TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,
TableofContents
TableofContents 1
Chapter01.TheConceptofStressgAdaptation 2
Chapterg02.MentalHealth/MentalIllness:HistoricalandTheoreticalConcepts 9
Chapter03.Psychopharmacology 20
Chapterg04.ConceptsgofPsychobiology 28
Chapterg05.EthicalandLegalgIssuesinPsychiatric/MentalHealthNursing 37
Chapter06.CulturalandSpiritualConceptsRelevanttoPsychiatric/MentalHealthNursing
47
Chapterg07.gRelationshipgDevelopmentgCh 54
apterg08.gTherapeuticgCommunication 62
Chapterg09.gThegNursinggProcessgingPsychiatric/MentalgHealthgNursingg 74
Chapterg10.gTherapeuticgGroups 85
Chapter11.InterventionWithFamilies 93
Chapterg12.gMilieugTherapyg- 99
gThegTherapeuticgCommunitygChapterg13.gCrisisgIntervention 104
Chapterg14.gAssertivenessgTraininggChapt 109
erg15.gPromotinggSelf-Esteem 117
Chapterg16.gAnger/AggressiongManagementgCha 123
pterg17.gThegSuicidalgClient 130
Chapter18.BehaviorTherapygChapterg1 139
9.CognitiveTherapygChapterg20.gElectr 146
oconvulsivegTherapygChapterg21.gTheg 155
RecoverygModelgChapterg22.gNeuroco 162
gnitivegDisorders 169
Chapter23.Substance-RelatedandAddictiveDisorders 175
Chapterg24.gSchizophreniagSpectrumgandgOthergPsychoticgDisordersgC 186
hapterg25.gDepressivegDisorders 197
Chapter26.BipolarandRelatedDisorders 208
Chapterg27.gAnxiety,gObsessive- 219
Compulsive,gandgRelatedgDisordersgChapterg28:gTraumagandgStressor- 230
RelatedgDisorders 238
Chapter29.SomaticSymptomandDissociativeDisorders 244
Chapterg30.gIssuesgRelatedgtogHumangSexualitygandgGendergDysphoria 249
gChapterg31.gEatinggDisorders 257
Chapterg32.gPersonalitygDisordersgCh 269
apterg33.gChildrengandgAdolescentsgC 279
hapterg34.gThegAginggIndividual 284
Chapterg35.gSurvivorsgofgAbusegorgNeglectgChapt 290
erg36.gCommunitygMentalgHealthgNursinggChapte 297
rg37.gThegBereavedgIndividual 302
Chapter38.MilitaryFamilies
,TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,
Chapter01.TheConceptofStressAdaptation
MultipleChoice
1. Aclienthasexperiencedthedeathofaclosefamilymemberandatthesametimebecomesunemployed. gThisgsitua
tionghasgresultedgingag6-
monthgscoregofg110gongthegRecentgLifegChangesgQuestionnaire.gHowgshouldgthegnursegevaluategthisgclientgd
ata?
A. Theclientisexperiencingseveredistressandisatriskforphysicalandpsychologicalillness.
B. Agscoregofg110gongthegMillergandgRahegRecentgLifegChangesgQuestionnairegindicatesgnogsignificantgthreatg
ofgstress-relatedgillness.
C. Susceptibilitygtogstress-
relatedgphysicalgorgpsychologicalgillnessgcannotgbegestimatedgwithoutgknowledgegofgcopinggresourcesgandgav
ailablegsupports.
D. Theclientmayviewtheselossesaschallengesandperceivethemasopportunities.
ANS:C
ThegRecentgLifegChangesgQuestionnairegisgangexpandedgversiongofgthegSchedulegofgRecentgExperiencesgandgth
egRahe-HolmesSocialReadjustmentRatingScale.A6-monthscoreof300ormore,orayear-
scoretotalof500gormore,indicateshighstressinaclientslife.However,positivecopingmechanismsandstrongsocial
supportgcanglimitgsusceptibilitygtogstress-relatedgillnesses.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity
2. Aphysicallyandemotionallyhealthyclienthasjustbeenfired.Duringaroutineofficevisithestatestoa gnurse:gPe
rhapsgthisgwasgthegbestgthinggtoghappen.gMaybegIllglookgintogpursuinggangartgdegree.gHowgshouldgthegnurseg
characterizegthegclientsgappraisalgofgthegjobglossgstressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:D
Theclientperceivesthesituationofjoblossasachallengeandanopportunityforgrowth.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity
3. Whichclientstatementshouldalertanursethataclientmayberespondingmaladaptivelytostress?
A. Ivefoundthatavoidingcontactwithothershelpsmecope.
B. Ireallyenjoyjournaling;itsmyprivatetime.
C. Isignedupforayogaclassthisweek.
D. Imadeanappointmenttomeetwithatherapist.
ANS:A
Reliancegongsocialgisolationgasgagcopinggmechanismgisgagmaladaptivegmethodgtogrelievegstress.gItgcangpreventglear
ninggappropriategcopinggskillsgandgcangpreventgaccessgtogneededgsupportgsystems.
,TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity
4. Agnursinggstudentgfindsgthatgshegcomesgdowngwithgagsinusginfectiongtowardgthegendgofgeverygsemester.gWhe
ngthisgoccurs,gwhichgstagegofgstressgisgthegstudentgmostglikelygexperiencing?
A. Alarmreactionstage
B. Stageofresistance
C. Stageofexhaustion
D. Fight-or-flightstage
ANS:C
Atgthegstagegofgexhaustion,gthegstudentsgexposuregtogstressghasgbeengprolongedgandgadaptivegenergyghasgbeengdep
leted.gDiseasesgofgadaptationgoccurgmoregfrequentlygingthisgstage.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity
5. Agschoolgnursegisgassessinggagfemaleghighgschoolgstudentgwhogisgoverlygconcernedgaboutghergappearance.gTh
egclientsgmothergstates,gThatsgnotgsomethinggtogbegstressedgabout!gWhichgisgthegmostgappropriategnursinggr
esponse?
A. Teenagers!Theydontknowathingaboutgrealstress.
B. Stressoccursonlywhenthereisaloss.
C. Whenyouareinpoorphysicalcondition,youcantexperiencepsychologicalwell-being.
D. Stresscanbepsychological.Athreattoself-esteemmayresultinhighstresslevels.
ANS:D
Stressgcangbegphysicalgorgpsychologicalgingnature.gAgperceivedgthreatgtogself-
esteemgcangbegasgstressfulgasgagphysiologicalgchange.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity
6. Abrightstudentconfidesintheschoolnurseaboutconflictsrelatedtoattendingcollegeorworkingtoadd gneededgfi
nancialgsupportgtogthegfamily.gWhichgcopinggstrategygisgmostgappropriategforgthegnursegtogrecommendtogthegst
udentgatgthisgtime?
A. Meditation
B. Problem-solvingtraining
C. Relaxation
D. Journaling
ANS:B
Thegstudentgmustgassessghisgorghergsituationgandgdeterminegthegbestgcoursegofgaction.gProblem-
solvinggtraining,gbygprovidinggstructuregandgobjectivity,gcangassistgingdecisiongmaking.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity
, TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,
7. Angunemployedgcollegeggraduategisgexperiencinggsevereganxietygovergnotgfindinggagteachinggpositiongandgha
sgdifficultywithindependentproblem-
solving.Duringaroutinephysicalexamination,thegraduateconfidesin gthegclinicgnurse.gWhichgisgthegmostgappr
opriategnursinggintervention?
A. Encouragethestudenttousethealternativecopingmechanismofrelaxationexercises.
B. Completetheproblem-solvingprocessfortheclient.
C. Workthroughtheproblem-solvingprocesswiththeclient.
D. Encouragetheclienttokeepajournal.
ANS:C
Duringgtimesgofghighganxietygandgstress,gclientsgwillgneedgmoregassistancegingproblem-
solvinggandgdecisiongmaking.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity
8. Agschoolgnursegisgassessinggagdistraughtgfemaleghighgschoolgstudentgwhogisgoverlygconcernedgbecauseghe
rgparentsgcantgaffordghorsebackgridingglessons.gHowgshouldgthegnurseginterpretgthegstudentsgreactiongtog
hergperceivedgproblem?
A. Theproblemisendangeringherwell-being.
B. Theproblemispersonallyrelevanttoher.
C. Theproblemisbasedonimmaturity.
D. Theproblemisexceedinghercapacitytocope.
ANS:B
Psychologicalstressorstoself-esteemandself-
imagearerelatedtohowtheindividualperceivesthesituation gorgevent.gSelf-
imagegisgofgparticulargimportancegtogadolescents,gwhogfeelgentitledgtoghavegallgthegadvantagesgthatgothergadoles
centsgexperience.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity
9. Meditationghasgbeengshowngtogbegangeffectivegstressgmanagementgtechnique.gWhengmeditationgisgeffective
,gwhatgshouldgagnursegexpectgtogassess?
A. Anachievedstateofrelaxation
B. Anachievedinsightintoonesfeelings
C. Ademonstrationofappropriaterolebehaviors
D. Anenhancedabilitytoproblem-solve
ANS:A
Meditationproducesrelaxationbycreatingaspecialstateofconsciousnessthroughfocusedconcentration.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity
10. Adistraught,single,first-
timemothercriesandasksanurse,HowcanIgotoworkifIcantafford gchildcare?Whatisthenursesinitialacti
oninassistingtheclientwiththeproblem-solvingprocess?
TableofContents
TableofContents 1
Chapter01.TheConceptofStressgAdaptation 2
Chapterg02.MentalHealth/MentalIllness:HistoricalandTheoreticalConcepts 9
Chapter03.Psychopharmacology 20
Chapterg04.ConceptsgofPsychobiology 28
Chapterg05.EthicalandLegalgIssuesinPsychiatric/MentalHealthNursing 37
Chapter06.CulturalandSpiritualConceptsRelevanttoPsychiatric/MentalHealthNursing
47
Chapterg07.gRelationshipgDevelopmentgCh 54
apterg08.gTherapeuticgCommunication 62
Chapterg09.gThegNursinggProcessgingPsychiatric/MentalgHealthgNursingg 74
Chapterg10.gTherapeuticgGroups 85
Chapter11.InterventionWithFamilies 93
Chapterg12.gMilieugTherapyg- 99
gThegTherapeuticgCommunitygChapterg13.gCrisisgIntervention 104
Chapterg14.gAssertivenessgTraininggChapt 109
erg15.gPromotinggSelf-Esteem 117
Chapterg16.gAnger/AggressiongManagementgCha 123
pterg17.gThegSuicidalgClient 130
Chapter18.BehaviorTherapygChapterg1 139
9.CognitiveTherapygChapterg20.gElectr 146
oconvulsivegTherapygChapterg21.gTheg 155
RecoverygModelgChapterg22.gNeuroco 162
gnitivegDisorders 169
Chapter23.Substance-RelatedandAddictiveDisorders 175
Chapterg24.gSchizophreniagSpectrumgandgOthergPsychoticgDisordersgC 186
hapterg25.gDepressivegDisorders 197
Chapter26.BipolarandRelatedDisorders 208
Chapterg27.gAnxiety,gObsessive- 219
Compulsive,gandgRelatedgDisordersgChapterg28:gTraumagandgStressor- 230
RelatedgDisorders 238
Chapter29.SomaticSymptomandDissociativeDisorders 244
Chapterg30.gIssuesgRelatedgtogHumangSexualitygandgGendergDysphoria 249
gChapterg31.gEatinggDisorders 257
Chapterg32.gPersonalitygDisordersgCh 269
apterg33.gChildrengandgAdolescentsgC 279
hapterg34.gThegAginggIndividual 284
Chapterg35.gSurvivorsgofgAbusegorgNeglectgChapt 290
erg36.gCommunitygMentalgHealthgNursinggChapte 297
rg37.gThegBereavedgIndividual 302
Chapter38.MilitaryFamilies
,TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,
Chapter01.TheConceptofStressAdaptation
MultipleChoice
1. Aclienthasexperiencedthedeathofaclosefamilymemberandatthesametimebecomesunemployed. gThisgsitua
tionghasgresultedgingag6-
monthgscoregofg110gongthegRecentgLifegChangesgQuestionnaire.gHowgshouldgthegnursegevaluategthisgclientgd
ata?
A. Theclientisexperiencingseveredistressandisatriskforphysicalandpsychologicalillness.
B. Agscoregofg110gongthegMillergandgRahegRecentgLifegChangesgQuestionnairegindicatesgnogsignificantgthreatg
ofgstress-relatedgillness.
C. Susceptibilitygtogstress-
relatedgphysicalgorgpsychologicalgillnessgcannotgbegestimatedgwithoutgknowledgegofgcopinggresourcesgandgav
ailablegsupports.
D. Theclientmayviewtheselossesaschallengesandperceivethemasopportunities.
ANS:C
ThegRecentgLifegChangesgQuestionnairegisgangexpandedgversiongofgthegSchedulegofgRecentgExperiencesgandgth
egRahe-HolmesSocialReadjustmentRatingScale.A6-monthscoreof300ormore,orayear-
scoretotalof500gormore,indicateshighstressinaclientslife.However,positivecopingmechanismsandstrongsocial
supportgcanglimitgsusceptibilitygtogstress-relatedgillnesses.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity
2. Aphysicallyandemotionallyhealthyclienthasjustbeenfired.Duringaroutineofficevisithestatestoa gnurse:gPe
rhapsgthisgwasgthegbestgthinggtoghappen.gMaybegIllglookgintogpursuinggangartgdegree.gHowgshouldgthegnurseg
characterizegthegclientsgappraisalgofgthegjobglossgstressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:D
Theclientperceivesthesituationofjoblossasachallengeandanopportunityforgrowth.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity
3. Whichclientstatementshouldalertanursethataclientmayberespondingmaladaptivelytostress?
A. Ivefoundthatavoidingcontactwithothershelpsmecope.
B. Ireallyenjoyjournaling;itsmyprivatetime.
C. Isignedupforayogaclassthisweek.
D. Imadeanappointmenttomeetwithatherapist.
ANS:A
Reliancegongsocialgisolationgasgagcopinggmechanismgisgagmaladaptivegmethodgtogrelievegstress.gItgcangpreventglear
ninggappropriategcopinggskillsgandgcangpreventgaccessgtogneededgsupportgsystems.
,TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity
4. Agnursinggstudentgfindsgthatgshegcomesgdowngwithgagsinusginfectiongtowardgthegendgofgeverygsemester.gWhe
ngthisgoccurs,gwhichgstagegofgstressgisgthegstudentgmostglikelygexperiencing?
A. Alarmreactionstage
B. Stageofresistance
C. Stageofexhaustion
D. Fight-or-flightstage
ANS:C
Atgthegstagegofgexhaustion,gthegstudentsgexposuregtogstressghasgbeengprolongedgandgadaptivegenergyghasgbeengdep
leted.gDiseasesgofgadaptationgoccurgmoregfrequentlygingthisgstage.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity
5. Agschoolgnursegisgassessinggagfemaleghighgschoolgstudentgwhogisgoverlygconcernedgaboutghergappearance.gTh
egclientsgmothergstates,gThatsgnotgsomethinggtogbegstressedgabout!gWhichgisgthegmostgappropriategnursinggr
esponse?
A. Teenagers!Theydontknowathingaboutgrealstress.
B. Stressoccursonlywhenthereisaloss.
C. Whenyouareinpoorphysicalcondition,youcantexperiencepsychologicalwell-being.
D. Stresscanbepsychological.Athreattoself-esteemmayresultinhighstresslevels.
ANS:D
Stressgcangbegphysicalgorgpsychologicalgingnature.gAgperceivedgthreatgtogself-
esteemgcangbegasgstressfulgasgagphysiologicalgchange.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity
6. Abrightstudentconfidesintheschoolnurseaboutconflictsrelatedtoattendingcollegeorworkingtoadd gneededgfi
nancialgsupportgtogthegfamily.gWhichgcopinggstrategygisgmostgappropriategforgthegnursegtogrecommendtogthegst
udentgatgthisgtime?
A. Meditation
B. Problem-solvingtraining
C. Relaxation
D. Journaling
ANS:B
Thegstudentgmustgassessghisgorghergsituationgandgdeterminegthegbestgcoursegofgaction.gProblem-
solvinggtraining,gbygprovidinggstructuregandgobjectivity,gcangassistgingdecisiongmaking.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity
, TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,
7. Angunemployedgcollegeggraduategisgexperiencinggsevereganxietygovergnotgfindinggagteachinggpositiongandgha
sgdifficultywithindependentproblem-
solving.Duringaroutinephysicalexamination,thegraduateconfidesin gthegclinicgnurse.gWhichgisgthegmostgappr
opriategnursinggintervention?
A. Encouragethestudenttousethealternativecopingmechanismofrelaxationexercises.
B. Completetheproblem-solvingprocessfortheclient.
C. Workthroughtheproblem-solvingprocesswiththeclient.
D. Encouragetheclienttokeepajournal.
ANS:C
Duringgtimesgofghighganxietygandgstress,gclientsgwillgneedgmoregassistancegingproblem-
solvinggandgdecisiongmaking.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity
8. Agschoolgnursegisgassessinggagdistraughtgfemaleghighgschoolgstudentgwhogisgoverlygconcernedgbecauseghe
rgparentsgcantgaffordghorsebackgridingglessons.gHowgshouldgthegnurseginterpretgthegstudentsgreactiongtog
hergperceivedgproblem?
A. Theproblemisendangeringherwell-being.
B. Theproblemispersonallyrelevanttoher.
C. Theproblemisbasedonimmaturity.
D. Theproblemisexceedinghercapacitytocope.
ANS:B
Psychologicalstressorstoself-esteemandself-
imagearerelatedtohowtheindividualperceivesthesituation gorgevent.gSelf-
imagegisgofgparticulargimportancegtogadolescents,gwhogfeelgentitledgtoghavegallgthegadvantagesgthatgothergadoles
centsgexperience.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity
9. Meditationghasgbeengshowngtogbegangeffectivegstressgmanagementgtechnique.gWhengmeditationgisgeffective
,gwhatgshouldgagnursegexpectgtogassess?
A. Anachievedstateofrelaxation
B. Anachievedinsightintoonesfeelings
C. Ademonstrationofappropriaterolebehaviors
D. Anenhancedabilitytoproblem-solve
ANS:A
Meditationproducesrelaxationbycreatingaspecialstateofconsciousnessthroughfocusedconcentration.
KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Evaluation|ClientNeed:
PsychosocialIntegrity
10. Adistraught,single,first-
timemothercriesandasksanurse,HowcanIgotoworkifIcantafford gchildcare?Whatisthenursesinitialacti
oninassistingtheclientwiththeproblem-solvingprocess?
