TEST BANK
,Test Bank For Psychiatric Mental Health Nursing: Concepts of
Care in Evidence-Based Practice 9th Edition 2025-2026
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 54
Development Chapter 08. 62
Therapeutic Communication 74
Chapter 09. The Nursing Process in Psychiatric/Mental 85
Health Nursing Chapter 10. Therapeutic Groups 93
Chapter 11. Intervention With Families 99
Chapter 12. Milieu Therapy - The Therapeutic 104
Community Chapter 13. Crisis Intervention 109
Chapter 14. Assertiveness Training 117
Chapter 15. Promoting Self- 123
Esteem 130
Chapter 16. Anger/Aggression 139
Management Chapter 17. The Suicidal 146
Client 155
Chapter 18. Behavior Therapy 162
Chapter 19. Cognitive Therapy 169
Chapter 20. Electroconvulsive 175
Therapy Chapter 21. The 186
Recovery Model Chapter 22. 197
Neurocognitive Disorders 208
Chapter 23. Substance-Related and Addictive Disorders 219
Chapter 24. Schizophrenia Spectrum and Other Psychotic 230
Disorders Chapter 25. Depressive Disorders 238
Chapter 26. Bipolar and Related Disorders 244
Chapter 27. Anxiety, Obsessive-Compulsive, and Related 249
Disorders Chapter 28: Trauma and Stressor-Related 257
Disorders 269
Chapter 29. Somatic Symptom and Dissociative Disorders 279
Chapter 30. Issues Related to Human Sexuality and Gender 284
Dysphoria Chapter 31. Eating Disorders 290
Chapter 32. Personality Disorders 297
Chapter 33. Children and 302
Adolescents Chapter 34. The
Aging Individual
Chapter 35. Survivors of Abuse or Neglect
Chapter 36. Community Mental Health
Nursing Chapter 37. The Bereaved
Individual
Chapter 38. Military Families
,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.
,Test Bank For Psychiatric Mental Health Nursing: Concepts of
Care in Evidence-Based Practice 9th Edition 2025-2026
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 54
Development Chapter 08. 62
Therapeutic Communication 74
Chapter 09. The Nursing Process in Psychiatric/Mental 85
Health Nursing Chapter 10. Therapeutic Groups 93
Chapter 11. Intervention With Families 99
Chapter 12. Milieu Therapy - The Therapeutic 104
Community Chapter 13. Crisis Intervention 109
Chapter 14. Assertiveness Training 117
Chapter 15. Promoting Self- 123
Esteem 130
Chapter 16. Anger/Aggression 139
Management Chapter 17. The Suicidal 146
Client 155
Chapter 18. Behavior Therapy 162
Chapter 19. Cognitive Therapy 169
Chapter 20. Electroconvulsive 175
Therapy Chapter 21. The 186
Recovery Model Chapter 22. 197
Neurocognitive Disorders 208
Chapter 23. Substance-Related and Addictive Disorders 219
Chapter 24. Schizophrenia Spectrum and Other Psychotic 230
Disorders Chapter 25. Depressive Disorders 238
Chapter 26. Bipolar and Related Disorders 244
Chapter 27. Anxiety, Obsessive-Compulsive, and Related 249
Disorders Chapter 28: Trauma and Stressor-Related 257
Disorders 269
Chapter 29. Somatic Symptom and Dissociative Disorders 279
Chapter 30. Issues Related to Human Sexuality and Gender 284
Dysphoria Chapter 31. Eating Disorders 290
Chapter 32. Personality Disorders 297
Chapter 33. Children and 302
Adolescents Chapter 34. The
Aging Individual
Chapter 35. Survivors of Abuse or Neglect
Chapter 36. Community Mental Health
Nursing Chapter 37. The Bereaved
Individual
Chapter 38. Military Families
,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.
