Test Bank: Essentials of Psychiatric Mental Health Nursing 7th Edition | Mary
C. Townsend | Complete Chapters 1-29 | Questions & Verified Answers With
Rationales | Evidence-Based Practice | Exam Prep Guide
,Table of Contents
Bonus Chapter 1: Concepts Of Personality Development.................................................................................................................3
I. Introduction to Psychiatric/Mental Health Concepts ......................................................................................................................13
Chapter 1: Mental Health And Mental Illness ................................................................................................................................14
Bonus Chapter 2: Complementary And Psychosocial Therapies ....................................................................................................29
Chapter 2: Biological Implications .................................................................................................................................................43
Chapter 3: Ethical And Legal Issues ...............................................................................................................................................61
Chapter 4: Psychopharmacology ....................................................................................................................................................79
Chapter 5: Cultural And Spiritual Concepts Relevant To Psychiatric/Mental Health Nursing .....................................................100
II. Psychiatric/Mental Health Nursing Interventions ........................................................................................................................119
Chapter 6: Relationship Development And Therapeutic Communication ....................................................................................119
Chapter 7: The Nursing Process In Psychiatric/Mental Health Nursing .......................................................................................138
Chapter 8: Milieu Therapy—The Therapeutic Community ..........................................................................................................152
Chapter 9: Interventions In Groups ...............................................................................................................................................163
Chapter 10: Crisis Intervention .....................................................................................................................................................178
Chapter 11: The Recovery Model .................................................................................................................................................191
Chapter 12: Suicide Prevention .....................................................................................................................................................208
III. Care of Clients with Psychiatric Disorders.................................................................................................................................227
Chapter 13: Neurocognitive Disorders ..........................................................................................................................................227
Chapter 14: Substance Use And Addictive Disorders ...................................................................................................................242
Chapter 15: Schizophrenia Spectrum And Other Psychotic Disorders .........................................................................................266
Chapter 16: Depressive Disorders .................................................................................................................................................284
Chapter 17: Bipolar And Other Related Disorders........................................................................................................................309
Chapter 18: Anxiety, Obsessive-Compulsive, And Related Disorders..........................................................................................322
Chapter 19: Trauma And Stressor-Related Disorders ....................................................................................................................347
Chapter 20: Somatic Symptom And Dissociative Disorders.........................................................................................................368
Chapter 21: Issues Related To Human Sexuality And Gender Dysphoria ....................................................................................383
Chapter 22: Eating Disorders ........................................................................................................................................................401
Chapter 23: Personality Disorders ................................................................................................................................................413
IV. Psychiatric Mental Health Nursing of Special Populations .......................................................................................................442
Chapter 24: Children And Adolescents .........................................................................................................................................442
Chapter 25: The Aging Individual .................................................................................................................................................460
Chapter 26: Survivors Of Abuse Or Neglect .................................................................................................................................474
Chapter 27: Community Mental Health Nursing ..........................................................................................................................491
Chapter 28: The Bereaved Individual ...........................................................................................................................................506
Chapter 29: Military Families .......................................................................................................................................................521
,Bonus Chapter 1: Concepts Of Personality Development
Multiple Choice
Identify The Choice That Best Completes The Statement Or Answers The Question.
1. A Jilted College Student Is Admitted To A Hospital Following A Suicide Attempt And States, “No
One Will Ever Love A Loser Like Me.” According To Erikson’s Theory Of Personality
Development, A Nurse Should Recognize That This Patient Has A Deficit In Which Developmental
Stage?
1. Trust Versus Mistrust
2. Initiative Versus Guilt
3. Intimacy Versus Isolation
4. Ego Integrity Versus Despair
2. A Nurse Observes A 3-Year-Old Client Willingly Sharing Candy With A Sibling. According To
Peplau, Which Psychological Stage Of Development Should The Nurse Determine That This Child
Has Completed?
1. Learning To Count On Others
2. Learning To Delay Satisfaction
3. Identifying Oneself
4. Developing Skills In Participation
3. A 9-Month-Old Child Screams Every Time His Mother Leaves And Will Not Tolerate Anyone
Else Changing His Diaper. The Nurse Should Determine That, According To Mahler’s
Developmental Theory, This Child’s Development Was Arrested At Which Phase?
1. The Autistic Phase
2. The Symbiotic Phase
3. The Separation-Individuation Phase
4. The Rapprochement Phase
4. According To Peplau, A Nurse Who Provides An Abandoned Child With Parental Guidance And
Praise Following Small Accomplishments Is Serving Which Therapeutic Role?
1. Technical Expert
2. Resource Person
3. Surrogate
4. Leader
5. When Assessing Clients, A Psychiatric Nurse Should Understand That Psychoanalytic Theory Is
Based On Which Underlying Concept?
1. A Possible Genetic Basis For The Client’s Problems
2. The Structure And Dynamics Of The Personality
3. Behavioral Responses To Stressors
4. Maladaptive Cognitions
6. Which Underlying Concept Should A Nurse Associate With Interpersonal Theory When
Assessing A Client?
1. The Effects Of Social Processes On Personality Development
2. The Effects Of Unconscious Processes And Personality Structures
3. The Effects On Thoughts And Perceptual Processes
4. The Effects Of Chemical And Genetic Influences
, 7. A Physically Healthy, 35-Year-Old, Single Client Lives With His Parents, Who Provide Total
Financial Support. According To Erikson’s Theory, Which Developmental Task Should A Nurse
Assist The Client To Accomplish?
1. Establishing The Ability To Control Emotional Reactions
2. Establishing A Strong Sense Of Ethics And Character Structure
3. Establishing And Maintaining Self-Esteem
4. Establishing A Career, Personal Relationships, And Societal Connections
8. A 1-Month-Old Infant Is Left Alone For Extended Periods, Has Little Physical Stimulation,
And Is Malnourished. Based On This Infant’s Situation, In Which Phase Of Development,
According To Mahler’s Theory, Should A Nurse Expect To See A Potential Deficit?
1. The Symbiotic Phase
2. The Autistic Phase
3. The Consolidation Phase
4. The Rapprochement Phase
9. A 6-Year-Old Boy Uses His Father’s Flashlight To Explore His 3-Year-Old Sister’s Genitalia.
According To Freud, In Which Stage Of Psychosocial Development Should A Nurse Identify This
Behavior As Normal?
1. Oral
2. Anal
3. Phallic
4. Latency
10. A Married, 26-Year-Old Client Works As A Schoolteacher. She And Her Husband Have Just Had
Their First Child. A Nurse Should Recognize That This Client Is Successfully Accomplishing
Which Stage Of Erikson’s Developmental Theory?
1. Industry Versus Inferiority
2. Identity Versus Role Confusion
3. Intimacy Versus Isolation
4. Generativity Versus Stagnation
11. A 10-Year-Old Child Wins The Science Fair Competition And Is Chosen As A Cheerleader
For The Basketball Team. A Nurse Should Recognize That This Child Is In The Process
Of Successfully Accomplishing Which Stage Of Erikson’s Developmental Theory?
1. Industry Versus Inferiority
2. Identity Versus Role Confusion
3. Intimacy Versus Isolation
4. Generativity Versus Stagnation
12. A Client Has Flashbacks Of Sexual Abuse By Her Uncle. She Did Not Have These Memories Until
Recently, When She Became Sexually Active With Her Boyfriend. A Nurse Should Identify This
Experience As Which Part Of Sullivan’s Concept Of The Self-System?
1. The Good Me
2. The Bad Me
3. The Not Me
4. The Bad You
13. According To Freud, Which Statement Should A Nurse Associate With Predominance Of The
Superego?
C. Townsend | Complete Chapters 1-29 | Questions & Verified Answers With
Rationales | Evidence-Based Practice | Exam Prep Guide
,Table of Contents
Bonus Chapter 1: Concepts Of Personality Development.................................................................................................................3
I. Introduction to Psychiatric/Mental Health Concepts ......................................................................................................................13
Chapter 1: Mental Health And Mental Illness ................................................................................................................................14
Bonus Chapter 2: Complementary And Psychosocial Therapies ....................................................................................................29
Chapter 2: Biological Implications .................................................................................................................................................43
Chapter 3: Ethical And Legal Issues ...............................................................................................................................................61
Chapter 4: Psychopharmacology ....................................................................................................................................................79
Chapter 5: Cultural And Spiritual Concepts Relevant To Psychiatric/Mental Health Nursing .....................................................100
II. Psychiatric/Mental Health Nursing Interventions ........................................................................................................................119
Chapter 6: Relationship Development And Therapeutic Communication ....................................................................................119
Chapter 7: The Nursing Process In Psychiatric/Mental Health Nursing .......................................................................................138
Chapter 8: Milieu Therapy—The Therapeutic Community ..........................................................................................................152
Chapter 9: Interventions In Groups ...............................................................................................................................................163
Chapter 10: Crisis Intervention .....................................................................................................................................................178
Chapter 11: The Recovery Model .................................................................................................................................................191
Chapter 12: Suicide Prevention .....................................................................................................................................................208
III. Care of Clients with Psychiatric Disorders.................................................................................................................................227
Chapter 13: Neurocognitive Disorders ..........................................................................................................................................227
Chapter 14: Substance Use And Addictive Disorders ...................................................................................................................242
Chapter 15: Schizophrenia Spectrum And Other Psychotic Disorders .........................................................................................266
Chapter 16: Depressive Disorders .................................................................................................................................................284
Chapter 17: Bipolar And Other Related Disorders........................................................................................................................309
Chapter 18: Anxiety, Obsessive-Compulsive, And Related Disorders..........................................................................................322
Chapter 19: Trauma And Stressor-Related Disorders ....................................................................................................................347
Chapter 20: Somatic Symptom And Dissociative Disorders.........................................................................................................368
Chapter 21: Issues Related To Human Sexuality And Gender Dysphoria ....................................................................................383
Chapter 22: Eating Disorders ........................................................................................................................................................401
Chapter 23: Personality Disorders ................................................................................................................................................413
IV. Psychiatric Mental Health Nursing of Special Populations .......................................................................................................442
Chapter 24: Children And Adolescents .........................................................................................................................................442
Chapter 25: The Aging Individual .................................................................................................................................................460
Chapter 26: Survivors Of Abuse Or Neglect .................................................................................................................................474
Chapter 27: Community Mental Health Nursing ..........................................................................................................................491
Chapter 28: The Bereaved Individual ...........................................................................................................................................506
Chapter 29: Military Families .......................................................................................................................................................521
,Bonus Chapter 1: Concepts Of Personality Development
Multiple Choice
Identify The Choice That Best Completes The Statement Or Answers The Question.
1. A Jilted College Student Is Admitted To A Hospital Following A Suicide Attempt And States, “No
One Will Ever Love A Loser Like Me.” According To Erikson’s Theory Of Personality
Development, A Nurse Should Recognize That This Patient Has A Deficit In Which Developmental
Stage?
1. Trust Versus Mistrust
2. Initiative Versus Guilt
3. Intimacy Versus Isolation
4. Ego Integrity Versus Despair
2. A Nurse Observes A 3-Year-Old Client Willingly Sharing Candy With A Sibling. According To
Peplau, Which Psychological Stage Of Development Should The Nurse Determine That This Child
Has Completed?
1. Learning To Count On Others
2. Learning To Delay Satisfaction
3. Identifying Oneself
4. Developing Skills In Participation
3. A 9-Month-Old Child Screams Every Time His Mother Leaves And Will Not Tolerate Anyone
Else Changing His Diaper. The Nurse Should Determine That, According To Mahler’s
Developmental Theory, This Child’s Development Was Arrested At Which Phase?
1. The Autistic Phase
2. The Symbiotic Phase
3. The Separation-Individuation Phase
4. The Rapprochement Phase
4. According To Peplau, A Nurse Who Provides An Abandoned Child With Parental Guidance And
Praise Following Small Accomplishments Is Serving Which Therapeutic Role?
1. Technical Expert
2. Resource Person
3. Surrogate
4. Leader
5. When Assessing Clients, A Psychiatric Nurse Should Understand That Psychoanalytic Theory Is
Based On Which Underlying Concept?
1. A Possible Genetic Basis For The Client’s Problems
2. The Structure And Dynamics Of The Personality
3. Behavioral Responses To Stressors
4. Maladaptive Cognitions
6. Which Underlying Concept Should A Nurse Associate With Interpersonal Theory When
Assessing A Client?
1. The Effects Of Social Processes On Personality Development
2. The Effects Of Unconscious Processes And Personality Structures
3. The Effects On Thoughts And Perceptual Processes
4. The Effects Of Chemical And Genetic Influences
, 7. A Physically Healthy, 35-Year-Old, Single Client Lives With His Parents, Who Provide Total
Financial Support. According To Erikson’s Theory, Which Developmental Task Should A Nurse
Assist The Client To Accomplish?
1. Establishing The Ability To Control Emotional Reactions
2. Establishing A Strong Sense Of Ethics And Character Structure
3. Establishing And Maintaining Self-Esteem
4. Establishing A Career, Personal Relationships, And Societal Connections
8. A 1-Month-Old Infant Is Left Alone For Extended Periods, Has Little Physical Stimulation,
And Is Malnourished. Based On This Infant’s Situation, In Which Phase Of Development,
According To Mahler’s Theory, Should A Nurse Expect To See A Potential Deficit?
1. The Symbiotic Phase
2. The Autistic Phase
3. The Consolidation Phase
4. The Rapprochement Phase
9. A 6-Year-Old Boy Uses His Father’s Flashlight To Explore His 3-Year-Old Sister’s Genitalia.
According To Freud, In Which Stage Of Psychosocial Development Should A Nurse Identify This
Behavior As Normal?
1. Oral
2. Anal
3. Phallic
4. Latency
10. A Married, 26-Year-Old Client Works As A Schoolteacher. She And Her Husband Have Just Had
Their First Child. A Nurse Should Recognize That This Client Is Successfully Accomplishing
Which Stage Of Erikson’s Developmental Theory?
1. Industry Versus Inferiority
2. Identity Versus Role Confusion
3. Intimacy Versus Isolation
4. Generativity Versus Stagnation
11. A 10-Year-Old Child Wins The Science Fair Competition And Is Chosen As A Cheerleader
For The Basketball Team. A Nurse Should Recognize That This Child Is In The Process
Of Successfully Accomplishing Which Stage Of Erikson’s Developmental Theory?
1. Industry Versus Inferiority
2. Identity Versus Role Confusion
3. Intimacy Versus Isolation
4. Generativity Versus Stagnation
12. A Client Has Flashbacks Of Sexual Abuse By Her Uncle. She Did Not Have These Memories Until
Recently, When She Became Sexually Active With Her Boyfriend. A Nurse Should Identify This
Experience As Which Part Of Sullivan’s Concept Of The Self-System?
1. The Good Me
2. The Bad Me
3. The Not Me
4. The Bad You
13. According To Freud, Which Statement Should A Nurse Associate With Predominance Of The
Superego?
