v v v v v
v MentalHealthNursing10thEditionByKarynI.
v v v v v v
Morgan;MaryC.Townsend
v v v v
TESTBANK b
,Table of Contents
v v
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
v v v v v
1. The Conceptof Stress Adaptation
v v v v
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
v v v v v v v v
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING v v v v
3. Concepts of Psychobiology v v
4. Psychopharmacology
5. Ethical andLegal Issuesv v v
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE v v v v v
6. Relationship Development v
7. Therapeutic Communication v
8. The Nursing Process in Psychiatric-Mental Health Nursing
v v v v v v
9. Therapeutic Groups v
10. Intervention with Families v v
11. Milieu Therapy—The Therapeutic Community
v v v
12. Crisis Intervention v
13. Assertiveness Training v
14. PromotingSelf Esteem v v
15. Angerand AggressionManagement
v v v
16. Suicide Prevention v
17. BehaviorTherapy v
18. CognitiveBehavioral Therapy v v
19. Electroconvulsive Therapy v
20. The Recovery Model
v v
IV. NURSINGCARE OFPATIENTSWITHALTERATIONS INPSYCHOSOCIALADAPTATION v v v v v v v v
21. Caringfor Patients withMental Illnessand Substance Use Disorders in General Practice Settings
v v v v v v v v v v v v
22. Neurocognitive Disorders v
23. Substance-Related and Addictive Disorders v v v
24. Schizophrenia Spectrum and Other Psychotic Disorders v v v v v
25. Depressive Disorders v
26. Bipolarand Related Disorders v v v
27. Anxiety, Obsessive-Compulsive, and Related Disorders
v v v v
28. Trauma and Stressor-Related Disorders v v v
29. Somatic Symptom and Dissociative Disordersv v v v
30. Eating Disorders v
31. Personality Disorders v
V. PSYCHIATRIC/MENTALHEALTHNURSINGOFSPECIALPOPULATIONS v v v
32. Childrenand Adolescents v v
33. The Aging Individual
v v
34. Survivorsof Abuse orNeglect v v v v
35. Community Mental Health Nursing v v v
36. The Bereaved Individual
v v
37. Military Families v
eBook Bonus Chapters
v v
38. Theoretical Models of Personality Development v v v v
39. Culturaland Spiritual ConceptsRelevant toPsychiatricMental Health Nursing
v v v v v v v v v
40. Complementary and Psychosocial Therapies v v v
41. Relaxation Therapy v
42. Issues RelatedtoHuman Sexualityand Gender Dysphoria
v v v v v v v
43. Forensic Nursing v
,Chapter1. The Concept ofStress Adaptation
v v v v v v
MULTIPLE CHOICE v
1. Aclient has experienced the death of a close familymember and at the same timebecomes unemployed.
v v v v v v v v v v v v v v v v
The client’s 6-monthscore onthe RecentLifeChanges Questionnaireis 110. Thenurse:
v v v v v v v v v v v v v v
Understands the client is at risk for significant stress-related illness. Determines the
v v v v v v v v v v v
client is not at risk forsignificant stress-related illness.
v v v v v v v v
Needsfurtherassessment oftheclient’scoping skills todeterminesusceptibility tostress-related
v v v v v v v v v v v
illness.
v
Recognizesthe client may viewthelosses as challenges and perceivethem asopportunities.
v v v v v v v v v v v v
ANS:3 v
Chapter:Chapter1,TheConcept of Stress Adaptation
v v v v v v v
Objective: Explain therelationship between stress and diseases ofadaptation.Page: 5
v v v v v b v v v
Heading: Stress as an Environmental Event IntegratedProcesses: NursingProcess:EvaluationClient Need:
v v v v v v v v v v v
Psychosocial Integrity
v v
CognitiveLevel:Application[Applying]Concept:Stress Difficulty: v v
Moderate
v
Feedback
1. This is incorrect. Assessment is the first step of thenursing process. The nurse should
v v v v v v v v v v v v v v
vassesstheclient’s coping skills andavailablesupport beforedetermining susceptibility to
v v v v v v v v v v v
vstress-related physical and psychological illnesses. The Recent LifeChanges v v v v v v v
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
vRahe-HolmesSocial ReadjustmentRatingScale.A6-month scoreof300ormoreora year- v v v v v v v v v v v v v v
score total of 500 or more indicates high stress in a
v v v v v v v v v v
client’slifeand susceptibility tostress-related illnesses. v v v v v v
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should assess
v v v v v v v v v v v v v v v
the client’s coping skills and available support before determining the client’s perception of
v v v v v v v v v v v v v
thecurrent stresses.A6-month scoreof300ormoreorayear-scoretotal of 500 or more on the
v v v v v v v v v v v v v v v v v v v v
Recent Life Changes Questionnaire indicates high stress in a
v v v v v v v v v
client’s lifeand susceptibility to stress-related physical and psychological illnesses.
v v v v v v v v v
3. This is correct. Assessment is the first step in the nursing process. The nurse should assess
v v v v v v v v v v v v v v v
theclient’scopingskillsandavailablesupportbeforedeterminingsusceptibilityto stress-
v v v v v v v v v v v v
related physical and psychological illnesses. A 6-month score
v v v v v v v
, of300ormoreor ayear-scoreof500ormoreindicates high stressinaclient’s lifeand risk for
v v v v v v v v v v v v v v v v v v v
significant stress-related physical and psychological illness.
v v v v v v
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
v v v v v v v v v v v v v v
assesstheclient’scoping skillsandavailablesupportbeforedetermining susceptibility to
v v v v v v v v v v v v
stress-relatedillness.A6-month scoreof300ormoreorayear-scoreof500 ormore on the
v v v v v v v v v v v v v v v v v v v
Recent LifeChanges Questionnaire indicates high stressin aclient’s lifeis susceptible to
v v v v v v v v v v v v v
significant stress-related physical and psychologicalillness.
v v v v v
CON:Stress v
2. Aphysicallyandemotionallyhealthyclienthasjustbeenfired.Duringaroutineofficevisit,hetells the
v v v v v v v v v v v v v v v v v
vnurse, “Perhaps this was the best thing to happen. Maybe I’ll
v v v v v v v v v v
considerpursuingan art degree.” Thenurse determinestheclient perceivesthestressorof hisjobloss as:
v v v v v v v v v v v v v v v v
Irrelevant
vHarmorloss
vThreatening
vAchallenge
v
ANS:4 v
Chapter:Chapter1,TheConcept of Stress Adaptation
v v v v v v v
Objective:Discussadaptivecopingstrategiesinthemanagement ofstress.Page:7 Heading:
v v v v v v v v v v
Stress as a transaction between the individual and the environment
v v v v v v v v v v
>Individual’sPerceptionoftheEvent>PrimaryAppraisalIntegratedProcesses:NursingProcess:
v v v v v v v v v v
Assessment
v
Client Need: Psychosocial Integrity CognitiveLevel:Application [Applying]Concept: Stress
v v v v v v b v
Difficulty: Easy
v v
Feedback
1. Thisisincorrect.Anirrelevantperceptionisonewheretheeventholdsnosignificance for the
v v v v v v v v v v v v v
individual.
v
2. Thisisincorrect.Aharm orlossappraisalreferstodamageorlossalreadyexperienced by the
v v v v v v v v v v v v v v v
individual.
v
3. This isincorrect. A threatening appraisal is perceived as anticipated harms or losses.
v v v v v v v v v v v v
4. This is correct. The client’s statement indicates he perceives the loss of his job as a challenge
v v v v v v v v v v v v v v v v
andanopportunityforgrowth,demonstratedbyhisstatementtoconsideran art degree.
v v v v v v v v v v v v
CON:Stress v