Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition

Table of Contents 1 Chapter 01. The Concept of Stress Adaptation 2 Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts 9 Chapter 03. Psychopharmacology 20 Chapter 04. Concepts of Psychobiology 28 Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing 37 Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing 47 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 54 62 74 85 93 99 104 109 117 123 130 139 146 155 162 169 175 186 197 208 219 230 238 244 249 257 269 279 284 290 297 302 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? 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? 3. Which client statement should alert a nurse that a client may be responding maladaptively to stress? 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? 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? 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? 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? 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? 9. Meditation has been shown to be an effective stress management technique. When meditation is effective, what should a nurse expect to assess? 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? 11. A nursing instructor is asking students about diseases of adaptation and when they are likely to occur. Which student response indicates that learning has occurred? 12. When an individuals stress response is sustained over a long period of time, which physiological effect of the endocrine system should a nurse anticipate? 13. Which symptom should a nurse identify as typical of the fight-or-flight response?