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Davis Advantage For Townsend\\\\\\\'s Essentials, 9e
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Test Bank for Davis Advantage for Townsend's Essentials of Psychiatric Mental Health Nursing, 9th Edition by Karyn I. Morgan All Chapters included LATEST
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PSYCHIATRIC MENTAL HEALTH NURSING
CONCEPTS OF CARE IN EVIDENCE-BASED
PRACTICE 9TH EDITION BY MARY C
TOWNSEND
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
,Table Of Content
Chapter 1: The Concept Of Stress Adaptation
Chapter 2: Mental Health And Mental Illness: Historical And Theoretical Concepts
Chapter 3: Concepts Of Psychobiology
Chapter 4: Psychopharmacology
Chapter 5: Ethical And Legal Issues
Chapter 6: Cultural And Spiritual Concepts Relevant To Psychiatric-Mental Health Nursing
Chapter 7: Relationship Development
Chapter 8: Therapeutic Communication
Chapter 9: 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 And Aggression Management
Chapter 17: Suicide Prevention
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
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 2
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.
ANSWER: 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.
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
ANSWER: D
The Client Perceives The Situation Of Job Loss As A Challenge And An Opportunity For Growth.
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.
ANSWER: 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.
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 3
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
ANSWER: 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.
5. A School Nurse Is Assessing A Female High School Student Who Is Overly Concerned About Her
Appearance. The Clients Mother States, Thats Not Something To Be Stressed About! Which Is The Most
Appropriate Nursing Response?
A. Teenagers! They Dont Know A Thing About Real Stress.
B. Stress Occurs Only When There Is A Loss.
C. When You Are In Poor Physical Condition, You Cant Experience Psychological Well-Being.
D. Stress Can Be Psychological. A Threat To Self-Esteem May Result In High Stress Levels.
ANSWER: D
Stress Can Be Physical Or Psychological In Nature. A Perceived Threat To Self-Esteem Can Be As Stressful
As A Physiological Change.
6. A Bright Student Confides In The School Nurse About Conflicts Related To Attending College Or Working
To Add Needed Financial Support To The Family. Which Coping Strategy Is Most Appropriate For The Nurse
To Recommend To The Student At This Time?
A. Meditation
B. Problem-Solving Training
C. Relaxation
D. Journaling
ANSWER: B
The Student Must Assess His Or Her Situation And Determine The Best Course Of Action. Problem-Solving
Training, By Providing Structure And Objectivity, Can Assist In Decision Making.
,Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 4
7. An Unemployed College Graduate Is Experiencing Severe Anxiety Over Not Finding A Teaching Position
And Has Difficulty With Independent Problem-Solving. During A Routine Physical Examination, The
Graduate Confides In The Clinic Nurse. Which Is The Most Appropriate Nursing Intervention?
A. Encourage The Student To Use The Alternative Coping Mechanism Of Relaxation Exercises.
B. Complete The Problem-Solving Process For The Client.
C. Work Through The Problem-Solving Process With The Client.
D. Encourage The Client To Keep A Journal.
ANSWER: C
During Times Of High Anxiety And Stress, Clients Will Need More Assistance In Problem-Solving And
Decision Making.
8. A School Nurse Is Assessing A Distraught Female High School Student Who Is Overly Concerned
Because Her Parents Cant Afford Horseback Riding Lessons. How Should The Nurse Interpret The Students
Reaction To Her Perceived Problem?
A. The Problem Is Endangering Her Well-Being.
B. The Problem Is Personally Relevant To Her.
C. The Problem Is Based On Immaturity.
D. The Problem Is Exceeding Her Capacity To Cope.
ANSWER: B
Psychological Stressors To Self-Esteem And Self-Image Are Related To How The Individual Perceives The
Situation Or Event. Self-Image Is Of Particular Importance To Adolescents, Who Feel Entitled To Have All The
Advantages That Other Adolescents Experience.
10. A Distraught, Single, First-Time Mother Cries And Asks A Nurse, How Can I Go To Work If I Cant
Afford Childcare? What Is The Nurses Initial Action In Assisting The Client With The Problem-Solving
Process?
, Test Bank - Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 5
A. Determine The Risks And Benefits For Each Alternative.
B. Formulate Goals For Resolution Of The Problem.
C. Evaluate The Outcome Of The Implemented Alternative.
D. Assess The Facts Of The Situation.
ANSWER: D
Before Any Other Steps Can Be Taken, Accurate Information About The Situation Must Be Gathered And Assessed.
11. A Nursing Instructor Is Asking Students About Diseases Of Adaptation And When They Are Likely To
Occur. Which Student Response Indicates That Learning Has Occurred?
A. When An Individual Has Limited Experience Dealing With Stress
B. When An Individual Inherits Maladaptive Genes
C. When An Individual Experiences Existing Conditions That Exacerbate Stress
D. When An Individuals Physiological And Psychological Resources Have Become Depleted
ANSWER: D
During The Stage Of Exhaustion Of The General Adaptation Syndrome, The Individual Loses The Capacity
To Adapt Effectively Because Physiological And Psychological Resources Have Become Depleted. This Is
The Time When Diseases Of Adaptation May Occur.
Key: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Health Promotion And Maintenance
12. When An Individuals Stress Response Is Sustained Over A Long Period Of Time, Which Physiological
Effect Of The Endocrine System Should A Nurse Anticipate?
A. Decreased Resistance To Disease
B. Increased Libido
C. Decreased Blood Pressure
D. Increased Inflammatory Response
ANSWER: A
In A General Adaptation Syndrome, Prolonged Exposure To Stress Leads To The Stage Of Exhaustion At
Which Time The Bodys Compensatory Mechanisms No Longer Function Effectively And Diseases Of
Adaptation Occur. A Decreased Immune Response Is Seen At This Stage.
13. Which Symptom Should A Nurse Identify As Typical Of The Fight-Or-Flight Response?
A. Pupil Constriction
B. Increased Heart Rate
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