TesteBanke-ePsychiatriceMentaleHealtheNursingebyeMaryeTownsende(9theEdition,e2017) 1
NSGe388MentaleH
ealtheStuff.
Table of Contents
e e
1
Tablee ofe Contents
Chaptere01.eTheeConcepteofeStresseAdaptation 2
Chaptere02.eMentaleHealth/MentaleIllness:eHistoricaleandeTheoreticaleConcepts 9
Chaptere03.ePsychopharmacology 20
Chaptere04.eConceptseofePsychobiology 28
Chaptere05.eEthicaleandeLegaleIssueseinePsychiatric/MentaleHealtheNursing 37
Chaptere 06.e Culturale ande Spirituale Conceptse Relevante toe Psychiatric/Mentale Healthe Nursing
47
Chaptere 07.e Relationshipe Development 54
Chaptere 08.e Therapeutice Communication 62
Chaptere 09.e Thee Nursinge Processe ine Psychiatric/Mentale Healthe NursingeC 74
haptere10.eTherapeuticeGroups 85
Chaptere 11.e Interventione Withe Families 93
Chaptere 12.e Milieue Therapye - 99
e Thee Therapeutice Communitye Chaptere13.eCrisiseIntervention 104
Chaptere 14.e Assertivenesse TrainingeCh 109
aptere 15.e Promotinge Self-Esteem 117
Chaptere 16.e Anger/Aggressione ManagementeChap 123
tere17.eTheeSuicidaleClient 130
Chaptere 18.e Behaviore TherapyeChapte 139
re19.e Cognitivee TherapyeChaptere 20.e El 146
ectroconvulsivee TherapyeChaptere21.eTh 155
eeRecoveryeModeleChaptere 22.e Neuroco 162
gnitivee Disorders 169
Chaptere 23.e Substance-Relatede ande Addictivee Disorders 175
Chaptere 24.e Schizophreniae Spectrume ande Othere Psychotice DisorderseCh 186
aptere25.eDepressiveeDisorders 197
Chaptere 26.e Bipolare ande Relatede Disorders 208
Chaptere 27.e Anxiety,e Obsessive- 219
Compulsive,e ande Relatede DisorderseChaptere28:eTraumaeandeStressor- 230
RelatedeDisorders 238
Chaptere 29.e Somatice Symptome ande Dissociativee Disorders 244
Chaptere 30.e Issuese Relatede toe Humane Sexualitye ande Gendere Dysphoriae 249
Chaptere31.eEatingeDisorders 257
Chaptere32.ePersonalityeDisorderseCha 269
ptere 33.e Childrene ande AdolescentseCha 279
ptere34.eTheeAgingeIndividual 284
Chaptere35.eSurvivorseofeAbuseeoreNeglecteChapte 290
re 36.e Communitye Mentale Healthe NursingeChaptere3 297
7.eTheeBereavedeIndividual 302
Chaptere 38.e Militarye Families
,TesteBanke-ePsychiatriceMentaleHealtheNursingebyeMaryeTownsende(9theEdition,e2017) 2
Chapter 01. The Concept of Stress Adaptation
e e e e e e
MultipleeChoice
1. Aeclientehaseexperiencedetheedeatheofeaecloseefamilyemembereandeatetheesameetimeebecomeseunemployed.eTh
isesituationehaseresultedeineae6-
monthescoreeofe110eonetheeRecenteLifeeChangeseQuestionnaire.eHoweshouldetheenurseeevaluateethiseclientedata
?
A. Theeclienteiseexperiencingesevereedistresseandeiseateriskeforephysicaleandepsychologicaleillness.
B. Aescoreeofe110eonetheeMillereandeRaheeRecenteLifeeChangeseQuestionnaireeindicatesenoesignificantethreateofest
ress-relatedeillness.
C. Susceptibilityetoestress-
relatedephysicaleorepsychologicaleillnessecannotebeeestimatedewithouteknowledgeeofecopingeresourceseandeavail
ableesupports.
D. Theeclientemayeviewetheseelosseseasechallengeseandeperceiveethemeaseopportunities.
ANS:eC
TheeRecenteLifeeChangeseQuestionnaireeiseaneexpandedeversioneofetheeScheduleeofeRecenteExperienceseandetheeR
ahe-HolmeseSocialeReadjustmenteRatingeScale.eAe6-monthescoreeofe300eoremore,eoreaeyear-
scoreetotaleofe500eoremore,eindicatesehighestresseineaeclientselife.eHowever,epositiveecopingemechanismseandestron
gesocialesupportecanelimitesusceptibilityetoestress-relatedeillnesses.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Evaluatione |e Cliente Need:
Psychosociale Integrity
2. Aephysicallyeandeemotionallyehealthyeclientehasejustebeenefired.eDuringeaeroutineeofficeevisiteheestatesetoeaen
urse:ePerhapsethisewasetheebestethingetoehappen.eMaybeeIllelookeintoepursuingeaneartedegree.eHoweshouldetheenur
seecharacterizeetheeclientseappraisaleofetheejobelossestressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:eD
Theeclienteperceivesetheesituationeofejobelosseaseaechallengeeandeaneopportunityeforegrowth.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Assessmente |eCliente Need:
Psychosociale Integrity
3. Whicheclientestatementeshouldealerteaenurseethateaeclientemayebeerespondingemaladaptivelyetoestress?
A. Iveefoundethateavoidingecontactewitheothersehelpsemeecope.
B. Iereallyeenjoyejournaling;eitsemyeprivateetime.
C. Iesignedeupeforeaeyogaeclassethiseweek.
D. Iemadeeaneappointmentetoemeetewitheaetherapist.
ANS:eA
Relianceeonesocialeisolationeaseaecopingemechanismeiseaemaladaptiveemethodetoerelieveestress.eItecanepreventelearnin
geappropriateecopingeskillseandecanepreventeaccessetoeneededesupportesystems.
,TesteBanke-ePsychiatriceMentaleHealtheNursingebyeMaryeTownsende(9theEdition,e2017) 3
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Evaluatione |e Cliente Need:
Psychosociale Integrity
4. Aenursingestudentefindsethatesheecomesedownewitheaesinuseinfectionetowardetheeendeofeeveryesemester.eWheneth
iseoccurs,ewhichestageeofestresseisetheestudentemostelikelyeexperiencing?
A. Alarmereactionestage
B. Stageeoferesistance
C. Stageeofeexhaustion
D. Fight-or-flightestage
ANS:eC
Atetheestageeofeexhaustion,etheestudentseexposureetoestressehasebeeneprolongedeandeadaptiveeenergyehasebeenedeplet
ed.eDiseaseseofeadaptationeoccuremoreefrequentlyeinethisestage.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Assessmente |eCliente Need:
Psychosociale Integrity
5. Aeschoolenurseeiseassessingeaefemaleehigheschoolestudentewhoeiseoverlyeconcernedeaboutehereappearance.eTheecl
ientsemotherestates,eThatsenotesomethingetoebeestressedeabout!eWhicheisetheemosteappropriateenursingeresponse
?
A. Teenagers!e Theye donte knowe ae thinge aboutereale stress.
B. Stresseoccurseonlyewhenethereeiseaeloss.
C. Wheneyoueareeinepoorephysicalecondition,eyouecanteexperienceepsychologicalewell-being.
D. Stressecanebeepsychological.eAethreatetoeself-esteememayeresulteinehighestresselevels.
ANS:eD
Stressecanebeephysicaleorepsychologicaleinenature.eAeperceivedethreatetoeself-
esteemecanebeeasestressfuleaseaephysiologicalechange.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Implementatione |e Cliente Need:
Psychosociale Integrity
6. Aebrightestudenteconfideseinetheeschoolenurseeabouteconflictserelatedetoeattendingecollegeeoreworkingetoeadden
eededefinancialesupportetoetheefamily.eWhichecopingestrategyeisemosteappropriateeforetheenurseetoerecommendetoet
heestudenteatethisetime?
A. Meditation
B. Problem-solvinge training
C. Relaxation
D. Journaling
ANS:eB
Theestudentemusteassessehiseoreheresituationeandedetermineetheebestecourseeofeaction.eProblem-
solvingetraining,ebyeprovidingestructureeandeobjectivity,ecaneassisteinedecisionemaking.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Implementatione |e Cliente Need:
Psychosociale Integrity
, TesteBanke-ePsychiatriceMentaleHealtheNursingebyeMaryeTownsende(9theEdition,e2017) 4
7. Aneunemployedecollegeegraduateeiseexperiencingesevereeanxietyeoverenotefindingeaeteachingepositioneandehased
ifficultyewitheindependenteproblem-
solving.eDuringeaeroutineephysicaleexamination,etheegraduateeconfideseinetheeclinicenurse.eWhicheisetheemosteap
propriateenursingeintervention?
A. Encourageetheestudentetoeuseetheealternativeecopingemechanismeoferelaxationeexercises.
B. Completeetheeproblem-solvingeprocesseforetheeclient.
C. Workethroughetheeproblem-solvingeprocessewithetheeclient.
D. Encourageetheeclientetoekeepeaejournal.
ANS:e C
Duringetimeseofehigheanxietyeandestress,eclientsewilleneedemoreeassistanceeineproblem-solvingeandedecisionemaking.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Implementatione |e Cliente Need:
Psychosociale Integrity
8. Aeschoolenurseeiseassessingeaedistraughtefemaleehigheschoolestudentewhoeiseoverlyeconcernedebecauseeherep
arentsecanteaffordehorsebackeridingelessons.eHoweshouldetheenurseeinterpretetheestudentsereactionetoehereper
ceivedeproblem?
A. Theeproblemeiseendangeringeherewell-being.
B. Theeproblemeisepersonallyerelevantetoeher.
C. Theeproblemeisebasedeoneimmaturity.
D. Theeproblemeiseexceedingeherecapacityetoecope.
ANS:eB
Psychologicalestressorsetoeself-esteemeandeself-
imageeareerelatedetoehowetheeindividualeperceivesetheesituationeoreevent.eSelf-
imageeiseofeparticulareimportanceetoeadolescents,ewhoefeeleentitledetoehaveealletheeadvantagesethateothereadolescen
tseexperience.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Evaluatione |e Cliente Need:
Psychosociale Integrity
9. Meditationehasebeeneshownetoebeeaneeffectiveestressemanagementetechnique.eWhenemeditationeiseeffective,ew
hateshouldeaenurseeexpectetoeassess?
A. Aneachievedestateeoferelaxation
B. Aneachievedeinsighteintoeonesefeelings
C. Aedemonstrationeofeappropriateeroleebehaviors
D. Aneenhancedeabilityetoeproblem-solve
ANS:eA
Meditationeproduceserelaxationebyecreatingeaespecialestateeofeconsciousnessethroughefocusedeconcentration.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Evaluatione |e Cliente Need:
Psychosociale Integrity
10. Aedistraught,esingle,efirst-
timeemotherecrieseandeaskseaenurse,eHowecaneIegoetoeworkeifeIecanteaffordechildcare?eWhateisetheenursesein
itialeactioneineassistingetheeclientewithetheeproblem-solvingeprocess?
NSGe388MentaleH
ealtheStuff.
Table of Contents
e e
1
Tablee ofe Contents
Chaptere01.eTheeConcepteofeStresseAdaptation 2
Chaptere02.eMentaleHealth/MentaleIllness:eHistoricaleandeTheoreticaleConcepts 9
Chaptere03.ePsychopharmacology 20
Chaptere04.eConceptseofePsychobiology 28
Chaptere05.eEthicaleandeLegaleIssueseinePsychiatric/MentaleHealtheNursing 37
Chaptere 06.e Culturale ande Spirituale Conceptse Relevante toe Psychiatric/Mentale Healthe Nursing
47
Chaptere 07.e Relationshipe Development 54
Chaptere 08.e Therapeutice Communication 62
Chaptere 09.e Thee Nursinge Processe ine Psychiatric/Mentale Healthe NursingeC 74
haptere10.eTherapeuticeGroups 85
Chaptere 11.e Interventione Withe Families 93
Chaptere 12.e Milieue Therapye - 99
e Thee Therapeutice Communitye Chaptere13.eCrisiseIntervention 104
Chaptere 14.e Assertivenesse TrainingeCh 109
aptere 15.e Promotinge Self-Esteem 117
Chaptere 16.e Anger/Aggressione ManagementeChap 123
tere17.eTheeSuicidaleClient 130
Chaptere 18.e Behaviore TherapyeChapte 139
re19.e Cognitivee TherapyeChaptere 20.e El 146
ectroconvulsivee TherapyeChaptere21.eTh 155
eeRecoveryeModeleChaptere 22.e Neuroco 162
gnitivee Disorders 169
Chaptere 23.e Substance-Relatede ande Addictivee Disorders 175
Chaptere 24.e Schizophreniae Spectrume ande Othere Psychotice DisorderseCh 186
aptere25.eDepressiveeDisorders 197
Chaptere 26.e Bipolare ande Relatede Disorders 208
Chaptere 27.e Anxiety,e Obsessive- 219
Compulsive,e ande Relatede DisorderseChaptere28:eTraumaeandeStressor- 230
RelatedeDisorders 238
Chaptere 29.e Somatice Symptome ande Dissociativee Disorders 244
Chaptere 30.e Issuese Relatede toe Humane Sexualitye ande Gendere Dysphoriae 249
Chaptere31.eEatingeDisorders 257
Chaptere32.ePersonalityeDisorderseCha 269
ptere 33.e Childrene ande AdolescentseCha 279
ptere34.eTheeAgingeIndividual 284
Chaptere35.eSurvivorseofeAbuseeoreNeglecteChapte 290
re 36.e Communitye Mentale Healthe NursingeChaptere3 297
7.eTheeBereavedeIndividual 302
Chaptere 38.e Militarye Families
,TesteBanke-ePsychiatriceMentaleHealtheNursingebyeMaryeTownsende(9theEdition,e2017) 2
Chapter 01. The Concept of Stress Adaptation
e e e e e e
MultipleeChoice
1. Aeclientehaseexperiencedetheedeatheofeaecloseefamilyemembereandeatetheesameetimeebecomeseunemployed.eTh
isesituationehaseresultedeineae6-
monthescoreeofe110eonetheeRecenteLifeeChangeseQuestionnaire.eHoweshouldetheenurseeevaluateethiseclientedata
?
A. Theeclienteiseexperiencingesevereedistresseandeiseateriskeforephysicaleandepsychologicaleillness.
B. Aescoreeofe110eonetheeMillereandeRaheeRecenteLifeeChangeseQuestionnaireeindicatesenoesignificantethreateofest
ress-relatedeillness.
C. Susceptibilityetoestress-
relatedephysicaleorepsychologicaleillnessecannotebeeestimatedewithouteknowledgeeofecopingeresourceseandeavail
ableesupports.
D. Theeclientemayeviewetheseelosseseasechallengeseandeperceiveethemeaseopportunities.
ANS:eC
TheeRecenteLifeeChangeseQuestionnaireeiseaneexpandedeversioneofetheeScheduleeofeRecenteExperienceseandetheeR
ahe-HolmeseSocialeReadjustmenteRatingeScale.eAe6-monthescoreeofe300eoremore,eoreaeyear-
scoreetotaleofe500eoremore,eindicatesehighestresseineaeclientselife.eHowever,epositiveecopingemechanismseandestron
gesocialesupportecanelimitesusceptibilityetoestress-relatedeillnesses.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Evaluatione |e Cliente Need:
Psychosociale Integrity
2. Aephysicallyeandeemotionallyehealthyeclientehasejustebeenefired.eDuringeaeroutineeofficeevisiteheestatesetoeaen
urse:ePerhapsethisewasetheebestethingetoehappen.eMaybeeIllelookeintoepursuingeaneartedegree.eHoweshouldetheenur
seecharacterizeetheeclientseappraisaleofetheejobelossestressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:eD
Theeclienteperceivesetheesituationeofejobelosseaseaechallengeeandeaneopportunityeforegrowth.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Assessmente |eCliente Need:
Psychosociale Integrity
3. Whicheclientestatementeshouldealerteaenurseethateaeclientemayebeerespondingemaladaptivelyetoestress?
A. Iveefoundethateavoidingecontactewitheothersehelpsemeecope.
B. Iereallyeenjoyejournaling;eitsemyeprivateetime.
C. Iesignedeupeforeaeyogaeclassethiseweek.
D. Iemadeeaneappointmentetoemeetewitheaetherapist.
ANS:eA
Relianceeonesocialeisolationeaseaecopingemechanismeiseaemaladaptiveemethodetoerelieveestress.eItecanepreventelearnin
geappropriateecopingeskillseandecanepreventeaccessetoeneededesupportesystems.
,TesteBanke-ePsychiatriceMentaleHealtheNursingebyeMaryeTownsende(9theEdition,e2017) 3
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Evaluatione |e Cliente Need:
Psychosociale Integrity
4. Aenursingestudentefindsethatesheecomesedownewitheaesinuseinfectionetowardetheeendeofeeveryesemester.eWheneth
iseoccurs,ewhichestageeofestresseisetheestudentemostelikelyeexperiencing?
A. Alarmereactionestage
B. Stageeoferesistance
C. Stageeofeexhaustion
D. Fight-or-flightestage
ANS:eC
Atetheestageeofeexhaustion,etheestudentseexposureetoestressehasebeeneprolongedeandeadaptiveeenergyehasebeenedeplet
ed.eDiseaseseofeadaptationeoccuremoreefrequentlyeinethisestage.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Assessmente |eCliente Need:
Psychosociale Integrity
5. Aeschoolenurseeiseassessingeaefemaleehigheschoolestudentewhoeiseoverlyeconcernedeaboutehereappearance.eTheecl
ientsemotherestates,eThatsenotesomethingetoebeestressedeabout!eWhicheisetheemosteappropriateenursingeresponse
?
A. Teenagers!e Theye donte knowe ae thinge aboutereale stress.
B. Stresseoccurseonlyewhenethereeiseaeloss.
C. Wheneyoueareeinepoorephysicalecondition,eyouecanteexperienceepsychologicalewell-being.
D. Stressecanebeepsychological.eAethreatetoeself-esteememayeresulteinehighestresselevels.
ANS:eD
Stressecanebeephysicaleorepsychologicaleinenature.eAeperceivedethreatetoeself-
esteemecanebeeasestressfuleaseaephysiologicalechange.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Implementatione |e Cliente Need:
Psychosociale Integrity
6. Aebrightestudenteconfideseinetheeschoolenurseeabouteconflictserelatedetoeattendingecollegeeoreworkingetoeadden
eededefinancialesupportetoetheefamily.eWhichecopingestrategyeisemosteappropriateeforetheenurseetoerecommendetoet
heestudenteatethisetime?
A. Meditation
B. Problem-solvinge training
C. Relaxation
D. Journaling
ANS:eB
Theestudentemusteassessehiseoreheresituationeandedetermineetheebestecourseeofeaction.eProblem-
solvingetraining,ebyeprovidingestructureeandeobjectivity,ecaneassisteinedecisionemaking.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Implementatione |e Cliente Need:
Psychosociale Integrity
, TesteBanke-ePsychiatriceMentaleHealtheNursingebyeMaryeTownsende(9theEdition,e2017) 4
7. Aneunemployedecollegeegraduateeiseexperiencingesevereeanxietyeoverenotefindingeaeteachingepositioneandehased
ifficultyewitheindependenteproblem-
solving.eDuringeaeroutineephysicaleexamination,etheegraduateeconfideseinetheeclinicenurse.eWhicheisetheemosteap
propriateenursingeintervention?
A. Encourageetheestudentetoeuseetheealternativeecopingemechanismeoferelaxationeexercises.
B. Completeetheeproblem-solvingeprocesseforetheeclient.
C. Workethroughetheeproblem-solvingeprocessewithetheeclient.
D. Encourageetheeclientetoekeepeaejournal.
ANS:e C
Duringetimeseofehigheanxietyeandestress,eclientsewilleneedemoreeassistanceeineproblem-solvingeandedecisionemaking.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Implementatione |e Cliente Need:
Psychosociale Integrity
8. Aeschoolenurseeiseassessingeaedistraughtefemaleehigheschoolestudentewhoeiseoverlyeconcernedebecauseeherep
arentsecanteaffordehorsebackeridingelessons.eHoweshouldetheenurseeinterpretetheestudentsereactionetoehereper
ceivedeproblem?
A. Theeproblemeiseendangeringeherewell-being.
B. Theeproblemeisepersonallyerelevantetoeher.
C. Theeproblemeisebasedeoneimmaturity.
D. Theeproblemeiseexceedingeherecapacityetoecope.
ANS:eB
Psychologicalestressorsetoeself-esteemeandeself-
imageeareerelatedetoehowetheeindividualeperceivesetheesituationeoreevent.eSelf-
imageeiseofeparticulareimportanceetoeadolescents,ewhoefeeleentitledetoehaveealletheeadvantagesethateothereadolescen
tseexperience.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Evaluatione |e Cliente Need:
Psychosociale Integrity
9. Meditationehasebeeneshownetoebeeaneeffectiveestressemanagementetechnique.eWhenemeditationeiseeffective,ew
hateshouldeaenurseeexpectetoeassess?
A. Aneachievedestateeoferelaxation
B. Aneachievedeinsighteintoeonesefeelings
C. Aedemonstrationeofeappropriateeroleebehaviors
D. Aneenhancedeabilityetoeproblem-solve
ANS:eA
Meditationeproduceserelaxationebyecreatingeaespecialestateeofeconsciousnessethroughefocusedeconcentration.
KEY:e Cognitivee Level:e Applicatione |eIntegratede Processes:e Nursinge Process:e Evaluatione |e Cliente Need:
Psychosociale Integrity
10. Aedistraught,esingle,efirst-
timeemotherecrieseandeaskseaenurse,eHowecaneIegoetoeworkeifeIecanteaffordechildcare?eWhateisetheenursesein
itialeactioneineassistingetheeclientewithetheeproblem-solvingeprocess?
