,✅ Comprehensive NCLEX® Test Bank
Psychiatric Mental Health Nursing: Concepts of Care in
Evidence-Based Practice – 10th Edition
By Mary C. Townsend & Karyn I. Morgan
🧠 2025 Pass Guarantee | NCLEX-RN & Nursing School Success
Table of Contents for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based
Practice, 10th Edition by Townsend & Morgan:
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
38. Appendices & Additional Resources
A. Answers to Chapter Review and Clinical Judgment Questions
B. Examples of Answers to Communication Exercises
C. Mental Status Assessment
Glossary
Index
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
1. (Basic Concepts in Psychiatric-Mental Health Nursing, p.
1)
A nurse is defining “therapeutic milieu” to a student. Which
statement best captures its meaning?
A. “A treatment method focusing solely on medication.”
B. “An environment structured to promote patient growth.”
C. “A technique for one-on-one psychotherapy.”
D. “A model of community outreach.”
Correct: B
Rationale: A therapeutic milieu uses the total environment—
inclusive of people, setting, and structure—to facilitate adaptive
behaviors (p. 1).
,2. (Basic Concepts in Psychiatric-Mental Health Nursing, p.
1)
When prioritizing care in a psychiatric setting, which nursing
action exemplifies “primary prevention”?
A. Administering antipsychotics to a newly admitted
schizophrenic patient.
B. Leading a stress-management workshop in a community
center.
C. Conducting reality orientation for a delirious patient.
D. Counseling a patient after a suicide attempt.
Correct: B
Rationale: Primary prevention addresses potential problems
before they occur, such as community stress-management
education (p. 1).
3. (Concept of Stress Adaptation – Objectives, p. 2)
One objective of the stress-adaptation chapter is to differentiate
between eustress and distress. Which scenario illustrates
eustress?
A. Fear before a job interview prompting extra preparation.
B. Chronic worry over finances impairing sleep.
C. Panic during a house fire causing immobility.
D. Ongoing anxiety about health leading to avoidance.
Correct: A
Rationale: Eustress is positive stress that motivates productive
behavior, like preparing for an interview (p. 2).
,4. (Concept of Stress Adaptation – Homework Assignment,
p. 2)
A student’s assignment is to journal for one week identifying
personal stressors and responses. This exercise primarily aims
to:
A. Increase tolerance for all stressors.
B. Enhance self-awareness of stress triggers.
C. Teach medication management strategies.
D. Eliminate environmental stressors.
Correct: B
Rationale: Journaling encourages recognition of individual
stressors and personal reactions, fostering self-awareness (p. 2).
5. (Stress as a Biological Response, p. 3)
During the alarm stage of Selye’s stress response, which
hormonal change is expected?
A. Decreased cortisol release
B. Increased glucagon secretion
C. Elevated catecholamine levels
D. Suppressed epinephrine production
Correct: C
Rationale: The alarm stage triggers the sympathetic nervous
system, raising catecholamines like epinephrine (p. 3).
,6. (Stress as a Biological Response, p. 3)
A patient with prolonged stress exhibits weight gain,
hypertension, and glucose intolerance. These findings are
characteristic of which stage?
A. Alarm
B. Resistance
C. Exhaustion
D. Recovery
Correct: C
Rationale: The exhaustion stage occurs when adaptive energy is
depleted, leading to maladaptive physiological changes (p. 3).
7. (Stress as a Biological Response, p. 3)
Which lab value would a nurse expect in a patient experiencing
acute stress?
A. Low blood glucose
B. Elevated white blood cell count
C. Increased sodium excretion
D. Decreased heart rate
Correct: B
Rationale: Acute stress causes leukocytosis via cortisol-
mediated demargination (p. 3).
8. (Stress as an Environmental Event, p. 5)
A family loses their home in a flood. Which best describes this
stressor?
A. Internal
,B. Transactional
C. Crisis
D. External
Correct: D
Rationale: Environmental events like natural disasters are
external stressors originating outside the individual (p. 5).
9. (Stress as an Environmental Event, p. 5)
Which nursing intervention addresses environmental stress?
A. Teaching deep-breathing exercises.
B. Relocating a patient away from noise.
C. Facilitating cognitive reframing.
D. Reviewing past coping skills.
Correct: B
Rationale: Altering the environment, such as reducing noise,
mitigates external stressors (p. 5).
10. (Stress as an Environmental Event, p. 5)
A community health nurse organizes a neighborhood watch to
reduce crime. This is an example of:
A. Primary prevention.
B. Secondary prevention.
C. Tertiary prevention.
D. Crisis intervention.
,Correct: A
Rationale: Reducing environmental risks before problems arise
is primary prevention (p. 5).
11. (Stress as a Transaction Between the Individual and the
Environment, p. 7)
Lazarus and Folkman’s model emphasizes that stress arises
when:
A. External events exceed coping resources.
B. Biological responses dominate perception.
C. Environmental changes are predictable.
D. Adaptation occurs without appraisal.
Correct: A
Rationale: Transactional theory defines stress as the person–
environment relationship appraised as taxing or exceeding
coping (p. 7).
12. (Stress as a Transaction Between the Individual and the
Environment, p. 7)
A patient appraises an upcoming exam as a threat and
experiences anxiety. This appraisal is termed:
A. Primary appraisal.
B. Secondary appraisal.
C. Tertiary appraisal.
D. Reappraisal.
, Correct: A
Rationale: Primary appraisal assesses the significance of an
event as threat, harm, or challenge (p. 7).
13. (Stress as a Transaction Between the Individual and the
Environment, p. 7)
Which statement reflects secondary appraisal?
A. “Can I handle this workload?”
B. “This test will ruin my life.”
C. “I feel physically tense.”
D. “The environment is noisy.”
Correct: A
Rationale: Secondary appraisal evaluates available coping
resources and options (p. 7).
14. (Stress Management, p. 8)
A nurse teaches progressive muscle relaxation. This technique
primarily teaches:
A. Cognitive restructuring.
B. Autonomic nervous system control.
C. Problem-solving skills.
D. Time management strategies.
Correct: B
Rationale: Progressive muscle relaxation reduces sympathetic
arousal by voluntary muscle tension and release (p. 8).
Psychiatric Mental Health Nursing: Concepts of Care in
Evidence-Based Practice – 10th Edition
By Mary C. Townsend & Karyn I. Morgan
🧠 2025 Pass Guarantee | NCLEX-RN & Nursing School Success
Table of Contents for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based
Practice, 10th Edition by Townsend & Morgan:
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
38. Appendices & Additional Resources
A. Answers to Chapter Review and Clinical Judgment Questions
B. Examples of Answers to Communication Exercises
C. Mental Status Assessment
Glossary
Index
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
1. (Basic Concepts in Psychiatric-Mental Health Nursing, p.
1)
A nurse is defining “therapeutic milieu” to a student. Which
statement best captures its meaning?
A. “A treatment method focusing solely on medication.”
B. “An environment structured to promote patient growth.”
C. “A technique for one-on-one psychotherapy.”
D. “A model of community outreach.”
Correct: B
Rationale: A therapeutic milieu uses the total environment—
inclusive of people, setting, and structure—to facilitate adaptive
behaviors (p. 1).
,2. (Basic Concepts in Psychiatric-Mental Health Nursing, p.
1)
When prioritizing care in a psychiatric setting, which nursing
action exemplifies “primary prevention”?
A. Administering antipsychotics to a newly admitted
schizophrenic patient.
B. Leading a stress-management workshop in a community
center.
C. Conducting reality orientation for a delirious patient.
D. Counseling a patient after a suicide attempt.
Correct: B
Rationale: Primary prevention addresses potential problems
before they occur, such as community stress-management
education (p. 1).
3. (Concept of Stress Adaptation – Objectives, p. 2)
One objective of the stress-adaptation chapter is to differentiate
between eustress and distress. Which scenario illustrates
eustress?
A. Fear before a job interview prompting extra preparation.
B. Chronic worry over finances impairing sleep.
C. Panic during a house fire causing immobility.
D. Ongoing anxiety about health leading to avoidance.
Correct: A
Rationale: Eustress is positive stress that motivates productive
behavior, like preparing for an interview (p. 2).
,4. (Concept of Stress Adaptation – Homework Assignment,
p. 2)
A student’s assignment is to journal for one week identifying
personal stressors and responses. This exercise primarily aims
to:
A. Increase tolerance for all stressors.
B. Enhance self-awareness of stress triggers.
C. Teach medication management strategies.
D. Eliminate environmental stressors.
Correct: B
Rationale: Journaling encourages recognition of individual
stressors and personal reactions, fostering self-awareness (p. 2).
5. (Stress as a Biological Response, p. 3)
During the alarm stage of Selye’s stress response, which
hormonal change is expected?
A. Decreased cortisol release
B. Increased glucagon secretion
C. Elevated catecholamine levels
D. Suppressed epinephrine production
Correct: C
Rationale: The alarm stage triggers the sympathetic nervous
system, raising catecholamines like epinephrine (p. 3).
,6. (Stress as a Biological Response, p. 3)
A patient with prolonged stress exhibits weight gain,
hypertension, and glucose intolerance. These findings are
characteristic of which stage?
A. Alarm
B. Resistance
C. Exhaustion
D. Recovery
Correct: C
Rationale: The exhaustion stage occurs when adaptive energy is
depleted, leading to maladaptive physiological changes (p. 3).
7. (Stress as a Biological Response, p. 3)
Which lab value would a nurse expect in a patient experiencing
acute stress?
A. Low blood glucose
B. Elevated white blood cell count
C. Increased sodium excretion
D. Decreased heart rate
Correct: B
Rationale: Acute stress causes leukocytosis via cortisol-
mediated demargination (p. 3).
8. (Stress as an Environmental Event, p. 5)
A family loses their home in a flood. Which best describes this
stressor?
A. Internal
,B. Transactional
C. Crisis
D. External
Correct: D
Rationale: Environmental events like natural disasters are
external stressors originating outside the individual (p. 5).
9. (Stress as an Environmental Event, p. 5)
Which nursing intervention addresses environmental stress?
A. Teaching deep-breathing exercises.
B. Relocating a patient away from noise.
C. Facilitating cognitive reframing.
D. Reviewing past coping skills.
Correct: B
Rationale: Altering the environment, such as reducing noise,
mitigates external stressors (p. 5).
10. (Stress as an Environmental Event, p. 5)
A community health nurse organizes a neighborhood watch to
reduce crime. This is an example of:
A. Primary prevention.
B. Secondary prevention.
C. Tertiary prevention.
D. Crisis intervention.
,Correct: A
Rationale: Reducing environmental risks before problems arise
is primary prevention (p. 5).
11. (Stress as a Transaction Between the Individual and the
Environment, p. 7)
Lazarus and Folkman’s model emphasizes that stress arises
when:
A. External events exceed coping resources.
B. Biological responses dominate perception.
C. Environmental changes are predictable.
D. Adaptation occurs without appraisal.
Correct: A
Rationale: Transactional theory defines stress as the person–
environment relationship appraised as taxing or exceeding
coping (p. 7).
12. (Stress as a Transaction Between the Individual and the
Environment, p. 7)
A patient appraises an upcoming exam as a threat and
experiences anxiety. This appraisal is termed:
A. Primary appraisal.
B. Secondary appraisal.
C. Tertiary appraisal.
D. Reappraisal.
, Correct: A
Rationale: Primary appraisal assesses the significance of an
event as threat, harm, or challenge (p. 7).
13. (Stress as a Transaction Between the Individual and the
Environment, p. 7)
Which statement reflects secondary appraisal?
A. “Can I handle this workload?”
B. “This test will ruin my life.”
C. “I feel physically tense.”
D. “The environment is noisy.”
Correct: A
Rationale: Secondary appraisal evaluates available coping
resources and options (p. 7).
14. (Stress Management, p. 8)
A nurse teaches progressive muscle relaxation. This technique
primarily teaches:
A. Cognitive restructuring.
B. Autonomic nervous system control.
C. Problem-solving skills.
D. Time management strategies.
Correct: B
Rationale: Progressive muscle relaxation reduces sympathetic
arousal by voluntary muscle tension and release (p. 8).
