Updated/Latest Psychiatric Mental Health Nursing Concepts of Care in Evidence Based Practice 10th Edition by Mary C Townsend and Karyn I Morgan 2025–2026 Comprehensive Test Bank Questions and Answers for Psychiatric Nursing Mental Health Care Therapeutic

Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based F T F T F T F T F T F T F T F T




F Practice 10th Edition Townsend Test Bank
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Chapter 1. The Concept of Stress Adaptation
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MULTIPLE CHOICE F T




1. A client has experienced the death of a close family member and at the
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F same time becomes unemployed. The client’s 6-month score on the Recent Life
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F Changes Questionnaire is 110. The nurse:
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A. Understands the client is at risk for F T F T F T F T F T F T



significant F T



stress-related illness. F T



B. Determines the client is not at risk for F T F T F T F T F T F T F T



significant stress-related illness. F T F T



C. Needs further assessment of the client’s T
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coping skills to determine susceptibility to T
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stress-related illness. F T



D. Recognizes the client may view the losses as F T F T F T F T F T F T F T



challenges and perceive them as T
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opportunities. T
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ANS: C T
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C
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Chapter learning objective: Explain the relationship between stress and diseases of
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adaptation.
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Page: 5–6F T



Heading: Stress as an Environmental Event
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Integrated Processes: Nursing Process:
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Evaluation Client Need: Psychosocial Integrity
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Cognitive Level: Application [Applying]
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Concept: Stress
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Difficulty: Moderate F T



Feedback

, A This is incorrect. Assessment is the first step
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F of the nursing process. The nurse should
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F assess the client’s coping skills and
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Favailable support before determining T
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Fsusceptibility to stress-related physical and F T F T F T F T



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Fpsychological illness. The Recent Life F T T
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FChanges Questionnaire is an expanded
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Fversion of the Schedule of Recent T
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FExperiences and the Rahe-Holmes Social
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FReadjustment Rating Scale. A 6-month
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Fscore of 300 or more, or a year-score total of
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F500 or more, indicates high stress in a
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Fclient’s life and susceptibility to stress-related T
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illnesses.
B This is incorrect. Assessment is the first step
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Fin the nursing process. The nurse should
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Fassess the client’s coping skills and F T T
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Favailable support before determining the T
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Fclient’s perception of the current stresses. A T
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F6-month score of 300 or a year-score of T
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F500 or more on the Recent Life Changes
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FQuestionnaire indicates high stress in a
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Fclient’s life and susceptibility to stress- T
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related physical and F T T
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psychological illness. F T



C This is correct. Assessment is the first step in
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Fthe nursing process. The nurse should assess
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Fthe client’s coping skills and available
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Fsupport before determining susceptibility to F T F T F T T
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Fstress-related physical and psychological T
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Fillness. A 6-month score of 300 or a year- F T F T T
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score of 500 or more indicates high stress
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Fin a client’s life and risk for significant
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Fstress-related physical T
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and psychological illness.
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D This is incorrect. Assessment is the first step
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Fin the nursing process. The nurse should
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Fassess the client’s coping skills and F T T
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Favailable support before determining T
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Fsusceptibility to stress-related illness. A 6- F T F T F T F T F T



month score of 300 or a year-score of 500 or
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Fmore on the Recent Life ChangesT
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FQuestionnaire indicates high stress in a
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Fclient’s life is susceptible to significant T
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Fstress-related physical and T
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psychological illness. F T




PTS: F T 1 CON: Stress
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, 2. A physically and emotionally healthy client has just been fired. During a
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F routine office visit, he tells the nurse, “Perhaps this was the best thing to happen.
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F Maybe I’ll consider pursuing an art degree.” The nurse determines the client perceives
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F the stressor of his job loss as:
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A. Irrelevant.
B. Harm/loss.
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D. A challenge. T
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ANS: D F T



Chapter: Chapter 0, The Concept of Stress Adaptation
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Chapter learning objective: Discuss adaptive coping strategies in the management of
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stress.
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Page: 7 F T



Heading: Individual’s Perception of the Event > Primary Appraisal
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Integrated Processes: Nursing Process: Assessment
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Client Need: Psychosocial Integrity
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Cognitive Level: Application [Applying]
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Concept: Stress
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Difficulty: Easy F T



Feedback
A This is incorrect. The client’s statement F T F T F T F T F T



indicates he perceives the loss of his job as a T
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challenge and an opportunity for growth. T
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B This is incorrect. The client’s statement T
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indicates he perceives the loss of his job as T
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a T
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challenge and an opportunity for growth. F T F T F T F T F T



C This is incorrect. The client’s statement F T F T F T F T F T



indicates he perceives the loss of his job as a T
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challenge and an opportunity for growth. T
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D This is correct. The client’s statement T
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indicates he perceives the loss of his job as T
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a T
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challenge and an opportunity for growth. F T F T F T F T F T




PTS: F T 1 CON: Stress F T




3. Which client statement alerts the nurse that the client may be responding F T F T F T T
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, A. “Avoiding contact with others helps me F T F T F T F T F T



cope.”

B. “I really enjoy journaling; it’s my private
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time.”
C. “I signed up for a yoga class this week.”
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D. “I made an appointment to meet with a
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therapist.”


ANS: A F T



Chapter: Chapter 0, The Concept of Stress Adaptation
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Chapter learning objective: Discuss adaptive coping strategies in the management of
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Fstress.
Page: 8–9 F T



Heading: Stress Management F T F T



Integrated Processes: Nursing Process: Evaluation
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FClient Need: Psychosocial Integrity
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Cognitive Level: Application [Applying] F T F T T
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FConcept: Stress T
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Difficulty: Easy F T



Feedback
A This is correct. Reliance on social isolation F T T
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as a coping mechanism is a maladaptive T
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method to relieve stress. It can prevent T
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learning appropriate coping skills and can T
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prevent T
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access to needed support systems. F T F T F T F T



B This is incorrect. Journaling is not considered F T F T F T F T F T F T



a maladaptive coping method. F T F T F T



C This is incorrect. Group exercise is not F T F T F T F T F T F T



considered a maladaptive coping method. F T F T F T F T



D This is incorrect. Seeing a therapist is not F T F T F T F T F T F T F T



considered a maladaptive coping method. F T F T F T F T




PTS: F T 1 CON: Stress F T




4. A nursing student comes down with a sinus infection toward the end of
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F every semester. Which stage of stress is the student most likely experiencing when
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A. Alarm reaction F T



B. Resistance