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 b5 b5 b5 b5 b5




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Concepts of Care in Evidence-Based Practice b5 b5 b5 b5 5
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b5 8th Edition - Morgan Townsend
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Test Bank b5




Chapter 1. Mental Health and Mental
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b5 IllnessMultiple Choice b5




1. A nurse is assessing a client who is experiencing occasional feelings of sadness
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b5 because of therecent death of a beloved pet. The clients appetite, sleep patterns,
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b5 and daily routine have not changed. How should the nurse interpret the clients
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behaviors?
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1. The clients behaviors demonstrate mental illness in the form of depression.
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2. The clients behaviors are extensive, which indicates the presence of mental illness.
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3. The clients behaviors are not congruent with cultural norms.
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4. The clients behaviors demonstrate no functional impairment, indicating no
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, mental illness.
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ANS: 4 b5




Rationale: The nurse should assess that the clients daily functioning is not impaired.
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b5 The clientwho experiences feelings of sadness after the loss of a pet is responding
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b5 within normal expectations. Without significant impairment, the clients distress
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b5 does not indicate a mental illness.
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Cognitive Level: Analysis b5 b5




b5 Integrated Process: b5




Assessment

2. At what point should the nurse determine that a client is at risk for
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developing a mentalillness?
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1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
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,2. When maladaptive responses to stress are coupled with interference in
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daily functioning.
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3. When a client communicates significant distress.
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4. When a client uses defense mechanisms as ego protection.
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ANS: 2 b5




Rationale: The nurse should determine that the client is at risk for mental illness
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b5 when responsesto stress are maladaptive and interfere with daily functioning. The
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b5 DSM-5 indicates that in orderto be diagnosed with a mental illness, daily
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b5 functioning must be significantly impaired. The clients ability to communicate
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b5 distress would be considered a positive attribute.
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Cognitive Level: Application b5 b5




b5 Integrated Process: b5




Assessment

3. A nurse is assessing a set of 15-year-old identical twins who respond very
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differently to stress.One twin becomes anxious and irritable, and the other
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b5 withdraws and cries. How should the nurse explain these different stress
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b5 responses to the parents? b5 b5 b5




1. Reactions to stress are relative rather than absolute; individual responses to
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b5 stress vary. b5




2. It is abnormal for identical twins to react differently to similar stressors.
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3. Identical twins should share the same temperament and respond similarly to stress.
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4. Environmental influences to stress weigh more heavily than genetic influences.
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, ANS: 1 b5




Rationale: The nurse should explain to the parents that, although the twins have
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b5 identical DNA,there are several other factors that affect reactions to stress. Mental
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b5 health is a state of being thatis relative to the individual client. Environmental
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b5 influences and temperament can affect stress reactions.
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Cognitive Level: Application b5 b5




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Implementation

4. Which client should the nurse anticipate to be most receptive to psychiatric
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treatment?
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1. A Jewish, female social worker.
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2. A Baptist, homeless male.
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3. A Catholic, black male.
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4. A Protestant, Swedish business executive.
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ANS: 1 b5




Rationale: The nurse should anticipate that the client of Jewish culture would
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b5 place a high importance on preventative health care and would consider mental
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b5 health as equally important asphysical health. Women are also more likely to seek
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treatment for mental health problems than men.
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Cognitive Level: b5




ApplicationIntegrated
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5. A psychiatric nurse intern states, This clients use of defense mechanisms
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b5 should be eliminated.Which is a correct evaluation of this nurses statement?
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1. Defense mechanisms can be appropriate responses to stress and need
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b5 not be eliminated.
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2. Defense mechanisms are a maladaptive attempt of the ego to manage
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anxiety and shouldalways be eliminated.
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3. Defense mechanisms, used by individuals with weak ego integrity, should
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be discouraged andnot eliminated.
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4. Defense mechanisms cause disintegration of the ego and should be fostered
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and encouraged.
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ANS: 1 b5