TEST BANK: c
PSYCHIATRIC MENTAL c c
HEALTH NURSING: c
Conceptsof Care inEvidence-Based Practice
c c c c c
9TH EDITION
c
By Mary C. Townsend
c c c
TEST BANK c
,TestcBankc-cPsychiatriccMentalcHealthcNursingcbycMarycTownsendc(9thcEdition) 1
Table of Contents
c c
Tablec ofc Contents 1
Chapterc01.cThecConceptcofcStresscAdaptation 2
Chapterc02.cMentalcHealth/MentalcIllness:cHistoricalcandcTheoreticalcConcepts 9
Chapterc03.cPsychopharmacology 20
Chapterc04.cConceptscofcPsychobiology 28
Chapterc05.cEthicalcandcLegalcIssuescincPsychiatric/MentalcHealthcNursing 37
Chapterc 06.c Culturalc andc Spiritualc Conceptsc Relevantc toc Psychiatric/Mentalc Healthc Nursing47
Chapterc07.cRelationshipcDevelopmentcC 54
hapterc08.cTherapeuticcCommunication 62
Chapterc09.cThecNursingcProcesscincPsychiatric/MentalcHealthcNursingcC 74
hapterc10.cTherapeuticcGroups 85
Chapterc 11.c InterventioncWithc Families 93
Chapterc12.cMilieucTherapyc- 99
cThecTherapeuticcCommunitycChapterc13.cCrisiscIntervention 104
Chapterc14.cAssertivenesscTrainingcChapt 109
erc15.cPromotingcSelf-Esteem 117
Chapterc16.cAnger/AggressioncManagementcChap 123
terc17.cThecSuicidalcClient 130
Chapterc 18.c Behaviorc TherapycChapter 139
c19.c Cognitivec TherapycChapterc20.cEle 146
ctroconvulsivecTherapycChapterc21.cThe 155
cRecoverycModelcChapterc22.cNeurocog 162
nitivecDisorders 169
Chapterc 23.c Substance-Relatedc andc Addictivec Disorders 175
Chapterc24.cSchizophreniacSpectrumcandcOthercPsychoticcDisorderscCha 186
pterc25.cDepressivecDisorders 197
Chapterc 26.c Bipolarc andc Relatedc Disorders 208
Chapterc27.cAnxiety,cObsessive- 219
Compulsive,candcRelatedcDisorderscChapterc28:cTraumacandcStressor- 230
RelatedcDisorders 238
Chapterc 29.c Somaticc Symptomc andc Dissociativec Disorders 244
Chapterc30.cIssuescRelatedctocHumancSexualitycandcGendercDysphoriacC 249
hapterc31.cEatingcDisorders 257
Chapterc32.cPersonalitycDisorderscChapte 269
rc33.cChildrencandcAdolescentscChapterc3 279
4.cThecAgingcIndividual 284
Chapterc35.cSurvivorscofcAbusecorcNeglectcChapter 290
c36.cCommunitycMentalcHealthcNursingcChapterc37 297
.cThecBereavedcIndividual 302
Chapterc 38.c Militaryc Families
,TestcBankc-cPsychiatriccMentalcHealthcNursingcbycMarycTownsendc(9thcEdition) 2
Chapterc 01.c Thec Conceptc ofc Stressc Adaptation
Testc Bankc -c Psychiatricc Mentalc Healthc Nursingc byc Maryc Townsendc (9thc Edition)
Multiplec Choice
1. Acclientchascexperiencedcthecdeathcofcacclosecfamilycmembercandcatcthecsamectimecbecomescunemployed.cT
hiscsituationchascresultedcincac6-
monthcscorecofc110concthecRecentcLifecChangescQuestionnaire.cHowcshouldcthecnursecevaluatecthiscclientcdata?
A. Thecclientciscexperiencingc severec distresscandciscatcriskcforc physicalcandcpsychologicalc illness.
B. Acscorecofc110concthecMillercandcRahecRecentcLifecChangescQuestionnairecindicatescnocsignificantcthreatcofcstr
ess-relatedcillness.
C. Susceptibilityctocstress-
relatedcphysicalcorcpsychologicalcillnessccannotcbecestimatedcwithoutcknowledgecofccopingcresourcescandcavaila
blecsupports.
D. Thecclientcmaycviewctheseclossescascchallengesc andcperceivec themcascopportunities.
ANS:c C
ThecRecentcLifecChangescQuestionnaireciscancexpandedcversioncofcthecSchedulecofcRecentcExperiencescandcthecRah
e-HolmescSocialcReadjustmentcRatingcScale.cAc6-monthcscorecofc300corcmore,corcacyear-
scorectotalcofc500corcmore,cindicateschighcstresscincacclientsclife.cHowever,cpositiveccopingcmechanismscandcstron
gcsocialcsupportccanclimitcsusceptibilityctocstress-relatedcillnesses.
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingcProcess:c Evaluationc |cClientc Need:
Psychosocialc Integrity
2. Acphysicallycandcemotionallychealthycclientchascjustcbeencfired.cDuringcacroutinecofficecvisitchecstatesctocacn
urse:cPerhapscthiscwascthecbestcthingctochappen.cMaybecIllclookcintocpursuingcancartcdegree.cHowcshouldcthecnurs
eccharacterizecthecclientscappraisalcofcthecjobclosscstressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:c D
Thecclientcperceivescthec situationcofcjobc losscascacchallengecandcancopportunityc forc growth.
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingcProcess:cAssessmentc |cClientc Need:
Psychosocialc Integrity
3. Whichcclientcstatementcshouldcalertcacnursecthatc ac clientc mayc becrespondingc maladaptivelyc toc stress?
A. Ivecfoundcthatcavoidingccontactc withc othersc helpsc mec cope.
B. Icreallyc enjoycjournaling;c itscmycprivatectime.
C. Icsignedcupcforcacyogacclasscthiscweek.
D. Icmadecancappointmentctocmeetcwithcactherapist.
ANS:c A
Relianceconcsocialcisolationcascaccopingcmechanismciscacmaladaptivecmethodctocrelievecstress.cItccancpreventclear
ningcappropriateccopingcskillscandccancpreventcaccessctocneededcsupportcsystems.
, TestcBankc-cPsychiatriccMentalcHealthcNursingcbycMarycTownsendc(9thcEdition) 3
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingcProcess:c Evaluationc |cClientc Need:
Psychosocialc Integrity
4. Acnursingcstudentcfindscthatcsheccomescdowncwithcacsinuscinfectionctowardcthecendcofceverycsemester.cWhencthis
coccurs,cwhichcstagecofcstressciscthecstudent cmostclikelycexperiencing?
A. Alarmc reactionc stage
B. Stagecofcresistance
C. Stagecofcexhaustion
D. Fight-or-flightc stage
ANS:c C
Atcthecstagecofcexhaustion,cthecstudentscexposurectocstresschascbeencprolongedcandcadaptivecenergychascbeencdeplete
d.cDiseasescofcadaptationcoccurcmorecfrequentlycincthiscstage.
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingcProcess:cAssessmentc |cClientc Need:
Psychosocialc Integrity
5. Acschoolcnurseciscassessingcacfemalechighcschoolcstudentcwhociscoverlycconcernedcaboutchercappearance.cThecclie
ntscmothercstates,cThatscnotcsomethingctocbecstressedcabout!cWhichciscthecmostcappropriatecnursingcresponse?
A. Teenagers!cTheycdontc knowc ac thingc aboutcrealc stress.
B. Stresscoccursconlycwhenctherecisc acloss.
C. Whenc youc arec inc poorc physicalc condition,c youc cantcexperiencec psychologicalc well-being.
D. Stressccanc becpsychological.c Acthreatctocself-esteemc maycresultcinc highcstressc levels.
ANS:c D
Stressccancbecphysicalcorcpsychologicalcincnature.cAcperceivedcthreatctocself-
esteemccancbecascstressfulcascacphysiologicalcchange.
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingc Process:c Implementationc |cClientc Need:
Psychosocialc Integrity
6. Acbrightcstudentcconfidescincthecschoolcnursecaboutcconflictscrelatedctocattendingccollegecorcworkingctocaddcn
eededcfinancialcsupportctocthecfamily.cWhichccopingcstrategyciscmostcappropriatecforcthecnursectocrecommendc toct
hecstudentcatcthisctime?
A. Meditation
B. Problem-solvingctraining
C. Relaxation
D. Journaling
ANS:c B
Thecstudentcmustcassesschiscorchercsituationcandcdeterminecthecbestccoursecofcaction.cProblem-
solvingctraining,cbycprovidingcstructurecandcobjectivity,ccancassistcincdecisioncmaking.
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingcProcess:c Implementationc |cClientc Need:
Psychosocialc Integrity
PSYCHIATRIC MENTAL c c
HEALTH NURSING: c
Conceptsof Care inEvidence-Based Practice
c c c c c
9TH EDITION
c
By Mary C. Townsend
c c c
TEST BANK c
,TestcBankc-cPsychiatriccMentalcHealthcNursingcbycMarycTownsendc(9thcEdition) 1
Table of Contents
c c
Tablec ofc Contents 1
Chapterc01.cThecConceptcofcStresscAdaptation 2
Chapterc02.cMentalcHealth/MentalcIllness:cHistoricalcandcTheoreticalcConcepts 9
Chapterc03.cPsychopharmacology 20
Chapterc04.cConceptscofcPsychobiology 28
Chapterc05.cEthicalcandcLegalcIssuescincPsychiatric/MentalcHealthcNursing 37
Chapterc 06.c Culturalc andc Spiritualc Conceptsc Relevantc toc Psychiatric/Mentalc Healthc Nursing47
Chapterc07.cRelationshipcDevelopmentcC 54
hapterc08.cTherapeuticcCommunication 62
Chapterc09.cThecNursingcProcesscincPsychiatric/MentalcHealthcNursingcC 74
hapterc10.cTherapeuticcGroups 85
Chapterc 11.c InterventioncWithc Families 93
Chapterc12.cMilieucTherapyc- 99
cThecTherapeuticcCommunitycChapterc13.cCrisiscIntervention 104
Chapterc14.cAssertivenesscTrainingcChapt 109
erc15.cPromotingcSelf-Esteem 117
Chapterc16.cAnger/AggressioncManagementcChap 123
terc17.cThecSuicidalcClient 130
Chapterc 18.c Behaviorc TherapycChapter 139
c19.c Cognitivec TherapycChapterc20.cEle 146
ctroconvulsivecTherapycChapterc21.cThe 155
cRecoverycModelcChapterc22.cNeurocog 162
nitivecDisorders 169
Chapterc 23.c Substance-Relatedc andc Addictivec Disorders 175
Chapterc24.cSchizophreniacSpectrumcandcOthercPsychoticcDisorderscCha 186
pterc25.cDepressivecDisorders 197
Chapterc 26.c Bipolarc andc Relatedc Disorders 208
Chapterc27.cAnxiety,cObsessive- 219
Compulsive,candcRelatedcDisorderscChapterc28:cTraumacandcStressor- 230
RelatedcDisorders 238
Chapterc 29.c Somaticc Symptomc andc Dissociativec Disorders 244
Chapterc30.cIssuescRelatedctocHumancSexualitycandcGendercDysphoriacC 249
hapterc31.cEatingcDisorders 257
Chapterc32.cPersonalitycDisorderscChapte 269
rc33.cChildrencandcAdolescentscChapterc3 279
4.cThecAgingcIndividual 284
Chapterc35.cSurvivorscofcAbusecorcNeglectcChapter 290
c36.cCommunitycMentalcHealthcNursingcChapterc37 297
.cThecBereavedcIndividual 302
Chapterc 38.c Militaryc Families
,TestcBankc-cPsychiatriccMentalcHealthcNursingcbycMarycTownsendc(9thcEdition) 2
Chapterc 01.c Thec Conceptc ofc Stressc Adaptation
Testc Bankc -c Psychiatricc Mentalc Healthc Nursingc byc Maryc Townsendc (9thc Edition)
Multiplec Choice
1. Acclientchascexperiencedcthecdeathcofcacclosecfamilycmembercandcatcthecsamectimecbecomescunemployed.cT
hiscsituationchascresultedcincac6-
monthcscorecofc110concthecRecentcLifecChangescQuestionnaire.cHowcshouldcthecnursecevaluatecthiscclientcdata?
A. Thecclientciscexperiencingc severec distresscandciscatcriskcforc physicalcandcpsychologicalc illness.
B. Acscorecofc110concthecMillercandcRahecRecentcLifecChangescQuestionnairecindicatescnocsignificantcthreatcofcstr
ess-relatedcillness.
C. Susceptibilityctocstress-
relatedcphysicalcorcpsychologicalcillnessccannotcbecestimatedcwithoutcknowledgecofccopingcresourcescandcavaila
blecsupports.
D. Thecclientcmaycviewctheseclossescascchallengesc andcperceivec themcascopportunities.
ANS:c C
ThecRecentcLifecChangescQuestionnaireciscancexpandedcversioncofcthecSchedulecofcRecentcExperiencescandcthecRah
e-HolmescSocialcReadjustmentcRatingcScale.cAc6-monthcscorecofc300corcmore,corcacyear-
scorectotalcofc500corcmore,cindicateschighcstresscincacclientsclife.cHowever,cpositiveccopingcmechanismscandcstron
gcsocialcsupportccanclimitcsusceptibilityctocstress-relatedcillnesses.
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingcProcess:c Evaluationc |cClientc Need:
Psychosocialc Integrity
2. Acphysicallycandcemotionallychealthycclientchascjustcbeencfired.cDuringcacroutinecofficecvisitchecstatesctocacn
urse:cPerhapscthiscwascthecbestcthingctochappen.cMaybecIllclookcintocpursuingcancartcdegree.cHowcshouldcthecnurs
eccharacterizecthecclientscappraisalcofcthecjobclosscstressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:c D
Thecclientcperceivescthec situationcofcjobc losscascacchallengecandcancopportunityc forc growth.
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingcProcess:cAssessmentc |cClientc Need:
Psychosocialc Integrity
3. Whichcclientcstatementcshouldcalertcacnursecthatc ac clientc mayc becrespondingc maladaptivelyc toc stress?
A. Ivecfoundcthatcavoidingccontactc withc othersc helpsc mec cope.
B. Icreallyc enjoycjournaling;c itscmycprivatectime.
C. Icsignedcupcforcacyogacclasscthiscweek.
D. Icmadecancappointmentctocmeetcwithcactherapist.
ANS:c A
Relianceconcsocialcisolationcascaccopingcmechanismciscacmaladaptivecmethodctocrelievecstress.cItccancpreventclear
ningcappropriateccopingcskillscandccancpreventcaccessctocneededcsupportcsystems.
, TestcBankc-cPsychiatriccMentalcHealthcNursingcbycMarycTownsendc(9thcEdition) 3
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingcProcess:c Evaluationc |cClientc Need:
Psychosocialc Integrity
4. Acnursingcstudentcfindscthatcsheccomescdowncwithcacsinuscinfectionctowardcthecendcofceverycsemester.cWhencthis
coccurs,cwhichcstagecofcstressciscthecstudent cmostclikelycexperiencing?
A. Alarmc reactionc stage
B. Stagecofcresistance
C. Stagecofcexhaustion
D. Fight-or-flightc stage
ANS:c C
Atcthecstagecofcexhaustion,cthecstudentscexposurectocstresschascbeencprolongedcandcadaptivecenergychascbeencdeplete
d.cDiseasescofcadaptationcoccurcmorecfrequentlycincthiscstage.
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingcProcess:cAssessmentc |cClientc Need:
Psychosocialc Integrity
5. Acschoolcnurseciscassessingcacfemalechighcschoolcstudentcwhociscoverlycconcernedcaboutchercappearance.cThecclie
ntscmothercstates,cThatscnotcsomethingctocbecstressedcabout!cWhichciscthecmostcappropriatecnursingcresponse?
A. Teenagers!cTheycdontc knowc ac thingc aboutcrealc stress.
B. Stresscoccursconlycwhenctherecisc acloss.
C. Whenc youc arec inc poorc physicalc condition,c youc cantcexperiencec psychologicalc well-being.
D. Stressccanc becpsychological.c Acthreatctocself-esteemc maycresultcinc highcstressc levels.
ANS:c D
Stressccancbecphysicalcorcpsychologicalcincnature.cAcperceivedcthreatctocself-
esteemccancbecascstressfulcascacphysiologicalcchange.
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingc Process:c Implementationc |cClientc Need:
Psychosocialc Integrity
6. Acbrightcstudentcconfidescincthecschoolcnursecaboutcconflictscrelatedctocattendingccollegecorcworkingctocaddcn
eededcfinancialcsupportctocthecfamily.cWhichccopingcstrategyciscmostcappropriatecforcthecnursectocrecommendc toct
hecstudentcatcthisctime?
A. Meditation
B. Problem-solvingctraining
C. Relaxation
D. Journaling
ANS:c B
Thecstudentcmustcassesschiscorchercsituationcandcdeterminecthecbestccoursecofcaction.cProblem-
solvingctraining,cbycprovidingcstructurecandcobjectivity,ccancassistcincdecisioncmaking.
KEY:cCognitivec Level:cApplicationc |cIntegratedc Processes:cNursingcProcess:c Implementationc |cClientc Need:
Psychosocialc Integrity
