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Psychiatric Mental Health Nursing by Mary Townsend 9th Edition, Test bank.

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Psychiatric Mental Health Nursing by Mary Townsend 9th Edition, Test bank.Psychiatric Mental Health Nursing by Mary Townsend 9th Edition, Test bank Table of Contents Chapter 01. The Concept of Stress Adaptation Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts Chapte...

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Psychiatric Mental Health
Nursing by Mary Townsend
9th Edition, Test bank




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,Psychiatric Mental Health Nursing by Mary Townsend 9th Edition, Test bank

Table of Contents
Chapter 01. The Concept of Stress Adaptation
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts
Chapter 03. Psychopharmacology
Chapter 04. Concepts of Psychobiology
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
Chapter 06. Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health
Nursing
Chapter 07. Relationship Development
Chapter 08. Therapeutic Communication
Chapter 09. The Nursing Process in Psychiatric/Mental Health Nursing
Chapter 10. Therapeutic Groups
Chapter 11. Intervention With Families
Chapter 12. Milieu Therapy - The Therapeutic Community
Chapter 13. Crisis Intervention
Chapter 14. Assertiveness Training
Chapter 15. Promoting Self-Esteem
Chapter 16. Anger/Aggression Management
Chapter 17. The Suicidal Client
Chapter 18. Behavior Therapy
Chapter 19. Cognitive Therapy
Chapter 20. Electroconvulsive Therapy
Chapter 21. The Recovery Model
Chapter 22. Neurocognitive Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 25. Depressive Disorders
Chapter 26. Bipolar and Related Disorders
Chapter 27. Anxiety, Obsessive-Compulsive, and Related Disorders
Chapter 28: Trauma and Stressor-Related Disorders
Chapter 29. Somatic Symptom and Dissociative Disorders
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria
Chapter 31. Eating Disorders
Chapter 32. Personality Disorders
Chapter 33. Children and Adolescents
Chapter 34. The Aging Individual
Chapter 35. Survivors of Abuse or Neglect
Chapter 36. Community Mental Health Nursing
Chapter 37. The Bereaved Individual
Chapter 38. Military Families

,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

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. I’ve 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.

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

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