TEST BANK FOR LEWIS'S
PSYCHIATRIC MENTAL
HEALTH NURSING: CONCEPTS
OF CARE IN EVIDENCE-BASED
PRACTICE 9TH EDITION MARY
C. TOWNSEND DSN,PMHCNS-
BC- RETIRED KARYN I.
MORGAN
, Table of Contents
I. BASIC CONCEPTS IN PSYCHIATRIC/MENTAL HEALTH NURSING
1. The Concept of Stress Adaptation
2. Mental Health/Mental Illness: Historical and Theoretical Concepts
II. FOUNDATIONS FOR PSYCHIATRIC/MENTAL HEALTH NURSING
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
6. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
7. Relationship Development
8. Therapeutic Communication
9. The Nursing Process in Psychiatric/Mental Health Nursing
10. Therapeutic Groups
11. Intervention with Families
12. Milieu Therapy—The Therapeutic Community
13. Crisis Intervention
14. Assertiveness Training
15. Promoting Self Esteem
16. Anger and Aggression Management
17. Suicide Prevention
18. Behavior Therapy
19. Cognitive Therapy
20. Electroconvulsive Therapy
21. The Recovery Model
IV. NURSING CARE OF CLIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
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. Issues Related to Human Sexuality and Gender Dysphoria
31. Eating Disorders
32. Personality Disorders
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
33. Children and Adolescents
34. The Aging Individual
35. Survivors of Abuse or Neglect
36. Community Mental Health Nursing
37. The Bereaved Individual
38. Military Families
BONUS CHAPTERS ONLINE
39. Complementary and Psychosocial Therapies
40. Relaxation Therapy
41. Theoretical Models of Personality Development
42. Forensic Nursing 45. Care of Patients with Anxiety, Mood, and Eating Disorders
46. Care of Patients with Substance Abuse Disorders
47. Care of Patients with Cognitive Disorders
48. Care of Patients with Thought and Personality Disorders
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 2
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.
PSYCHIATRIC MENTAL
HEALTH NURSING: CONCEPTS
OF CARE IN EVIDENCE-BASED
PRACTICE 9TH EDITION MARY
C. TOWNSEND DSN,PMHCNS-
BC- RETIRED KARYN I.
MORGAN
, Table of Contents
I. BASIC CONCEPTS IN PSYCHIATRIC/MENTAL HEALTH NURSING
1. The Concept of Stress Adaptation
2. Mental Health/Mental Illness: Historical and Theoretical Concepts
II. FOUNDATIONS FOR PSYCHIATRIC/MENTAL HEALTH NURSING
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
6. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
7. Relationship Development
8. Therapeutic Communication
9. The Nursing Process in Psychiatric/Mental Health Nursing
10. Therapeutic Groups
11. Intervention with Families
12. Milieu Therapy—The Therapeutic Community
13. Crisis Intervention
14. Assertiveness Training
15. Promoting Self Esteem
16. Anger and Aggression Management
17. Suicide Prevention
18. Behavior Therapy
19. Cognitive Therapy
20. Electroconvulsive Therapy
21. The Recovery Model
IV. NURSING CARE OF CLIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
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. Issues Related to Human Sexuality and Gender Dysphoria
31. Eating Disorders
32. Personality Disorders
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
33. Children and Adolescents
34. The Aging Individual
35. Survivors of Abuse or Neglect
36. Community Mental Health Nursing
37. The Bereaved Individual
38. Military Families
BONUS CHAPTERS ONLINE
39. Complementary and Psychosocial Therapies
40. Relaxation Therapy
41. Theoretical Models of Personality Development
42. Forensic Nursing 45. Care of Patients with Anxiety, Mood, and Eating Disorders
46. Care of Patients with Substance Abuse Disorders
47. Care of Patients with Cognitive Disorders
48. Care of Patients with Thought and Personality Disorders
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 2
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.
