,Table of Contents
x x
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
x x x x x
1. The Concept of Stress Adaptation
x x x x
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
x x x x x x x x
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING x x x x
3. Concepts of Psychobiology x x
4. Psychopharmacology
5. Ethical and Legal Issues
x x x
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE x x x x x
6. Relationship Development x
7. Therapeutic Communication x
8. The Nursing Process in Psychiatric-Mental Health Nursing
x x x x x x
9. Therapeutic Groups x
10. Intervention with Families x x
11. Milieu Therapy—The Therapeutic Community
x x x
12. Crisis Intervention
x
13. Assertiveness Training x
14. Promoting Self Esteem x x
15. Anger and Aggression Management
x x x
16. Suicide Prevention x
17. Behavior Therapy x
18. Cognitive Behavioral Therapy x x
19. Electroconvulsive Therapy x
20. The Recovery Model
x x
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
x x x x x x x x
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
x x x x x x x x x x x x x
22. Neurocognitive Disorders x
23. Substance-Related and Addictive Disorders x x x
24. Schizophrenia Spectrum and Other Psychotic Disorders x x x x x
25. Depressive Disorders x
26. Bipolar and Related Disorders
x x x
27. Anxiety, Obsessive-Compulsive, and Related Disorders
x x x x
28. Trauma and Stressor-Related Disorders
x x x
29. Somatic Symptom and Dissociative Disorders
x x x x
30. Eating Disorders x
31. Personality Disorders x
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS x x x x x
32. Children and Adolescents x x
33. The Aging Individual
x x
34. Survivors of Abuse or Neglect x x x x
35. Community Mental Health Nursing x x x
36. The Bereaved Individual
x x
37. Military Families x
eBook Bonus Chapters
x x
38. Theoretical Models of Personality Development x x x x
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
x x x x x x x x x
40. Complementary and Psychosocial Therapies x x x
41. Relaxation Therapy x
42. Issues Related to Human Sexuality and Gender Dysphoria
x x x x x x x
43. Forensic Nursing x
,Chapter 1. The Concept of Stress Adaptation
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 timebecomes
x x x x x x x x x x x x x x x
unemployed. The client‘s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
x x x x x x x x x x x x x x
Understands the client is at risk for significant stress- x x x x x x x x
related illness. Determines the client is not at risk for significant stress-
x x x x x x x x x x x
related illness. x
Needs further assessment of the client‘s coping skills to determine susceptibility tostress-
x x x x x x x x x x x
related illness. x
Recognizes the client may view the losses as challenges and perceive them asopportunities.
x x x x x x x x x x x x
ANS: 3 x
Chapter: Chapter 1, The Concept of Stress Adaptation
x x x x x x x
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
x x x x x x x x x x
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient Need
x x x x x x x x x x x
: Psychosocial Integrity
x x
Cognitive Level: Application [Applying]Concept: Stress Difficulty:
x x x x x
xModerate
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should ass
x x x x x x x x x x x x x x x
ess the client‘s coping skills and available support before determining susceptibility to str
x x x x x x x x x x x x
ess-
related physical and psychological illnesses. The Recent LifeChanges Questionnaire is a
x x x x x x x x x x
n expanded version of the Schedule of Recent Experiences and the Rahe-
x x x x x x x x x x x
Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more or a year-
x x x x x x x x x x x x x x
score total of 500 or more indicates high stress in a
x x x x x x x x x x
client‘s life and susceptibility to stress-related illnesses.
x x x x x x
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should asse
x x x x x x x x x x x x x x x
ss the client‘s coping skills and available support before determining the client‘s percepti
x x x x x x x x x x x x
on of the current stresses. A 6-month score of 300 or more or a year-
x x x x x x x x x x x x x x
score total of 500 or more on the Recent Life Changes Questionnaire indicates high stress
x x x x x x x x x x x x x x x
in a x
client‘s life and susceptibility to stress-related physical and psychological illnesses.
x x x x x x x x x
3. This is correct. Assessment is the first step in the nursing process. The nurse should assess
x x x x x x x x x x x x x x x
xthe client‘s coping skills and available support before determining susceptibility to stress-
x x x x x x x x x x x
related physical and psychological illnesses. A 6-month score
x x x x x x x
, of 300 or more or a year-
x x x x x x
score of 500 or more indicates high stress in a client‘s lifeand risk for significant stress-
x x x x x x x x x x x x x x x
related physical and psychological illness.
x x x x
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should ass
x x x x x x x x x x x x x x x
ess the client‘s coping skills and available support before determining susceptibility to str
x x x x x x x x x x x x
ess-related illness. A 6-month score of 300 or more or a year- x x x x x x x x x x x
xscore of 500 or more on the Recent Life Changes Questionnaire indicates high stressin a c
x x x x x x x x x x x x x x x
lient‘s life is susceptible to significant stress-related physical and psychologicalillness.
x x x x x x x x x
CON: Stress x
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells th
x x x x x x x x x x x x x x x x x
e nurse, ―Perhaps this was the best thing to happen. Maybe I‘ll
x x x x x x x x x x x
consider pursuing an art degree.‖ The nurse determines the client perceives the stressorof his job loss as:
x x x x x x x x x x x x x x x x
Irrelevant Ha x
rm or loss Thr
x x x
eatening A ch x x
allenge
ANS: 4 x
Chapter: Chapter 1, The Concept of Stress Adaptation
x x x x x x x
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7 Headi
x x x x x x x x x x x
ng: Stress as a transaction between the individual and the environment
x x x x x x x x x x
>Individual‘s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process: Assessm
x x x x x x x x x x x
ent
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress Di
x x x x x x x x x
fficulty: Easy x
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance for
x x x x x x x x x x x x x x
the individual. x
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced by t
x x x x x x x x x x x x x x x
he individual.
x
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
x x x x x x x x x x x x
4. This is correct. The client‘s statement indicates he perceives the loss of his job as a challe
x x x x x x x x x x x x x x x x
nge and an opportunity for growth, demonstrated by his statement to consideran art degree
x x x x x x x x x x x x x
.
CON: Stress x
x x
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
x x x x x
1. The Concept of Stress Adaptation
x x x x
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
x x x x x x x x
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING x x x x
3. Concepts of Psychobiology x x
4. Psychopharmacology
5. Ethical and Legal Issues
x x x
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE x x x x x
6. Relationship Development x
7. Therapeutic Communication x
8. The Nursing Process in Psychiatric-Mental Health Nursing
x x x x x x
9. Therapeutic Groups x
10. Intervention with Families x x
11. Milieu Therapy—The Therapeutic Community
x x x
12. Crisis Intervention
x
13. Assertiveness Training x
14. Promoting Self Esteem x x
15. Anger and Aggression Management
x x x
16. Suicide Prevention x
17. Behavior Therapy x
18. Cognitive Behavioral Therapy x x
19. Electroconvulsive Therapy x
20. The Recovery Model
x x
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
x x x x x x x x
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
x x x x x x x x x x x x x
22. Neurocognitive Disorders x
23. Substance-Related and Addictive Disorders x x x
24. Schizophrenia Spectrum and Other Psychotic Disorders x x x x x
25. Depressive Disorders x
26. Bipolar and Related Disorders
x x x
27. Anxiety, Obsessive-Compulsive, and Related Disorders
x x x x
28. Trauma and Stressor-Related Disorders
x x x
29. Somatic Symptom and Dissociative Disorders
x x x x
30. Eating Disorders x
31. Personality Disorders x
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS x x x x x
32. Children and Adolescents x x
33. The Aging Individual
x x
34. Survivors of Abuse or Neglect x x x x
35. Community Mental Health Nursing x x x
36. The Bereaved Individual
x x
37. Military Families x
eBook Bonus Chapters
x x
38. Theoretical Models of Personality Development x x x x
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
x x x x x x x x x
40. Complementary and Psychosocial Therapies x x x
41. Relaxation Therapy x
42. Issues Related to Human Sexuality and Gender Dysphoria
x x x x x x x
43. Forensic Nursing x
,Chapter 1. The Concept of Stress Adaptation
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 timebecomes
x x x x x x x x x x x x x x x
unemployed. The client‘s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
x x x x x x x x x x x x x x
Understands the client is at risk for significant stress- x x x x x x x x
related illness. Determines the client is not at risk for significant stress-
x x x x x x x x x x x
related illness. x
Needs further assessment of the client‘s coping skills to determine susceptibility tostress-
x x x x x x x x x x x
related illness. x
Recognizes the client may view the losses as challenges and perceive them asopportunities.
x x x x x x x x x x x x
ANS: 3 x
Chapter: Chapter 1, The Concept of Stress Adaptation
x x x x x x x
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
x x x x x x x x x x
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient Need
x x x x x x x x x x x
: Psychosocial Integrity
x x
Cognitive Level: Application [Applying]Concept: Stress Difficulty:
x x x x x
xModerate
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should ass
x x x x x x x x x x x x x x x
ess the client‘s coping skills and available support before determining susceptibility to str
x x x x x x x x x x x x
ess-
related physical and psychological illnesses. The Recent LifeChanges Questionnaire is a
x x x x x x x x x x
n expanded version of the Schedule of Recent Experiences and the Rahe-
x x x x x x x x x x x
Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more or a year-
x x x x x x x x x x x x x x
score total of 500 or more indicates high stress in a
x x x x x x x x x x
client‘s life and susceptibility to stress-related illnesses.
x x x x x x
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should asse
x x x x x x x x x x x x x x x
ss the client‘s coping skills and available support before determining the client‘s percepti
x x x x x x x x x x x x
on of the current stresses. A 6-month score of 300 or more or a year-
x x x x x x x x x x x x x x
score total of 500 or more on the Recent Life Changes Questionnaire indicates high stress
x x x x x x x x x x x x x x x
in a x
client‘s life and susceptibility to stress-related physical and psychological illnesses.
x x x x x x x x x
3. This is correct. Assessment is the first step in the nursing process. The nurse should assess
x x x x x x x x x x x x x x x
xthe client‘s coping skills and available support before determining susceptibility to stress-
x x x x x x x x x x x
related physical and psychological illnesses. A 6-month score
x x x x x x x
, of 300 or more or a year-
x x x x x x
score of 500 or more indicates high stress in a client‘s lifeand risk for significant stress-
x x x x x x x x x x x x x x x
related physical and psychological illness.
x x x x
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should ass
x x x x x x x x x x x x x x x
ess the client‘s coping skills and available support before determining susceptibility to str
x x x x x x x x x x x x
ess-related illness. A 6-month score of 300 or more or a year- x x x x x x x x x x x
xscore of 500 or more on the Recent Life Changes Questionnaire indicates high stressin a c
x x x x x x x x x x x x x x x
lient‘s life is susceptible to significant stress-related physical and psychologicalillness.
x x x x x x x x x
CON: Stress x
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells th
x x x x x x x x x x x x x x x x x
e nurse, ―Perhaps this was the best thing to happen. Maybe I‘ll
x x x x x x x x x x x
consider pursuing an art degree.‖ The nurse determines the client perceives the stressorof his job loss as:
x x x x x x x x x x x x x x x x
Irrelevant Ha x
rm or loss Thr
x x x
eatening A ch x x
allenge
ANS: 4 x
Chapter: Chapter 1, The Concept of Stress Adaptation
x x x x x x x
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7 Headi
x x x x x x x x x x x
ng: Stress as a transaction between the individual and the environment
x x x x x x x x x x
>Individual‘s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process: Assessm
x x x x x x x x x x x
ent
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress Di
x x x x x x x x x
fficulty: Easy x
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance for
x x x x x x x x x x x x x x
the individual. x
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced by t
x x x x x x x x x x x x x x x
he individual.
x
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
x x x x x x x x x x x x
4. This is correct. The client‘s statement indicates he perceives the loss of his job as a challe
x x x x x x x x x x x x x x x x
nge and an opportunity for growth, demonstrated by his statement to consideran art degree
x x x x x x x x x x x x x
.
CON: Stress x
