Karyn Morgan
TEST BANK
Davis Advantage for Townsend's Psychiatric Mental
Health Nursing
978171964824011th Edition 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: Relationship Development
Chapter 7: Therapeutic Communication
Chapter 8: The Nursing Process in Psychiatric-Mental Health Nursing
Chapter 9: Therapeutic Groups
Chapter 10: Intervention With Families
Chapter 11: Psychosocial Interventions and Spiritual Care
Chapter 12: Crisis Intervention
Chapter 13: Assertiveness Training
Chapter 14: Promoting Self-Esteem
Chapter 15: Anger and Aggression Management
Chapter 16: Suicide Prevention
Chapter 17: Behavior Therapy
Chapter 18: Cognitive Behavior Therapy
Chapter 19: Electroconvulsive Therapy
Chapter 20: The Recovery Model
Chapter 21: Caring for Patients With Mental Illness and Substance Use Disorders in
General Practice Settings
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: Eating Disorders
Chapter 31: Personality Disorders
Chapter 32: Children and Adolescents
Chapter 33: The Aging Individual
Chapter 34: Survivors of Abuse or Neglect
Chapter 35: Community Mental Health Nursing
Chapter 36: The Bereaved Individual
Chapter 37: Military Families
Chapter 38: Theoretical Models of Personality Development
Chapter 39: Cultural Concepts Relevant to Psychiatric-Mental Health Nursing
Chapter 40: Complementary Therapies and Integrative Health
Chapter 41: Issues Related to Human Sexuality and Gender Dysphoria Morgan PMHN , 11e Chapter 1 - ETB 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 time becomes unemployed. The client’s 6-month score on the Recent Life Changes Questionnaire is 110. The nurse: 1. Understands the client is at risk of significant stress-related illness. 2. Determines the client is not at risk of significant stress-related illness. 3. Needs further assessment of the client’s coping skills to determine susceptibility to stress-related illness. 4. Recognizes the client may view the losses as challenges and perceive them as opportunities. 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: Evaluation Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Stress and Coping 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 illness es. The Recent Life Changes Questionnaire is an expanded version of 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 illness. 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 psychologica l illness. 3. This is correct. Assessment is the first step in the nursing process. The nurse should Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Morgan PMHN , 11e Chapter 1 - ETB assess the client’s coping skills and available support before determining susceptibility to stress-related physical and psychological illness. A 6-month score of 300 or more or a year score of 500 or more indicates high stress in a client’s life and risk of 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 total of 500 or more on the Recent Life Changes Questionnaire indicates high stress in a client’s life and susceptibility to significant stress-related physical and psychological illness. CON: Stress and Coping 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 stressor of his job loss as: 1. Irrelevant 2. Harm or loss 3. Threatening 4. A challenge ANS: 4 Chapter: Chapter 1, The Concept of Stress Adaptation Objective: Discuss adaptive coping strategies in the management of stress. Page: 7 Heading: Stress as a Transaction Between the Individual and the Environment > Individual’s Perception of the Event > Primary Appraisal Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Stress and Coping Difficulty: Easy Feedback 1. This is incorrect. An irrelevant perception is one where the event holds no significance for the individual. 2. This is incorrect. A harm or loss appraisal refers to damage or loss already experienced 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 consider Stuvia.com - The Marketplace to Buy and Sell your Study Material
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