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TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING BY MARY TOWNSEND 9TH EDITION NEWLY UPDATED VERSION

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  • 12 décembre 2023
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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

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