TEST BANK - PSYCHIATRIC
MENTAL HEALTH NURSING
BY MARY TOWNSEND
(9TH EDITION, 2023)
Table of Contents
Table of Contents 0
,Chapter 01. The Concept of Stress Adaptation 2
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts 10
Chapter 03. Psychopharmacology 24
Chapter 04. Concepts of Psychobiology 33
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing 43
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
Nursing47 55
Chapter 07. Relationship Development 63
Chapter 08. Therapeutic Communication 74
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing 89
Chapter 10. Therapeutic Groups 102
Chapter 11. Intervention With Families 113
Chapter 12. Milieu Therapy - The Therapeutic Community 120
Chapter 13. Crisis Intervention 126
Chapter 14. Assertiveness Training 132
Chapter 15. Promoting Self-Esteem 142
Chapter 16. Anger/Aggression Management 149
Chapter 17. The Suicidal Client 157
Chapter 18. Behavior Therapy 168
Chapter 19. Cognitive Therapy 177
Chapter 20. Electroconvulsive Therapy 188
Chapter 21. The Recovery Model 196
Chapter 22. Neurocognitive Disorders 205
Chapter 23. Substance-Related and Addictive Disorders 212
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders 225
Chapter 25. Depressive Disorders 238
Chapter 26. Bipolar and Related Disorders 255
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders 271
Chapter 28: Trauma and Stressor-Related Disorders 287
Chapter 29. Somatic Symptom and Dissociative Disorders 299
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria 307
,Chapter 31. Eating Disorders 314
Chapter 32. Personality Disorders 326
Chapter 33. Children and Adolescents 345
Chapter 34. The Aging Individual 359
Chapter 35. Survivors of Abuse or Neglect 366
Chapter 36. Community Mental Health Nursing 375
Chapter 37. The Bereaved Individual 385
Chapter 38. Military Families 392
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 ofstress-related illness.
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge
ofcoping 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
B. Harm/loss
C. Threatening
D. Challenging
ANS: D
loss as a challenge
The client perceives the situation of job 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 contact with others helpsfound that avoiding
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.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester.
When this occurs, which stage of stress is the student most likely experiencing?
A. Alarm reaction stage
B. Stage of resistance
C. Stage of exhaustion
D. Fight-or-flight stage
ANS: C
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
depleted. Diseases of adaptation occur more frequently in this stage.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
MENTAL HEALTH NURSING
BY MARY TOWNSEND
(9TH EDITION, 2023)
Table of Contents
Table of Contents 0
,Chapter 01. The Concept of Stress Adaptation 2
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts 10
Chapter 03. Psychopharmacology 24
Chapter 04. Concepts of Psychobiology 33
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing 43
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
Nursing47 55
Chapter 07. Relationship Development 63
Chapter 08. Therapeutic Communication 74
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing 89
Chapter 10. Therapeutic Groups 102
Chapter 11. Intervention With Families 113
Chapter 12. Milieu Therapy - The Therapeutic Community 120
Chapter 13. Crisis Intervention 126
Chapter 14. Assertiveness Training 132
Chapter 15. Promoting Self-Esteem 142
Chapter 16. Anger/Aggression Management 149
Chapter 17. The Suicidal Client 157
Chapter 18. Behavior Therapy 168
Chapter 19. Cognitive Therapy 177
Chapter 20. Electroconvulsive Therapy 188
Chapter 21. The Recovery Model 196
Chapter 22. Neurocognitive Disorders 205
Chapter 23. Substance-Related and Addictive Disorders 212
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders 225
Chapter 25. Depressive Disorders 238
Chapter 26. Bipolar and Related Disorders 255
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders 271
Chapter 28: Trauma and Stressor-Related Disorders 287
Chapter 29. Somatic Symptom and Dissociative Disorders 299
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria 307
,Chapter 31. Eating Disorders 314
Chapter 32. Personality Disorders 326
Chapter 33. Children and Adolescents 345
Chapter 34. The Aging Individual 359
Chapter 35. Survivors of Abuse or Neglect 366
Chapter 36. Community Mental Health Nursing 375
Chapter 37. The Bereaved Individual 385
Chapter 38. Military Families 392
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 ofstress-related illness.
C. Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge
ofcoping 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
B. Harm/loss
C. Threatening
D. Challenging
ANS: D
loss as a challenge
The client perceives the situation of job 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 contact with others helpsfound that avoiding
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.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Psychosocial Integrity
4. A nursing student finds that she comes down with a sinus infection toward the end of every semester.
When this occurs, which stage of stress is the student most likely experiencing?
A. Alarm reaction stage
B. Stage of resistance
C. Stage of exhaustion
D. Fight-or-flight stage
ANS: C
At the stage of exhaustion, the students exposure to stress has been prolonged and adaptive energy has been
depleted. Diseases of adaptation occur more frequently in this stage.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Psychosocial Integrity
