ATI MENTAL HEALTH PROCTORED TEST BANK 2023/2024 QUESTIONS AND CORRECT ANSWERS AND RATIONALES|ALREADY GRADED A|

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?