,Table of Contents
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
1. The Concept of Stress Adaptation
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
6. Relationship Development
7. Therapeutic Communication
8. The Nursing Process in Psychiatric-Mental Health Nursing
9. Therapeutic Groups
10. Intervention with Families
11. Milieu Therapy—The Therapeutic Community
12. Crisis Intervention
13. Assertiveness Training
14. Promoting Self Esteem
15. Anger and Aggression Management
16. Suicide Prevention
17. Behavior Therapy
18. Cognitive Behavioral Therapy
19. Electroconvulsive Therapy
20. The Recovery Model
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
22. Neurocognitive Disorders
23. Substance-Related and Addictive Disorders
24. Schizophrenia Spectrum and Other Psychotic Disorders
25. Depressive Disorders
26. Bipolar and Related Disorders
27. Anxiety, Obsessive-Compulsive, and Related Disorders
28. Trauma and Stressor-Related Disorders
29. Somatic Symptom and Dissociative Disorders
30. Eating Disorders
31. Personality Disorders
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
32. Children and Adolescents
33. The Aging Individual
34. Survivors of Abuse or Neglect
35. Community Mental Health Nursing
36. The Bereaved Individual
37. Military Families
eBook Bonus Chapters
38. Theoretical Models of Personality Development
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
40. Complementary and Psychosocial Therapies
41. Relaxation Therapy
42. Issues Related to Human Sexuality and Gender Dysphoria
43. Forensic Nursing
,Chapter 1. The Concept of Stress Adaptation
MULTIPLE CHOICE
1. A client has experienced the death of a close family member and at the same timebecomes
unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
Understands the client is at risk for significant stress-related illness.
Determines the client is not at risk for significant stress-related illness.
Needs further assessment of the client’s coping skills to determine susceptibility tostress-related
illness.
Recognizes the client may view the losses as challenges and perceive them asopportunities.
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient
Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. The Recent LifeChanges
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
client’s life and susceptibility to stress-related illnesses.
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining the client’s
perception of the current stresses. A 6-month score of 300 or more or a year-score total
of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a
client’s life and susceptibility to stress-related physical and psychological illnesses.
3. This is correct. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. A 6-month score
, of 300 or more or a year-score of 500 or more indicates high stress in a client’s lifeand
risk for significant stress-related physical and psychological illness.
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or
more on the Recent Life Changes Questionnaire indicates high stressin a client’s life is
susceptible to significant stress-related physical and psychologicalillness.
CON: Stress
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells
the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
consider pursuing an art degree.” The nurse determines the client perceives the stressorof his job loss as:
Irrelevant
Harm or loss
Threatening
A challenge
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7Heading:
Stress as a transaction between the individual and the environment
>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
Assessment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance
for the individual.
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
by the individual.
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
4. This is correct. The client’s statement indicates he perceives the loss of his job as a
challenge and an opportunity for growth, demonstrated by his statement to consideran
art degree.
CON: Stress
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
1. The Concept of Stress Adaptation
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
6. Relationship Development
7. Therapeutic Communication
8. The Nursing Process in Psychiatric-Mental Health Nursing
9. Therapeutic Groups
10. Intervention with Families
11. Milieu Therapy—The Therapeutic Community
12. Crisis Intervention
13. Assertiveness Training
14. Promoting Self Esteem
15. Anger and Aggression Management
16. Suicide Prevention
17. Behavior Therapy
18. Cognitive Behavioral Therapy
19. Electroconvulsive Therapy
20. The Recovery Model
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
22. Neurocognitive Disorders
23. Substance-Related and Addictive Disorders
24. Schizophrenia Spectrum and Other Psychotic Disorders
25. Depressive Disorders
26. Bipolar and Related Disorders
27. Anxiety, Obsessive-Compulsive, and Related Disorders
28. Trauma and Stressor-Related Disorders
29. Somatic Symptom and Dissociative Disorders
30. Eating Disorders
31. Personality Disorders
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
32. Children and Adolescents
33. The Aging Individual
34. Survivors of Abuse or Neglect
35. Community Mental Health Nursing
36. The Bereaved Individual
37. Military Families
eBook Bonus Chapters
38. Theoretical Models of Personality Development
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
40. Complementary and Psychosocial Therapies
41. Relaxation Therapy
42. Issues Related to Human Sexuality and Gender Dysphoria
43. Forensic Nursing
,Chapter 1. The Concept of Stress Adaptation
MULTIPLE CHOICE
1. A client has experienced the death of a close family member and at the same timebecomes
unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse:
Understands the client is at risk for significant stress-related illness.
Determines the client is not at risk for significant stress-related illness.
Needs further assessment of the client’s coping skills to determine susceptibility tostress-related
illness.
Recognizes the client may view the losses as challenges and perceive them asopportunities.
ANS: 3
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Explain the relationship between stress and diseases of adaptation.Page: 5
Heading: Stress as an Environmental Event Integrated Processes: Nursing Process: EvaluationClient
Need: Psychosocial Integrity
Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. Assessment is the first step of the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. The Recent LifeChanges
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
client’s life and susceptibility to stress-related illnesses.
2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining the client’s
perception of the current stresses. A 6-month score of 300 or more or a year-score total
of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a
client’s life and susceptibility to stress-related physical and psychological illnesses.
3. This is correct. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related physical and psychological illnesses. A 6-month score
, of 300 or more or a year-score of 500 or more indicates high stress in a client’s lifeand
risk for significant stress-related physical and psychological illness.
4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
assess the client’s coping skills and available support before determining susceptibility
to stress-related illness. A 6-month score of 300 or more or a year- score of 500 or
more on the Recent Life Changes Questionnaire indicates high stressin a client’s life is
susceptible to significant stress-related physical and psychologicalillness.
CON: Stress
2. A physically and emotionally healthy client has just been fired. During a routine office visit, he tells
the nurse, “Perhaps this was the best thing to happen. Maybe I’ll
consider pursuing an art degree.” The nurse determines the client perceives the stressorof his job loss as:
Irrelevant
Harm or loss
Threatening
A challenge
ANS: 4
Chapter: Chapter 1, The Concept of Stress Adaptation
Objective: Discuss adaptive coping strategies in the management of stress.Page: 7Heading:
Stress as a transaction between the individual and the environment
>Individual’s Perception of the Event > Primary AppraisalIntegrated Processes: Nursing Process:
Assessment
Client Need: Psychosocial Integrity Cognitive Level: Application [Applying]Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. An irrelevant perception is one where the event holds nosignificance
for the individual.
2. This is incorrect. A harm or loss appraisal refers to damage or loss alreadyexperienced
by the individual.
3. This is incorrect. A threatening appraisal is perceived as anticipated harms or losses.
4. This is correct. The client’s statement indicates he perceives the loss of his job as a
challenge and an opportunity for growth, demonstrated by his statement to consideran
art degree.
CON: Stress
