Test Bank For Davis Advantage for
Psychiatric Mental Health Nursing 10th
Edition By Karyn I. Morgan; Mary C.
Townsend
TEST BANK
,Table of Contents
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
1. The Concept of Stress Adaptation
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
6. Relationship Development
7. Therapeutic Communication
8. The Nursing Process in Psychiatric-Mental Health Nursing
9. Therapeutic Groups
10. Intervention with Families
11. Milieu Therapy—The Therapeutic Community
12. Crisis Intervention
13. Assertiveness Training
14. Promoting Self Esteem
15. Anger and Aggression Management
16. Suicide Prevention
17. Behavior Therapy
18. Cognitive Behavioral Therapy
19. Electroconvulsive Therapy
20. The Recovery Model
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
22. Neurocognitive Disorders
23. Substance-Related and Addictive Disorders
24. Schizophrenia Spectrum and Other Psychotic Disorders
25. Depressive Disorders
26. Bipolar and Related Disorders
27. Anxiety, Obsessive-Compulsive, and Related Disorders
28. Trauma and Stressor-Related Disorders
29. Somatic Symptom and Dissociative Disorders
30. Eating Disorders
31. Personality Disorders
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
32. Children and Adolescents
33. The Aging Individual
34. Survivors of Abuse or Neglect
35. Community Mental Health Nursing
36. The Bereaved Individual
37. Military Families
eBook Bonus Chapters
38. Theoretical Models of Personality Development
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
40. Complementary and Psychosocial Therapies
41. Relaxation Therapy
42. Issues Related to Human Sexuality and Gender Dysphoria
43. Forensic Nursing
,Chapter 1. The Concept of Stress Adaptation
MULTIPLE CHOICE
1. A client has experienced the death of a close family member and at the same timebecomes
unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
Understands the client is at risk for significant stress-related illness.
Determines the client is not at risk for significant stress-related illness.
Needs further assessment of the client’s coping skills to determine susceptibility tostress-related
illness.
Recognizes the client may view the losses as challenges and perceive them asopportunities.
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient
Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. The Recent LifeChanges
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
client’s life and susceptibility to stress-related illnesses.
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining the client’s
perception of the current stresses. A 6-month score of 300 or more or a year-score total
of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a
client’s life and susceptibility to stress-related physical and psychological illnesses.
3. This is correct. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. A 6-month score
, of 300 or more or a year-score of 500 or more indicates high stress in a client’s lifeand
risk for significant stress-related physical and psychological illness.
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or
more on the Recent Life Changes Questionnaire indicates high stressin a client’s life is
susceptible to significant stress-related physical and psychologicalillness.
CON: Stress
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells
the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
consider pursuing an art degree.” The nurse determines the client perceives the stressorof his job loss as:
Irrelevant
Harm or loss
Threatening
A challenge
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7
Heading: Stress as a transaction between the individual and the environment
>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
Assessment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance
for the individual.
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
by the individual.
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
4. This is correct. The client’s statement indicates he perceives the loss of his job as a
challenge and an opportunity for growth, demonstrated by his statement to consideran
art degree.
CON: Stress
,3. Which client statement alerts the nurse that the client may be maladaptivelyresponding to stress?
“Avoiding contact with others helps me cope.”
“I really enjoy journaling; it’s my private time.”
“I signed up for a yoga class this week.”
“I made an appointment to meet with a therapist.”
ANS: 1
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 8
Heading: Stress Management
Integrated Processes: Nursing Process: EvaluationClient Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Easy
Feedback
1. This is correct. 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.
2. This is incorrect. Journaling is a form of adaptive coping and interpersonal
communication.
3. This is incorrect. Group exercise is a form of adaptive coping, relaxation.
4. This is incorrect. Seeing a therapist is not considered a maladaptive coping method.
CON: Stress
4. A nursing student comes down with a sinus infection toward the end of every semester. Which stage
of stress is the student most likely experiencing when this occurs?
Alarm reaction
Resistance
Exhaustion
Fight or flight
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 2
Heading: Stress as a Biological Response Integrated Processes: Nursing Process: Assessment
,Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. At the alarm reaction stage, physiological responses of the fight-or-
flight syndrome are initiated.
2. This is incorrect. At the stage of resistance, the individual uses the physiological
responses of the first stage as a defense in the attempt to adapt to the stressor.
Physiological symptoms may disappear.
3. This is correct. At the stage of exhaustion, the student’s exposure to stress has been
prolonged, and adaptive energy has been depleted. Diseases of adaptation occurmore
frequently in this stage.
4. This is incorrect. The fight-or-flight syndrome occurs during the alarm reactionstage.
CON: Stress
A school nurse is assessing a high school student who is overly concerned about herappearance.
The client’s parent states, “That’s not something to be stressed about!” Which response by the
nurse is best?
“Teenagers don’t truly understand stress.”
“Why are you so concerned about your appearance?”
“You surely know that isn’t something to be concerned with.”
“I understand you feel stressed about this; tell me more about your stress.”
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Describe the core concept of stress as an environmental event.Page: 8
Heading: Stress as a Transaction Between the Individual and the EnvironmentIntegrated Processes:
Nursing Process: Implementation
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. This response is judgmental and nontherapeutic. This response
minimizes the student’s concerns.
2. This is incorrect. This response puts the student in a defensive position to justify her
feelings. It is nontherapeutic.
3. This is incorrect. This is a nontherapeutic response that minimizes the student’s
, feelings. This does not allow the student to verbalize her concerns.
4. This is correct. Determination of an event as stressful depends on the individual’s
cognitive appraisal of the situation, which is an individual’s evaluation of the personal
significance of the event or occurrence. Stress can be physical or psychological in
nature. A perceived threat to self-esteem can be as stressful as a physiological change.
This response recognizes the situation and helps to explore thesituation.
CON: Stress
6. A student confides in the school nurse that he is feeling stress about deciding whetherto go to college
or work to provide needed income for his family. Which is the best approach by the nurse to assist the
student?
Teach the student meditation techniques.
Assist the student with problem-solving strategies.
Suggest relaxation methods for the student.
Recommend getting a pet for the student.
ANS: 2
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 8
Heading: Stress Management> Adaptive coping strategiesIntegrated Processes: Nursing Process:
Implementation Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. This is not the best approach because it only addresses a means to
reduce stress-related symptoms and does not address the underlying concern for the
student.
2. This is correct. The student is facing a problem that needs to be viewed objectively,and
the nurse can assist the student, if needed, to apply problem-solving strategies.
3. This is incorrect. While relaxation may assist the student with coping with thestressor,
it does not address the student’s underlying concern.
4. This is incorrect. Getting a pet can assist with coping with life stressors; however, the
student has already expressed financial concerns to which the pet will only add.
CON: Stress
Psychiatric Mental Health Nursing 10th
Edition By Karyn I. Morgan; Mary C.
Townsend
TEST BANK
,Table of Contents
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
1. The Concept of Stress Adaptation
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
6. Relationship Development
7. Therapeutic Communication
8. The Nursing Process in Psychiatric-Mental Health Nursing
9. Therapeutic Groups
10. Intervention with Families
11. Milieu Therapy—The Therapeutic Community
12. Crisis Intervention
13. Assertiveness Training
14. Promoting Self Esteem
15. Anger and Aggression Management
16. Suicide Prevention
17. Behavior Therapy
18. Cognitive Behavioral Therapy
19. Electroconvulsive Therapy
20. The Recovery Model
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
22. Neurocognitive Disorders
23. Substance-Related and Addictive Disorders
24. Schizophrenia Spectrum and Other Psychotic Disorders
25. Depressive Disorders
26. Bipolar and Related Disorders
27. Anxiety, Obsessive-Compulsive, and Related Disorders
28. Trauma and Stressor-Related Disorders
29. Somatic Symptom and Dissociative Disorders
30. Eating Disorders
31. Personality Disorders
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
32. Children and Adolescents
33. The Aging Individual
34. Survivors of Abuse or Neglect
35. Community Mental Health Nursing
36. The Bereaved Individual
37. Military Families
eBook Bonus Chapters
38. Theoretical Models of Personality Development
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
40. Complementary and Psychosocial Therapies
41. Relaxation Therapy
42. Issues Related to Human Sexuality and Gender Dysphoria
43. Forensic Nursing
,Chapter 1. The Concept of Stress Adaptation
MULTIPLE CHOICE
1. A client has experienced the death of a close family member and at the same timebecomes
unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
Understands the client is at risk for significant stress-related illness.
Determines the client is not at risk for significant stress-related illness.
Needs further assessment of the client’s coping skills to determine susceptibility tostress-related
illness.
Recognizes the client may view the losses as challenges and perceive them asopportunities.
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient
Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. The Recent LifeChanges
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
client’s life and susceptibility to stress-related illnesses.
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining the client’s
perception of the current stresses. A 6-month score of 300 or more or a year-score total
of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a
client’s life and susceptibility to stress-related physical and psychological illnesses.
3. This is correct. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. A 6-month score
, of 300 or more or a year-score of 500 or more indicates high stress in a client’s lifeand
risk for significant stress-related physical and psychological illness.
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or
more on the Recent Life Changes Questionnaire indicates high stressin a client’s life is
susceptible to significant stress-related physical and psychologicalillness.
CON: Stress
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells
the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
consider pursuing an art degree.” The nurse determines the client perceives the stressorof his job loss as:
Irrelevant
Harm or loss
Threatening
A challenge
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7
Heading: Stress as a transaction between the individual and the environment
>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
Assessment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance
for the individual.
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
by the individual.
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
4. This is correct. The client’s statement indicates he perceives the loss of his job as a
challenge and an opportunity for growth, demonstrated by his statement to consideran
art degree.
CON: Stress
,3. Which client statement alerts the nurse that the client may be maladaptivelyresponding to stress?
“Avoiding contact with others helps me cope.”
“I really enjoy journaling; it’s my private time.”
“I signed up for a yoga class this week.”
“I made an appointment to meet with a therapist.”
ANS: 1
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 8
Heading: Stress Management
Integrated Processes: Nursing Process: EvaluationClient Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Easy
Feedback
1. This is correct. 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.
2. This is incorrect. Journaling is a form of adaptive coping and interpersonal
communication.
3. This is incorrect. Group exercise is a form of adaptive coping, relaxation.
4. This is incorrect. Seeing a therapist is not considered a maladaptive coping method.
CON: Stress
4. A nursing student comes down with a sinus infection toward the end of every semester. Which stage
of stress is the student most likely experiencing when this occurs?
Alarm reaction
Resistance
Exhaustion
Fight or flight
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 2
Heading: Stress as a Biological Response Integrated Processes: Nursing Process: Assessment
,Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. At the alarm reaction stage, physiological responses of the fight-or-
flight syndrome are initiated.
2. This is incorrect. At the stage of resistance, the individual uses the physiological
responses of the first stage as a defense in the attempt to adapt to the stressor.
Physiological symptoms may disappear.
3. This is correct. At the stage of exhaustion, the student’s exposure to stress has been
prolonged, and adaptive energy has been depleted. Diseases of adaptation occurmore
frequently in this stage.
4. This is incorrect. The fight-or-flight syndrome occurs during the alarm reactionstage.
CON: Stress
A school nurse is assessing a high school student who is overly concerned about herappearance.
The client’s parent states, “That’s not something to be stressed about!” Which response by the
nurse is best?
“Teenagers don’t truly understand stress.”
“Why are you so concerned about your appearance?”
“You surely know that isn’t something to be concerned with.”
“I understand you feel stressed about this; tell me more about your stress.”
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Describe the core concept of stress as an environmental event.Page: 8
Heading: Stress as a Transaction Between the Individual and the EnvironmentIntegrated Processes:
Nursing Process: Implementation
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. This response is judgmental and nontherapeutic. This response
minimizes the student’s concerns.
2. This is incorrect. This response puts the student in a defensive position to justify her
feelings. It is nontherapeutic.
3. This is incorrect. This is a nontherapeutic response that minimizes the student’s
, feelings. This does not allow the student to verbalize her concerns.
4. This is correct. Determination of an event as stressful depends on the individual’s
cognitive appraisal of the situation, which is an individual’s evaluation of the personal
significance of the event or occurrence. Stress can be physical or psychological in
nature. A perceived threat to self-esteem can be as stressful as a physiological change.
This response recognizes the situation and helps to explore thesituation.
CON: Stress
6. A student confides in the school nurse that he is feeling stress about deciding whetherto go to college
or work to provide needed income for his family. Which is the best approach by the nurse to assist the
student?
Teach the student meditation techniques.
Assist the student with problem-solving strategies.
Suggest relaxation methods for the student.
Recommend getting a pet for the student.
ANS: 2
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 8
Heading: Stress Management> Adaptive coping strategiesIntegrated Processes: Nursing Process:
Implementation Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. This is not the best approach because it only addresses a means to
reduce stress-related symptoms and does not address the underlying concern for the
student.
2. This is correct. The student is facing a problem that needs to be viewed objectively,and
the nurse can assist the student, if needed, to apply problem-solving strategies.
3. This is incorrect. While relaxation may assist the student with coping with thestressor,
it does not address the student’s underlying concern.
4. This is incorrect. Getting a pet can assist with coping with life stressors; however, the
student has already expressed financial concerns to which the pet will only add.
CON: Stress
