Test Bank For Davis Advantage for Psychiatric
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Mental Health Nursing 10th Edition By Karyn I.
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Morgan; Mary C. Townsend
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TESTBANK j2
,Table of Contents
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I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
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1. The Concept of Stress Adaptation
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2. Mental Health and Mental Illness: Historical and Theoretical Concepts
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II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING j2 j2 j2 j2
3. Concepts of Psychobiology j2 j2
4. Psychopharmacology
5. Ethical and Legal Issues
j2 j2 j2
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE j2 j2 j2 j2 j2
6. Relationship Development j2
7. Therapeutic Communication j2
8. The Nursing Process in Psychiatric-Mental Health Nursing
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9. Therapeutic Groups j2
10. Intervention with Families j2 j2
11. Milieu Therapy—The Therapeutic Community
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12. Crisis Intervention
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13. Assertiveness Training j2
14. Promoting Self Esteem j2 j2
15. Anger and Aggression Management
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16. Suicide Prevention j2
17. Behavior Therapy j2
18. Cognitive Behavioral Therapy j2 j2
19. Electroconvulsive Therapy j2
20. The Recovery Model
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IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
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21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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22. Neurocognitive Disorders j2
23. Substance-Related and Addictive Disorders j2 j2 j2
24. Schizophrenia Spectrum and Other Psychotic Disorders j2 j2 j2 j2 j2
25. Depressive Disorders j2
26. Bipolar and Related Disorders
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27. Anxiety, Obsessive-Compulsive, and Related Disorders
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28. Trauma and Stressor-Related Disorders
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29. Somatic Symptom and Dissociative Disorders
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30. Eating Disorders j2
31. Personality Disorders j2
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS j2 j2 j2 j2 j2
32. Children and Adolescents j2 j2
33. The Aging Individual
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34. Survivors of Abuse or Neglect j2 j2 j2 j2
35. Community Mental Health Nursing j2 j2 j2
36. The Bereaved Individual
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37. Military Families j2
eBook Bonus Chapters
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38. Theoretical Models of Personality Development j2 j2 j2 j2
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
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40. Complementary and Psychosocial Therapies j2 j2 j2
41. Relaxation Therapy j2
42. Issues Related to Human Sexuality and Gender Dysphoria
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43. Forensic Nursing j2
,Chapter 1. The Concept of Stress Adaptation
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MULTIPLE CHOICE j2
1. A client has experienced the death of a close family member and at the same timebecomes
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
unemployed. The client‘s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
Understands the client is at risk for significant stress-
j2 j2 j2 j2 j2 j2 j2 j2
related illness. Determines the client is not at risk for significant stress-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
related illness. j2
Needs further assessment of the client‘s coping skills to determine susceptibility tostress-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
related illness. j2
Recognizes the client may view the losses as challenges and perceive them asopportunities.
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ANS: 3 j2
Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
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Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient Ne
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ed: Psychosocial Integrity
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Cognitive Level: Application [Applying]Concept: Stress Difficulty
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: Moderate
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Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
assess the client‘s coping skills and available support before determining susceptibility
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
to stress-j2
related physical and psychological illnesses. The Recent LifeChanges Questionnaire i
j2 j2 j2 j2 j2 j2 j2 j2 j2
s an expanded version of the Schedule of Recent Experiences and the Rahe-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more or a year-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
score total of 500 or more indicates high stress in a
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
client‘s life and susceptibility to stress-related illnesses.
j2 j2 j2 j2 j2 j2
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
assess the client‘s coping skills and available support before determining the client‘s p
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
erception of the current stresses. A 6-month score of 300 or more or a year-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
score total of 500 or more on the Recent Life Changes Questionnaire indicates high str
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
ess in a j2 j2
client‘s life and susceptibility to stress-related physical and psychological illnesses.
j2 j2 j2 j2 j2 j2 j2 j2 j2
3. This is correct. Assessment is the first step in the nursing process. The nurse should as
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
sess the client‘s coping skills and available support before determining susceptibility to
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
stress-related physical and psychological illnesses. A 6-month score j2 j2 j2 j2 j2 j2 j2
, of 300 or more or a year-
j2 j2 j2 j2 j2 j2
score of 500 or more indicates high stress in a client‘s lifeand risk for significant stress-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
related physical and psychological illness.
j2 j2 j2 j2
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
assess the client‘s coping skills and available support before determining susceptibility
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
to stress-related illness. A 6- month score of 300 or more or a year-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
score of 500 or more on the Recent Life Changes Questionnaire indicates high stressi
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
n a client‘s life is susceptible to significant stress-
j2 j2 j2 j2 j2 j2 j2 j2
related physical and psychologicalillness.
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CON: Stress j2
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tell
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
s the nurse, ―Perhaps this was the best thing to happen. Maybe I‘ll
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
consider pursuing an art degree.‖ The nurse determines the client perceives the stressorof his job loss as:
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Irrelevant Ha j2
rm or loss Th
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reatening A c j2 j2
hallenge
ANS: 4 j2
Chapter: Chapter 1, The Concept of Stress Adaptation
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Objective: Discuss adaptive coping strategies in the management of stress.Page: 7 He
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ading: Stress as a transaction between the individual and the environment
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>Individual‘s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process: Asses
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sment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
j2 j2 j2 j2 j2 j2 j2 j2 j2
Difficulty: Easy j2
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance f
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or the individual.
j2 j2
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
by the individual.
j2 j2
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
4. This is correct. The client‘s statement indicates he perceives the loss of his job as a cha
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
llenge and an opportunity for growth, demonstrated by his statement to consideran art d
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
egree.
CON: Stress j2
j2 j2 j2 j2 j2 j2 j2
Mental Health Nursing 10th Edition By Karyn I.
j2 j2 j2 j2 j2 j2 j2 j
Morgan; Mary C. Townsend
2 j2 j2 j2
TESTBANK j2
,Table of Contents
j2 j2
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
j2 j2 j2 j2 j2
1. The Concept of Stress Adaptation
j2 j2 j2 j2
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
j2 j2 j2 j2 j2 j2 j2 j2
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING j2 j2 j2 j2
3. Concepts of Psychobiology j2 j2
4. Psychopharmacology
5. Ethical and Legal Issues
j2 j2 j2
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE j2 j2 j2 j2 j2
6. Relationship Development j2
7. Therapeutic Communication j2
8. The Nursing Process in Psychiatric-Mental Health Nursing
j2 j2 j2 j2 j2 j2
9. Therapeutic Groups j2
10. Intervention with Families j2 j2
11. Milieu Therapy—The Therapeutic Community
j2 j2 j2
12. Crisis Intervention
j2
13. Assertiveness Training j2
14. Promoting Self Esteem j2 j2
15. Anger and Aggression Management
j2 j2 j2
16. Suicide Prevention j2
17. Behavior Therapy j2
18. Cognitive Behavioral Therapy j2 j2
19. Electroconvulsive Therapy j2
20. The Recovery Model
j2 j2
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
j2 j2 j2 j2 j2 j2 j2 j2
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
22. Neurocognitive Disorders j2
23. Substance-Related and Addictive Disorders j2 j2 j2
24. Schizophrenia Spectrum and Other Psychotic Disorders j2 j2 j2 j2 j2
25. Depressive Disorders j2
26. Bipolar and Related Disorders
j2 j2 j2
27. Anxiety, Obsessive-Compulsive, and Related Disorders
j2 j2 j2 j2
28. Trauma and Stressor-Related Disorders
j2 j2 j2
29. Somatic Symptom and Dissociative Disorders
j2 j2 j2 j2
30. Eating Disorders j2
31. Personality Disorders j2
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS j2 j2 j2 j2 j2
32. Children and Adolescents j2 j2
33. The Aging Individual
j2 j2
34. Survivors of Abuse or Neglect j2 j2 j2 j2
35. Community Mental Health Nursing j2 j2 j2
36. The Bereaved Individual
j2 j2
37. Military Families j2
eBook Bonus Chapters
j2 j2
38. Theoretical Models of Personality Development j2 j2 j2 j2
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
j2 j2 j2 j2 j2 j2 j2 j2 j2
40. Complementary and Psychosocial Therapies j2 j2 j2
41. Relaxation Therapy j2
42. Issues Related to Human Sexuality and Gender Dysphoria
j2 j2 j2 j2 j2 j2 j2
43. Forensic Nursing j2
,Chapter 1. The Concept of Stress Adaptation
j2 j2 j2 j2 j2 j2
MULTIPLE CHOICE j2
1. A client has experienced the death of a close family member and at the same timebecomes
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
unemployed. The client‘s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
Understands the client is at risk for significant stress-
j2 j2 j2 j2 j2 j2 j2 j2
related illness. Determines the client is not at risk for significant stress-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
related illness. j2
Needs further assessment of the client‘s coping skills to determine susceptibility tostress-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
related illness. j2
Recognizes the client may view the losses as challenges and perceive them asopportunities.
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
ANS: 3 j2
Chapter: Chapter 1, The Concept of Stress Adaptation
j2 j2 j2 j2 j2 j2 j2
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient Ne
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
ed: Psychosocial Integrity
j2 j2
Cognitive Level: Application [Applying]Concept: Stress Difficulty
j2 j2 j2 j2 j2
: Moderate
j2
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
assess the client‘s coping skills and available support before determining susceptibility
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
to stress-j2
related physical and psychological illnesses. The Recent LifeChanges Questionnaire i
j2 j2 j2 j2 j2 j2 j2 j2 j2
s an expanded version of the Schedule of Recent Experiences and the Rahe-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more or a year-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
score total of 500 or more indicates high stress in a
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
client‘s life and susceptibility to stress-related illnesses.
j2 j2 j2 j2 j2 j2
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
assess the client‘s coping skills and available support before determining the client‘s p
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
erception of the current stresses. A 6-month score of 300 or more or a year-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
score total of 500 or more on the Recent Life Changes Questionnaire indicates high str
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
ess in a j2 j2
client‘s life and susceptibility to stress-related physical and psychological illnesses.
j2 j2 j2 j2 j2 j2 j2 j2 j2
3. This is correct. Assessment is the first step in the nursing process. The nurse should as
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
sess the client‘s coping skills and available support before determining susceptibility to
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
stress-related physical and psychological illnesses. A 6-month score j2 j2 j2 j2 j2 j2 j2
, of 300 or more or a year-
j2 j2 j2 j2 j2 j2
score of 500 or more indicates high stress in a client‘s lifeand risk for significant stress-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
related physical and psychological illness.
j2 j2 j2 j2
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
assess the client‘s coping skills and available support before determining susceptibility
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
to stress-related illness. A 6- month score of 300 or more or a year-
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
score of 500 or more on the Recent Life Changes Questionnaire indicates high stressi
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
n a client‘s life is susceptible to significant stress-
j2 j2 j2 j2 j2 j2 j2 j2
related physical and psychologicalillness.
j2 j2 j2
CON: Stress j2
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tell
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
s the nurse, ―Perhaps this was the best thing to happen. Maybe I‘ll
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
consider pursuing an art degree.‖ The nurse determines the client perceives the stressorof his job loss as:
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
Irrelevant Ha j2
rm or loss Th
j2 j2 j2
reatening A c j2 j2
hallenge
ANS: 4 j2
Chapter: Chapter 1, The Concept of Stress Adaptation
j2 j2 j2 j2 j2 j2 j2
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7 He
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
ading: Stress as a transaction between the individual and the environment
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
>Individual‘s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process: Asses
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
sment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
j2 j2 j2 j2 j2 j2 j2 j2 j2
Difficulty: Easy j2
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance f
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
or the individual.
j2 j2
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
by the individual.
j2 j2
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
4. This is correct. The client‘s statement indicates he perceives the loss of his job as a cha
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
llenge and an opportunity for growth, demonstrated by his statement to consideran art d
j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2 j2
egree.
CON: Stress j2
