TEST BANK: l l
PSYCHIATRIC MENTAL ll
HEALTH NURSING:
ll ll
ConceptsofCareinEvidence-BasedPractice
l l l l l
9TH EDITION
l l
By Mary C. Townsend
l l l l l l
TEST BANK l l
,Test Bank - Psychiatric Mental Health Nursing by MaryTownsend (9th Edition)
l ll ll ll l ll l l l ll ll 1
Table of Contents l l l l
Table of Contents
ll ll 1
Chapter 01. The Concept of Stress Adaptation
ll ll ll 2 ll ll ll
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
ll ll 9 ll ll ll ll ll ll
Chapter 03. Psychopharmacology
ll ll 20
Chapter 04. Concepts of Psychobiology
ll ll 28 ll ll
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
ll ll 37 ll ll ll ll ll ll ll
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing47
ll ll ll ll ll ll ll ll ll ll
Chapter 07. Relationship Development
ll ll 54 ll
Chapter 08. Therapeutic Communication
ll ll ll 62 ll
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
ll ll ll 74 ll ll ll ll ll
Chapter 10. Therapeutic Groups
ll ll ll 85 ll
Chapter 11. Intervention With Families
ll ll 93 ll ll
Chapter 12. Milieu Therapy - The Therapeutic Community Chapter
ll ll ll 99 ll ll ll ll ll
13. Crisis Intervention
ll ll ll 104
Chapter 14. Assertiveness Training
ll ll 109 ll
Chapter 15. Promoting Self-Esteem
ll ll ll 117 ll
Chapter 16. Anger/Aggression Management
ll ll 123 ll
Chapter 17. The Suicidal Client
ll ll ll ll 130 ll
Chapter 18. Behavior Therapy
l l l l 139 l l
Chapter 19. Cognitive Therapy
ll ll l l 146 l l
Chapter 20. Electroconvulsive Therapy
ll ll ll 155 ll
Chapter 21. The Recovery Model
ll ll ll ll 162 ll
Chapter 22. Neurocognitive Disorders
ll ll ll 169 ll
Chapter 23. Substance-Related and Addictive Disorders
ll ll 175 ll ll ll
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
ll ll 186 ll ll ll ll ll
Chapter 25. Depressive Disorders
ll ll ll 197 ll
Chapter 26. Bipolar and Related Disorders
ll ll 208 ll ll ll
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
ll ll 219 ll ll ll ll
Chapter 28: Trauma and Stressor-Related Disorders
ll ll ll 230 ll ll ll
Chapter 29. Somatic Symptom and Dissociative Disorders
ll ll 238 ll ll ll ll
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
ll ll 244
ll ll ll ll ll ll ll
Chapter 31. Eating Disorders
ll ll ll 249
ll
Chapter 32. Personality Disorders
ll ll 257 ll
Chapter 33. Children and Adolescents
ll ll ll 269 ll ll
Chapter 34. The Aging Individual
ll ll ll ll 279 ll
Chapter 35. Survivors of Abuse or Neglect Chapter
ll ll 284 ll ll ll ll ll
36. Community Mental Health Nursing Chapter 37.
ll ll ll 290 ll ll ll ll
The Bereaved Individual
ll ll ll 297
Chapter 38. Military Families
ll ll 302 ll
,Test Bank - Psychiatric Mental Health Nursing by MaryTownsend (9th Edition)
l ll ll ll l ll l l l ll ll 2
Chapter 01. The Concept of Stress Adaptation ll ll ll ll ll ll
Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
ll ll ll ll l l ll l l l l l l ll ll
Multiple Choice ll
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the nurse evaluate this client data?
ll ll ll ll ll ll
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
stress-related illness.
ll ll
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
ll ll ll ll ll ll ll ll ll ll ll ll
coping resources and available supports.
ll ll ll ll ll
D. The client may view these losses as challenges and perceive them as opportunities.
ll ll ll ll ll ll ll ll ll ll ll ll
ANS: C ll
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500 or
ll ll l ll ll l ll l ll ll ll l l l ll l ll l ll
more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support can
l l l l l l l l l l l ll ll l ll l ll
limit susceptibility to stress-related illnesses.
ll ll ll ll ll
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
ll ll l ll ll l l ll l ll l l ll ll ll ll l l
nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
nurse characterize the clients appraisal of the job loss stressor?
ll ll ll ll ll ll ll ll ll ll
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D ll
The client perceives the situation of job loss as a challenge and an opportunity for growth.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
A. Ive found that avoiding contact with others helps me cope.
ll ll ll ll ll ll ll ll ll
B. I really enjoy journaling; its my private time.
ll ll ll ll ll ll ll
C. I signed up for a yoga class this week.
l l l l l l ll l
D. I made an appointment to meet with a therapist.
ll ll ll ll ll ll ll ll
ANS: A ll
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
learning appropriate coping skills and can prevent access to needed support systems.
ll ll ll ll ll ll ll ll ll ll ll ll
, Test Bank - Psychiatric Mental Health Nursing by MaryTownsend (9th Edition)
l ll ll ll l ll l l l ll ll 3
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
this occurs, which stage of stress is the student most likely experiencing?
ll ll ll ll ll ll ll ll ll ll ll ll
A. Alarm reaction stage ll ll
B. Stage of resistance ll ll
C. Stage of exhaustion ll ll
D. Fight-or-flight stage l l
ANS: C ll
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
depleted. Diseases of adaptation occur more frequently in this stage.
ll ll ll ll ll ll ll ll ll ll
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
response?
ll
A. Teenagers! They dont know a thing about real stress. ll ll ll ll ll ll ll ll
B. Stress occurs only when there is a loss. ll ll ll ll ll ll ll
C. When you are in poor physical condition, you cant experience psychological well-being.
ll ll ll ll ll ll ll ll ll ll ll
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
ll ll ll ll ll ll ll ll ll ll ll ll ll
ANS: D ll
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
physiological change.
ll ll
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
6. A bright student confides in the school nurse about conflicts related to attending college or working to add
ll ll l ll l ll ll l l ll ll l ll ll l l l
needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
l to the student at this time?
l ll ll ll ll ll
A. Meditation
B. Problem-solving training ll
C. Relaxation
D. Journaling
ANS: B ll
The student must assess his or her situation and determine the best course of action. Problem-solving training,
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
by providing structure and objectivity, can assist in decision making.
ll ll ll ll ll ll ll ll ll ll
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
PSYCHIATRIC MENTAL ll
HEALTH NURSING:
ll ll
ConceptsofCareinEvidence-BasedPractice
l l l l l
9TH EDITION
l l
By Mary C. Townsend
l l l l l l
TEST BANK l l
,Test Bank - Psychiatric Mental Health Nursing by MaryTownsend (9th Edition)
l ll ll ll l ll l l l ll ll 1
Table of Contents l l l l
Table of Contents
ll ll 1
Chapter 01. The Concept of Stress Adaptation
ll ll ll 2 ll ll ll
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
ll ll 9 ll ll ll ll ll ll
Chapter 03. Psychopharmacology
ll ll 20
Chapter 04. Concepts of Psychobiology
ll ll 28 ll ll
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
ll ll 37 ll ll ll ll ll ll ll
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing47
ll ll ll ll ll ll ll ll ll ll
Chapter 07. Relationship Development
ll ll 54 ll
Chapter 08. Therapeutic Communication
ll ll ll 62 ll
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
ll ll ll 74 ll ll ll ll ll
Chapter 10. Therapeutic Groups
ll ll ll 85 ll
Chapter 11. Intervention With Families
ll ll 93 ll ll
Chapter 12. Milieu Therapy - The Therapeutic Community Chapter
ll ll ll 99 ll ll ll ll ll
13. Crisis Intervention
ll ll ll 104
Chapter 14. Assertiveness Training
ll ll 109 ll
Chapter 15. Promoting Self-Esteem
ll ll ll 117 ll
Chapter 16. Anger/Aggression Management
ll ll 123 ll
Chapter 17. The Suicidal Client
ll ll ll ll 130 ll
Chapter 18. Behavior Therapy
l l l l 139 l l
Chapter 19. Cognitive Therapy
ll ll l l 146 l l
Chapter 20. Electroconvulsive Therapy
ll ll ll 155 ll
Chapter 21. The Recovery Model
ll ll ll ll 162 ll
Chapter 22. Neurocognitive Disorders
ll ll ll 169 ll
Chapter 23. Substance-Related and Addictive Disorders
ll ll 175 ll ll ll
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
ll ll 186 ll ll ll ll ll
Chapter 25. Depressive Disorders
ll ll ll 197 ll
Chapter 26. Bipolar and Related Disorders
ll ll 208 ll ll ll
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
ll ll 219 ll ll ll ll
Chapter 28: Trauma and Stressor-Related Disorders
ll ll ll 230 ll ll ll
Chapter 29. Somatic Symptom and Dissociative Disorders
ll ll 238 ll ll ll ll
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
ll ll 244
ll ll ll ll ll ll ll
Chapter 31. Eating Disorders
ll ll ll 249
ll
Chapter 32. Personality Disorders
ll ll 257 ll
Chapter 33. Children and Adolescents
ll ll ll 269 ll ll
Chapter 34. The Aging Individual
ll ll ll ll 279 ll
Chapter 35. Survivors of Abuse or Neglect Chapter
ll ll 284 ll ll ll ll ll
36. Community Mental Health Nursing Chapter 37.
ll ll ll 290 ll ll ll ll
The Bereaved Individual
ll ll ll 297
Chapter 38. Military Families
ll ll 302 ll
,Test Bank - Psychiatric Mental Health Nursing by MaryTownsend (9th Edition)
l ll ll ll l ll l l l ll ll 2
Chapter 01. The Concept of Stress Adaptation ll ll ll ll ll ll
Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
ll ll ll ll l l ll l l l l l l ll ll
Multiple Choice ll
1. A client has experienced the death of a close family member and at the same time becomes unemployed.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the nurse evaluate this client data?
ll ll ll ll ll ll
A. The client is experiencing severe distress and is at risk for physical and psychological illness.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
stress-related illness.
ll ll
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of
ll ll ll ll ll ll ll ll ll ll ll ll
coping resources and available supports.
ll ll ll ll ll
D. The client may view these losses as challenges and perceive them as opportunities.
ll ll ll ll ll ll ll ll ll ll ll ll
ANS: C ll
The Recent Life Changes Questionnaire is an expanded version of the Schedule of Recent Experiences and the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Rahe-Holmes Social Readjustment Rating Scale. A 6-month score of 300 or more, or a year-score total of 500 or
ll ll l ll ll l ll l ll ll ll l l l ll l ll l ll
more, indicates high stress in a clients life. However, positive coping mechanisms and strong social support can
l l l l l l l l l l l ll ll l ll l ll
limit susceptibility to stress-related illnesses.
ll ll ll ll ll
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
2. A physically and emotionally healthy client has just been fired. During a routine office visit he states to a
ll ll l ll ll l l ll l ll l l ll ll ll ll l l
nurse: Perhaps this was the best thing to happen. Maybe Ill look into pursuing an art degree. How should the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
nurse characterize the clients appraisal of the job loss stressor?
ll ll ll ll ll ll ll ll ll ll
A. Irrelevant
B. Harm/loss
C. Threatening
D. Challenging
ANS: D ll
The client perceives the situation of job loss as a challenge and an opportunity for growth.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
3. Which client statement should alert a nurse that a client may be responding maladaptively to stress?
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
A. Ive found that avoiding contact with others helps me cope.
ll ll ll ll ll ll ll ll ll
B. I really enjoy journaling; its my private time.
ll ll ll ll ll ll ll
C. I signed up for a yoga class this week.
l l l l l l ll l
D. I made an appointment to meet with a therapist.
ll ll ll ll ll ll ll ll
ANS: A ll
Reliance on social isolation as a coping mechanism is a maladaptive method to relieve stress. It can prevent
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
learning appropriate coping skills and can prevent access to needed support systems.
ll ll ll ll ll ll ll ll ll ll ll ll
, Test Bank - Psychiatric Mental Health Nursing by MaryTownsend (9th Edition)
l ll ll ll l ll l l l ll ll 3
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester. When
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
this occurs, which stage of stress is the student most likely experiencing?
ll ll ll ll ll ll ll ll ll ll ll ll
A. Alarm reaction stage ll ll
B. Stage of resistance ll ll
C. Stage of exhaustion ll ll
D. Fight-or-flight stage l l
ANS: C ll
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
depleted. Diseases of adaptation occur more frequently in this stage.
ll ll ll ll ll ll ll ll ll ll
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
5. A school nurse is assessing a female high school student who is overly concerned about her appearance. The
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
response?
ll
A. Teenagers! They dont know a thing about real stress. ll ll ll ll ll ll ll ll
B. Stress occurs only when there is a loss. ll ll ll ll ll ll ll
C. When you are in poor physical condition, you cant experience psychological well-being.
ll ll ll ll ll ll ll ll ll ll ll
D. Stress can be psychological. A threat to self-esteem may result in high stress levels.
ll ll ll ll ll ll ll ll ll ll ll ll ll
ANS: D ll
Stress can be physical or psychological in nature. A perceived threat to self-esteem can be as stressful as a
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
physiological change.
ll ll
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
6. A bright student confides in the school nurse about conflicts related to attending college or working to add
ll ll l ll l ll ll l l ll ll l ll ll l l l
needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
l to the student at this time?
l ll ll ll ll ll
A. Meditation
B. Problem-solving training ll
C. Relaxation
D. Journaling
ANS: B ll
The student must assess his or her situation and determine the best course of action. Problem-solving training,
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
by providing structure and objectivity, can assist in decision making.
ll ll ll ll ll ll ll ll ll ll
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
ll ll ll ll ll ll ll ll ll ll ll ll
Psychosocial Integrity ll
