TEST BANK: p n n p n n
PSYCHIATRIC MENTAL
nn pp
HEALTH NURSING:
nnpp pp
Concepts of Care inEvidence-Based Practice
pp pp pp p pp
9TH p nnp nn EDITION
By Mary p nn p n n p nnp n n C. Townsend
n
p nnp n n
TEST BANK p n n p n n n n
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend
nn nn nn nn nn nn nn nn nn 1
(9th
Table n n of n n Contents
Table of n n 1
Contents
Chapter 01. The Concept of Stress Adaptation
nn nn nn nn nn nn 2
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
nn nn nn nn nn nn nn 9
Concepts
nn
Chapter 03. Psychopharmacology
nn nn 20
Chapter 04. Concepts of Psychobiology
nn nn nn nn 28
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health
nn nn nn nn nn nn nn nn 37
Nursing
nn
Chapter 06. Cultural and Spiritual Concepts Relevant to
n n n n n n n n n n n n n n Health
Psychiatric/Mental
n n
Nursing47
Chapter 07. Relationship Development
nn nn nn 54
Chapter 08. Therapeutic
nn nn nn 62
Communication
nn 74
Chapter 09. The Nursing Process in Psychiatric/Mental Health
nn nn nn nn nn nn nn 85
Nursing Chapter 10. Therapeutic Groups
nn nn nn nn nn 93
Chapter 11. Intervention With Families
n n n n n n n n 99
Chapter 12. Milieu Therapy - The Therapeutic Community
nn nn nn nn nn nn nn 104
Chapter 13. Crisis Intervention
nn nn nn nn 109
Chapter 14. Assertiveness Training
nn nn nn 117
Chapter 15. Promoting Self-Esteem
nn nn nn nn 123
Chapter 16. Anger/Aggression Management
nn nn nn 130
Chapter 17. The Suicidal Client
nn nn nn nn nn 139
Chapter 18. Behavior Therapy n 146
Chapter 19. Cognitive Therapy
nn nn 155
Chapter 20. Electroconvulsive
nn nn nn 162
Therapy Chapter 21. The
nn nn nn nn 169
Recovery Model Chapter 22.
nn nn nn nn 175
Neurocognitive Disorders
nn nn 186
Chapter 23. Substance-Related and Addictive Disorders
n n n n n n n n n n 197
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
nn nn nn nn nn nn nn 208
Chapter 25. Depressive Disorders
nn nn nn nn 219
Chapter 26. Bipolar and Related Disorders
n n n n n n n n n n 230
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
nn nn nn nn nn nn 238
Chapter 28: Trauma and Stressor-Related Disorders
nn nn nn nn nn nn 244
Chapter 29. Somatic Symptom and Dissociative Disorders
n n n n n n n n n n n n 249
Chapter 30. Issues Related to Human Sexuality and Gender
nn nn nn nn nn nn nn nn 257
Dysphoria Chapter 31. Eating Disorders
nn nn nn nn nn 269
Chapter 32. Personality Disorders
nn nn nn 279
Chapter 33. Children and
nn nn nn nn 284
Adolescents Chapter 34. The Aging
nn nn nn nn nn 290
Individual
nn 297
Chapter 35. Survivors of Abuse or Neglect
nn nn nn nn nn nn 302
Chapter 36. Community Mental Health
nn nn nn nn nn
Nursing Chapter 37. The Bereaved Individual
nn nn nn nn nn nn
Chapter 38. Military Families
n n n n n n
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend
nn nn nn nn nn nn nn nn nn 2
(9th
Chapter n n 01. n n The n n Concept n n of n n Stress n n Adaptation
Test Bank n n n n - n n Psychiatric n n Mental n n Health n n Nursing n n by n n Mary n n n n Townsend n n (9th
Edition)
n n
Multiple n n Choice
1. A client has experienced the death of a close family member and at the same time
nn nn nn nn n n nn n n nn nn nn n n n n nn nn nn nn
becomes unemployed. This situation has resulted in a 6-month score of 110 on the
n n nn nn nn nn nn nn nn nn nn nn nn nn nn
Recent Life Changes Questionnaire. How should the nurse evaluate this client data?
nn nn nn nn n n n n n n n n n n n n n n n n
A. The client is experiencing
nn n n n n n n severe n n distress n n and is n n n n at n n risk n n for n n physical n n and n n psychological
illness.
n n
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
significant threat of stress-related illness.
nn nn nn nn nn
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without
nn nn nn nn nn nn nn nn nn nn
knowledge
nn of coping resources and available supports.
n n n n n n n n n n n n
D. The client may view these losses
nn n n nn n n n n n n as n n challenges n n and perceive nn n n them as opportunities.n n n n
ANS: n n C
The Recent Life Changes Questionnaire is an expanded version of the Schedule of
n n n n n n n n n n n n n n n n n n n n n n n n
Recent Experiences and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of
n n n n n n nn n n nn nn nn nn nn nn nn nn
300 or more, or a year-score total of 500 or more, indicates high stress in a clients life. However,
nn nn nn nn nn nn nn nn nn n n nn nn nn nn nn nn nn nn nn
positive coping mechanisms and strong social support can limit susceptibility to stress-related
nn nn nn nn nn nn nn n n n n n n n n n n
illnesses.
n n
KEY: Cognitive Level: n n n n n n Application n n | Integrated
nn n n Processes: n n Nursing Process: n n n n Evaluation n n |
Client Need:
nn n n
Psychosocial Integrity n n
2. A physically and emotionally healthy client has just been fired. During a routine office visit he
nn nn pp nn nn nn nn nn nn nn nn nn nn nn nn
states to a nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
nnan art degree. How should the nurse characterize the clients appraisal of the job loss
nn nn nn nn nn n n n n n n n n n n n n n n n n n n
stressor?
n n
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: n n D
The client nn n n perceives the n n n n situation n n of job n n n n loss as n n n n a challenge
n n n n and n n an opportunityn n n n for
growth.
n n
KEY: Cognitive Level: n n n n n n Application n n | Integrated
nn n n Processes: n n Nursing n n Process: n n Assessment n n |
Client Need:
nn n n
Psychosocial Integrity n n
3. Which client statement n n n n n n should n n alert n n a n n nurse n n that n n a n n client n n may n n be responding
n n n n maladaptively
to stress?
n n n n
A. Ive found that n n n n n n avoiding n n contact n n with n n others n n helps me n n n n cope.
B. I really n n n n enjoy journaling; nn n n its my n n n n private n n time.
C. I signed up for a yoga class this week.
nn pp nn nn nn nn nn nn
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend
nn nn nn nn nn nn nn nn nn 3
(9th
D. I made an appointment
n n n n nn n n to meet with
n n n n n n a therapist.
n n
ANS: n n A
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve
nn nn nn nn nn nn nn nn nn nn nn nn nn
stress. It can prevent learning appropriate coping skills and can prevent access to
nn nn nn nn n n n n n n n n n n n n n n n n n n
needed support systems.
n n n n n n
PSYCHIATRIC MENTAL
nn pp
HEALTH NURSING:
nnpp pp
Concepts of Care inEvidence-Based Practice
pp pp pp p pp
9TH p nnp nn EDITION
By Mary p nn p n n p nnp n n C. Townsend
n
p nnp n n
TEST BANK p n n p n n n n
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend
nn nn nn nn nn nn nn nn nn 1
(9th
Table n n of n n Contents
Table of n n 1
Contents
Chapter 01. The Concept of Stress Adaptation
nn nn nn nn nn nn 2
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical
nn nn nn nn nn nn nn 9
Concepts
nn
Chapter 03. Psychopharmacology
nn nn 20
Chapter 04. Concepts of Psychobiology
nn nn nn nn 28
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health
nn nn nn nn nn nn nn nn 37
Nursing
nn
Chapter 06. Cultural and Spiritual Concepts Relevant to
n n n n n n n n n n n n n n Health
Psychiatric/Mental
n n
Nursing47
Chapter 07. Relationship Development
nn nn nn 54
Chapter 08. Therapeutic
nn nn nn 62
Communication
nn 74
Chapter 09. The Nursing Process in Psychiatric/Mental Health
nn nn nn nn nn nn nn 85
Nursing Chapter 10. Therapeutic Groups
nn nn nn nn nn 93
Chapter 11. Intervention With Families
n n n n n n n n 99
Chapter 12. Milieu Therapy - The Therapeutic Community
nn nn nn nn nn nn nn 104
Chapter 13. Crisis Intervention
nn nn nn nn 109
Chapter 14. Assertiveness Training
nn nn nn 117
Chapter 15. Promoting Self-Esteem
nn nn nn nn 123
Chapter 16. Anger/Aggression Management
nn nn nn 130
Chapter 17. The Suicidal Client
nn nn nn nn nn 139
Chapter 18. Behavior Therapy n 146
Chapter 19. Cognitive Therapy
nn nn 155
Chapter 20. Electroconvulsive
nn nn nn 162
Therapy Chapter 21. The
nn nn nn nn 169
Recovery Model Chapter 22.
nn nn nn nn 175
Neurocognitive Disorders
nn nn 186
Chapter 23. Substance-Related and Addictive Disorders
n n n n n n n n n n 197
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
nn nn nn nn nn nn nn 208
Chapter 25. Depressive Disorders
nn nn nn nn 219
Chapter 26. Bipolar and Related Disorders
n n n n n n n n n n 230
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
nn nn nn nn nn nn 238
Chapter 28: Trauma and Stressor-Related Disorders
nn nn nn nn nn nn 244
Chapter 29. Somatic Symptom and Dissociative Disorders
n n n n n n n n n n n n 249
Chapter 30. Issues Related to Human Sexuality and Gender
nn nn nn nn nn nn nn nn 257
Dysphoria Chapter 31. Eating Disorders
nn nn nn nn nn 269
Chapter 32. Personality Disorders
nn nn nn 279
Chapter 33. Children and
nn nn nn nn 284
Adolescents Chapter 34. The Aging
nn nn nn nn nn 290
Individual
nn 297
Chapter 35. Survivors of Abuse or Neglect
nn nn nn nn nn nn 302
Chapter 36. Community Mental Health
nn nn nn nn nn
Nursing Chapter 37. The Bereaved Individual
nn nn nn nn nn nn
Chapter 38. Military Families
n n n n n n
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend
nn nn nn nn nn nn nn nn nn 2
(9th
Chapter n n 01. n n The n n Concept n n of n n Stress n n Adaptation
Test Bank n n n n - n n Psychiatric n n Mental n n Health n n Nursing n n by n n Mary n n n n Townsend n n (9th
Edition)
n n
Multiple n n Choice
1. A client has experienced the death of a close family member and at the same time
nn nn nn nn n n nn n n nn nn nn n n n n nn nn nn nn
becomes unemployed. This situation has resulted in a 6-month score of 110 on the
n n nn nn nn nn nn nn nn nn nn nn nn nn nn
Recent Life Changes Questionnaire. How should the nurse evaluate this client data?
nn nn nn nn n n n n n n n n n n n n n n n n
A. The client is experiencing
nn n n n n n n severe n n distress n n and is n n n n at n n risk n n for n n physical n n and n n psychological
illness.
n n
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
significant threat of stress-related illness.
nn nn nn nn nn
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without
nn nn nn nn nn nn nn nn nn nn
knowledge
nn of coping resources and available supports.
n n n n n n n n n n n n
D. The client may view these losses
nn n n nn n n n n n n as n n challenges n n and perceive nn n n them as opportunities.n n n n
ANS: n n C
The Recent Life Changes Questionnaire is an expanded version of the Schedule of
n n n n n n n n n n n n n n n n n n n n n n n n
Recent Experiences and the Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of
n n n n n n nn n n nn nn nn nn nn nn nn nn
300 or more, or a year-score total of 500 or more, indicates high stress in a clients life. However,
nn nn nn nn nn nn nn nn nn n n nn nn nn nn nn nn nn nn nn
positive coping mechanisms and strong social support can limit susceptibility to stress-related
nn nn nn nn nn nn nn n n n n n n n n n n
illnesses.
n n
KEY: Cognitive Level: n n n n n n Application n n | Integrated
nn n n Processes: n n Nursing Process: n n n n Evaluation n n |
Client Need:
nn n n
Psychosocial Integrity n n
2. A physically and emotionally healthy client has just been fired. During a routine office visit he
nn nn pp nn nn nn nn nn nn nn nn nn nn nn nn
states to a nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
nnan art degree. How should the nurse characterize the clients appraisal of the job loss
nn nn nn nn nn n n n n n n n n n n n n n n n n n n
stressor?
n n
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: n n D
The client nn n n perceives the n n n n situation n n of job n n n n loss as n n n n a challenge
n n n n and n n an opportunityn n n n for
growth.
n n
KEY: Cognitive Level: n n n n n n Application n n | Integrated
nn n n Processes: n n Nursing n n Process: n n Assessment n n |
Client Need:
nn n n
Psychosocial Integrity n n
3. Which client statement n n n n n n should n n alert n n a n n nurse n n that n n a n n client n n may n n be responding
n n n n maladaptively
to stress?
n n n n
A. Ive found that n n n n n n avoiding n n contact n n with n n others n n helps me n n n n cope.
B. I really n n n n enjoy journaling; nn n n its my n n n n private n n time.
C. I signed up for a yoga class this week.
nn pp nn nn nn nn nn nn
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend
nn nn nn nn nn nn nn nn nn 3
(9th
D. I made an appointment
n n n n nn n n to meet with
n n n n n n a therapist.
n n
ANS: n n A
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve
nn nn nn nn nn nn nn nn nn nn nn nn nn
stress. It can prevent learning appropriate coping skills and can prevent access to
nn nn nn nn n n n n n n n n n n n n n n n n n n
needed support systems.
n n n n n n
