Test Bank - Psychiatric Mental Health Nursing by Mary Townsend / all chapters complete questions and answers / Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)2025!!!

TestBank-PsychiatricMentalHealthNursingbyMary
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Townsend (9th Edition, 2017)
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TEST BANK c c

,Chapter 01. The Concept of Stress Adaptation cc cc cc cc cc cc




Multiple Choice cc




1. A client has experienced the death of a close family member and at the same time becomes unemployed.
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This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How
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should the nurse evaluate this client data?
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A. The client is experiencing severe distress and is at risk for physical and psychological illness.
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B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat
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of stress-related illness.
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C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge
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of coping resources and available supports.
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D. The client may view these losses as challenges and perceive them as opportunities.
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ANS: C cc




The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
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Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score
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total of 500 or more, indicates high stress in a clients life. However, positive coping mechanisms and strong
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social support can limit susceptibility to stress-related illnesses.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
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Psychosocial Integrity cc




2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to
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a nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How
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should the
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NURSINGTB.COM
nurse characterize the clients appraisal of
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the
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A. Irrelevant

B. Harm/loss

C. Threatening

D. Challenging

ANS: D cc




The client perceives the situation of job loss as a challenge and an opportunity for growth.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
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Psychosocial Integrity cc




3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
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A. Ive found that avoiding contact with others helps me cope.
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B. I really enjoy journaling; its my private time.
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C. I signed up for a yoga class this week.
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D. I made an appointment to meet with a therapist.
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ANS: A cc




Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can
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prevent learning appropriate coping skills and can prevent access to needed support systems.
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,KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
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Psychosocial Integrity cc




4. A nursing student finds that she comes down with a sinus infection toward the end of every semester.
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When this occurs, which stage of stress is the student most likely experiencing?
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A. Alarm reaction stage cc cc




B. Stage of resistance cc cc




C. Stage of exhaustion cc cc




D. Fight-or-flight stage cc




ANS: C cc




At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has
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been depleted. Diseases of adaptation occur more frequently in this stage.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
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Psychosocial Integrity cc




5. A school nurse is assessing a female high school student who is overly concerned about her appearance.
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The clients mother states, Thats not something to be stressed about! Which is the most appropriate
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nursing response?
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A. Teenagers! They dont know a thing about real stress. cc cc cc cc cc cc cc cc




B. Stress occurs only when there is a loss.
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C. When you are in poor physical condition, yNoU
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t eGxTpB
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ieO
ncMe psychological well-being.
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D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
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ANS: D cc




Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
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physiological change.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
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Psychosocial Integrity cc




6. A bright student confides in the school nurse about conflicts related to attending college or working to
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add needed financial support to the family. Which coping strategy is most appropriate for the nurse to
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recommend to the student at this time?
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A. Meditation

B. Problem-solving training c c




C. Relaxation

D. Journaling

ANS: B cc




The student must assess his or her situation and determine the best course of action. Problem-solving
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training, by providing structure and objectivity, can assist in decision making.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
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Psychosocial Integrity cc

, 7. An unemployed college graduate is experiencing severe anxiety over not finding a teaching position and
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has difficulty with independent problem-solving. During a routine physical examination, the graduate
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confides in the clinic nurse. Which is the most appropriate nursing intervention?
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A. Encourage the student to use the alternative coping mechanism of relaxation exercises.
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B. Complete the problem-solving process for the client. cc cc cc cc cc cc




C. Work through the problem-solving process with the client.
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D. Encourage the client to keep a journal. cc cc cc cc cc cc




ANS: C cc




During times of high anxiety and stress, clients will need more assistance in problem-solving and decision
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making.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
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Psychosocial Integrity cc




8. A school nurse is assessing a distraught female high school student who is overly concerned because
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her parents cant afford horseback riding lessons. How should the nurse interpret the students reaction to
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her perceived problem?
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A. The problem is endangering her well-being.
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B. The problem is personally relevant to her.
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C. The problem is based on immaturity.
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D. The problem is exceeding her capacity to cN
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ANS: B cc




Psychological stressors to self-esteem and self-image are related to how the individual perceives the situation
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or event. Self-image is of particular importance to adolescents, who feel entitled to have all the advantages
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that other adolescents experience.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
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Psychosocial Integrity cc




9. Meditation has been shown to be an effective stress management technique. When meditation is
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effective, what should a nurse expect to assess?
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A. An achieved state of relaxation
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B. An achieved insight into ones feelings
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C. A demonstration of appropriate role behaviors
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D. An enhanced ability to problem-solve
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ANS: A cc




Meditation produces relaxation by creating a special state of consciousness through focused concentration.
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KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
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Psychosocial Integrity cc




10. A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I cant
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afford childcare? What is the nurses initial action in assisting the client with the problem-solving
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process?
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