TesttBankt-tPsychiatrictMentaltHealthtNursingtbytMarytTownsendt(9thtEdition,
Table of Contents
t t
Tablet oft Contents 1
Chaptert01.tThetConcepttoftStresstAdaptation 2
Chaptert02.tMentaltHealth/MentaltIllness:tHistoricaltandtTheoreticaltConcepts 9
Chaptert03.tPsychopharmacology 20
Chaptert04.tConceptstoftPsychobiology 28
Chaptert05.tEthicaltandtLegaltIssuestintPsychiatric/MentaltHealthtNursing 37
Chaptert 06.t Culturalt andt Spiritualt Conceptst Relevantt tot Psychiatric/Mentalt Healtht Nursing
47
Chaptert07.tRelationshiptDevelopmenttCha 54
ptert08.tTherapeutictCommunication 62
Chaptert09.tThetNursingtProcesstintPsychiatric/MentaltHealthtNursingtCha 74
ptert10.tTherapeutictGroups 85
Chaptert 11.t InterventiontWitht Families 93
Chaptert12.tMilieutTherapyt- 99
tThetTherapeutictCommunitytChaptert13.tCrisistIntervention 104
Chaptert14.tAssertivenesstTrainingtChaptert 109
15.tPromotingtSelf-Esteem 117
Chaptert16.tAnger/AggressiontManagementtChapt 123
ert17.tThetSuicidaltClient 130
Chaptert 18.t Behaviort TherapytChaptert 139
19.t Cognitivet TherapytChaptert20.tElect 146
roconvulsivetTherapytChaptert21.tThetR 155
ecoverytModeltChaptert22.tNeurocogniti 162
vetDisorders 169
Chaptert 23.t Substance-Relatedt andt Addictivet Disorders 175
Chaptert24.tSchizophreniatSpectrumtandtOthertPsychotictDisorderstChapt 186
ert25.tDepressivetDisorders 197
Chaptert 26.t Bipolart andt Relatedt Disorders 208
Chaptert27.tAnxiety,tObsessive- 219
Compulsive,tandtRelatedtDisorderstChaptert28:tTraumatandtStressor- 230
RelatedtDisorders 238
Chaptert 29.t Somatict Symptomt andt Dissociativet Disorders 244
Chaptert30.tIssuestRelatedttotHumantSexualitytandtGendertDysphoriatCha 249
ptert31.tEatingtDisorders 257
Chaptert32.tPersonalitytDisorderstChap 269
tert33.tChildrentandtAdolescentstChapt 279
ert34.tThetAgingtIndividual 284
Chaptert35.tSurvivorstoftAbusetortNeglecttChaptert3 290
6.tCommunitytMentaltHealthtNursingtChaptert37.tTh 297
etBereavedtIndividual 302
Chaptert 38.t Militaryt Families
,TesttBankt-tPsychiatrictMentaltHealthtNursingtbytMarytTownsendt(9thtEdition,
Chapter 01. The Concept of Stress Adaptation
t t t t t t
Multiplet Choice
1. Atclientthastexperiencedtthetdeathtoftatclosetfamilytmembertandtattthetsamettimetbecomestunemployed.tThist
situationthastresultedtintat6-
monthtscoretoft110tontthetRecenttLifetChangestQuestionnaire.tHowtshouldtthetnursetevaluatetthistclienttdata?
A. Thetclientt ist experiencingt severet distresst andtist att riskt fort physicalt andt psychologicalt illness.
B. Atscoretoft110tontthetMillertandtRahetRecenttLifetChangestQuestionnairetindicatestnotsignificanttthreattoftstress-
relatedtillness.
C. Susceptibilityttotstress-
relatedtphysicaltortpsychologicaltillnesstcannottbetestimatedtwithouttknowledgetoftcopingtresourcestandtavailable
tsupports.
D. Thetclientt maytviewtthesetlossest ast challengest andtperceivet themt ast opportunities.
ANS:t C
ThetRecenttLifetChangestQuestionnairetistantexpandedtversiontoftthetScheduletoftRecenttExperiencestandtthetRahe-
HolmestSocialtReadjustmenttRatingtScale.tAt6-monthtscoretoft300tortmore,tortatyear-
scorettotaltoft500tortmore,tindicatesthightstresstintatclientstlife.tHowever,tpositivetcopingtmechanismstandtstrongtso
cialtsupporttcantlimittsusceptibilityttotstress-relatedtillnesses.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingtProcess:t Evaluationt |tClientt Need:
Psychosocialt Integrity
2. Atphysicallytandtemotionallythealthytclientthastjusttbeentfired.tDuringtatroutinetofficetvisitthetstatesttotatnurse
:tPerhapstthistwastthetbesttthingttothappen.tMaybetIlltlooktintotpursuingtantarttdegree.tHowtshouldtthetnursetcharac
terizetthetclientstappraisaltoftthetjobtlosststressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:t D
Thetclientt perceivestthet situationt oftjobt losstast atchallenget andt antopportunityt fort growth.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingt Process:tAssessmentt |tClientt Need:
Psychosocialt Integrity
3. Whichtclientt statementt shouldt alertt at nurset thatt at clientt mayt bet respondingt maladaptivelyt tot stress?
A. Ivetfoundt thatt avoidingt contactt witht otherst helpst met cope.
B. Itreallyt enjoyt journaling;t itstmyt privatet time.
C. Itsignedtuptfortatyogatclasstthistweek.
D. Itmadetantappointmentt totmeettwitht attherapist.
ANS:t A
Reliancetontsocialtisolationtastatcopingtmechanismtistatmaladaptivetmethodttotrelievetstress.tIttcantpreventtlearningtapp
ropriatetcopingtskillstandtcantpreventtaccessttotneededtsupporttsystems.
,TesttBankt-tPsychiatrictMentaltHealthtNursingtbytMarytTownsendt(9thtEdition,
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingtProcess:t Evaluationt |tClientt Need:
Psychosocialt Integrity
4. Atnursingtstudenttfindstthattshetcomestdowntwithtatsinustinfectionttowardtthetendtofteverytsemester.tWhentthistoc
curs,twhichtstagetoftstresstistthetstudenttmosttlikelytexperiencing?
A. Alarmt reactiont stage
B. Stagetoftresistance
C. Stagetoftexhaustion
D. Fight-or-flightt stage
ANS:t C
Attthetstagetoftexhaustion,tthetstudentstexposurettotstressthastbeentprolongedtandtadaptivetenergythastbeentdepleted.tDi
seasestoftadaptationtoccurtmoretfrequentlytintthiststage.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingt Process:tAssessmentt |tClientt Need:
Psychosocialt Integrity
5. Atschooltnursetistassessingtatfemalethightschooltstudenttwhotistoverlytconcernedtaboutthertappearance.tThetclientst
mothertstates,tThatstnottsomethingttotbetstressedtabout!tWhichtistthetmosttappropriatetnursingtresponse?
A. Teenagers!t Theytdontt knowt at thingt abouttrealt stress.
B. Stresstoccurst onlyt whent theret ist atloss.
C. Whent yout aret int poort physicalt condition,t yout cantt experiencet psychologicalt well-being.
D. Stresst cant betpsychological.t Atthreatt tot self-esteemt mayt resulttint hight stresst levels.
ANS:t D
Stresstcantbetphysicaltortpsychologicaltintnature.tAtperceivedtthreatttotself-
esteemtcantbetaststressfultastatphysiologicaltchange.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:t Nursingt Process:t Implementationt |tClientt Need:
Psychosocialt Integrity
6. Atbrighttstudenttconfidestintthetschooltnursetabouttconflictstrelatedttotattendingtcollegetortworkingttotaddtneed
edtfinancialtsupportttotthetfamily.tWhichtcopingtstrategytistmosttappropriatetfortthetnursettotrecommendt totthetstud
enttattthisttime?
A. Meditation
B. Problem-solvingt training
C. Relaxation
D. Journaling
ANS:t B
Thetstudenttmusttassessthistorthertsituationtandtdeterminetthetbesttcoursetoftaction.tProblem-
solvingttraining,tbytprovidingtstructuretandtobjectivity,tcantassisttintdecisiontmaking.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingt Process:t Implementationt |tClientt Need:
Psychosocialt Integrity
, TesttBankt-tPsychiatrictMentaltHealthtNursingtbytMarytTownsendt(9thtEdition,
7. Antunemployedtcollegetgraduatetistexperiencingtseveretanxietytovertnottfindingtatteachingtpositiontandthastdifficu
ltytwithtindependenttproblem-
solving.tDuringtatroutinetphysicaltexamination,tthetgraduatetconfidestintthetclinictnurse.tWhichtistthetmosttappro
priatetnursingtintervention?
A. Encouraget thet studentt tot usetthetalternativet copingt mechanismt oft relaxationt exercises.
B. Completet thet problem-solvingt processt fort thet client.
C. Workt throught thet problem-solvingt processt witht thet client.
D. Encouragetthet clientt tot keeptatjournal.
ANS:t C
Duringttimestofthightanxietytandtstress,tclientstwilltneedtmoretassistancetintproblem-solvingtandtdecisiontmaking.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingt Process:t Implementationt |tClientt Need:
Psychosocialt Integrity
8. Atschooltnursetistassessingtatdistraughttfemalethightschooltstudenttwhotistoverlytconcernedtbecausethertparent
stcanttaffordthorsebacktridingtlessons.tHowtshouldtthetnursetinterprettthetstudentstreactionttothertperceivedt
problem?
A. Thet problemt ist endangeringt hert well-being.
B. Thetproblemt ist personallyt relevantt tot her.
C. Thetproblemtistbasedt ontimmaturity.
D. Thet problemt ist exceedingt hert capacityt tot cope.
ANS:t B
Psychologicaltstressorsttotself-esteemtandtself-
imagetaretrelatedttothowtthetindividualtperceivestthetsituationtortevent.tSelf-
imagetistoftparticulartimportancettotadolescents,twhotfeeltentitledttothavetalltthetadvantagestthattothertadolescentstex
perience.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingtProcess:t Evaluationt |tClientt Need:
Psychosocialt Integrity
9. Meditationthastbeentshownttotbetanteffectivetstresstmanagementttechnique.tWhentmeditationtisteffective,twhatt
shouldtatnursetexpectttotassess?
A. Antachievedtstatetoftrelaxation
B. Antachievedt insightt intot onestfeelings
C. Atdemonstrationt oft appropriatet rolet behaviors
D. Ant enhancedt abilityt tot problem-solve
ANS:t A
Meditationt producestrelaxationt byt creatingt at specialt statetoft consciousnesst throught focusedt concentration.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingtProcess:t Evaluationt |tClientt Need:
Psychosocialt Integrity
10. Atdistraught,tsingle,tfirst-
timetmothertcriestandtaskstatnurse,tHowtcantItgottotworktiftItcanttaffordtchildcare?tWhattistthetnursestinitia
ltactiontintassistingtthetclienttwithtthetproblem-solvingtprocess?
Table of Contents
t t
Tablet oft Contents 1
Chaptert01.tThetConcepttoftStresstAdaptation 2
Chaptert02.tMentaltHealth/MentaltIllness:tHistoricaltandtTheoreticaltConcepts 9
Chaptert03.tPsychopharmacology 20
Chaptert04.tConceptstoftPsychobiology 28
Chaptert05.tEthicaltandtLegaltIssuestintPsychiatric/MentaltHealthtNursing 37
Chaptert 06.t Culturalt andt Spiritualt Conceptst Relevantt tot Psychiatric/Mentalt Healtht Nursing
47
Chaptert07.tRelationshiptDevelopmenttCha 54
ptert08.tTherapeutictCommunication 62
Chaptert09.tThetNursingtProcesstintPsychiatric/MentaltHealthtNursingtCha 74
ptert10.tTherapeutictGroups 85
Chaptert 11.t InterventiontWitht Families 93
Chaptert12.tMilieutTherapyt- 99
tThetTherapeutictCommunitytChaptert13.tCrisistIntervention 104
Chaptert14.tAssertivenesstTrainingtChaptert 109
15.tPromotingtSelf-Esteem 117
Chaptert16.tAnger/AggressiontManagementtChapt 123
ert17.tThetSuicidaltClient 130
Chaptert 18.t Behaviort TherapytChaptert 139
19.t Cognitivet TherapytChaptert20.tElect 146
roconvulsivetTherapytChaptert21.tThetR 155
ecoverytModeltChaptert22.tNeurocogniti 162
vetDisorders 169
Chaptert 23.t Substance-Relatedt andt Addictivet Disorders 175
Chaptert24.tSchizophreniatSpectrumtandtOthertPsychotictDisorderstChapt 186
ert25.tDepressivetDisorders 197
Chaptert 26.t Bipolart andt Relatedt Disorders 208
Chaptert27.tAnxiety,tObsessive- 219
Compulsive,tandtRelatedtDisorderstChaptert28:tTraumatandtStressor- 230
RelatedtDisorders 238
Chaptert 29.t Somatict Symptomt andt Dissociativet Disorders 244
Chaptert30.tIssuestRelatedttotHumantSexualitytandtGendertDysphoriatCha 249
ptert31.tEatingtDisorders 257
Chaptert32.tPersonalitytDisorderstChap 269
tert33.tChildrentandtAdolescentstChapt 279
ert34.tThetAgingtIndividual 284
Chaptert35.tSurvivorstoftAbusetortNeglecttChaptert3 290
6.tCommunitytMentaltHealthtNursingtChaptert37.tTh 297
etBereavedtIndividual 302
Chaptert 38.t Militaryt Families
,TesttBankt-tPsychiatrictMentaltHealthtNursingtbytMarytTownsendt(9thtEdition,
Chapter 01. The Concept of Stress Adaptation
t t t t t t
Multiplet Choice
1. Atclientthastexperiencedtthetdeathtoftatclosetfamilytmembertandtattthetsamettimetbecomestunemployed.tThist
situationthastresultedtintat6-
monthtscoretoft110tontthetRecenttLifetChangestQuestionnaire.tHowtshouldtthetnursetevaluatetthistclienttdata?
A. Thetclientt ist experiencingt severet distresst andtist att riskt fort physicalt andt psychologicalt illness.
B. Atscoretoft110tontthetMillertandtRahetRecenttLifetChangestQuestionnairetindicatestnotsignificanttthreattoftstress-
relatedtillness.
C. Susceptibilityttotstress-
relatedtphysicaltortpsychologicaltillnesstcannottbetestimatedtwithouttknowledgetoftcopingtresourcestandtavailable
tsupports.
D. Thetclientt maytviewtthesetlossest ast challengest andtperceivet themt ast opportunities.
ANS:t C
ThetRecenttLifetChangestQuestionnairetistantexpandedtversiontoftthetScheduletoftRecenttExperiencestandtthetRahe-
HolmestSocialtReadjustmenttRatingtScale.tAt6-monthtscoretoft300tortmore,tortatyear-
scorettotaltoft500tortmore,tindicatesthightstresstintatclientstlife.tHowever,tpositivetcopingtmechanismstandtstrongtso
cialtsupporttcantlimittsusceptibilityttotstress-relatedtillnesses.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingtProcess:t Evaluationt |tClientt Need:
Psychosocialt Integrity
2. Atphysicallytandtemotionallythealthytclientthastjusttbeentfired.tDuringtatroutinetofficetvisitthetstatesttotatnurse
:tPerhapstthistwastthetbesttthingttothappen.tMaybetIlltlooktintotpursuingtantarttdegree.tHowtshouldtthetnursetcharac
terizetthetclientstappraisaltoftthetjobtlosststressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:t D
Thetclientt perceivestthet situationt oftjobt losstast atchallenget andt antopportunityt fort growth.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingt Process:tAssessmentt |tClientt Need:
Psychosocialt Integrity
3. Whichtclientt statementt shouldt alertt at nurset thatt at clientt mayt bet respondingt maladaptivelyt tot stress?
A. Ivetfoundt thatt avoidingt contactt witht otherst helpst met cope.
B. Itreallyt enjoyt journaling;t itstmyt privatet time.
C. Itsignedtuptfortatyogatclasstthistweek.
D. Itmadetantappointmentt totmeettwitht attherapist.
ANS:t A
Reliancetontsocialtisolationtastatcopingtmechanismtistatmaladaptivetmethodttotrelievetstress.tIttcantpreventtlearningtapp
ropriatetcopingtskillstandtcantpreventtaccessttotneededtsupporttsystems.
,TesttBankt-tPsychiatrictMentaltHealthtNursingtbytMarytTownsendt(9thtEdition,
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingtProcess:t Evaluationt |tClientt Need:
Psychosocialt Integrity
4. Atnursingtstudenttfindstthattshetcomestdowntwithtatsinustinfectionttowardtthetendtofteverytsemester.tWhentthistoc
curs,twhichtstagetoftstresstistthetstudenttmosttlikelytexperiencing?
A. Alarmt reactiont stage
B. Stagetoftresistance
C. Stagetoftexhaustion
D. Fight-or-flightt stage
ANS:t C
Attthetstagetoftexhaustion,tthetstudentstexposurettotstressthastbeentprolongedtandtadaptivetenergythastbeentdepleted.tDi
seasestoftadaptationtoccurtmoretfrequentlytintthiststage.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingt Process:tAssessmentt |tClientt Need:
Psychosocialt Integrity
5. Atschooltnursetistassessingtatfemalethightschooltstudenttwhotistoverlytconcernedtaboutthertappearance.tThetclientst
mothertstates,tThatstnottsomethingttotbetstressedtabout!tWhichtistthetmosttappropriatetnursingtresponse?
A. Teenagers!t Theytdontt knowt at thingt abouttrealt stress.
B. Stresstoccurst onlyt whent theret ist atloss.
C. Whent yout aret int poort physicalt condition,t yout cantt experiencet psychologicalt well-being.
D. Stresst cant betpsychological.t Atthreatt tot self-esteemt mayt resulttint hight stresst levels.
ANS:t D
Stresstcantbetphysicaltortpsychologicaltintnature.tAtperceivedtthreatttotself-
esteemtcantbetaststressfultastatphysiologicaltchange.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:t Nursingt Process:t Implementationt |tClientt Need:
Psychosocialt Integrity
6. Atbrighttstudenttconfidestintthetschooltnursetabouttconflictstrelatedttotattendingtcollegetortworkingttotaddtneed
edtfinancialtsupportttotthetfamily.tWhichtcopingtstrategytistmosttappropriatetfortthetnursettotrecommendt totthetstud
enttattthisttime?
A. Meditation
B. Problem-solvingt training
C. Relaxation
D. Journaling
ANS:t B
Thetstudenttmusttassessthistorthertsituationtandtdeterminetthetbesttcoursetoftaction.tProblem-
solvingttraining,tbytprovidingtstructuretandtobjectivity,tcantassisttintdecisiontmaking.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingt Process:t Implementationt |tClientt Need:
Psychosocialt Integrity
, TesttBankt-tPsychiatrictMentaltHealthtNursingtbytMarytTownsendt(9thtEdition,
7. Antunemployedtcollegetgraduatetistexperiencingtseveretanxietytovertnottfindingtatteachingtpositiontandthastdifficu
ltytwithtindependenttproblem-
solving.tDuringtatroutinetphysicaltexamination,tthetgraduatetconfidestintthetclinictnurse.tWhichtistthetmosttappro
priatetnursingtintervention?
A. Encouraget thet studentt tot usetthetalternativet copingt mechanismt oft relaxationt exercises.
B. Completet thet problem-solvingt processt fort thet client.
C. Workt throught thet problem-solvingt processt witht thet client.
D. Encouragetthet clientt tot keeptatjournal.
ANS:t C
Duringttimestofthightanxietytandtstress,tclientstwilltneedtmoretassistancetintproblem-solvingtandtdecisiontmaking.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingt Process:t Implementationt |tClientt Need:
Psychosocialt Integrity
8. Atschooltnursetistassessingtatdistraughttfemalethightschooltstudenttwhotistoverlytconcernedtbecausethertparent
stcanttaffordthorsebacktridingtlessons.tHowtshouldtthetnursetinterprettthetstudentstreactionttothertperceivedt
problem?
A. Thet problemt ist endangeringt hert well-being.
B. Thetproblemt ist personallyt relevantt tot her.
C. Thetproblemtistbasedt ontimmaturity.
D. Thet problemt ist exceedingt hert capacityt tot cope.
ANS:t B
Psychologicaltstressorsttotself-esteemtandtself-
imagetaretrelatedttothowtthetindividualtperceivestthetsituationtortevent.tSelf-
imagetistoftparticulartimportancettotadolescents,twhotfeeltentitledttothavetalltthetadvantagestthattothertadolescentstex
perience.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingtProcess:t Evaluationt |tClientt Need:
Psychosocialt Integrity
9. Meditationthastbeentshownttotbetanteffectivetstresstmanagementttechnique.tWhentmeditationtisteffective,twhatt
shouldtatnursetexpectttotassess?
A. Antachievedtstatetoftrelaxation
B. Antachievedt insightt intot onestfeelings
C. Atdemonstrationt oft appropriatet rolet behaviors
D. Ant enhancedt abilityt tot problem-solve
ANS:t A
Meditationt producestrelaxationt byt creatingt at specialt statetoft consciousnesst throught focusedt concentration.
KEY:tCognitivet Level:tApplicationt |tIntegratedt Processes:tNursingtProcess:t Evaluationt |tClientt Need:
Psychosocialt Integrity
10. Atdistraught,tsingle,tfirst-
timetmothertcriestandtaskstatnurse,tHowtcantItgottotworktiftItcanttaffordtchildcare?tWhattistthetnursestinitia
ltactiontintassistingtthetclienttwithtthetproblem-solvingtprocess?
