,Psychiatric Nursing Success Plan:
Townsend & Morgan’s Complete NCLEX-
Aligned Test Collection
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).
Subtopic: Objectives
1. Question: Which of the following best describes the
primary goal of stress adaptation in nursing practice?
A. Eliminating all stressors from the patient’s environment
B. Restoring and maintaining physiological and
psychological homeostasis
C. Encouraging patients to suppress emotional responses
to stress
D. Prioritizing medication over psychosocial interventions
Correct Answer: B
Rationale: Nursing interventions aim to help patients
regain balance (homeostasis) in both body and mind
rather than eliminate stress altogether or suppress
emotions.
Subtopic: Objectives
2. Question: One of the Chapter 1 objectives is to define
“stress.” How is stress defined in this text?
A. A disease process in the body
B. A state of immobility
C. A demand made on the adaptive capacities of the mind
and body
D. An exclusively psychological phenomenon
Correct Answer: C
Rationale: Stress is conceptualized as any environmental
, or internal demand that requires adaptation of mind and
body.
Subtopic: Objectives
3. Question: Which objective relates to understanding the
difference between eustress and distress?
A. Describing the life-event theory
B. Identifying physiological stress pathways
C. Differentiating positive from negative stress reactions
D. Listing relaxation techniques
Correct Answer: C
Rationale: Chapter objectives include recognizing that
stress can be both beneficial (eustress) and harmful
(distress).
Subtopic: Objectives
4. Question: An objective of the chapter is to explain the
transactional model of stress. Which pair of processes are
central to this model?
A. Alarm and exhaustion
B. Primary and secondary appraisal
C. Encoding and retrieval
D. Inhalation and exhalation
Correct Answer: B
Rationale: The transactional model centers on how
individuals appraise (evaluate) a stressor initially (primary)
and then assess coping options (secondary).
Subtopic: Objectives
, 5. Question: Chapter 1 aims to enable nurses to identify
common stress management strategies. Which of these is
NOT one of those strategies?
A. Cognitive restructuring
B. Biofeedback
C. Hemodialysis
D. Guided imagery
Correct Answer: C
Rationale: Hemodialysis is a medical treatment, not a
psychosocial stress management technique.
Subtopic: Objectives
6. Question: A stated objective is to link stress theories to
clinical practice. Which theory specifically emphasizes
physiological stages in response to stress?
A. Transactional model
B. General adaptation syndrome
C. Life-event theory
D. Social learning theory
Correct Answer: B
Rationale: Selye’s General Adaptation Syndrome outlines
alarm, resistance, and exhaustion stages as physiological
stress responses.
Subtopic: Objectives
Subtopic: Stress as a Biological Response
7. Question: Which structure initiates the hormonal cascade in
,the alarm reaction stage?
A. Thalamus
B. Hypothalamus
C. Pineal gland
D. Cerebellum
Correct Answer: B
Rationale: The hypothalamus activates the HPA axis, releasing
CRH to initiate cortisol secretion.
Subtopic: Stress as a Biological Response
8. Question: During the resistance stage of the General
Adaptation Syndrome, which hormone remains elevated?
A. Insulin
B. Cortisol
C. Melatonin
D. Ghrelin
Correct Answer: B
Rationale: Cortisol levels remain high as the body
attempts to adapt to ongoing stress.
Subtopic: Stress as a Biological Response
9. Question: Activation of the sympathetic nervous system
produces all EXCEPT:
A. Increased heart rate
B. Bronchodilation
C. Decreased blood pressure
D. Pupil dilation
Correct Answer: C
, Rationale: Sympathetic activation increases, not
decreases, blood pressure via vasoconstriction.
Subtopic: Stress as a Biological Response
10. Question: “Allostasis” refers to:
A. Maintenance of a single set-point
B. The process of achieving stability through change
C. Permanent damage from chronic stress
D. A psychological defense mechanism
Correct Answer: B
Rationale: Allostasis is the adaptive process by which the
body achieves stability through physiological change.
Subtopic: Stress as a Biological Response
11. Question: Which biological marker is commonly used
to measure chronic stress in research?
A. Salivary cortisol
B. Serum iron
C. Urinary glucose
D. Fecal occult blood
Correct Answer: A
Rationale: Salivary cortisol reflects HPA axis activity over
time and is a noninvasive stress marker.
Subtopic: Stress as a Biological Response
12. Question: In the exhaustion stage, prolonged
exposure to stress can lead to:
A. Improved immunity
B. Cellular atrophy
, C. Reduced cortisol levels below normal
D. Enhanced tissue repair
Correct Answer: B
Rationale: Chronic stress depletes resources, leading to
wear and tear and potential tissue atrophy.
Subtopic: Stress as a Biological Response
Subtopic: Stress as an Environmental Event
13. Question: An example of an acute environmental stressor
is:
A. Daily hassles
B. Chronic illness
C. Natural disaster
D. Retirement
Correct Answer: C
Rationale: Natural disasters occur suddenly and require
immediate adaptation, classifying them as acute stressors.
Subtopic: Stress as an Environmental Event
14. Question: The Holmes-Rahe Social Readjustment
Rating Scale measures:
A. Biological stress responses
B. Psychological defense mechanisms
C. Life-change units associated with major events
D. Coping skills proficiency
Correct Answer: C
Rationale: It assigns “life-change units” to major events to
Townsend & Morgan’s Complete NCLEX-
Aligned Test Collection
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).
Subtopic: Objectives
1. Question: Which of the following best describes the
primary goal of stress adaptation in nursing practice?
A. Eliminating all stressors from the patient’s environment
B. Restoring and maintaining physiological and
psychological homeostasis
C. Encouraging patients to suppress emotional responses
to stress
D. Prioritizing medication over psychosocial interventions
Correct Answer: B
Rationale: Nursing interventions aim to help patients
regain balance (homeostasis) in both body and mind
rather than eliminate stress altogether or suppress
emotions.
Subtopic: Objectives
2. Question: One of the Chapter 1 objectives is to define
“stress.” How is stress defined in this text?
A. A disease process in the body
B. A state of immobility
C. A demand made on the adaptive capacities of the mind
and body
D. An exclusively psychological phenomenon
Correct Answer: C
Rationale: Stress is conceptualized as any environmental
, or internal demand that requires adaptation of mind and
body.
Subtopic: Objectives
3. Question: Which objective relates to understanding the
difference between eustress and distress?
A. Describing the life-event theory
B. Identifying physiological stress pathways
C. Differentiating positive from negative stress reactions
D. Listing relaxation techniques
Correct Answer: C
Rationale: Chapter objectives include recognizing that
stress can be both beneficial (eustress) and harmful
(distress).
Subtopic: Objectives
4. Question: An objective of the chapter is to explain the
transactional model of stress. Which pair of processes are
central to this model?
A. Alarm and exhaustion
B. Primary and secondary appraisal
C. Encoding and retrieval
D. Inhalation and exhalation
Correct Answer: B
Rationale: The transactional model centers on how
individuals appraise (evaluate) a stressor initially (primary)
and then assess coping options (secondary).
Subtopic: Objectives
, 5. Question: Chapter 1 aims to enable nurses to identify
common stress management strategies. Which of these is
NOT one of those strategies?
A. Cognitive restructuring
B. Biofeedback
C. Hemodialysis
D. Guided imagery
Correct Answer: C
Rationale: Hemodialysis is a medical treatment, not a
psychosocial stress management technique.
Subtopic: Objectives
6. Question: A stated objective is to link stress theories to
clinical practice. Which theory specifically emphasizes
physiological stages in response to stress?
A. Transactional model
B. General adaptation syndrome
C. Life-event theory
D. Social learning theory
Correct Answer: B
Rationale: Selye’s General Adaptation Syndrome outlines
alarm, resistance, and exhaustion stages as physiological
stress responses.
Subtopic: Objectives
Subtopic: Stress as a Biological Response
7. Question: Which structure initiates the hormonal cascade in
,the alarm reaction stage?
A. Thalamus
B. Hypothalamus
C. Pineal gland
D. Cerebellum
Correct Answer: B
Rationale: The hypothalamus activates the HPA axis, releasing
CRH to initiate cortisol secretion.
Subtopic: Stress as a Biological Response
8. Question: During the resistance stage of the General
Adaptation Syndrome, which hormone remains elevated?
A. Insulin
B. Cortisol
C. Melatonin
D. Ghrelin
Correct Answer: B
Rationale: Cortisol levels remain high as the body
attempts to adapt to ongoing stress.
Subtopic: Stress as a Biological Response
9. Question: Activation of the sympathetic nervous system
produces all EXCEPT:
A. Increased heart rate
B. Bronchodilation
C. Decreased blood pressure
D. Pupil dilation
Correct Answer: C
, Rationale: Sympathetic activation increases, not
decreases, blood pressure via vasoconstriction.
Subtopic: Stress as a Biological Response
10. Question: “Allostasis” refers to:
A. Maintenance of a single set-point
B. The process of achieving stability through change
C. Permanent damage from chronic stress
D. A psychological defense mechanism
Correct Answer: B
Rationale: Allostasis is the adaptive process by which the
body achieves stability through physiological change.
Subtopic: Stress as a Biological Response
11. Question: Which biological marker is commonly used
to measure chronic stress in research?
A. Salivary cortisol
B. Serum iron
C. Urinary glucose
D. Fecal occult blood
Correct Answer: A
Rationale: Salivary cortisol reflects HPA axis activity over
time and is a noninvasive stress marker.
Subtopic: Stress as a Biological Response
12. Question: In the exhaustion stage, prolonged
exposure to stress can lead to:
A. Improved immunity
B. Cellular atrophy
, C. Reduced cortisol levels below normal
D. Enhanced tissue repair
Correct Answer: B
Rationale: Chronic stress depletes resources, leading to
wear and tear and potential tissue atrophy.
Subtopic: Stress as a Biological Response
Subtopic: Stress as an Environmental Event
13. Question: An example of an acute environmental stressor
is:
A. Daily hassles
B. Chronic illness
C. Natural disaster
D. Retirement
Correct Answer: C
Rationale: Natural disasters occur suddenly and require
immediate adaptation, classifying them as acute stressors.
Subtopic: Stress as an Environmental Event
14. Question: The Holmes-Rahe Social Readjustment
Rating Scale measures:
A. Biological stress responses
B. Psychological defense mechanisms
C. Life-change units associated with major events
D. Coping skills proficiency
Correct Answer: C
Rationale: It assigns “life-change units” to major events to
