Page 1 of 333
TEST BANK FOR
ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING AUTHOR: MARY C.
TOWNSEND
11TH EDITION
, Page 2 of 333
TABLE OF CONTENTS
I. Basic concepts in psychiatric/mental health nursing
1. The concept of stress adaptation
2. Mental health/mental illness: historical and theoretical concepts
II. Foundations for psychiatric/mental health nursing
3. Theoretical models of personality development
4. Concepts of psychobiology
5. Ethical and legal issues in psychiatric/mental health nursing
6. Cultural and spiritual concepts relevant to psychiatric/mental health nursing
III. Therapeutic approaches in psychiatric nursing care
7. Relationship development
8. Therapeutic communication
9. The nursing process in psychiatric/mental health nursing
10. Therapeutic groups
11. Intervention with families
12. Milieu therapy—the therapeutic community
13. Crisis intervention
14. Assertiveness training
15. Promoting self esteem
16. Anger/aggression management
17. The suicidal client
18. Behavior therapy
19. Cognitive therapy
20. Electroconvulsive therapy
21. The recovery model
IV. Nursing care of clients with alterations in psychosocial adaptation
22. Neurocognitive disorders
23. Substance-related and addictive disorders
, Page 3 of 333
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. Issues related to human sexuality and gender dysphoria
31. Eating disorders
32. Personality disorders
V. Psychiatric/mental health nursing of special populations
33. Children and adolescents
34. The aging individual
35. Survivors of abuse or neglect
36. Community mental health nursing
37. The bereaved individual
38. Military families
, Page 4 of 333
CHAPTER 1. MENTAL HEALTH AND MENTAL ILLNESS MULTIPLE CHOICE
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a beloved pet. The client’s appetite, sleep patterns, and
daily routine have not changed. How should the nurse interpret the client’s behaviors?
1. The client’s behaviors demonstrate mental illness in the form of depression.
2. The client’s behaviors are extensive, which indicates the presence of mental illness.
3. The client’s behaviors are not congruent with cultural norms.
4. The client’s behaviors demonstrate no functional impairment, indicating no mental
illness.
Ans: 4
Rationale: the nurse should assess that the clients daily functioning is not impaired. The
client who experiences feelings of sadness after the loss of a pet is responding within
normal expectations. Without significant impairment, the client’s distress does not
indicate a mental illness.
Cognitive level: analysis integrated process:
Assessment
2. At what point should the nurse determine that a client is at risk for
developing a mental illness?
1. When thoughts, feelings, and behaviors are not reflective of the dsm-5 criteria.
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
Ans: 2
Rationale: the nurse should determine that the client is at risk for mental illness when
responses to stress are maladaptive and interfere with daily functioning. The dsm-5
indicates that in order to be diagnosed with a mental illness, daily functioning must be
significantly impaired. The client’s ability to communicate distress would be considered a
positive attribute.
Cognitive level: application integrated process: assessment
TEST BANK FOR
ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING AUTHOR: MARY C.
TOWNSEND
11TH EDITION
, Page 2 of 333
TABLE OF CONTENTS
I. Basic concepts in psychiatric/mental health nursing
1. The concept of stress adaptation
2. Mental health/mental illness: historical and theoretical concepts
II. Foundations for psychiatric/mental health nursing
3. Theoretical models of personality development
4. Concepts of psychobiology
5. Ethical and legal issues in psychiatric/mental health nursing
6. Cultural and spiritual concepts relevant to psychiatric/mental health nursing
III. Therapeutic approaches in psychiatric nursing care
7. Relationship development
8. Therapeutic communication
9. The nursing process in psychiatric/mental health nursing
10. Therapeutic groups
11. Intervention with families
12. Milieu therapy—the therapeutic community
13. Crisis intervention
14. Assertiveness training
15. Promoting self esteem
16. Anger/aggression management
17. The suicidal client
18. Behavior therapy
19. Cognitive therapy
20. Electroconvulsive therapy
21. The recovery model
IV. Nursing care of clients with alterations in psychosocial adaptation
22. Neurocognitive disorders
23. Substance-related and addictive disorders
, Page 3 of 333
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. Issues related to human sexuality and gender dysphoria
31. Eating disorders
32. Personality disorders
V. Psychiatric/mental health nursing of special populations
33. Children and adolescents
34. The aging individual
35. Survivors of abuse or neglect
36. Community mental health nursing
37. The bereaved individual
38. Military families
, Page 4 of 333
CHAPTER 1. MENTAL HEALTH AND MENTAL ILLNESS MULTIPLE CHOICE
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of the recent death of a beloved pet. The client’s appetite, sleep patterns, and
daily routine have not changed. How should the nurse interpret the client’s behaviors?
1. The client’s behaviors demonstrate mental illness in the form of depression.
2. The client’s behaviors are extensive, which indicates the presence of mental illness.
3. The client’s behaviors are not congruent with cultural norms.
4. The client’s behaviors demonstrate no functional impairment, indicating no mental
illness.
Ans: 4
Rationale: the nurse should assess that the clients daily functioning is not impaired. The
client who experiences feelings of sadness after the loss of a pet is responding within
normal expectations. Without significant impairment, the client’s distress does not
indicate a mental illness.
Cognitive level: analysis integrated process:
Assessment
2. At what point should the nurse determine that a client is at risk for
developing a mental illness?
1. When thoughts, feelings, and behaviors are not reflective of the dsm-5 criteria.
2. When maladaptive responses to stress are coupled with interference in daily
functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
Ans: 2
Rationale: the nurse should determine that the client is at risk for mental illness when
responses to stress are maladaptive and interfere with daily functioning. The dsm-5
indicates that in order to be diagnosed with a mental illness, daily functioning must be
significantly impaired. The client’s ability to communicate distress would be considered a
positive attribute.
Cognitive level: application integrated process: assessment
