TEST BANK: v
PSYCHIATRIC MENTAL v
HEALTH NURSING:
v v
ConceptsofCareinEvidence-BasedPractice
v v v v v
9TH EDITION
v
By Mary C. Townsend
v v v
TEST BANK v
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
v v v v v v v v v v v 1
Table of Contents v v
Table of Contents
v v 1
Chapter 01. The Concept of Stress Adaptation
v v v v 2 v v
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
v v v 9 v v v v v
Chapter 03. Psychopharmacology
v v 20
Chapter 04. Concepts of Psychobiology
v v v v 28
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
v v v v 37 v v v v v
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing47
v v v v v v v v v v
Chapter 07. Relationship Development
v v v 54
Chapter 08. Therapeutic Communication
v v v v 62
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
v v v v 74 v v v v
Chapter 10. Therapeutic Groups
v v v v 85
Chapter 11. Intervention With Families
v v v 93 v
Chapter 12. Milieu Therapy - The Therapeutic Community
v v v 99 v v v v
Chapter 13. Crisis Intervention
v v v v 104
Chapter 14. Assertiveness Training
v v 109 v
Chapter 15. Promoting Self-Esteem
v v v v 117
Chapter 16. Anger/Aggression Management
v v 123 v
Chapter 17. The Suicidal Client
v v v v 130
v
Chapter 18. Behavior Therapy
v v v 139
Chapter 19. Cognitive Therapy
v v v v 146
Chapter 20. Electroconvulsive Therapy
v v v 155 v
Chapter 21. The Recovery Model
v v v v 162 v
Chapter 22. Neurocognitive Disorders
v v v 169 v
Chapter 23. Substance-Related and Addictive Disorders
v v 175 v v v
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
v v 186 v v v v v
Chapter 25. Depressive Disorders
v v v v 197
Chapter 26. Bipolar and Related Disorders
v v v v 208 v
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
v v v 219 v v v
Chapter 28: Trauma and Stressor-Related Disorders
v v v v v 230 v
Chapter 29. Somatic Symptom and Dissociative Disorders
v v v 238 v v v
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
v v v 244 v v v v v v
Chapter 31. Eating Disorders
v v v v 249
Chapter 32. Personality Disorders
v v v 257
Chapter 33. Children and Adolescents
v v v v 269
v
Chapter 34. The Aging Individual
v v v v v 279
Chapter 35. Survivors of Abuse or Neglect
v v v v 284 v v
Chapter 36. Community Mental Health Nursing
v v v v 290 v v
Chapter 37. The Bereaved Individual
v v v v 297 v
Chapter 38. Military Families
v v v 302
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
v v v v v v v v v v v 2
Chapter 01. The Concept of Stress Adaptation
v v v v v v
Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
v v v v v v v v v v v
Multiple Choice v
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
v v v v v v v v v v v v v v v v v
This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should
v v v v v v v v v v v v v v v v v v
the nurse evaluate this client data?
v v v v v v
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
v v v v v v v v v v v v v v
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
v v v v v v v v v v v v v v v v v
stress-related illness.
v v
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
v v v v v v v v v v v v
coping resources and available supports.
v v v v v
D. The client may view these losses as challenges and perceive them as opportunities.
v v v v v v v v v v v v
ANS: C v
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
v v v v v v v v v v v v v v v v
Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500
v v v v v v v v v v v v v v v v v v
or more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support
v v v v v v v v v v v v v v v v v
can limit susceptibility to stress-related illnesses.
v v v v v v
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
v v v v v v v v v v v v v v v v v v
nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the
v v v v v v v v v v v v v v v v v v v v
nurse characterize the clients appraisal of the job loss stressor?
v v v v v v v v v v
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D v
The client perceives the situation of job loss as a challenge and an opportunity for growth.
v v v v v v v v v v v v v v v
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
v v v v v v v v v v v v v v v
A. Ive found that avoiding contact with others helps me cope.
v v v v v v v v v
B. I really enjoy journaling; its my private time.
v v v v v v v
C. I signed up for a yoga class this week.
v v v v v v v v
D. I made an appointment to meet with a therapist.
v v v v v v v v
ANS: A v
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
v v v v v v v v v v v v v v v v v
learning appropriate coping skills and can prevent access to needed support systems.
v v v v v v v v v v v v
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
v v v v v v v v v v v 3
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When
v v v v v v v v v v v v v v v v v v
this occurs, which stage of stress is the student most likely experiencing?
v v v v v v v v v v v v
A. Alarm reaction stage v v
B. Stage of resistance v v
C. Stage of exhaustion v v
D. Fight-or-flight stage v
ANS: C v
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
v v v v v v v v v v v v v v v v v
depleted. Diseases of adaptation occur more frequently in this stage.
v v v v v v v v v v
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
v v v v v v v v v v v v v v v v v
clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
v v v v v v v v v v v v v v v v
response?
v
A. Teenagers! They dont know a thing about real stress. v v v v v v v v
B. Stress occurs only when there is a loss.
v v v v v v v
C. When you are in poor physical condition, you cant experience psychological well-being.
v v v v v v v v v v v
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
v v v v v v v v v v v v v
ANS: D v
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
v v v v v v v v v v v v v v v v v v
physiological change.
v v
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
6. A bright student confides in the school nurse about conflicts related to attending college or working to add
v v v v v v v v v v v v v v v v v
needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend
v v v v v v v v v v v v v v v v v
vto the student at this time?
v v v v v
A. Meditation
B. Problem-solving training v
C. Relaxation
D. Journaling
ANS: B v
The student must assess his or her situation and determine the best course of action. Problem-solving
v v v v v v v v v v v v v v v
training, by providing structure and objectivity, can assist in decision making.
v v v v v v v v v v v
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
PSYCHIATRIC MENTAL v
HEALTH NURSING:
v v
ConceptsofCareinEvidence-BasedPractice
v v v v v
9TH EDITION
v
By Mary C. Townsend
v v v
TEST BANK v
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
v v v v v v v v v v v 1
Table of Contents v v
Table of Contents
v v 1
Chapter 01. The Concept of Stress Adaptation
v v v v 2 v v
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
v v v 9 v v v v v
Chapter 03. Psychopharmacology
v v 20
Chapter 04. Concepts of Psychobiology
v v v v 28
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
v v v v 37 v v v v v
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing47
v v v v v v v v v v
Chapter 07. Relationship Development
v v v 54
Chapter 08. Therapeutic Communication
v v v v 62
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
v v v v 74 v v v v
Chapter 10. Therapeutic Groups
v v v v 85
Chapter 11. Intervention With Families
v v v 93 v
Chapter 12. Milieu Therapy - The Therapeutic Community
v v v 99 v v v v
Chapter 13. Crisis Intervention
v v v v 104
Chapter 14. Assertiveness Training
v v 109 v
Chapter 15. Promoting Self-Esteem
v v v v 117
Chapter 16. Anger/Aggression Management
v v 123 v
Chapter 17. The Suicidal Client
v v v v 130
v
Chapter 18. Behavior Therapy
v v v 139
Chapter 19. Cognitive Therapy
v v v v 146
Chapter 20. Electroconvulsive Therapy
v v v 155 v
Chapter 21. The Recovery Model
v v v v 162 v
Chapter 22. Neurocognitive Disorders
v v v 169 v
Chapter 23. Substance-Related and Addictive Disorders
v v 175 v v v
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
v v 186 v v v v v
Chapter 25. Depressive Disorders
v v v v 197
Chapter 26. Bipolar and Related Disorders
v v v v 208 v
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
v v v 219 v v v
Chapter 28: Trauma and Stressor-Related Disorders
v v v v v 230 v
Chapter 29. Somatic Symptom and Dissociative Disorders
v v v 238 v v v
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
v v v 244 v v v v v v
Chapter 31. Eating Disorders
v v v v 249
Chapter 32. Personality Disorders
v v v 257
Chapter 33. Children and Adolescents
v v v v 269
v
Chapter 34. The Aging Individual
v v v v v 279
Chapter 35. Survivors of Abuse or Neglect
v v v v 284 v v
Chapter 36. Community Mental Health Nursing
v v v v 290 v v
Chapter 37. The Bereaved Individual
v v v v 297 v
Chapter 38. Military Families
v v v 302
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
v v v v v v v v v v v 2
Chapter 01. The Concept of Stress Adaptation
v v v v v v
Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
v v v v v v v v v v v
Multiple Choice v
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
v v v v v v v v v v v v v v v v v
This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should
v v v v v v v v v v v v v v v v v v
the nurse evaluate this client data?
v v v v v v
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
v v v v v v v v v v v v v v
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
v v v v v v v v v v v v v v v v v
stress-related illness.
v v
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
v v v v v v v v v v v v
coping resources and available supports.
v v v v v
D. The client may view these losses as challenges and perceive them as opportunities.
v v v v v v v v v v v v
ANS: C v
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
v v v v v v v v v v v v v v v v
Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500
v v v v v v v v v v v v v v v v v v
or more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support
v v v v v v v v v v v v v v v v v
can limit susceptibility to stress-related illnesses.
v v v v v v
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
v v v v v v v v v v v v v v v v v v
nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the
v v v v v v v v v v v v v v v v v v v v
nurse characterize the clients appraisal of the job loss stressor?
v v v v v v v v v v
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D v
The client perceives the situation of job loss as a challenge and an opportunity for growth.
v v v v v v v v v v v v v v v
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
v v v v v v v v v v v v v v v
A. Ive found that avoiding contact with others helps me cope.
v v v v v v v v v
B. I really enjoy journaling; its my private time.
v v v v v v v
C. I signed up for a yoga class this week.
v v v v v v v v
D. I made an appointment to meet with a therapist.
v v v v v v v v
ANS: A v
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
v v v v v v v v v v v v v v v v v
learning appropriate coping skills and can prevent access to needed support systems.
v v v v v v v v v v v v
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
v v v v v v v v v v v 3
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When
v v v v v v v v v v v v v v v v v v
this occurs, which stage of stress is the student most likely experiencing?
v v v v v v v v v v v v
A. Alarm reaction stage v v
B. Stage of resistance v v
C. Stage of exhaustion v v
D. Fight-or-flight stage v
ANS: C v
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
v v v v v v v v v v v v v v v v v
depleted. Diseases of adaptation occur more frequently in this stage.
v v v v v v v v v v
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
v v v v v v v v v v v v v v v v v
clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
v v v v v v v v v v v v v v v v
response?
v
A. Teenagers! They dont know a thing about real stress. v v v v v v v v
B. Stress occurs only when there is a loss.
v v v v v v v
C. When you are in poor physical condition, you cant experience psychological well-being.
v v v v v v v v v v v
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
v v v v v v v v v v v v v
ANS: D v
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
v v v v v v v v v v v v v v v v v v
physiological change.
v v
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
6. A bright student confides in the school nurse about conflicts related to attending college or working to add
v v v v v v v v v v v v v v v v v
needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend
v v v v v v v v v v v v v v v v v
vto the student at this time?
v v v v v
A. Meditation
B. Problem-solving training v
C. Relaxation
D. Journaling
ANS: B v
The student must assess his or her situation and determine the best course of action. Problem-solving
v v v v v v v v v v v v v v v
training, by providing structure and objectivity, can assist in decision making.
v v v v v v v v v v v
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
v v v v v v v v v v v v
Psychosocial Integrity v
