Test Bank for Davis Advantage for Psychiatric Mental Health Nursing,
10th Edition, Karyn I. Morgan, Mary C. Townsend Chapter 1 - 43
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Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 1
Table of Contents
Table of Contents 1
Chapter 01. The Concept of Stress Adaptation 2
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts 9
Chapter 03. Psychopharmacology 20
Chapter 04. Concepts of Psychobiology 28
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing 37
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
47
Chapter 07. Relationship Development 54
Chapter 08. Therapeutic Communication 62
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing Chapter 10. 74
Therapeutic Groups 85
Chapter 11. Intervention With Families 93
Chapter 12. Milieu Therapy - The Therapeutic Community Chapter 13. Crisis 99
Intervention 104
Chapter 14. Assertiveness Training Chapter 109
15. Promoting Self-Esteem 117
Chapter 16. Anger/Aggression Management Chapter 17. 123
The Suicidal Client 130
Chapter 18. Behavior Therapy Chapter 19. 139
Cognitive Therapy Chapter 20. 146
Electroconvulsive Therapy Chapter 21. The 155
Recovery Model Chapter 22. Neurocognitive 162
Disorders 169
Chapter 23. Substance-Related and Addictive Disorders 175
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders Chapter 25. 186
Depressive Disorders 197
Chapter 26. Bipolar and Related Disorders 208
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders Chapter 28: 219
Trauma and Stressor-Related Disorders 230
Chapter 29. Somatic Symptom and Dissociative Disorders 238
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria Chapter 31. 244
Eating Disorders 249
Chapter 32. Personality Disorders Chapter 33. 257
Children and Adolescents Chapter 34. The 269
Aging Individual 279
Chapter 35. Survivors of Abuse or Neglect Chapter 36. 284
Community Mental Health Nursing Chapter 37. The 290
Bereaved Individual 297
Chapter 38. Military Families 302
,Chapter 01. The Concept of Stress Adaptation
Multiple Choice
1. A client has experienced the death of a close family member and at the same time becomes unemployed. This
situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should the nurse
evaluate this client data?
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of stress-
related illness.
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of coping
resources and available supports.
D. The client may view these losses as challenges and perceive them as opportunities.
ANS: C
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the Rahe-
Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500 or more,
indicates high stress in a clients life. However, positive coping mechanisms and strong social support can limit
susceptibility to stress-related illnesses.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a nurse:
Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the nurse
characterize the clients appraisal of the job loss stressor?
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D
The client perceives the situation of job loss as a challenge and an opportunity for growth.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
A. Ive found that avoiding contact with others helps me cope.
B. I really enjoy journaling; its my private time.
C. I signed up for a yoga class this week.
D. I made an appointment to meet with a therapist.
ANS: A
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent learning
appropriate coping skills and can prevent access to needed support systems.
,