,Next-Gen NCLEX Prep: Psychiatric Mental
Health Edition | Based on Townsend &
Morgan’s Latest Text
Includes High-Quality NCLEX-Style MCQs per Chapter with
100% Correct Answers and Concise Rationales
Table of Contents for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based
Practice, 10th Edition by Townsend & Morgan:
I. Basic Concepts in Psychiatric–Mental Health Nursing
1. The Concept of Stress Adaptation
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
II. Foundations for Psychiatric–Mental Health Nursing
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
III. Therapeutic Approaches in Psychiatric Nursing Care
6. Relationship Development
7. Therapeutic Communication
8. The Nursing Process in Psychiatric–Mental Health Nursing
9. Therapeutic Groups
10. Intervention with Families
11. Milieu Therapy—The Therapeutic Community
12. Crisis Intervention
13. Assertiveness Training
14. Promoting Self-Esteem
, 15. Anger and Aggression Management
16. Suicide Prevention
17. Behavior Therapy
18. Cognitive Behavioral Therapy
19. Electroconvulsive Therapy
20. The Recovery Model
IV. Nursing Care of Patients with Alterations in Psychosocial Adaptation
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice
Settings
22. Neurocognitive Disorders
23. Substance-Related and Addictive Disorders
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. Eating Disorders
31. Personality Disorders
V. Psychiatric/Mental Health Nursing of Special Populations
32. Children and Adolescents
33. The Aging Individual
34. Survivors of Abuse or Neglect
35. Community Mental Health Nursing
36. The Bereaved Individual
37. Military Families
38. Appendices & Additional Resources
, A. Answers to Chapter Review and Clinical Judgment Questions
B. Examples of Answers to Communication Exercises
C. Mental Status Assessment
Glossary
Index
eBook Bonus Chapters
38. Theoretical Models of Personality Development
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
40. Complementary and Psychosocial Therapies
41. Relaxation Therapy
42. Issues Related to Human Sexuality and Gender Dysphoria
43. Forensic Nursing
,Chapter 1 – The Concept of Stress Adaptation (10th ed.,
Townsend & Morgan).
Objectives (9 questions)
1. Which of the following is the primary aim of stress
adaptation according to Townsend & Morgan?
A. Achieving homeostasis through external support
B. Reducing stressors by environmental modification
C. Promoting effective coping and resilience
D. Eliminating all psychological stress
Correct Answer: C
Rationale: The goal is to enhance the individual’s coping
mechanisms and resilience rather than eliminate stress
completely.
Subtopic: Objectives
2. One of the chapter objectives is to differentiate between
acute and chronic stress. Acute stress is characterized by:
A. Persistent physiological arousal over months
B. Short-lived activation of the fight-or-flight response
C. Progressive depletion of adaptive resources
D. Permanent alteration of neuroendocrine function
Correct Answer: B
Rationale: Acute stress involves brief, intense activation of
stress pathways.
Subtopic: Objectives
,3. An objective of the chapter is to explain the role of the
HPA axis. HPA stands for:
A. Hypothalamic-Pituitary-Adrenal
B. Hepatic-Pancreatic-Adipose
C. Hypothalamic-Peripheral-Adipose
D. Hepatic-Posterior-Adrenal
Correct Answer: A
Rationale: The HPA axis is central to biological stress
responses.
Subtopic: Objectives
4. According to the chapter objectives, students should be
able to identify at least how many levels of prevention in
stress management?
A. One
B. Two
C. Three
D. Four
Correct Answer: C
Rationale: Stress management is described at primary,
secondary, and tertiary prevention levels.
Subtopic: Objectives
5. One objective is to describe the difference between
eustress and distress. Eustress is best defined as:
A. Stress that overwhelms coping abilities
B. Stress that promotes growth and adaptation
C. Stress without physiological consequences
, D. Stress requiring pharmacologic intervention
Correct Answer: B
Rationale: Eustress is positive stress that motivates and
facilitates adaptation.
Subtopic: Objectives
6. An objective includes discussing the General Adaptation
Syndrome (GAS). Which stage follows the alarm reaction?
A. Exhaustion
B. Resistance
C. Recovery
D. Adaptation
Correct Answer: B
Rationale: GAS progresses from alarm to resistance, then
exhaustion.
Subtopic: Objectives
7. Chapter objectives include explaining the transaction
model. Who originally proposed the transaction model of
stress?
A. Hans Selye
B. Richard Lazarus
C. Kurt Lewin
D. Aaron Beck
Correct Answer: B
Rationale: Lazarus & Folkman developed the transactional
theory of stress and coping.
Subtopic: Objectives
, 8. A stated objective is to list common physiological effects
of chronic stress. Which of the following is NOT typically
included?
A. Hypertension
B. Immunosuppression
C. Hyperglycemia
D. Increased bone density
Correct Answer: D
Rationale: Chronic stress often decreases bone density,
not increases it.
Subtopic: Objectives
9. Chapter objectives require identifying coping strategies.
Which of these is a problem-focused coping strategy?
A. Meditation
B. Seeking social support
C. Time management
D. Relaxation breathing
Correct Answer: C
Rationale: Problem-focused coping addresses the stressor
directly, e.g., organizing time.
Subtopic: Objectives
Stress as a Biological Response (9 questions)
10. During the alarm reaction, which hormone is
released first?
A. Cortisol
, B. Epinephrine
C. Aldosterone
D. Growth hormone
Correct Answer: B
Rationale: Epinephrine surge is the immediate response in
the fight-or-flight.
Subtopic: Stress as a Biological Response
11. Activation of the HPA axis ultimately leads to
secretion of:
A. Thyroxine
B. Cortisol
C. Insulin
D. Serotonin
Correct Answer: B
Rationale: The adrenal cortex releases cortisol in response
to ACTH.
Subtopic: Stress as a Biological Response
12. Which physiological change is NOT part of the fight-
or-flight response?
A. Increased heart rate
B. Bronchodilation
C. Pupillary constriction
D. Glycogenolysis
Correct Answer: C
Rationale: Pupils dilate, not constrict, during sympathetic
, activation.
Subtopic: Stress as a Biological Response
13. Chronic activation of the stress response can lead to:
A. Enhanced immune function
B. Decreased blood pressure
C. Gastric ulcers
D. Reduced blood glucose
Correct Answer: C
Rationale: Persistent cortisol can damage the gastric
mucosa and contribute to ulcer formation.
Subtopic: Stress as a Biological Response
14. Which brain structure is pivotal in initiating the
stress response by activating the HPA axis?
A. Hippocampus
B. Amygdala
C. Medulla oblongata
D. Cerebellum
Correct Answer: B
Rationale: The amygdala processes threat and signals the
hypothalamus to start the HPA cascade.
Subtopic: Stress as a Biological Response
15. Prolonged cortisol elevation can impair which
cognitive function most directly?
A. Motor coordination
B. Short-term memory
C. Language comprehension
Health Edition | Based on Townsend &
Morgan’s Latest Text
Includes High-Quality NCLEX-Style MCQs per Chapter with
100% Correct Answers and Concise Rationales
Table of Contents for Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based
Practice, 10th Edition by Townsend & Morgan:
I. Basic Concepts in Psychiatric–Mental Health Nursing
1. The Concept of Stress Adaptation
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
II. Foundations for Psychiatric–Mental Health Nursing
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
III. Therapeutic Approaches in Psychiatric Nursing Care
6. Relationship Development
7. Therapeutic Communication
8. The Nursing Process in Psychiatric–Mental Health Nursing
9. Therapeutic Groups
10. Intervention with Families
11. Milieu Therapy—The Therapeutic Community
12. Crisis Intervention
13. Assertiveness Training
14. Promoting Self-Esteem
, 15. Anger and Aggression Management
16. Suicide Prevention
17. Behavior Therapy
18. Cognitive Behavioral Therapy
19. Electroconvulsive Therapy
20. The Recovery Model
IV. Nursing Care of Patients with Alterations in Psychosocial Adaptation
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice
Settings
22. Neurocognitive Disorders
23. Substance-Related and Addictive Disorders
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. Eating Disorders
31. Personality Disorders
V. Psychiatric/Mental Health Nursing of Special Populations
32. Children and Adolescents
33. The Aging Individual
34. Survivors of Abuse or Neglect
35. Community Mental Health Nursing
36. The Bereaved Individual
37. Military Families
38. Appendices & Additional Resources
, A. Answers to Chapter Review and Clinical Judgment Questions
B. Examples of Answers to Communication Exercises
C. Mental Status Assessment
Glossary
Index
eBook Bonus Chapters
38. Theoretical Models of Personality Development
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
40. Complementary and Psychosocial Therapies
41. Relaxation Therapy
42. Issues Related to Human Sexuality and Gender Dysphoria
43. Forensic Nursing
,Chapter 1 – The Concept of Stress Adaptation (10th ed.,
Townsend & Morgan).
Objectives (9 questions)
1. Which of the following is the primary aim of stress
adaptation according to Townsend & Morgan?
A. Achieving homeostasis through external support
B. Reducing stressors by environmental modification
C. Promoting effective coping and resilience
D. Eliminating all psychological stress
Correct Answer: C
Rationale: The goal is to enhance the individual’s coping
mechanisms and resilience rather than eliminate stress
completely.
Subtopic: Objectives
2. One of the chapter objectives is to differentiate between
acute and chronic stress. Acute stress is characterized by:
A. Persistent physiological arousal over months
B. Short-lived activation of the fight-or-flight response
C. Progressive depletion of adaptive resources
D. Permanent alteration of neuroendocrine function
Correct Answer: B
Rationale: Acute stress involves brief, intense activation of
stress pathways.
Subtopic: Objectives
,3. An objective of the chapter is to explain the role of the
HPA axis. HPA stands for:
A. Hypothalamic-Pituitary-Adrenal
B. Hepatic-Pancreatic-Adipose
C. Hypothalamic-Peripheral-Adipose
D. Hepatic-Posterior-Adrenal
Correct Answer: A
Rationale: The HPA axis is central to biological stress
responses.
Subtopic: Objectives
4. According to the chapter objectives, students should be
able to identify at least how many levels of prevention in
stress management?
A. One
B. Two
C. Three
D. Four
Correct Answer: C
Rationale: Stress management is described at primary,
secondary, and tertiary prevention levels.
Subtopic: Objectives
5. One objective is to describe the difference between
eustress and distress. Eustress is best defined as:
A. Stress that overwhelms coping abilities
B. Stress that promotes growth and adaptation
C. Stress without physiological consequences
, D. Stress requiring pharmacologic intervention
Correct Answer: B
Rationale: Eustress is positive stress that motivates and
facilitates adaptation.
Subtopic: Objectives
6. An objective includes discussing the General Adaptation
Syndrome (GAS). Which stage follows the alarm reaction?
A. Exhaustion
B. Resistance
C. Recovery
D. Adaptation
Correct Answer: B
Rationale: GAS progresses from alarm to resistance, then
exhaustion.
Subtopic: Objectives
7. Chapter objectives include explaining the transaction
model. Who originally proposed the transaction model of
stress?
A. Hans Selye
B. Richard Lazarus
C. Kurt Lewin
D. Aaron Beck
Correct Answer: B
Rationale: Lazarus & Folkman developed the transactional
theory of stress and coping.
Subtopic: Objectives
, 8. A stated objective is to list common physiological effects
of chronic stress. Which of the following is NOT typically
included?
A. Hypertension
B. Immunosuppression
C. Hyperglycemia
D. Increased bone density
Correct Answer: D
Rationale: Chronic stress often decreases bone density,
not increases it.
Subtopic: Objectives
9. Chapter objectives require identifying coping strategies.
Which of these is a problem-focused coping strategy?
A. Meditation
B. Seeking social support
C. Time management
D. Relaxation breathing
Correct Answer: C
Rationale: Problem-focused coping addresses the stressor
directly, e.g., organizing time.
Subtopic: Objectives
Stress as a Biological Response (9 questions)
10. During the alarm reaction, which hormone is
released first?
A. Cortisol
, B. Epinephrine
C. Aldosterone
D. Growth hormone
Correct Answer: B
Rationale: Epinephrine surge is the immediate response in
the fight-or-flight.
Subtopic: Stress as a Biological Response
11. Activation of the HPA axis ultimately leads to
secretion of:
A. Thyroxine
B. Cortisol
C. Insulin
D. Serotonin
Correct Answer: B
Rationale: The adrenal cortex releases cortisol in response
to ACTH.
Subtopic: Stress as a Biological Response
12. Which physiological change is NOT part of the fight-
or-flight response?
A. Increased heart rate
B. Bronchodilation
C. Pupillary constriction
D. Glycogenolysis
Correct Answer: C
Rationale: Pupils dilate, not constrict, during sympathetic
, activation.
Subtopic: Stress as a Biological Response
13. Chronic activation of the stress response can lead to:
A. Enhanced immune function
B. Decreased blood pressure
C. Gastric ulcers
D. Reduced blood glucose
Correct Answer: C
Rationale: Persistent cortisol can damage the gastric
mucosa and contribute to ulcer formation.
Subtopic: Stress as a Biological Response
14. Which brain structure is pivotal in initiating the
stress response by activating the HPA axis?
A. Hippocampus
B. Amygdala
C. Medulla oblongata
D. Cerebellum
Correct Answer: B
Rationale: The amygdala processes threat and signals the
hypothalamus to start the HPA cascade.
Subtopic: Stress as a Biological Response
15. Prolonged cortisol elevation can impair which
cognitive function most directly?
A. Motor coordination
B. Short-term memory
C. Language comprehension
