TestmBankm- 1
mPsychiatricmMentalmHealthmNursingmbymMarymTownsendm(9thmEdition,m2017)
Table of Contents
m m
Tablem ofm Contents 1
Chapterm 01.m Them Conceptm ofm Stressm Adaptation 2
Chapterm 02.m Mentalm Health/Mentalm Illness:m Historicalm andm Theoreticalm Concepts 9
Chapterm 03.m Psychopharmacology 20
Chapterm 04.m Conceptsm ofm Psychobiology 28
Chapterm 05.m Ethicalm andm Legalm Issuesm inm Psychiatric/Mentalm Healthm Nursing 37
Chapterm 06.m Culturalm andm Spiritualm Conceptsm Relevantm tom Psychiatric/Mentalm Healthm Nursing
47
Chapterm 07.m Relationshipm Development 54
Chapterm 08.m Therapeuticm Communication 62
Chapterm09.mThemNursingmProcessminmPsychiatric/MentalmHealthmNursingm 74
Chapterm10.mTherapeuticmGroups 85
Chapterm 11.m Interventionm Withm Families 93
Chapterm12.mMilieumTherapym- 99
mThemTherapeuticmCommunitymChapterm13.mCrisismIntervention 104
Chapterm14.mAssertivenessmTrainingmCh 109
apterm 15.m Promotingm Self-Esteem 117
Chapterm16.mAnger/AggressionmManagementmCha 123
pterm17.mThemSuicidalmClient 130
Chapterm 18.m Behaviorm Therapym Chapt 139
erm19.mCognitivemTherapym Chapterm20. 146
mElectroconvulsivemTherapymChapterm21 155
.mThemRecoverymModelmChapterm22.mNe 162
urocognitivemDisorders 169
Chapterm 23.m Substance-Relatedm andm Addictivem Disorders 175
Chapterm24.mSchizophreniamSpectrummandmOthermPsychoticmDisordersmC 186
hapterm25.mDepressivemDisorders 197
Chapterm 26.m Bipolarm andm Relatedm Disorders 208
Chapterm27.mAnxiety,mObsessive- 219
Compulsive,mandmRelatedmDisordersmChapterm28:mTraumamandmStressor- 230
RelatedmDisorders 238
Chapterm 29.m Somaticm Symptomm andm Dissociativem Disorders 244
Chapterm30.mIssuesmRelatedmtomHumanmSexualitymandmGendermDysphoria 249
mChapterm31.mEatingmDisorders 257
Chapterm32.mPersonalitymDisordersmCha 269
pterm33.mChildrenmandmAdolescentsmCha 279
pterm34.mThemAgingmIndividual 284
Chapterm35.mSurvivorsmofmAbusemormNeglectmChap 290
term36.mCommunitymMentalmHealthmNursingmChapt 297
erm37.mThemBereavedmIndividual 302
Chapterm 38.m Militarym Families
,TestmBankm- 2
mPsychiatricmMentalmHealthmNursingmbymMarymTownsendm(9thmEdition,m2017)
Chapter 01. The Concept of Stress Adaptation
m m m m m m
Multiplem Choice
1. Amclientmhasmexperiencedmthemdeathmofmamclosemfamilymmembermandmatmthemsamemtimembecomesmunemployed
.m Thismsituationmhasmresultedminmam6-
monthmscoremofm110monmthemRecentmLifemChangesmQuestionnaire.mHowmshouldm themnursemevaluatemthismclientm
data?
A. Them clientm ism experiencingm severem distressm andm ism atm riskm form physicalm andm psychologicalm illness.
B. Amscoremofm110monmthemMillermandmRahemRecentmLifemChangesmQuestionnairemindicatesmnomsignificantmthreatm
ofm stress-relatedmillness.
C. Susceptibilitymtomstress-
relatedmphysicalmormpsychologicalmillnessmcannotmbemestimatedmwithoutmknowledgemofmcopingmresourcesmandmav
ailablemsupports.
D. Them clientm maym viewm thesem lossesm asmchallengesm andm perceivem themm asm opportunities.
ANS:mC
ThemRecentmLifemChangesmQuestionnairemismanmexpandedmversionmofmthemSchedulemofmRecentmExperiencesmandmt
hemRahe-Holmesm Socialm Readjustmentm Ratingm Scale.m Am 6-monthm scorem ofm 300m orm more,m orm am year-
scorem totalm ofm 500mormmore,mindicatesmhighmstressminmamclientsmlife.mHowever,mpositivemcopingmmechanismsmandm
strongmsocialmsupportm canmlimitmsusceptibilitymtomstress-relatedmillnesses.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClientm Need:
Psychosocialm Integrity
2. Amphysicallymandmemotionallymhealthymclientmhasmjustmbeenmfired.mDuringmamroutinemofficemvisitmhemstatesmto
mamnurse:mPerhapsmthismwasmthembestmthingmtomhappen.mMaybemIllmlookmintompursuingmanmartmdegree.mHowmshou
ldmthem nursemcharacterizemthemclientsmappraisalmofmthemjobmlossmstressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:mD
Them clientm perceivesm them situationm ofm jobm lossm asm am challengem andmanm opportunitym form growth.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Assessmentm |mClientm Need:
Psychosocialm Integrity
3. Whichmclientm statementm shouldm alertm am nursem thatmam clientm maym bem respondingm maladaptivelym tom stress?
A. Ivem foundm thatm avoidingm contactm withm othersm helpsm mem cope.
B. Im reallym enjoym journaling;m itsm mym privatem time.
C. Imsignedm upm form am yogam classmthism week.
D. Im madem anm appointmentm tommeetm withm am therapist.
ANS:mA
Reliancemonmsocialmisolationmasmamcopingmmechanismmismammaladaptivemmethodmtomrelievemstress.mItmcanmpreve
ntmlearningmappropriatemcopingmskillsmandmcanmpreventmaccessmtomneededmsupportmsystems.
,TestmBankm- 3
mPsychiatricmMentalmHealthmNursingmbymMarymTownsendm(9thmEdition,m2017)
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClientm Need:
Psychosocialm Integrity
4. Amnursingmstudentmfindsmthatmshemcomesmdownmwithmamsinusminfectionmtowardmthemendmofmeverymsemester.mWh
enm thismoccurs,mwhichmstagemofmstressmismthemstudentmmostmlikelymexperiencing?
A. Alarmm reactionm stage
B. Stagem ofm resistance
C. Stagem ofm exhaustion
D. Fight-or-flightm stage
ANS:mC
Atmthemstagemofmexhaustion,mthemstudentsmexposuremtomstressmhasmbeenmprolongedmandmadaptivemenergymhasmbe
enm depleted.mDiseasesmofmadaptationmoccurmmoremfrequentlyminmthismstage.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Assessmentm |mClientm Need:
Psychosocialm Integrity
5. Amschoolmnursemismassessingmamfemalemhighmschoolmstudentmwhomismoverlymconcernedmaboutmhermappearance.mT
hem clientsm motherm states,m Thatsm notm somethingm tom bem stressedm about!m Whichm ism them mostm appropriatem nursin
gmresponse?
A. Teenagers!m Theym dontm knowm am thingm aboutmrealm stress.
B. Stressm occursmonlym whenm therem ism am loss.
C. Whenm youm arem inm poorm physicalm condition,m youm cantm experiencem psychologicalm well-being.
D. Stressm canmbem psychological.m Am threatm tom self-esteemm maym resultm inm highm stressm levels.
ANS:mD
Stressmcanmbemphysicalmormpsychologicalminmnature.mAmperceivedmthreatmtomself-
esteemmcanmbemasmstressfulmasmamphysiologicalmchange.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:m Nursingm Process:m Implementationm |m Clientm Need:
Psychosocialm Integrity
6. Ambrightmstudentmconfidesminmthemschoolmnursemaboutmconflictsmrelatedmtomattendingmcollegemormworkingmtomad
dm neededmfinancialmsupportmtomthemfamily.mWhichmcopingmstrategymismmostmappropriatemformthemnursemtomrecom
mendm tomthemstudentmatmthismtime?
A. Meditation
B. Problem-solvingm training
C. Relaxation
D. Journaling
ANS:mB
Themstudentmmustmassessmhismormhermsituationmandmdeterminemthembestmcoursemofmaction.mProblem-
solvingmtraining,m bymprovidingmstructuremandmobjectivity,mcanmassistminmdecisionmmaking.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Implementationm |mClientm Need:
Psychosocialm Integrity
, TestmBankm- 4
mPsychiatricmMentalmHealthmNursingmbymMarymTownsendm(9thmEdition,m2017)
7. Anmunemployedmcollegemgraduatemismexperiencingmseveremanxietymovermnotmfindingmamteachingmpositionmandmh
asm difficultym withm independentm problem-
solving.m Duringm am routinem physicalm examination,m them graduatem confidesm inmthemclinicmnurse.mWhichmismthemmo
stmappropriatemnursingmintervention?
A. Encouragem them studentm tom usem them alternativem copingm mechanismm ofm relaxationm exercises.
B. Completem them problem-solvingm processm form them client.
C. Workm throughm them problem-solvingm processm withm them client.
D. Encouragem them clientm tom keepm am journal.
ANS:mC
Duringmtimesmofmhighmanxietymandmstress,mclientsmwillmneedmmoremassistanceminmproblem-
solvingmandmdecisionmmaking.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Implementationm |mClientm Need:
Psychosocialm Integrity
8. Amschoolmnursemismassessingmamdistraughtmfemalemhighmschoolmstudentmwhomismoverlymconcernedmbecausemh
erm parentsmcantmaffordmhorsebackmridingmlessons.mHowmshouldmthemnurseminterpretmthemstudentsmreactionmtomh
ermperceivedmproblem?
A. Them problemm ism endangeringm herm well-being.
B. Them problemm ism personallym relevantm tom her.
C. Them problemm ism basedmonm immaturity.
D. Them problemm ism exceedingmherm capacitym tom cope.
ANS:mB
Psychologicalm stressorsm tom self-esteemm andm self-
imagem arem relatedm tom howm them individualm perceivesm them situationmormevent.mSelf-
imagemismofmparticularmimportancemtomadolescents,mwhomfeelmentitledmtomhavemallmthemadvantagesmthatmothermadole
scentsmexperience.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClientm Need:
Psychosocialm Integrity
9. Meditationmhasmbeenmshownmtombemanmeffectivemstressmmanagementmtechnique.mWhenmmeditationmismeffectiv
e,mwhatmshouldmamnursemexpectmtomassess?
A. Anm achievedm statem ofm relaxation
B. Anm achievedm insightm intom onesm feelings
C. Am demonstrationm ofm appropriatem rolem behaviors
D. Anm enhancedm abilitym tom problem-solve
ANS:mA
Meditationm producesm relaxationm bym creatingm am specialm statem ofm consciousnessm throughm focusedm concentration.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClientm Need:
Psychosocialm Integrity
10. Amdistraught,msingle,mfirst-
timemmothermcriesmandmasksmamnurse,mHowmcanmImgomtomworkmifmImcantmaffordmchildcare?mWhatmismthemnu
rsesminitialmactionminmassistingmthemclientmwithmthemproblem-solvingmprocess?
mPsychiatricmMentalmHealthmNursingmbymMarymTownsendm(9thmEdition,m2017)
Table of Contents
m m
Tablem ofm Contents 1
Chapterm 01.m Them Conceptm ofm Stressm Adaptation 2
Chapterm 02.m Mentalm Health/Mentalm Illness:m Historicalm andm Theoreticalm Concepts 9
Chapterm 03.m Psychopharmacology 20
Chapterm 04.m Conceptsm ofm Psychobiology 28
Chapterm 05.m Ethicalm andm Legalm Issuesm inm Psychiatric/Mentalm Healthm Nursing 37
Chapterm 06.m Culturalm andm Spiritualm Conceptsm Relevantm tom Psychiatric/Mentalm Healthm Nursing
47
Chapterm 07.m Relationshipm Development 54
Chapterm 08.m Therapeuticm Communication 62
Chapterm09.mThemNursingmProcessminmPsychiatric/MentalmHealthmNursingm 74
Chapterm10.mTherapeuticmGroups 85
Chapterm 11.m Interventionm Withm Families 93
Chapterm12.mMilieumTherapym- 99
mThemTherapeuticmCommunitymChapterm13.mCrisismIntervention 104
Chapterm14.mAssertivenessmTrainingmCh 109
apterm 15.m Promotingm Self-Esteem 117
Chapterm16.mAnger/AggressionmManagementmCha 123
pterm17.mThemSuicidalmClient 130
Chapterm 18.m Behaviorm Therapym Chapt 139
erm19.mCognitivemTherapym Chapterm20. 146
mElectroconvulsivemTherapymChapterm21 155
.mThemRecoverymModelmChapterm22.mNe 162
urocognitivemDisorders 169
Chapterm 23.m Substance-Relatedm andm Addictivem Disorders 175
Chapterm24.mSchizophreniamSpectrummandmOthermPsychoticmDisordersmC 186
hapterm25.mDepressivemDisorders 197
Chapterm 26.m Bipolarm andm Relatedm Disorders 208
Chapterm27.mAnxiety,mObsessive- 219
Compulsive,mandmRelatedmDisordersmChapterm28:mTraumamandmStressor- 230
RelatedmDisorders 238
Chapterm 29.m Somaticm Symptomm andm Dissociativem Disorders 244
Chapterm30.mIssuesmRelatedmtomHumanmSexualitymandmGendermDysphoria 249
mChapterm31.mEatingmDisorders 257
Chapterm32.mPersonalitymDisordersmCha 269
pterm33.mChildrenmandmAdolescentsmCha 279
pterm34.mThemAgingmIndividual 284
Chapterm35.mSurvivorsmofmAbusemormNeglectmChap 290
term36.mCommunitymMentalmHealthmNursingmChapt 297
erm37.mThemBereavedmIndividual 302
Chapterm 38.m Militarym Families
,TestmBankm- 2
mPsychiatricmMentalmHealthmNursingmbymMarymTownsendm(9thmEdition,m2017)
Chapter 01. The Concept of Stress Adaptation
m m m m m m
Multiplem Choice
1. Amclientmhasmexperiencedmthemdeathmofmamclosemfamilymmembermandmatmthemsamemtimembecomesmunemployed
.m Thismsituationmhasmresultedminmam6-
monthmscoremofm110monmthemRecentmLifemChangesmQuestionnaire.mHowmshouldm themnursemevaluatemthismclientm
data?
A. Them clientm ism experiencingm severem distressm andm ism atm riskm form physicalm andm psychologicalm illness.
B. Amscoremofm110monmthemMillermandmRahemRecentmLifemChangesmQuestionnairemindicatesmnomsignificantmthreatm
ofm stress-relatedmillness.
C. Susceptibilitymtomstress-
relatedmphysicalmormpsychologicalmillnessmcannotmbemestimatedmwithoutmknowledgemofmcopingmresourcesmandmav
ailablemsupports.
D. Them clientm maym viewm thesem lossesm asmchallengesm andm perceivem themm asm opportunities.
ANS:mC
ThemRecentmLifemChangesmQuestionnairemismanmexpandedmversionmofmthemSchedulemofmRecentmExperiencesmandmt
hemRahe-Holmesm Socialm Readjustmentm Ratingm Scale.m Am 6-monthm scorem ofm 300m orm more,m orm am year-
scorem totalm ofm 500mormmore,mindicatesmhighmstressminmamclientsmlife.mHowever,mpositivemcopingmmechanismsmandm
strongmsocialmsupportm canmlimitmsusceptibilitymtomstress-relatedmillnesses.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClientm Need:
Psychosocialm Integrity
2. Amphysicallymandmemotionallymhealthymclientmhasmjustmbeenmfired.mDuringmamroutinemofficemvisitmhemstatesmto
mamnurse:mPerhapsmthismwasmthembestmthingmtomhappen.mMaybemIllmlookmintompursuingmanmartmdegree.mHowmshou
ldmthem nursemcharacterizemthemclientsmappraisalmofmthemjobmlossmstressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS:mD
Them clientm perceivesm them situationm ofm jobm lossm asm am challengem andmanm opportunitym form growth.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Assessmentm |mClientm Need:
Psychosocialm Integrity
3. Whichmclientm statementm shouldm alertm am nursem thatmam clientm maym bem respondingm maladaptivelym tom stress?
A. Ivem foundm thatm avoidingm contactm withm othersm helpsm mem cope.
B. Im reallym enjoym journaling;m itsm mym privatem time.
C. Imsignedm upm form am yogam classmthism week.
D. Im madem anm appointmentm tommeetm withm am therapist.
ANS:mA
Reliancemonmsocialmisolationmasmamcopingmmechanismmismammaladaptivemmethodmtomrelievemstress.mItmcanmpreve
ntmlearningmappropriatemcopingmskillsmandmcanmpreventmaccessmtomneededmsupportmsystems.
,TestmBankm- 3
mPsychiatricmMentalmHealthmNursingmbymMarymTownsendm(9thmEdition,m2017)
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClientm Need:
Psychosocialm Integrity
4. Amnursingmstudentmfindsmthatmshemcomesmdownmwithmamsinusminfectionmtowardmthemendmofmeverymsemester.mWh
enm thismoccurs,mwhichmstagemofmstressmismthemstudentmmostmlikelymexperiencing?
A. Alarmm reactionm stage
B. Stagem ofm resistance
C. Stagem ofm exhaustion
D. Fight-or-flightm stage
ANS:mC
Atmthemstagemofmexhaustion,mthemstudentsmexposuremtomstressmhasmbeenmprolongedmandmadaptivemenergymhasmbe
enm depleted.mDiseasesmofmadaptationmoccurmmoremfrequentlyminmthismstage.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Assessmentm |mClientm Need:
Psychosocialm Integrity
5. Amschoolmnursemismassessingmamfemalemhighmschoolmstudentmwhomismoverlymconcernedmaboutmhermappearance.mT
hem clientsm motherm states,m Thatsm notm somethingm tom bem stressedm about!m Whichm ism them mostm appropriatem nursin
gmresponse?
A. Teenagers!m Theym dontm knowm am thingm aboutmrealm stress.
B. Stressm occursmonlym whenm therem ism am loss.
C. Whenm youm arem inm poorm physicalm condition,m youm cantm experiencem psychologicalm well-being.
D. Stressm canmbem psychological.m Am threatm tom self-esteemm maym resultm inm highm stressm levels.
ANS:mD
Stressmcanmbemphysicalmormpsychologicalminmnature.mAmperceivedmthreatmtomself-
esteemmcanmbemasmstressfulmasmamphysiologicalmchange.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:m Nursingm Process:m Implementationm |m Clientm Need:
Psychosocialm Integrity
6. Ambrightmstudentmconfidesminmthemschoolmnursemaboutmconflictsmrelatedmtomattendingmcollegemormworkingmtomad
dm neededmfinancialmsupportmtomthemfamily.mWhichmcopingmstrategymismmostmappropriatemformthemnursemtomrecom
mendm tomthemstudentmatmthismtime?
A. Meditation
B. Problem-solvingm training
C. Relaxation
D. Journaling
ANS:mB
Themstudentmmustmassessmhismormhermsituationmandmdeterminemthembestmcoursemofmaction.mProblem-
solvingmtraining,m bymprovidingmstructuremandmobjectivity,mcanmassistminmdecisionmmaking.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Implementationm |mClientm Need:
Psychosocialm Integrity
, TestmBankm- 4
mPsychiatricmMentalmHealthmNursingmbymMarymTownsendm(9thmEdition,m2017)
7. Anmunemployedmcollegemgraduatemismexperiencingmseveremanxietymovermnotmfindingmamteachingmpositionmandmh
asm difficultym withm independentm problem-
solving.m Duringm am routinem physicalm examination,m them graduatem confidesm inmthemclinicmnurse.mWhichmismthemmo
stmappropriatemnursingmintervention?
A. Encouragem them studentm tom usem them alternativem copingm mechanismm ofm relaxationm exercises.
B. Completem them problem-solvingm processm form them client.
C. Workm throughm them problem-solvingm processm withm them client.
D. Encouragem them clientm tom keepm am journal.
ANS:mC
Duringmtimesmofmhighmanxietymandmstress,mclientsmwillmneedmmoremassistanceminmproblem-
solvingmandmdecisionmmaking.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Implementationm |mClientm Need:
Psychosocialm Integrity
8. Amschoolmnursemismassessingmamdistraughtmfemalemhighmschoolmstudentmwhomismoverlymconcernedmbecausemh
erm parentsmcantmaffordmhorsebackmridingmlessons.mHowmshouldmthemnurseminterpretmthemstudentsmreactionmtomh
ermperceivedmproblem?
A. Them problemm ism endangeringm herm well-being.
B. Them problemm ism personallym relevantm tom her.
C. Them problemm ism basedmonm immaturity.
D. Them problemm ism exceedingmherm capacitym tom cope.
ANS:mB
Psychologicalm stressorsm tom self-esteemm andm self-
imagem arem relatedm tom howm them individualm perceivesm them situationmormevent.mSelf-
imagemismofmparticularmimportancemtomadolescents,mwhomfeelmentitledmtomhavemallmthemadvantagesmthatmothermadole
scentsmexperience.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClientm Need:
Psychosocialm Integrity
9. Meditationmhasmbeenmshownmtombemanmeffectivemstressmmanagementmtechnique.mWhenmmeditationmismeffectiv
e,mwhatmshouldmamnursemexpectmtomassess?
A. Anm achievedm statem ofm relaxation
B. Anm achievedm insightm intom onesm feelings
C. Am demonstrationm ofm appropriatem rolem behaviors
D. Anm enhancedm abilitym tom problem-solve
ANS:mA
Meditationm producesm relaxationm bym creatingm am specialm statem ofm consciousnessm throughm focusedm concentration.
KEY:m Cognitivem Level:mApplicationm |mIntegratedm Processes:mNursingm Process:m Evaluationm |mClientm Need:
Psychosocialm Integrity
10. Amdistraught,msingle,mfirst-
timemmothermcriesmandmasksmamnurse,mHowmcanmImgomtomworkmifmImcantmaffordmchildcare?mWhatmismthemnu
rsesminitialmactionminmassistingmthemclientmwithmthemproblem-solvingmprocess?
