Test bank Psychiatric Mental Health Nursing by Mary C. Townsend 9th edition All chapters

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PSYCHIATRIC MENTAL
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HEALTH NURSING:
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ConceptsofCareinEvidence-BasedPractice
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9TH p ggp gg EDITION
By Maryp gg p g g p gg p g g C. Townsendg
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TEST BANK p g g p g g g g

,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend
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Table g g of g g Contents
Table of g g 1
Contents
Chapter 01. The Concept of Stress Adaptation
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Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
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Concepts
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Chapter 03. Psychopharmacology
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Chapter 04. Concepts of Psychobiology
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Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health
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Nursing
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Chapter 06. Cultural and Spiritual Concepts Relevant to
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Psychiatric/Mental
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Nursing47
Chapter 07. Relationship Development
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Chapter 08. Therapeutic
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Communication
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Chapter 09. The Nursing Process in Psychiatric/Mental Health
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Nursing Chapter 10. Therapeutic Groups
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Chapter 11. Intervention With Families
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Chapter 12. Milieu Therapy - The Therapeutic Community
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Chapter 13. Crisis Intervention
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Chapter 14. Assertiveness Training
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Chapter 15. Promoting Self-Esteem
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Chapter 16. Anger/Aggression Management
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Chapter 17. The Suicidal Client
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Chapter 18. Behavior Therapy g 146
Chapter 19. Cognitive Therapy
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Chapter 20. Electroconvulsive
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Therapy Chapter 21. The
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Recovery Model Chapter 22.
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Neurocognitive Disorders
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Chapter 23. Substance-Related and Addictive Disorders
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Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
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Chapter 25. Depressive Disorders
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Chapter 26. Bipolar and Related Disorders
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Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
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Chapter 28: Trauma and Stressor-Related Disorders
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Chapter 29. Somatic Symptom and Dissociative Disorders
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Chapter 30. Issues Related to Human Sexuality and Gender
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Dysphoria Chapter 31. Eating Disorders
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Chapter 32. Personality Disorders
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Chapter 33. Children and
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Adolescents Chapter 34. The Aging
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Individual
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Chapter 35. Survivors of Abuse or Neglect
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Chapter 36. Community Mental Health
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Nursing Chapter 37. The Bereaved Individual
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Chapter 38. Military Families
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,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend
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Chapter g g 01. g g The g g Concept g g of g g Stress g g Adaptation
Test Bank g g g g - g g Psychiatric g g Mental g g Health g g Nursing g g by g g Mary g g g g Townsend g g (9th
Edition)
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Multiple g g Choice

1. A client has experienced the death of a close family member and at the same time
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becomes unemployed. This situation has resulted in a 6-month score of 110 on the
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Recent Life Changes Questionnaire. How should the nurse evaluate this client data?
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A. The client is experiencing
gg g g g g g g severe g g distress g g and is g g g g at g g risk g g for g g physical g g and g g psychological
illness.
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B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no
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significant threat of stress-related illness.
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C. Susceptibility to stress-related physical or psychological illness cannot be estimated without
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knowledge
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D. The client may view these losses
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ANS: g g C

The Recent Life Changes Questionnaire is an expanded version of the Schedule of
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Recent Experiences and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of
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300 or more, or a year-score total of 500 or more, indicates high stress in a clients life. However,
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positive coping mechanisms and strong social support can limit susceptibility to stress-related
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illnesses.
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KEY: Cognitive Level: Application
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gg g g Processes: Nursing Process: g g g g g g Evaluation g g |
Client Need:
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Psychosocial Integrity g g




2. A physically and emotionally healthy client has just been fired. During a routine office visit he
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states to a nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing
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ggan art degree. How should the nurse characterize the clients appraisal of the job loss
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stressor?
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A. Irrelevant

B. Harm/loss

C. Threatening

D. Challenging

ANS: g g D

The client gg g g perceives the g g g g situation g g of job g g g g loss as g g g g a challenge
g g g g and g g an opportunity
g g g g for
growth.
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KEY: Cognitive Level: Application
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gg g g Processes: Nursing g g g g Process: g g Assessment g g |
Client Need:
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Psychosocial Integrity g g




3. Which client statement g g g g g g should g g alert g g a g g nurse g g that g g a g g client g g may g g be responding
g g g g maladaptively
to stress?
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A. Ive found that g g g g g g avoiding g g contact g g with g g others g g helps me g g g g cope.

B. I really g g g g enjoy journaling; gg g g its my g g g g private g g time.

C. I signed up for a yoga class this week.
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, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend
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D. I made an appointment
g g g g gg g g to meet with
g g g g g g a therapist.
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ANS: g g A

Reliance on social isolation as a coping mechanism is a maladaptive method to relieve
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stress. It can prevent learning appropriate coping skills and can prevent access to
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needed support systems.
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