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Townsend's Psychiatric Mental Health
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Nursing, 11th Edition
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by Karyn I. Morgan
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Latest| Chapter Guide 1-38 | Expert Verified Q&As
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, 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 Nursing
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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 b b b
Chapter 01. The Concept of Stress Adaptation
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Multiple Choice
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1. A client has experienced the death of a close family member and at the same time becomes
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unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life
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Changes Questionnaire. How should 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
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threat of stress-related illness.
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C. Susceptibility to stress-related physical or psychological illness cannot be estimated without
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knowledge of 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
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, The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences
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and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-
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score total of 500 or more, indicates high stress in a clients life. However, positive coping mechanisms
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and strong social support 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
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2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to
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a nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How
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should the 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
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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
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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
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prevent learning appropriate coping skills and can prevent access to needed support systems.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
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Psychosocial Integrity
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