Updated/Latest Psychiatric Mental Health Nursing Concepts of Care in Evidence Based Practice 10th Edition by Mary C Townsend and Karyn I Morgan 2025–2026 Comprehensive Test Bank Questions and Answers for Psychiatric Nursing Mental Health Care Therapeutic

Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Y FT YFT YFT FT
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Y Practice 10th Edition Townsend Test Bank
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Chapter 1. The Concept of Stress Adaptation
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MULTIPLE CHOICE Y FT




1. A client has experienced the death of a close family member and at the Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT




Y same time becomes unemployed. The client’s 6-month score on the Recent Life
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Y Changes Questionnaire is 110. The nurse:
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A. Understands the client is at risk for Y FT Y FT Y FT Y FT Y FT Y FT




significant Y FT




stress-related illness. Y F T



B. Determines the client is not at risk for Y FT Y FT Y FT Y FT Y FT Y FT Y FT




significant stress-related illness. Y F T Y F T




C. Needs further assessment of the client’s Y FT Y FT Y FT Y FT Y FT




coping skills to determine susceptibility to Y FT Y FT Y FT Y FT Y FT Y FT




stress-related illness. Y F T




D. Recognizes the client may view the losses Y FT Y FT Y FT Y FT Y FT Y FT




as Y FT




challenges and perceive them as Y FT Y FT Y FT Y FT




opportunities. Y FT




ANS: C Y FT




YC FT




Chapter learning objective: Explain the relationship between stress and diseases of
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Yadaptation.
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Page: 5–6 Y F T



Heading: Stress as an Environmental Event
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YIntegrated Processes: Nursing Process:
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YEvaluation Client Need: Psychosocial Integrity
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Cognitive Level: Application [Applying] Y FT Y FT Y FT




YConcept: Stress
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Difficulty: Moderate Y F T




Feedback

,A This is incorrect. Assessment is the first step
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Y of the nursing process. The nurse should
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Y assess the client’s coping skills and
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Yavailable support before determining
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Ysusceptibility to stress-related physical and
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Ypsychological illness. The Recent Life
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YChanges Questionnaire is an expanded
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Yversion of the Schedule of Recent
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YExperiences and the Rahe-Holmes Social
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YReadjustment Rating Scale. A 6-month
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Yscore of 300 or more, or a year-score total
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Yof 500 or more, indicates high stress in a
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Yclient’s life and susceptibility to stress-
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related
illnesses.
B This is incorrect. Assessment is the first
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Ystep in the nursing process. The nurse
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Yshould assess the client’s coping skills and
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Yavailable support before determining the
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Yclient’s perception of the current stresses.
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YA 6-month score of 300 or a year-score of
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Y500 or more on the Recent Life Changes
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YQuestionnaire indicates high stress in a
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Yclient’s life and susceptibility to stress-
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related physical and Y FT Y FT




psychological illness. Y F T



C This is correct. Assessment is the first step in
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Ythe nursing process. The nurse should assess
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Ythe client’s coping skills and available
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Ysupport before determining susceptibility to
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Ystress-related physical and psychological
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Yillness. A
FT 6-month score of 300 or a Y FT Y F T Y FT Y FT Y FT Y FT Y FT




Yyear-score of 500
FT or more indicates high Y FT Y FT Y F T Y FT Y FT Y FT




Ystress in a client’s life and risk for
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Ysignificant stress-related physical
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and psychological illness.Y F T Y F T

, D This is incorrect. Assessment is the first
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Ystep in the nursing process. The nurse
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Yshould assess the client’s coping skills and
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Yavailable support before determining
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Ysusceptibility to stress-related illness. A 6-
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month score of 300 or a year-score of 500 Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT




Yor more on the Recent Life Changes
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YQuestionnaire indicates high stress in a
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Yclient’s life is susceptible to significant
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Ystress-related physical and
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psychological illness. Y F T




PTS: 1 CON: Stress
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2. A physically and emotionally healthy client has just been fired. During Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT




Y a routine office visit, he tells the nurse, “Perhaps this was the best thing to happen.
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Y Maybe I’ll consider pursuing an art degree.” The nurse determines the client perceives
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Y the stressor of his job loss as:
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A. Irrelevant.
B. Harm/loss.
C. A threat. FT
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D. A challenge. FT
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ANS: D Y F T



Chapter: Chapter 0, The Concept of Stress Adaptation Y FT Y FT Y FT Y FT Y FT Y FT Y FT




Chapter learning objective: Discuss adaptive coping strategies in the management of
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Ystress.
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Page: 7 Y FT




Heading: Individual’s Perception of the Event > Primary AppraisalY FT Y FT Y FT Y FT Y FT Y FT Y FT YFT




YIntegrated Processes: Nursing Process: Assessment
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Client Need: Psychosocial IntegrityY FT Y FT Y FT




YCognitive Level: Application
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Y[Applying] Concept: Stress
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Difficulty: Easy Y F T




Feedback
A This is incorrect. The client’s statement Y FT Y FT Y FT Y FT Y FT




indicates he perceives the loss of his job as a Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT




challenge and an opportunity for growth. Y FT Y FT Y FT Y FT Y FT Y FT




B This is incorrect. The client’s statement Y FT Y FT Y FT Y FT Y FT




indicates he perceives the loss of his job Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT




as a Y FT Y FT




challenge and an opportunity for growth. Y FT Y F T Y F T Y F T Y F T

, C This is incorrect. The client’s statement
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indicates he perceives the loss of his job as a Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT




Ychallenge and an opportunity for growth.
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D This is correct. The client’s statement
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Yindicates he perceives the loss of his job
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Yas a
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challenge and an opportunity for growth. Y FT Y F T Y F T Y F T Y F T




PTS: Y F T 1 CON: Stress Y FT




3. Which client statement alerts the nurse that the client may be Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT Y FT




Y responding maladaptively to stress?
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A. “Avoiding contact with others helps me Y FT Y FT Y FT Y FT Y FT




cope.”

B. “I really enjoy journaling; it’s my private
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time.”
C. “I signed up for a yoga class this week.”
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D. “I made an appointment to meet with a
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therapist.”


ANS: A Y F T



Chapter: Chapter 0, The Concept of Stress Adaptation
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Chapter learning objective: Discuss adaptive coping strategies in the management of
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Ystress.
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Page: 8–9 Y F T



Heading: Stress Management Y FT Y F T



Integrated Processes: Nursing Process: Y FT Y FT Y FT




YEvaluation Client Need: Psychosocial Integrity
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Cognitive Level: Application [Applying] Y FT Y FT Y FT




YConcept: Stress
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Difficulty: Easy Y F T




Feedback
A This is correct. Reliance on social isolation Y FT Y FT Y FT Y FT Y FT Y FT




as a coping mechanism is a maladaptive Y FT Y FT Y FT Y FT Y FT Y FT Y FT




method to relieve stress. It can prevent Y FT Y FT Y FT Y FT Y FT Y FT Y FT




learning appropriate coping skills and can Y FT Y FT Y FT Y FT Y FT Y FT




prevent Y FT




access to needed support systems. Y FT Y FT Y FT Y FT




B This is incorrect. Journaling is not Y FT Y FT Y FT Y FT Y FT




considered Y FT