TEST BANK
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition by Karyn.
,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`unempl
oyed.`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`Nee
d:`Psychosocial`Integrity
Cognitive`Level:`Application`[Applying]Concept:`Stress`Difficult
y:`Moderate
Feedback
1. This`is`incorrect.`Assessment`is`the`first`step`of`the`nursing`process.`The`nurse`should`a
ssess`the`client‘s`coping`skills`and`available`support`before`determining`susceptibility`t
o`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`as
sess`the`client‘s`coping`skills`and`available`support`before`determining`the`client‘s`perc
eption`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`stre
ss`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`asse
ss`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`a
ssess`the`client‘s`coping`skills`and`available`support`before`determining`susceptibility`t
o`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`H
arm`or`loss`T
hreatening`A
`challenge
ANS:`4
Chapter:`Chapter`1,`The`Concept`of`Stress`Adaptation
Objective:`Discuss`adaptive`coping`strategies`in`the`management`of`stress.Page:`7Heading:`St
ress`as`a`transaction`between`the`individual`and`the`environment
>Individual‘s`Perception`of`the`Event`>`Primary`AppraisalIntegrated`Processes:`Nursing`Process:`Assess
ment
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`chall
enge`and`an`opportunity`for`growth,`demonstrated`by`his`statement`to`consideran
art`degree.
CON:`Stress
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition by Karyn.
,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`unempl
oyed.`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`Nee
d:`Psychosocial`Integrity
Cognitive`Level:`Application`[Applying]Concept:`Stress`Difficult
y:`Moderate
Feedback
1. This`is`incorrect.`Assessment`is`the`first`step`of`the`nursing`process.`The`nurse`should`a
ssess`the`client‘s`coping`skills`and`available`support`before`determining`susceptibility`t
o`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`as
sess`the`client‘s`coping`skills`and`available`support`before`determining`the`client‘s`perc
eption`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`stre
ss`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`asse
ss`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`a
ssess`the`client‘s`coping`skills`and`available`support`before`determining`susceptibility`t
o`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`H
arm`or`loss`T
hreatening`A
`challenge
ANS:`4
Chapter:`Chapter`1,`The`Concept`of`Stress`Adaptation
Objective:`Discuss`adaptive`coping`strategies`in`the`management`of`stress.Page:`7Heading:`St
ress`as`a`transaction`between`the`individual`and`the`environment
>Individual‘s`Perception`of`the`Event`>`Primary`AppraisalIntegrated`Processes:`Nursing`Process:`Assess
ment
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`chall
enge`and`an`opportunity`for`growth,`demonstrated`by`his`statement`to`consideran
art`degree.
CON:`Stress
