Test Bank for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 9th Edition by Mary C. Townsend, Karyn I. Morgan |All Chapters, Year-2023/2024|

TEST BANK: b




PSYCHIATRIC MENTAL b




HEALTH NURSING:
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Conceptsof CareinEvidence-Based Practice
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9TH EDITION
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By Mary C. Townsend
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TEST BANK b

,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
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Table of Contents b b




Table of Contents
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Chapter 01. The Concept of Stress Adaptation
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Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
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Chapter 03. Psychopharmacology
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Chapter 04. Concepts of Psychobiology
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Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
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Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
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Nursing47
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Chapter 07. Relationship Development
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Chapter 08. Therapeutic Communication
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Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
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Chapter 10. Therapeutic Groups
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Chapter 11. Intervention With Families
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Chapter 12. Milieu Therapy - The Therapeutic Community
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Chapter 13. Crisis Intervention
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Chapter 14. Assertiveness Training
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Chapter 15. Promoting Self-Esteem
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Chapter 16. Anger/Aggression Management
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Chapter 17. The Suicidal Client
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Chapter 18. Behavior Therapy
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Chapter 19. Cognitive Therapy
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Chapter 20. Electroconvulsive Therapy
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Chapter 21. The Recovery Model
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Chapter 22. Neurocognitive Disorders
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Chapter 23. Substance-Related and Addictive Disorders
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Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
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Chapter 25. Depressive Disorders
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Chapter 26. Bipolar and Related Disorders
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Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
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Chapter 28: Trauma and Stressor-Related Disorders
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Chapter 29. Somatic Symptom and Dissociative Disorders
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Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
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Chapter 31. Eating Disorders
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Chapter 32. Personality Disorders
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Chapter 33. Children and Adolescents
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Chapter 34. The Aging Individual
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Chapter 35. Survivors of Abuse or Neglect
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Chapter 36. Community Mental Health Nursing
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Chapter 37. The Bereaved Individual
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Chapter 38. Military Families
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,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
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Chapter 01. The Concept of Stress Adaptation
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Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
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Multiple Choice b




1. A client has experienced the death of a close family member and at the same time becomes unemployed.
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This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should
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the nurse evaluate this client data?
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A. The client is experiencing severe distress and is at risk for physical and psychological illness.
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B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
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stress-related illness.
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C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
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coping resources and available supports.
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D. The client may view these losses as challenges and perceive them as opportunities.
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ANS: C b




The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
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Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500
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or more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support
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can limit susceptibility to stress-related illnesses.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
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Psychosocial Integrity b




2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
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nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the
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nurse characterize the clients appraisal of the job loss stressor?
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A. Irrelevant

B. Harm/loss

C. Threatening

D. Challenging

ANS: D b




The client perceives the situation of job loss as a challenge and an opportunity for growth.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
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Psychosocial Integrity b




3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
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A. Ive found that avoiding contact with others helps me cope.
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B. I really enjoy journaling; its my private time.
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C. I signed up for a yoga class this week.
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D. I made an appointment to meet with a therapist.
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ANS: A b




Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
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learning appropriate coping skills and can prevent access to needed support systems.
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, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
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Psychosocial Integrity b




4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When
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this occurs, which stage of stress is the student most likely experiencing?
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A. Alarm reaction stage b b




B. Stage of resistance b b




C. Stage of exhaustion b b




D. Fight-or-flight stage b




ANS: C b




At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
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depleted. Diseases of adaptation occur more frequently in this stage.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
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Psychosocial Integrity b




5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
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clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
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response?
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A. Teenagers! They dont know a thing about real stress. b b b b b b b b




B. Stress occurs only when there is a loss.
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C. When you are in poor physical condition, you cant experience psychological well-being.
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D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
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ANS: D b




Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
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physiological change.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
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Psychosocial Integrity b




6. A bright student confides in the school nurse about conflicts related to attending college or working to add
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needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend
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bto the student at this time?
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A. Meditation

B. Problem-solving training b




C. Relaxation

D. Journaling

ANS: B b




The student must assess his or her situation and determine the best course of action. Problem-solving
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training, by providing structure and objectivity, can assist in decision making.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
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Psychosocial Integrity b