Table of Contents

Table of Contents

Chapter 01. The Concept of Stress Adaptation

Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts

Chapter 03. Psychopharmacology

Chapter 04. Concepts of Psychobiology

Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing

Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Chapter 07. Relationship Development

Chapter 08. Therapeutic Communication

Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing

Chapter 10. Therapeutic Groups

Chapter 11. Intervention With Families

Chapter 12. Milieu Therapy - The Therapeutic Community

Chapter 13. Crisis Intervention

Chapter 14. Assertiveness Training

Chapter 15. Promoting Self-Esteem

Chapter 16. Anger/Aggression Management

Chapter 17. The Suicidal Client

Chapter 18. Behavior Therapy

Chapter 19. Cognitive Therapy

Chapter 20. Electroconvulsive Therapy

Chapter 21. The Recovery Model

Chapter 22. Neurocognitive Disorders

Chapter 23. Substance-Related and Addictive Disorders

Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders

Chapter 25. Depressive Disorders

Chapter 26. Bipolar and Related Disorders

Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders

Chapter 28: Trauma and Stressor-Related Disorders

Chapter 29. Somatic Symptom and Dissociative Disorders

Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria

Chapter 31. Eating Disorders

Chapter 32. Personality Disorders

Chapter 33. Children and Adolescents

Chapter 34. The Aging Individual

Chapter 35. Survivors of Abuse or Neglect

Chapter 36. Community Mental Health Nursing

Chapter 37. The Bereaved Individual

Chapter 38. Military Families

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Chapter 01. The Concept of Stress Adaptation

Multiple Choice

1. A client has experienced the death of a close family member and at the same time becomes unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should

the nurse evaluate this client data?

A. The client is experiencing severe distress and is at risk for physical and psychological illness.

B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of

stress-related illness.

C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of

coping resources and available supports. D. The client may view these losses as challenges and perceive them as opportunities. ANS: C

The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the

Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500

or more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support

can limit susceptibility to stress-related illnesses. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:

Psychosocial Integrity

2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a

nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the

nurse characterize the clients appraisal of the job loss stressor?

A. Irrelevant

B. Harm/loss

C. Threatening

D. Challenging

ANS: D

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

Psychosocial Integrity

3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?

A. Ive found that avoiding contact with others helps me cope.

B. I really enjoy journaling; its my private time.

C. I signed up for a yoga class this week. D. I made an appointment to meet with a therapist. ANS: A

Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can 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:

Psychosocial Integrity

4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When

this occurs, which stage of stress is the student most likely experiencing?

A. Alarm reaction stage

B. Stage of resistance

C. Stage of exhaustion

D. Fight-or-flight stage

ANS: C

At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been

depleted. Diseases of adaptation occur more frequently in this stage. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:

Psychosocial Integrity

5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The

clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing

response?

A. Teenagers! They dont know a thing about real stress.

B. Stress occurs only when there is a loss.

C. When you are in poor physical condition, you cant experience psychological well-being. D. Stress can be psychological. A threat to self-esteem may result in high stress levels. ANS: D

Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a

physiological change. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:

Psychosocial Integrity

6. A bright student confides in the school nurse about conflicts related to attending college or working to add

needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend

to the student at this time?

A. Meditation

B. Problem-solving training

C. Relaxation

D. Journaling

ANS: B

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

Psychosocial Integrity

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7. An unemployed college graduate is experiencing severe anxiety over not finding a teaching position and has

difficulty with independent problem-solving. During a routine physical examination, the graduate confides in

the clinic nurse. Which is the most appropriate nursing intervention?

A. Encourage the student to use the alternative coping mechanism of relaxation exercises.

B. Complete the problem-solving process for the client.

C. Work through the problem-solving process with the client. D. Encourage the client to keep a journal. ANS: C

During times of high anxiety and stress, clients will need more assistance in problem-solving and decision

making. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:

Psychosocial Integrity

8. A school nurse is assessing a distraught female high school student who is overly concerned because her

parents cant afford horseback riding lessons. How should the nurse interpret the students reaction to her

perceived problem?

A. The problem is endangering her well-being.

B. The problem is personally relevant to her.

C. The problem is based on immaturity. D. The problem is exceeding her capacity to cope. ANS: B

Psychological stressors to self-esteem and self-image are related to how the individual perceives the situation

or event. Self-image is of particular importance to adolescents, who feel entitled to have all the advantages that

other adolescents experience. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:

Psychosocial Integrity

9. Meditation has been shown to be an effective stress management technique. When meditation is effective, what should a nurse expect to assess?

A. An achieved state of relaxation

B. An achieved insight into ones feelings

C. A demonstration of appropriate role behaviors

D. An enhanced ability to problem-solve

ANS: A

Meditation produces relaxation by creating a special state of consciousness through focused concentration. KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:

Psychosocial Integrity

10. A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I cant afford

childcare? What is the nurses initial action in assisting the client with the problem-solving process?

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Test Bank - Psychiatric Mental Health Nursing by Mary Townsend / all chapters complete questions and answers / Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)

Table of Contents Table of Contents Chapter 01. The Concept of Stress Adaptation Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts Chapter 03. Psychopharmacology Chapter 04. Concepts of Psychobiology Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health N Chapter 07. Relationship Development Chapter 08. Therapeutic Communication Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing Chapter 10. Therapeutic Groups Chapter 11. Intervention With Families Chapter 12. Milieu Therapy - The Therapeutic Community Chapter 13. Crisis Intervention Chapter 14. Assertiveness Training Chapter 15. Promoting Self-Esteem Chapter 16. Anger/Aggression Management Chapter 17. The Suicidal Client Chapter 18. Behavior Therapy Chapter 19. Cognitive Therapy Chapter 20. Electroconvulsive Therapy Chapter 21. The Recovery Model Chapter 22. Neurocognitive Disorders Chapter 23. Substance-Related and Addictive Disorders Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders Chapter 25. Depressive Disorders Chapter 26. Bipolar and Related Disorders Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders Chapter 28: Trauma and Stressor-Related Disorders Chapter 29. Somatic Symptom and Dissociative Disorders Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria Chapter 31. Eating Disorders Chapter 32. Personality Disorders Chapter 33. Children and Adolescents Chapter 34. The Aging Individual Chapter 35. Survivors of Abuse or Neglect Chapter 36. Community Mental Health Nursing Chapter 37. The Bereaved Individual Chapter 38. Military Families Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017)