DAVIS ADVANTAGE FOR ESSENTIALS OF PSYCHIATRIC MENTAL
HEALTH NURSING: CONCEPTS OF CARE IN EVIDENCE-BASED
PRACTICE 8TH EDITION BY KARYN I. MORGAN| COMPLETE
TEST BANK|100% VERIFIED ANSWERS| LATEST 2024/2025
,TABLE OF CONTENTS
I. INTRODUCTION TO PSYCHIATRIC/MENTAL HEALTH CONCEPTS ............................................................... 3
CHAPTER 1. MENTAL HEALTH AND MENTAL ILLNESS............................................................................... 3
CHAPTER 2. BIOLOGICAL IMPLICATIONS ................................................................................................ 10
CHAPTER 3. ETHICAL AND LEGAL ISSUES ................................................................................................ 19
CHAPTER 4. PSYCHOPHARMACOLOGY ................................................................................................... 27
II. PSYCHIATRIC/MENTAL HEALTH NURSING INTERVENTIONS ................................................................... 38
CHAPTER 5. RELATIONSHIP DEVELOPMENT AND THERAPEUTIC COMMUNICATION ............................ 38
CHAPTER 6. THE NURSING PROCESS IN PSYCHIATRIC/MENTAL HEALTH NURSING ............................... 47
CHAPTER 7. MILIEU THERAPY - THERAPEUTIC COMMUNITY ................................................................. 55
CHAPTER 8. INTERVENTION IN GROUPS ................................................................................................. 61
CHAPTER 9. CRISIS INTERVENTION ......................................................................................................... 69
CHAPTER 10. THE RECOVERY MODEL ..................................................................................................... 77
CHAPTER 11. SUICIDE PREVENTION........................................................................................................ 85
III. CARE OF CLIENTS WITH PSYCHIATRIC DISORDERS ................................................................................ 93
CHAPTER 12. CARING FOR PATIENTS WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS IN
GENERAL PRACTICE SETTINGS ................................................................................................................ 93
CHAPTER 13. NEUROCOGNITIVE DISORDERS ....................................................................................... 103
CHAPTER 14. SUBSTANCE USE AND ADDICTIVE DISORDERS ................................................................ 111
CHAPTER 15. SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS ................................ 126
CHAPTER 16. DEPRESSIVE DISORDERS .................................................................................................. 140
CHAPTER 17. BIPOLAR AND RELATED DISORDERS................................................................................ 153
CHAPTER 18. ANXIETY, OBSESSIVE-COMPULSIVE, AND RELATED DISORDERS ..................................... 162
CHAPTER 19. TRAUMA- AND STRESSOR-RELATED DISORDERS ............................................................ 175
CHAPTER 20. SOMATIC SYMPTOM AND DISSOCIATIVE DISORDERS .................................................... 187
CHAPTER 21. EATING DISORDERS ......................................................................................................... 196
CHAPTER 22. PERSONALITY DISORDERS ............................................................................................... 203
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS ................................................ 218
CHAPTER 23. CHILDREN AND ADOLESCENTS ........................................................................................ 218
CHAPTER 24. THE AGING INDIVIDUAL .................................................................................................. 228
CHAPTER 25. SURVIVORS OF ABUSE AND NEGLECT ............................................................................. 235
CHAPTER 26. COMMUNITY MENTAL HEALTH NURSING ...................................................................... 244
CHAPTER 27. THE BEREAVED INDIVIDUAL ............................................................................................ 252
, CHAPTER 28. MILITARY FAMILIES ......................................................................................................... 259
V. ONLINE CHAPTERS ................................................................................................................................ 264
CHAPTER 29. CONCEPTS OF PERSONALITY DEVELOPMENT ................................................................. 264
CHAPTER 30. COMPLEMENTARY AND PSYCHOSOCIAL THERAPIES ...................................................... 269
CHAPTER 31. CULTURAL AND SPIRITUAL CONCEPTS RELEVANT TO PSYCHIATRIC MENTAL HEALTH
NURSING ............................................................................................................................................... 277
CHAPTER 32. ISSUES RELATED TO HUMAN SEXUALITY AND GENDER DYSPHORIA .............................. 285
I. INTRODUCTION TO PSYCHIATRIC/MENTAL HEALTH CONCEPTS
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.
ANSWER: 4
FEEDBACK: 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.
COGNITIVE LEVEL: ANALYSIS INTEGRATED PROCESS: ASSESSMENT
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.
, ANSWER: 2
FEEDBACK: THE NURSE SHOULD DETERMINE THAT THE CLIENT IS AT RISK FOR MENTAL ILLNESS WHEN
RESPONSES TO STRESS ARE MALADAPTIVE AND INTERFERE WITH DAILY FUNCTIONING. THE DSM-5
INDICATES THAT IN ORDER TO 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 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.
ANSWER: 1
FEEDBACK: 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 THAT IS RELATIVE TO THE INDIVIDUAL CLIENT. ENVIRONMENTAL
INFLUENCES AND TEMPERAMENT CAN AFFECT STRESS REACTIONS.
COGNITIVE LEVEL: APPLICATION INTEGRATED PROCESS: IMPLEMENTATION
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.
ANSWER: 1
FEEDBACK: 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
HEALTH NURSING: CONCEPTS OF CARE IN EVIDENCE-BASED
PRACTICE 8TH EDITION BY KARYN I. MORGAN| COMPLETE
TEST BANK|100% VERIFIED ANSWERS| LATEST 2024/2025
,TABLE OF CONTENTS
I. INTRODUCTION TO PSYCHIATRIC/MENTAL HEALTH CONCEPTS ............................................................... 3
CHAPTER 1. MENTAL HEALTH AND MENTAL ILLNESS............................................................................... 3
CHAPTER 2. BIOLOGICAL IMPLICATIONS ................................................................................................ 10
CHAPTER 3. ETHICAL AND LEGAL ISSUES ................................................................................................ 19
CHAPTER 4. PSYCHOPHARMACOLOGY ................................................................................................... 27
II. PSYCHIATRIC/MENTAL HEALTH NURSING INTERVENTIONS ................................................................... 38
CHAPTER 5. RELATIONSHIP DEVELOPMENT AND THERAPEUTIC COMMUNICATION ............................ 38
CHAPTER 6. THE NURSING PROCESS IN PSYCHIATRIC/MENTAL HEALTH NURSING ............................... 47
CHAPTER 7. MILIEU THERAPY - THERAPEUTIC COMMUNITY ................................................................. 55
CHAPTER 8. INTERVENTION IN GROUPS ................................................................................................. 61
CHAPTER 9. CRISIS INTERVENTION ......................................................................................................... 69
CHAPTER 10. THE RECOVERY MODEL ..................................................................................................... 77
CHAPTER 11. SUICIDE PREVENTION........................................................................................................ 85
III. CARE OF CLIENTS WITH PSYCHIATRIC DISORDERS ................................................................................ 93
CHAPTER 12. CARING FOR PATIENTS WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS IN
GENERAL PRACTICE SETTINGS ................................................................................................................ 93
CHAPTER 13. NEUROCOGNITIVE DISORDERS ....................................................................................... 103
CHAPTER 14. SUBSTANCE USE AND ADDICTIVE DISORDERS ................................................................ 111
CHAPTER 15. SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS ................................ 126
CHAPTER 16. DEPRESSIVE DISORDERS .................................................................................................. 140
CHAPTER 17. BIPOLAR AND RELATED DISORDERS................................................................................ 153
CHAPTER 18. ANXIETY, OBSESSIVE-COMPULSIVE, AND RELATED DISORDERS ..................................... 162
CHAPTER 19. TRAUMA- AND STRESSOR-RELATED DISORDERS ............................................................ 175
CHAPTER 20. SOMATIC SYMPTOM AND DISSOCIATIVE DISORDERS .................................................... 187
CHAPTER 21. EATING DISORDERS ......................................................................................................... 196
CHAPTER 22. PERSONALITY DISORDERS ............................................................................................... 203
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS ................................................ 218
CHAPTER 23. CHILDREN AND ADOLESCENTS ........................................................................................ 218
CHAPTER 24. THE AGING INDIVIDUAL .................................................................................................. 228
CHAPTER 25. SURVIVORS OF ABUSE AND NEGLECT ............................................................................. 235
CHAPTER 26. COMMUNITY MENTAL HEALTH NURSING ...................................................................... 244
CHAPTER 27. THE BEREAVED INDIVIDUAL ............................................................................................ 252
, CHAPTER 28. MILITARY FAMILIES ......................................................................................................... 259
V. ONLINE CHAPTERS ................................................................................................................................ 264
CHAPTER 29. CONCEPTS OF PERSONALITY DEVELOPMENT ................................................................. 264
CHAPTER 30. COMPLEMENTARY AND PSYCHOSOCIAL THERAPIES ...................................................... 269
CHAPTER 31. CULTURAL AND SPIRITUAL CONCEPTS RELEVANT TO PSYCHIATRIC MENTAL HEALTH
NURSING ............................................................................................................................................... 277
CHAPTER 32. ISSUES RELATED TO HUMAN SEXUALITY AND GENDER DYSPHORIA .............................. 285
I. INTRODUCTION TO PSYCHIATRIC/MENTAL HEALTH CONCEPTS
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.
ANSWER: 4
FEEDBACK: 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.
COGNITIVE LEVEL: ANALYSIS INTEGRATED PROCESS: ASSESSMENT
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.
, ANSWER: 2
FEEDBACK: THE NURSE SHOULD DETERMINE THAT THE CLIENT IS AT RISK FOR MENTAL ILLNESS WHEN
RESPONSES TO STRESS ARE MALADAPTIVE AND INTERFERE WITH DAILY FUNCTIONING. THE DSM-5
INDICATES THAT IN ORDER TO 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 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.
ANSWER: 1
FEEDBACK: 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 THAT IS RELATIVE TO THE INDIVIDUAL CLIENT. ENVIRONMENTAL
INFLUENCES AND TEMPERAMENT CAN AFFECT STRESS REACTIONS.
COGNITIVE LEVEL: APPLICATION INTEGRATED PROCESS: IMPLEMENTATION
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.
ANSWER: 1
FEEDBACK: 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
