TEST BANK: x
PSYCHIATRIC MENTAL x
HEALTH NURSING:
x x
Conceptsof CareinEvidence-BasedPractice
x x x x x
9TH EDITION
x
By Mary C. Townsend
x x x
TEST BANK x
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
x x x x x x x x x x x 1
Table of Contents x x
Table of Contents
x x 1
Chapter 01. The Concept of Stress Adaptation
x x x x 2 x x
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
x x x 9 x x x x x
Chapter 03. Psychopharmacology
x x 20
Chapter 04. Concepts of Psychobiology
x x x x 28
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
x x x x 37 x x x x x
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing47
x x x x x x x x x x
Chapter 07. Relationship Development
x x x 54
Chapter 08. Therapeutic Communication
x x x x 62
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
x x x x 74 x x x x
Chapter 10. Therapeutic Groups
x x x x 85
Chapter 11. Intervention With Families
x x x 93 x
Chapter 12. Milieu Therapy - The Therapeutic Community
x x x 99 x x x x
Chapter 13. Crisis Intervention
x x x x 104
Chapter 14. Assertiveness Training
x x 109 x
Chapter 15. Promoting Self-Esteem
x x x x 117
Chapter 16. Anger/Aggression Management
x x 123 x
Chapter 17. The Suicidal Client
x x x x 130
x
Chapter 18. Behavior Therapy
x x x 139
Chapter 19. Cognitive Therapy
x x x x 146
Chapter 20. Electroconvulsive Therapy
x x x 155 x
Chapter 21. The Recovery Model
x x x x 162 x
Chapter 22. Neurocognitive Disorders
x x x 169 x
Chapter 23. Substance-Related and Addictive Disorders
x x 175 x x x
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
x x 186 x x x x x
Chapter 25. Depressive Disorders
x x x x 197
Chapter 26. Bipolar and Related Disorders
x x x x 208 x
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
x x x 219 x x x
Chapter 28: Trauma and Stressor-Related Disorders
x x x x x 230 x
Chapter 29. Somatic Symptom and Dissociative Disorders
x x x 238 x x x
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
x x x 244 x x x x x x
Chapter 31. Eating Disorders
x x x x 249
Chapter 32. Personality Disorders
x x x 257
Chapter 33. Children and Adolescents
x x x x 269
x
Chapter 34. The Aging Individual
x x x x x 279
Chapter 35. Survivors of Abuse or Neglect
x x x x 284 x x
Chapter 36. Community Mental Health Nursing
x x x x 290 x x
Chapter 37. The Bereaved Individual
x x x x 297 x
Chapter 38. Military Families
x x x 302
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
x x x x x x x x x x x 2
Chapter 01. The Concept of Stress Adaptation
x x x x x x
Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
x x x x x x x x x x x
Multiple Choice x
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
x x x x x x x x x x x x x x x x x
This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should
x x x x x x x x x x x x x x x x x x
the nurse evaluate this client data?
x x x x x x
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
x x x x x x x x x x x x x x
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
x x x x x x x x x x x x x x x x x
stress-related illness.
x x
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
x x x x x x x x x x x x
coping resources and available supports.
x x x x x
D. The client may view these losses as challenges and perceive them as opportunities.
x x x x x x x x x x x x
ANS: C x
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
x x x x x x x x x x x x x x x x
Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500
x x x x x x x x x x x x x x x x x x
or more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support
x x x x x x x x x x x x x x x x x
can limit susceptibility to stress-related illnesses.
x x x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
x x x x x x x x x x x x x x x x x x
nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the
x x x x x x x x x x x x x x x x x x x x
nurse characterize the clients appraisal of the job loss stressor?
x x x x x x x x x x
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D x
The client perceives the situation of job loss as a challenge and an opportunity for growth.
x x x x x x x x x x x x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
x x x x x x x x x x x x x x x
A. Ive found that avoiding contact with others helps me cope.
x x x x x x x x x
B. I really enjoy journaling; its my private time.
x x x x x x x
C. I signed up for a yoga class this week.
x x x x x x x x
D. I made an appointment to meet with a therapist.
x x x x x x x x
ANS: A x
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
x x x x x x x x x x x x x x x x x
learning appropriate coping skills and can prevent access to needed support systems.
x x x x x x x x x x x x
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
x x x x x x x x x x x 3
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When
x x x x x x x x x x x x x x x x x x
this occurs, which stage of stress is the student most likely experiencing?
x x x x x x x x x x x x
A. Alarm reaction stage x x
B. Stage of resistance x x
C. Stage of exhaustion x x
D. Fight-or-flight stage x
ANS: C x
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
x x x x x x x x x x x x x x x x x
depleted. Diseases of adaptation occur more frequently in this stage.
x x x x x x x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
x x x x x x x x x x x x x x x x x
clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
x x x x x x x x x x x x x x x x
response?
x
A. Teenagers! They dont know a thing about real stress. x x x x x x x x
B. Stress occurs only when there is a loss.
x x x x x x x
C. When you are in poor physical condition, you cant experience psychological well-being.
x x x x x x x x x x x
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
x x x x x x x x x x x x x
ANS: D x
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
x x x x x x x x x x x x x x x x x x
physiological change.
x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
6. A bright student confides in the school nurse about conflicts related to attending college or working to add
x x x x x x x x x x x x x x x x x
needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend
x x x x x x x x x x x x x x x x x
xto the student at this time?
x x x x x
A. Meditation
B. Problem-solving training x
C. Relaxation
D. Journaling
ANS: B x
The student must assess his or her situation and determine the best course of action. Problem-solving
x x x x x x x x x x x x x x x
training, by providing structure and objectivity, can assist in decision making.
x x x x x x x x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
PSYCHIATRIC MENTAL x
HEALTH NURSING:
x x
Conceptsof CareinEvidence-BasedPractice
x x x x x
9TH EDITION
x
By Mary C. Townsend
x x x
TEST BANK x
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
x x x x x x x x x x x 1
Table of Contents x x
Table of Contents
x x 1
Chapter 01. The Concept of Stress Adaptation
x x x x 2 x x
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
x x x 9 x x x x x
Chapter 03. Psychopharmacology
x x 20
Chapter 04. Concepts of Psychobiology
x x x x 28
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
x x x x 37 x x x x x
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing47
x x x x x x x x x x
Chapter 07. Relationship Development
x x x 54
Chapter 08. Therapeutic Communication
x x x x 62
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
x x x x 74 x x x x
Chapter 10. Therapeutic Groups
x x x x 85
Chapter 11. Intervention With Families
x x x 93 x
Chapter 12. Milieu Therapy - The Therapeutic Community
x x x 99 x x x x
Chapter 13. Crisis Intervention
x x x x 104
Chapter 14. Assertiveness Training
x x 109 x
Chapter 15. Promoting Self-Esteem
x x x x 117
Chapter 16. Anger/Aggression Management
x x 123 x
Chapter 17. The Suicidal Client
x x x x 130
x
Chapter 18. Behavior Therapy
x x x 139
Chapter 19. Cognitive Therapy
x x x x 146
Chapter 20. Electroconvulsive Therapy
x x x 155 x
Chapter 21. The Recovery Model
x x x x 162 x
Chapter 22. Neurocognitive Disorders
x x x 169 x
Chapter 23. Substance-Related and Addictive Disorders
x x 175 x x x
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
x x 186 x x x x x
Chapter 25. Depressive Disorders
x x x x 197
Chapter 26. Bipolar and Related Disorders
x x x x 208 x
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
x x x 219 x x x
Chapter 28: Trauma and Stressor-Related Disorders
x x x x x 230 x
Chapter 29. Somatic Symptom and Dissociative Disorders
x x x 238 x x x
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
x x x 244 x x x x x x
Chapter 31. Eating Disorders
x x x x 249
Chapter 32. Personality Disorders
x x x 257
Chapter 33. Children and Adolescents
x x x x 269
x
Chapter 34. The Aging Individual
x x x x x 279
Chapter 35. Survivors of Abuse or Neglect
x x x x 284 x x
Chapter 36. Community Mental Health Nursing
x x x x 290 x x
Chapter 37. The Bereaved Individual
x x x x 297 x
Chapter 38. Military Families
x x x 302
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
x x x x x x x x x x x 2
Chapter 01. The Concept of Stress Adaptation
x x x x x x
Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
x x x x x x x x x x x
Multiple Choice x
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
x x x x x x x x x x x x x x x x x
This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should
x x x x x x x x x x x x x x x x x x
the nurse evaluate this client data?
x x x x x x
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
x x x x x x x x x x x x x x
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
x x x x x x x x x x x x x x x x x
stress-related illness.
x x
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
x x x x x x x x x x x x
coping resources and available supports.
x x x x x
D. The client may view these losses as challenges and perceive them as opportunities.
x x x x x x x x x x x x
ANS: C x
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
x x x x x x x x x x x x x x x x
Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500
x x x x x x x x x x x x x x x x x x
or more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support
x x x x x x x x x x x x x x x x x
can limit susceptibility to stress-related illnesses.
x x x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
x x x x x x x x x x x x x x x x x x
nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the
x x x x x x x x x x x x x x x x x x x x
nurse characterize the clients appraisal of the job loss stressor?
x x x x x x x x x x
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D x
The client perceives the situation of job loss as a challenge and an opportunity for growth.
x x x x x x x x x x x x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
x x x x x x x x x x x x x x x
A. Ive found that avoiding contact with others helps me cope.
x x x x x x x x x
B. I really enjoy journaling; its my private time.
x x x x x x x
C. I signed up for a yoga class this week.
x x x x x x x x
D. I made an appointment to meet with a therapist.
x x x x x x x x
ANS: A x
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
x x x x x x x x x x x x x x x x x
learning appropriate coping skills and can prevent access to needed support systems.
x x x x x x x x x x x x
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
x x x x x x x x x x x 3
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When
x x x x x x x x x x x x x x x x x x
this occurs, which stage of stress is the student most likely experiencing?
x x x x x x x x x x x x
A. Alarm reaction stage x x
B. Stage of resistance x x
C. Stage of exhaustion x x
D. Fight-or-flight stage x
ANS: C x
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
x x x x x x x x x x x x x x x x x
depleted. Diseases of adaptation occur more frequently in this stage.
x x x x x x x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
x x x x x x x x x x x x x x x x x
clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
x x x x x x x x x x x x x x x x
response?
x
A. Teenagers! They dont know a thing about real stress. x x x x x x x x
B. Stress occurs only when there is a loss.
x x x x x x x
C. When you are in poor physical condition, you cant experience psychological well-being.
x x x x x x x x x x x
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
x x x x x x x x x x x x x
ANS: D x
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
x x x x x x x x x x x x x x x x x x
physiological change.
x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
6. A bright student confides in the school nurse about conflicts related to attending college or working to add
x x x x x x x x x x x x x x x x x
needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend
x x x x x x x x x x x x x x x x x
xto the student at this time?
x x x x x
A. Meditation
B. Problem-solving training x
C. Relaxation
D. Journaling
ANS: B x
The student must assess his or her situation and determine the best course of action. Problem-solving
x x x x x x x x x x x x x x x
training, by providing structure and objectivity, can assist in decision making.
x x x x x x x x x x x
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
x x x x x x x x x x x x
Psychosocial Integrity x
