Test Bank For Davis Advantage for Psychiatric
b b b b b b
Mental Health Nursing 10th Edition By Karyn I.
b b b b b b b b
Morgan; Mary C. Townsend
b b b b
TESTBANK b
,Table of Contents
b b
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
b b b b b
1. The Concept of Stress Adaptation
b b b b
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
b b b b b b b b
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING b b b b
3. Concepts of Psychobiology b b
4. Psychopharmacology
5. Ethical and Legal Issues
b b b
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE b b b b b
6. Relationship Development b
7. Therapeutic Communication b
8. The Nursing Process in Psychiatric-Mental Health Nursing
b b b b b b
9. Therapeutic Groups b
10. Intervention with Families b b
11. Milieu Therapy—The Therapeutic Community
b b b
12. Crisis Intervention
b
13. Assertiveness Training b
14. Promoting Self Esteem b b
15. Anger and Aggression Management
b b b
16. Suicide Prevention b
17. Behavior Therapy b
18. Cognitive Behavioral Therapy b b
19. Electroconvulsive Therapy b
20. The Recovery Model
b b
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
b b b b b b b b
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
b b b b b b b b b b b b b
22. Neurocognitive Disorders b
23. Substance-Related and Addictive Disorders b b b
24. Schizophrenia Spectrum and Other Psychotic Disorders b b b b b
25. Depressive Disorders b
26. Bipolar and Related Disorders b b b
27. Anxiety, Obsessive-Compulsive, and Related Disorders
b b b b
28. Trauma and Stressor-Related Disorders
b b b
29. Somatic Symptom and Dissociative Disorders
b b b b
30. Eating Disorders b
31. Personality Disorders b
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS b b b b b
32. Children and Adolescents b b
33. The Aging Individual
b b
34. Survivors of Abuse or Neglect b b b b
35. Community Mental Health Nursing b b b
36. The Bereaved Individual
b b
37. Military Families b
eBook Bonus Chapters
b b
38. Theoretical Models of Personality Development b b b b
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
b b b b b b b b b
40. Complementary and Psychosocial Therapies b b b
41. Relaxation Therapy b
42. Issues Related to Human Sexuality and Gender Dysphoria
b b b b b b b
43. Forensic Nursing b
,Chapter 1. The Concept of Stress Adaptation
b b b b b b
MULTIPLE CHOICE b
1. A client has experienced the death of a close family member and at the same timebecomes
b b b b b b b b b b b b b b b
unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
b b b b b b b b b b b b b b
Understands the client is at risk for significant stress-related illness. Determines
b b b b b b b b b b
the client is not at risk for significant stress-related illness.
b b b b b b b b b b
Needs further assessment of the client’s coping skills to determine susceptibility tostress-related
b b b b b b b b b b b
illness.
b
Recognizes the client may view the losses as challenges and perceive them asopportunities.
b b b b b b b b b b b b
ANS: 3 b
Chapter: Chapter 1, The Concept of Stress Adaptation
b b b b b b b
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
b b b b b b b b b b
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient
b b b b b b b b b b
Need: Psychosocial Integrity
b b b
Cognitive Level: Application [Applying]Concept: Stress Difficulty:
b b b b b
Moderate
b
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
b b b b b b b b b b b b b b
assess the client’s coping skills and available support before determining susceptibility
b b b b b b b b b b b
to stress-related physical and psychological illnesses. The Recent LifeChanges
b b b b b b b b b
Questionnaire is an expanded version of the Schedule of Recent Experiences and the
b b b b b b b b b b b b b
Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more or a
b b b b b b b b b b b b b b
year-score total of 500 or more indicates high stress in a
b b b b b b b b b b b
client’s life and susceptibility to stress-related illnesses.
b b b b b b
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
b b b b b b b b b b b b b b
assess the client’s coping skills and available support before determining the client’s
b b b b b b b b b b b b
perception of the current stresses. A 6-month score of 300 or more or a year-score total of
b b b b b b b b b b b b b b b b b
500 or more on the Recent Life Changes Questionnaire indicates high stress in a
b b b b b b b b b b b b b b
client’s life and susceptibility to stress-related physical and psychological illnesses.
b b b b b b b b b
3. This is correct. Assessment is the first step in the nursing process. The nurse should
b b b b b b b b b b b b b b
assess the client’s coping skills and available support before determining susceptibility to
b b b b b b b b b b b b
stress-related physical and psychological illnesses. A 6-month score
b b b b b b b b
, of 300 or more or a year-score of 500 or more indicates high stress in a client’s lifeand risk
b b b b b b b b b b b b b b b b b b
for significant stress-related physical and psychological illness.
b b b b b b b
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
b b b b b b b b b b b b b b
assess the client’s coping skills and available support before determining susceptibility
b b b b b b b b b b b
to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or more
b b b b b b b b b b b b b b b b b b
on the Recent Life Changes Questionnaire indicates high stressin a client’s life is
b b b b b b b b b b b b b
susceptible to significant stress-related physical and psychologicalillness.
b b b b b b b
CON: Stress b
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells
b b b b b b b b b b b b b b b b
the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
b b b b b b b b b b b b
consider pursuing an art degree.” The nurse determines the client perceives the stressorof his job loss as:
b b b b b b b b b b b b b b b b
Irrelevant
Harm or loss
b b b
Threatening
b
A challenge
b b
ANS: 4 b
Chapter: Chapter 1, The Concept of Stress Adaptation
b b b b b b b
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7
b b b b b b b b b b
Heading: Stress as a transaction between the individual and the environment
b b b b b b b b b b b
>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
b b b b b b b b b b
Assessment
b
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
b b b b b b b b
Difficulty: Easy
b b
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance for
b b b b b b b b b b b b b
the individual.
b b
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced by
b b b b b b b b b b b b b b
the individual.
b b
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
b b b b b b b b b b b b
4. This is correct. The client’s statement indicates he perceives the loss of his job as a
b b b b b b b b b b b b b b b
challenge and an opportunity for growth, demonstrated by his statement to consideran art
b b b b b b b b b b b b b
degree.
b
CON: Stress b
b b b b b b
Mental Health Nursing 10th Edition By Karyn I.
b b b b b b b b
Morgan; Mary C. Townsend
b b b b
TESTBANK b
,Table of Contents
b b
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
b b b b b
1. The Concept of Stress Adaptation
b b b b
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
b b b b b b b b
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING b b b b
3. Concepts of Psychobiology b b
4. Psychopharmacology
5. Ethical and Legal Issues
b b b
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE b b b b b
6. Relationship Development b
7. Therapeutic Communication b
8. The Nursing Process in Psychiatric-Mental Health Nursing
b b b b b b
9. Therapeutic Groups b
10. Intervention with Families b b
11. Milieu Therapy—The Therapeutic Community
b b b
12. Crisis Intervention
b
13. Assertiveness Training b
14. Promoting Self Esteem b b
15. Anger and Aggression Management
b b b
16. Suicide Prevention b
17. Behavior Therapy b
18. Cognitive Behavioral Therapy b b
19. Electroconvulsive Therapy b
20. The Recovery Model
b b
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
b b b b b b b b
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
b b b b b b b b b b b b b
22. Neurocognitive Disorders b
23. Substance-Related and Addictive Disorders b b b
24. Schizophrenia Spectrum and Other Psychotic Disorders b b b b b
25. Depressive Disorders b
26. Bipolar and Related Disorders b b b
27. Anxiety, Obsessive-Compulsive, and Related Disorders
b b b b
28. Trauma and Stressor-Related Disorders
b b b
29. Somatic Symptom and Dissociative Disorders
b b b b
30. Eating Disorders b
31. Personality Disorders b
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS b b b b b
32. Children and Adolescents b b
33. The Aging Individual
b b
34. Survivors of Abuse or Neglect b b b b
35. Community Mental Health Nursing b b b
36. The Bereaved Individual
b b
37. Military Families b
eBook Bonus Chapters
b b
38. Theoretical Models of Personality Development b b b b
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
b b b b b b b b b
40. Complementary and Psychosocial Therapies b b b
41. Relaxation Therapy b
42. Issues Related to Human Sexuality and Gender Dysphoria
b b b b b b b
43. Forensic Nursing b
,Chapter 1. The Concept of Stress Adaptation
b b b b b b
MULTIPLE CHOICE b
1. A client has experienced the death of a close family member and at the same timebecomes
b b b b b b b b b b b b b b b
unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
b b b b b b b b b b b b b b
Understands the client is at risk for significant stress-related illness. Determines
b b b b b b b b b b
the client is not at risk for significant stress-related illness.
b b b b b b b b b b
Needs further assessment of the client’s coping skills to determine susceptibility tostress-related
b b b b b b b b b b b
illness.
b
Recognizes the client may view the losses as challenges and perceive them asopportunities.
b b b b b b b b b b b b
ANS: 3 b
Chapter: Chapter 1, The Concept of Stress Adaptation
b b b b b b b
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
b b b b b b b b b b
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient
b b b b b b b b b b
Need: Psychosocial Integrity
b b b
Cognitive Level: Application [Applying]Concept: Stress Difficulty:
b b b b b
Moderate
b
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
b b b b b b b b b b b b b b
assess the client’s coping skills and available support before determining susceptibility
b b b b b b b b b b b
to stress-related physical and psychological illnesses. The Recent LifeChanges
b b b b b b b b b
Questionnaire is an expanded version of the Schedule of Recent Experiences and the
b b b b b b b b b b b b b
Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more or a
b b b b b b b b b b b b b b
year-score total of 500 or more indicates high stress in a
b b b b b b b b b b b
client’s life and susceptibility to stress-related illnesses.
b b b b b b
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
b b b b b b b b b b b b b b
assess the client’s coping skills and available support before determining the client’s
b b b b b b b b b b b b
perception of the current stresses. A 6-month score of 300 or more or a year-score total of
b b b b b b b b b b b b b b b b b
500 or more on the Recent Life Changes Questionnaire indicates high stress in a
b b b b b b b b b b b b b b
client’s life and susceptibility to stress-related physical and psychological illnesses.
b b b b b b b b b
3. This is correct. Assessment is the first step in the nursing process. The nurse should
b b b b b b b b b b b b b b
assess the client’s coping skills and available support before determining susceptibility to
b b b b b b b b b b b b
stress-related physical and psychological illnesses. A 6-month score
b b b b b b b b
, of 300 or more or a year-score of 500 or more indicates high stress in a client’s lifeand risk
b b b b b b b b b b b b b b b b b b
for significant stress-related physical and psychological illness.
b b b b b b b
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
b b b b b b b b b b b b b b
assess the client’s coping skills and available support before determining susceptibility
b b b b b b b b b b b
to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or more
b b b b b b b b b b b b b b b b b b
on the Recent Life Changes Questionnaire indicates high stressin a client’s life is
b b b b b b b b b b b b b
susceptible to significant stress-related physical and psychologicalillness.
b b b b b b b
CON: Stress b
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells
b b b b b b b b b b b b b b b b
the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
b b b b b b b b b b b b
consider pursuing an art degree.” The nurse determines the client perceives the stressorof his job loss as:
b b b b b b b b b b b b b b b b
Irrelevant
Harm or loss
b b b
Threatening
b
A challenge
b b
ANS: 4 b
Chapter: Chapter 1, The Concept of Stress Adaptation
b b b b b b b
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7
b b b b b b b b b b
Heading: Stress as a transaction between the individual and the environment
b b b b b b b b b b b
>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
b b b b b b b b b b
Assessment
b
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
b b b b b b b b
Difficulty: Easy
b b
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance for
b b b b b b b b b b b b b
the individual.
b b
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced by
b b b b b b b b b b b b b b
the individual.
b b
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
b b b b b b b b b b b b
4. This is correct. The client’s statement indicates he perceives the loss of his job as a
b b b b b b b b b b b b b b b
challenge and an opportunity for growth, demonstrated by his statement to consideran art
b b b b b b b b b b b b b
degree.
b
CON: Stress b
