PSYCHIATRIC MENTAL HEALTH NURSING: CONCEPTS OF CARE IN
EVIDENCE-BASED PRACTICE 8TH EDITION BY MARY C. TOWNSEND
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,Table of Contents
UNIT 1 ........................................................................................................................................................... 3
Basic Concepts In Psychiatric/ Mental Health Nursing ................................................................................. 3
Chapter 1. The Concept Of Stress Adaptation .......................................................................................... 3
Chapter 2. Mental Health/Mental Illness: Historical And Theoretical Concepts .................................... 13
UNIT 2 ......................................................................................................................................................... 28
Foundations For Psychiatric/ Mental Health Nursing ................................................................................. 28
Chapter 3. Theoretical Models Of Personality Development ................................................................. 28
Chapter 4. Concepts Of Psychobiology ................................................................................................... 43
Chapter 5. Ethical And Legal Issues In Psychiatric/Mental Health Nursing ............................................ 55
Chapter 6. Cultural And Spiritual Concepts Relevant To Psychiatric/Mental Health Nursing ................ 69
UNIT 3 ......................................................................................................................................................... 80
Therapeutic Approaches In Psychiatric Nursing Care ................................................................................. 80
Chapter 7. Relationship Development .................................................................................................... 80
Chapter 8. Therapeutic Communication................................................................................................. 91
Chapter 9. The Nursing Process In Psychiatric/Mental Health Nursing................................................ 108
Chapter 10. Therapeutic Groups........................................................................................................... 125
Chapter 11. Intervention With Families................................................................................................ 136
Chapter 12. Milieu Therapy—The Therapeutic Community................................................................. 145
Chapter 13. Crisis Intervention ............................................................................................................. 151
Chapter 14. Assertiveness Training....................................................................................................... 158
Chapter 15. Promoting Self-Esteem...................................................................................................... 168
Chapter 16. Anger/Aggression Management ....................................................................................... 177
Chapter 17. The Suicidal Client ............................................................................................................. 186
Chapter 18. Behavior Therapy .............................................................................................................. 199
Chapter 19. Cognitive Therapy ............................................................................................................. 208
Chapter 20. Electroconvulsive Therapy ................................................................................................ 221
Chapter 21. The Recovery Model ......................................................................................................... 231
UNIT 4 ....................................................................................................................................................... 241
Nursing Care Of Clients With Alterations In Psychosocial Adaptation ..................................................... 241
Chapter 22. Neurocognitive Disorders ................................................................................................. 241
Chapter 23. Substance-Related And Addictive Disorders ..................................................................... 249
Chapter 24. Schizophrenia Spectrum And Other Psychotic Disorders ................................................. 264
, Chapter 25. Depressive Disorders......................................................................................................... 280
Chapter 26. Bipolar And Related Disorders .......................................................................................... 295
Chapter 27. Anxiety, Obsessive-Compulsive, And Related Disorders................................................... 311
Chapter 28: Trauma- And Stressor-Related Disorders.......................................................................... 327
Chapter 29. Somatic Symptom And Dissociative Disorders.................................................................. 338
Chapter 30. Issues Related To Human Sexuality And Gender Dysphoria ............................................. 346
Chapter 31. Eating Disorders ................................................................................................................ 354
Chapter 32. Personality Disorders ........................................................................................................ 365
UNIT 5 ....................................................................................................................................................... 383
Psychiatric/ Mental Health Nursing Of Special Populations ..................................................................... 383
Chapter 33. Children And Adolescents ................................................................................................. 383
Chapter 34. The Aging Individual .......................................................................................................... 398
Chapter 35. Survivors Of Abuse Or Neglect .......................................................................................... 405
Chapter 36. Community Mental Health Nursing .................................................................................. 414
Chapter 37. The Bereaved Individual .................................................................................................... 423
Chapter 38. Military Families ................................................................................................................ 431
UNIT 1
Basic Concepts In Psychiatric/ Mental Health 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. 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.
CORRECT 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 Client’s 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 I’ll Look Into Pursuing An Art
Degree.” How Should The Nurse Characterize The Client’s Appraisal Of The Job Loss Stressor?
A. Irrelevant
B. Harm/Loss
C. Threatening
D. Challenging
CORRECT 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
Townsend Chapter 1-2
3. Which Client Statement Should Alert A Nurse That A Client May Be Responding Maladaptively To
Stress?
A. “I’ve Found That Avoiding Contact With Others Helps Me Cope.”
B. “I Really Enjoy Journaling; It’s My Private Time.”
C. “I Signed Up For A Yoga Class This Week.”
D. “I Made An Appointment To Meet With A Therapist.”