TEST BANK: b b
PSYCHIATRIC MENTAL bb
HEALTH NURSING:
bb bb
Concepts of Care in Evidence-Based Practice
bb bb bb bb bb
9TH EDITIONb b
By Mary C. Townsend
b b b b b b
TEST BANK b b
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th
bb bb bb bb bb bb bb bb bb bb 1
Edition)
bb
Table of Contents bb bb
Table of bb 1
Contents
bb
Chapter 01. The Concept of Stress Adaptation
bb bb bb 2 bb bb bb
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
bb bb bb 9 bb bb bb bb bb
Chapter 03. Psychopharmacology
bb bb 20
Chapter 04. Concepts of Psychobiology
bb bb bb 28 bb
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
bb bb bb 37
bb bb bb bb bb bb
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
bb bb bb bb bb bb bb bb bb
Nursing47
bb
Chapter 07. Relationship Development
bb bb 54 bb
Chapter 08. Therapeutic
bb bb bb 62
Communication
bb 74
Chapter 09. The Nursing Process in Psychiatric/Mental Health
bb bb bb 85 bb bb bb bb
Nursing Chapter 10. Therapeutic Groups
bb bb bb bb 93 bb
Chapter 11. Intervention With Families
bb bb 99 bb bb
Chapter 12. Milieu Therapy - The Therapeutic Community
bb bb bb 104 bb bb bb bb
Chapter 13. Crisis Intervention
bb bb bb bb 109
Chapter 14. Assertiveness Training
bb bb 117 bb
Chapter 15. Promoting Self-Esteem
bb bb bb 123
bb
Chapter 16. Anger/Aggression Management
bb bb 130 bb
Chapter 17. The Suicidal Client
bb bb bb bb 139 bb
Chapter 18. Behavior Therapy
b b b b 146
b b
Chapter 19. Cognitive Therapy
bb bb b b 155
b b
Chapter 20. Electroconvulsive
bb bb bb 162
Therapy Chapter 21. The Recovery
bb bb bb bb 169 bb
Model Chapter 22. Neurocognitive
bb bb bb bb 175
Disorders
bb 186
Chapter 23. Substance-Related and Addictive Disorders
bb bb 197 bb bb bb
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
bb bb 208 bb bb bb bb bb
Chapter 25. Depressive Disorders
bb bb bb 219 bb
Chapter 26. Bipolar and Related Disorders
bb bb bb 230 bb bb
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
bb bb bb 238 bb bb bb
Chapter 28: Trauma and Stressor-Related Disorders
bb bb bb bb 244 bb bb
Chapter 29. Somatic Symptom and Dissociative Disorders
bb bb bb 249 bb bb bb
Chapter 30. Issues Related to Human Sexuality and Gender
bb bb bb 257 bb bb bb bb bb
Dysphoria Chapter 31. Eating Disorders
bb bb bb 269
bb bb
Chapter 32. Personality Disorders
bb bb 279
bb
Chapter 33. Children and Adolescents
bb bb bb bb 284 bb
Chapter 34. The Aging Individual
bb bb bb bb 290
bb
Chapter 35. Survivors of Abuse or Neglect
bb bb bb 297 bb bb bb
Chapter 36. Community Mental Health Nursing
bb bb bb 302 bb bb bb
Chapter 37. The Bereaved Individual
bb bb bb bb bb
Chapter 38. Military Families
bb bb bb
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th
bb bb bb bb bb bb bb bb bb bb 2
Edition)
bb
Chapter 01. The Concept of Stress Adaptation
bb bb bb bb bb bb
Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
bb bb bb bb bb bb bb bb b b bb bb
Multiple Choice bb
1. A client has experienced the death of a close family member and at the same time becomes
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
Questionnaire. How should the nurse evaluate this client data?
bb bb bb bb bb bb bb bb bb
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
threat of stress-related illness.
bb bb bb bb
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without
bb bb bb bb bb bb bb bb bb bb
knowledge of coping resources and available supports.
bb bb bb bb bb bb bb
D. The client may view these losses as challenges and perceive them as opportunities.
bb bb bb bb bb bb bb bb bb bb bb bb
ANS: C bb
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
score total of 500 or more, indicates high stress in a clients life. However, positive coping mechanisms
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
and strong social support can limit susceptibility to stress-related illnesses.
bb bb bb bb bb bb bb bb bb bb
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client
bb bb bb b b bb bb bb bb bb b b bb
Need:
bb
Psychosocial Integrity bb
2. A physically and emotionally healthy client has just been fired. During a routine office visit he
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
states to a nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
degree. How should the nurse characterize the clients appraisal of the job loss stressor?
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D bb
The client perceives the situation of job loss as a challenge and an opportunity for growth.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client
bb bb bb b b bb bb bb bb bb b b bb
Need:
bb
Psychosocial Integrity bb
3. Which client statement should alert a nurse that a client may be responding maladaptively to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
stress?
bb
A. Ive found that avoiding contact with others helps me cope.
bb bb bb bb bb bb bb bb bb
B. I really enjoy journaling; its my private time.
bb bb bb bb bb bb bb
C. I signed up for a yoga class this week.
bb bb bb bb bb bb bb bb
D. I made an appointment to meet with a therapist.
bb bb bb bb bb bb bb bb
ANS: A bb
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th
bb bb bb bb bb bb bb bb bb bb 3
Edition)
bb
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
prevent learning appropriate coping skills and can prevent access to needed support systems.
bb bb bb bb bb bb bb bb bb bb bb bb bb
PSYCHIATRIC MENTAL bb
HEALTH NURSING:
bb bb
Concepts of Care in Evidence-Based Practice
bb bb bb bb bb
9TH EDITIONb b
By Mary C. Townsend
b b b b b b
TEST BANK b b
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th
bb bb bb bb bb bb bb bb bb bb 1
Edition)
bb
Table of Contents bb bb
Table of bb 1
Contents
bb
Chapter 01. The Concept of Stress Adaptation
bb bb bb 2 bb bb bb
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
bb bb bb 9 bb bb bb bb bb
Chapter 03. Psychopharmacology
bb bb 20
Chapter 04. Concepts of Psychobiology
bb bb bb 28 bb
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
bb bb bb 37
bb bb bb bb bb bb
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
bb bb bb bb bb bb bb bb bb
Nursing47
bb
Chapter 07. Relationship Development
bb bb 54 bb
Chapter 08. Therapeutic
bb bb bb 62
Communication
bb 74
Chapter 09. The Nursing Process in Psychiatric/Mental Health
bb bb bb 85 bb bb bb bb
Nursing Chapter 10. Therapeutic Groups
bb bb bb bb 93 bb
Chapter 11. Intervention With Families
bb bb 99 bb bb
Chapter 12. Milieu Therapy - The Therapeutic Community
bb bb bb 104 bb bb bb bb
Chapter 13. Crisis Intervention
bb bb bb bb 109
Chapter 14. Assertiveness Training
bb bb 117 bb
Chapter 15. Promoting Self-Esteem
bb bb bb 123
bb
Chapter 16. Anger/Aggression Management
bb bb 130 bb
Chapter 17. The Suicidal Client
bb bb bb bb 139 bb
Chapter 18. Behavior Therapy
b b b b 146
b b
Chapter 19. Cognitive Therapy
bb bb b b 155
b b
Chapter 20. Electroconvulsive
bb bb bb 162
Therapy Chapter 21. The Recovery
bb bb bb bb 169 bb
Model Chapter 22. Neurocognitive
bb bb bb bb 175
Disorders
bb 186
Chapter 23. Substance-Related and Addictive Disorders
bb bb 197 bb bb bb
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
bb bb 208 bb bb bb bb bb
Chapter 25. Depressive Disorders
bb bb bb 219 bb
Chapter 26. Bipolar and Related Disorders
bb bb bb 230 bb bb
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
bb bb bb 238 bb bb bb
Chapter 28: Trauma and Stressor-Related Disorders
bb bb bb bb 244 bb bb
Chapter 29. Somatic Symptom and Dissociative Disorders
bb bb bb 249 bb bb bb
Chapter 30. Issues Related to Human Sexuality and Gender
bb bb bb 257 bb bb bb bb bb
Dysphoria Chapter 31. Eating Disorders
bb bb bb 269
bb bb
Chapter 32. Personality Disorders
bb bb 279
bb
Chapter 33. Children and Adolescents
bb bb bb bb 284 bb
Chapter 34. The Aging Individual
bb bb bb bb 290
bb
Chapter 35. Survivors of Abuse or Neglect
bb bb bb 297 bb bb bb
Chapter 36. Community Mental Health Nursing
bb bb bb 302 bb bb bb
Chapter 37. The Bereaved Individual
bb bb bb bb bb
Chapter 38. Military Families
bb bb bb
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th
bb bb bb bb bb bb bb bb bb bb 2
Edition)
bb
Chapter 01. The Concept of Stress Adaptation
bb bb bb bb bb bb
Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
bb bb bb bb bb bb bb bb b b bb bb
Multiple Choice bb
1. A client has experienced the death of a close family member and at the same time becomes
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
Questionnaire. How should the nurse evaluate this client data?
bb bb bb bb bb bb bb bb bb
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
threat of stress-related illness.
bb bb bb bb
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without
bb bb bb bb bb bb bb bb bb bb
knowledge of coping resources and available supports.
bb bb bb bb bb bb bb
D. The client may view these losses as challenges and perceive them as opportunities.
bb bb bb bb bb bb bb bb bb bb bb bb
ANS: C bb
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
score total of 500 or more, indicates high stress in a clients life. However, positive coping mechanisms
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
and strong social support can limit susceptibility to stress-related illnesses.
bb bb bb bb bb bb bb bb bb bb
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client
bb bb bb b b bb bb bb bb bb b b bb
Need:
bb
Psychosocial Integrity bb
2. A physically and emotionally healthy client has just been fired. During a routine office visit he
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
states to a nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
degree. How should the nurse characterize the clients appraisal of the job loss stressor?
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D bb
The client perceives the situation of job loss as a challenge and an opportunity for growth.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client
bb bb bb b b bb bb bb bb bb b b bb
Need:
bb
Psychosocial Integrity bb
3. Which client statement should alert a nurse that a client may be responding maladaptively to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
stress?
bb
A. Ive found that avoiding contact with others helps me cope.
bb bb bb bb bb bb bb bb bb
B. I really enjoy journaling; its my private time.
bb bb bb bb bb bb bb
C. I signed up for a yoga class this week.
bb bb bb bb bb bb bb bb
D. I made an appointment to meet with a therapist.
bb bb bb bb bb bb bb bb
ANS: A bb
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th
bb bb bb bb bb bb bb bb bb bb 3
Edition)
bb
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
prevent learning appropriate coping skills and can prevent access to needed support systems.
bb bb bb bb bb bb bb bb bb bb bb bb bb
