IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL
ADAPTATION
Chapter 21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice
Settings
Chapter 22. Neurocognitive Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 25. Depressive Disorders
Chapter 26. Bipolar and Related Disorders
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
Chapter 28. Trauma and Stressor-Related Disorders
Chapter 29. Somatic Symptom and Dissociative Disorders
Chapter 30. Eating Disorders
Chapter 31. Personality Disorders
UNIT V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
Chapter 32. Children and Adolescents
Chapter 33. The Aging Individual
Chapter 34. Survivors of Abuse or Neglect
Chapter 35. Community Mental Health Nursing
Chapter 36. The Bereaved Individual
Chapter 37. Military Families
Chapter 38. Theoretical Models of Personality Development
Chapter 39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
Chapter 40. Complementary and Psychosocial Therapies
Chapter 41. Relaxation Therapy
Chapter 42. Issues Related to Human Sexuality and Gender Dysphoria
Chapter 43. Forensic Nursing
,Chapter 1. The Concept of Stress Adaptation
MULTIPLE CHOICE
1. A client has experienced the death of a close family member and at the same time
becomes unemployed. The client’s 6-month score on the Recent Life Changes
Questionnaire is 110. The nurse:
A. Understands the client is at risk for significant stress-related illness.
B. Determines the client is not at risk for significant stress-related illness.
C. Needs further assessment of the client’s coping skills to determine susceptibility to
stress-related illness.
D. Recognizes the client may view the losses as challenges and perceive them as
opportunities.
ANS: C
Chapter learning objective: Explain the relationship between stress and diseases of
adaptation.
Page: 5–6
Heading: Stress as an Environmental Event
Integrated Processes: Nursing Process:
, Evaluation Client Need: Psychosocial Integrity
Cognitive Level: Application
[Applying] Concept: Stress
Difficulty: Moderate
Feedback
A This is incorrect. Assessment is the first step of the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related physical and psychological illness. 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 client’s life and susceptibility
to stress-related illnesses.
B This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining the client’s
perception of the current stresses. A 6-month score of 300 or a year-score of 500 or
more on the Recent Life Changes Questionnaire indicates high stress in a client’s life
and susceptibility to stress-related physical and
psychological illness.
C This is correct. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress- related physical and psychological illness. A 6-month score of 300 or a year-
score of 500 or more indicates high stress in a client’s life and risk for significant
stress-related physical
and psychological illness.
D This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining
susceptibility to stress-related illness. A 6-month score of 300 or a year-score of 500
or more on the Recent Life Changes Questionnaire indicates high stress in a client’s
life is susceptible to significant stress-related physical and
psychological illness.
PTS: 1CON: Stress
2. A physically and emotionally healthy client has just been fired. During a routine
office visit, he tells the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
consider pursuing an art degree.” The nurse determines the client perceives the
stressor of his job loss as:
A. Irrelevant.
B. Harm/loss.
C. A threat.
D. A challenge.
ANS: D
Chapter: Chapter 0, The Concept of Stress Adaptation
Chapter learning objective: Discuss adaptive coping strategies in the management
of stress.
Page: 7
Heading: Individual’s Perception of the Event > Primary