Psychiatric Mental Health Nursing by Mary Townsend (9th Edition) 1
Table of Contents
1
Table of Contents
Chapter 01. The Concept of Stress Adaptation 2
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts 9
Chapter 03. Psychopharmacology 20
Chapter 04. Concepts of Psychobiology 28
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing 37
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
Nursing
47
Chapter 07. Relationship Development Chap
Chapter 08. Therapeutic Communication ter
Chapter 09. The Nursing Process in Psychiatric/Mental Health 29.
NursingChapter 10. Therapeutic Groups Som
Chapter 11. Intervention With Families atic
Chapter 12. Milieu Therapy - The Therapeutic Community Sym
Chapter 13. Crisis Intervention ptom
Chapter 14. Assertiveness Training and
Chapter 15. Promoting Self-Esteem Diss
Chapter 16. Anger/Aggression Management ociati
Chapter 17. The Suicidal Client ve
Chapter 18. Behavior Therapy Disor
Chapter 19. Cognitive Therapy ders
Chapter 20. Electroconvulsive Chap
TherapyChapter 21. The Recovery ter
Model Chapter 22. Neurocognitive 30.
Disorders Issue
Chapter 23. Substance-Related and Addictive Disorders s
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders Relat
Chapter 25. Depressive Disorders ed to
Chapter 26. Bipolar and Related Disorders Hum
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders an
Chapter 28: Trauma and Stressor-Related Disorders Sexu
, 2
Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
ality and Gender DysphoriaChapter 31. Eating Disorders 54
Chapter 32. Personality Disorders 62
Chapter 33. Children and 74
AdolescentsChapter 34. The Aging 85
Individual 93
Chapter 35. Survivors of Abuse or Neglect 99
Chapter 36. Community Mental Health 104
NursingChapter 37. The Bereaved Individual 109
Chapter 38. Military Families 117
123
130
139
146
155
162
169
175
186
197
208
219
230
238
244
249
257
269
279
284
290
297
302
, Psychiatric Mental Health Nursing by Mary Townsend (9th Edition) 3
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
, Psychiatric Mental Health Nursing by Mary Townsend (9th Edition) 4
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.
Table of Contents
1
Table of Contents
Chapter 01. The Concept of Stress Adaptation 2
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts 9
Chapter 03. Psychopharmacology 20
Chapter 04. Concepts of Psychobiology 28
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing 37
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
Nursing
47
Chapter 07. Relationship Development Chap
Chapter 08. Therapeutic Communication ter
Chapter 09. The Nursing Process in Psychiatric/Mental Health 29.
NursingChapter 10. Therapeutic Groups Som
Chapter 11. Intervention With Families atic
Chapter 12. Milieu Therapy - The Therapeutic Community Sym
Chapter 13. Crisis Intervention ptom
Chapter 14. Assertiveness Training and
Chapter 15. Promoting Self-Esteem Diss
Chapter 16. Anger/Aggression Management ociati
Chapter 17. The Suicidal Client ve
Chapter 18. Behavior Therapy Disor
Chapter 19. Cognitive Therapy ders
Chapter 20. Electroconvulsive Chap
TherapyChapter 21. The Recovery ter
Model Chapter 22. Neurocognitive 30.
Disorders Issue
Chapter 23. Substance-Related and Addictive Disorders s
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders Relat
Chapter 25. Depressive Disorders ed to
Chapter 26. Bipolar and Related Disorders Hum
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders an
Chapter 28: Trauma and Stressor-Related Disorders Sexu
, 2
Psychiatric Mental Health Nursing by Mary Townsend (9th Edition)
ality and Gender DysphoriaChapter 31. Eating Disorders 54
Chapter 32. Personality Disorders 62
Chapter 33. Children and 74
AdolescentsChapter 34. The Aging 85
Individual 93
Chapter 35. Survivors of Abuse or Neglect 99
Chapter 36. Community Mental Health 104
NursingChapter 37. The Bereaved Individual 109
Chapter 38. Military Families 117
123
130
139
146
155
162
169
175
186
197
208
219
230
238
244
249
257
269
279
284
290
297
302
, Psychiatric Mental Health Nursing by Mary Townsend (9th Edition) 3
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
, Psychiatric Mental Health Nursing by Mary Townsend (9th Edition) 4
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.
