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University Of Wales College Of Medicine Cardiff (UWCM)
University Of Wales College Of Medicine Cardiff
Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition Morgan Townsend Test Bank (ESSENTIALSOFPSYCHIATRICMENTALHEALTHNURSING8THEDITION)
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Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition Morgan & Townsend TEST BANK With correct answers
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Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition Morgan Townsend Test Bank (ESSENTIALSOFPSYCHIATRICMENTALHEALTHNURSING8THEDITION)
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University Of Wales College Of Medicine Cardiff (UWCM)
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Essentials of Psychiatric Mental Health Nursing
Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition Morgan Townsend
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Essentials of Psychiatric Mental Health Nursing 8th
Chapter 1. Mental Health and Mental Illness
Multiple Choice
1. A nurse is assessing a client who is...
essentials of psychiatric mental health nursing 8th edition
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Essentials of Psychiatric Mental Health Nursing 8th
Essentials of Psychiatric Mental Health Nursing
8th Edition Concepts of Care in Evidence- Based
Practice 8th Edition Morgan Townsend
Test Bank
,Essentials of Psychiatric Mental Health Nursing 8th
Chapter 1. Mental Health and Mental Illness
Multiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the
recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not
changed. How should the nurse interpret the clients behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
2. The clients behaviors are extensive, which indicates the presence of mental illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
ANS: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired. The client
who experiences feelings of sadness after the loss of a pet is responding within normal
expectations. Without significant impairment, the clients distress does not indicate a mental
illness.
2. At what point should the nurse determine that a client is at risk for developing a mental
illness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
2. When maladaptive responses to stress are coupled with interference in daily functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
ANS: 2
Rationale: The nurse should determine that the client is at risk for mental illness when
responsesto stress are maladaptive and interfere with daily functioning. The DSM-5 indicates
that in orderto be diagnosed with a mental illness, daily functioning must be significantly
impaired. The clients ability to communicate distress would be considered a positive attribute.
Cognitive Level: Application
,Essentials of Psychiatric Mental Health Nursing 8th
Integrated Process:
Assessment
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to
stress.One twin becomes anxious and irritable, and the other withdraws and cries. How should
the nurse explain these different stress responses to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to stress.
4. Environmental influences to stress weigh more heavily than genetic influences.
, Essentials of Psychiatric Mental Health Nursing 8th
ANS: 1
Rationale: The nurse should explain to the parents that, although the twins have identical
DNA,there are several other factors that affect reactions to stress. Mental health is a state of
being thatis relative to the individual client. Environmental influences and temperament can
affect stress reactions.
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
ANS: 1
Rationale: The nurse should anticipate that the client of Jewish culture would place a high
importance on preventative health care and would consider mental health as equally important
asphysical health. Women are also more likely to seek treatment for mental health problems
than men.
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be
eliminated.Which is a correct evaluation of this nurses statement?
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
shouldalways be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should be discouraged
andnot eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
ANS: 1
Rationale: The nurse should determine that defense mechanisms can be appropriate during
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