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