Test Bank For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing 9th Edition Karyn Morgan

Test Bank For Davis Advantage for Townsend’s Essenti
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als of Psychiatric Mental Health Nursing
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9th Edition Karyn Morgan
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Chapters 1 - 32 | Complete
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,TABLE OF CONTENTS 5 5



INTRODUCTION5TO5PSYCHIATRIC5MENTAL5HEALTH5CONCEPTS
1.5Mental5Health5and5Mental5Illness
2.5Biological5Implications
3.5Ethical5and5Legal5Issues
4.5Psychopharmacology
II.5PSYCHIATRIC5MENTAL5HEALTH5NURSING5INTERVENTIONS
5.5Relationship5Development5and5Therapeutic5Communication
6.5The5Nursing5Process5in5Psychiatric/Mental5Health5Nursing
7.5Psychosocial5Interventions5and5Spiritual5Care
8.5Intervention5in5Groups
9.5Crisis5Intervention
10.5The5Recovery5Model
11.5Suicide5Prevention
III.5CARE5OF5PATIENTS5WITH5PSYCHIATRIC5DISORDERS
12.5Caring5for5Patients5with5Mental5Illness5and5Substance5Use5Disorders5in5General5Practice5Settings
13.5Neurocognitive5Disorders
14.5Substance5Use5and5Addiction5Disorders
15.5Schizophrenia5Spectrum5and5Other5Psychotic5Disorders
16.5Depressive5Disorders
17.5Bipolar5and5Related5Disorders
18.5Anxiety,5Obsessive-Compulsive,5and5Related5Disorders
19.5Trauma-5and5Stressor-Related5Disorders
20.5Somatic5Symptom5and5Dissociative5Disorders
21.5Eating5Disorders
22.5Personality5Disorders
IV.5PSYCHIATRIC5MENTAL5HEALTH5NURSING5OF5SPECIAL5POPULATIONS
23.5Children5and5Adolescents
24.5The5Aging5Individual
25.5Survivors5of5Abuse5or5Neglect
26.5Community5Mental5Health5Nursing
27.5The5Bereaved5Individual
28.5Military5Families
V.5ONLINE5CHAPTERS
29.5Concepts5of5Personality5Development
30.5Complementary5and5Integrative5Therapies
31.5Cultural5Concepts5Relevant5to5Psychiatric5Mental5Health5Nursing
32.5Issues5Related5to5Human5Sexuality5and5Gender5Dysphoria5

,Chapter51.5Mental5Health5and5Mental5Illness5

Multiple5Choice
1.5A5nurse5is5assessing5a5client5who5 is5experiencing5occasional5feelings5of5sadness5because5of5the5r
ecent5death5of5a5beloved5pet.5The5clients5appetite,5sleep5patterns,5and5daily5routine5have5not5chan
ged.5How5should5the5 nurse5interpret5the5clients5behaviors?
1. The5clients5behaviors5demonstrate5mental5illness5in5the5form5of5depression.
2. The5clients5behaviors5are5extensive,5which5indicates5the5presence5of5mental5illness.
3. The5clients5behaviors5are5not5congruent5with5cultural5norms.
4. The5clients5behaviors5demonstrate5no5functional5impairment,5indicating5no5 mental5illness.
ANSWER:54
Rationale:5The5nurse5should5assess5that5the5clients5daily5functioning5is5not5impaired.5The5client5wh
o5experiences5feelings5of5sadness5after5the5loss5of5a5pet5is5responding5within5normal5expectations.
5Without5significant5impairment,5the5clients5distress5does5not5indicate5a5mental5illness.


Cognitive5Level:5Analysis5Inte
grated5Process:5Assessment
2.5At5what5point5should5the5nurse5determine5that5a5client5is5at5risk5for5developing5a5mental5
illness?
1. When5thoughts,5feelings,5and5behaviors5are5not5reflective5of5the5DSM-55criteria.
2. When5maladaptive5responses5to5stress5are5coupled5with5interference5in5daily5functioning.
3. When5a5client5communicates5significant5 distress.
4. When5a5client5uses5defense5mechanisms5as5ego5 protection.
ANSWER:52
Rationale:5The5nurse5should5determine5that5the5client5is5at5risk5for5mental5illness5when5responses5
to5stress5are5maladaptive5and5interfere5with5daily5functioning.5The5DSM-
55indicates5that5in5order5to5be5diagnosed5with5a5mental5illness,5daily5functioning5must5be5signific
antly5impaired.5The5clients5ability5to5communicate5distress5would5be5considered5a5positive5attrib
ute.
Cognitive5Level:5Application5I
ntegrated5Process:5Assessment
3.5A5nurse5is5assessing5a5set5of515-year-
old5identical5twins5who5respond5very5differently5to5stress.5One5twin5becomes5anxious5and5irritabl
e,5and5the5other5withdraws5and5cries.5How5should5the5nurse5explain5these5different5 stress5respons
es5to5the5parents?
1. Reactions5to5 stress5are5relative5rather5than5absolute;5individual5responses5to5stress5vary.
2. It5is5abnormal5for5identical5twins5to5react5differently5to5similar5stressors.
3. Identical5twins5should5share5the5same5temperament5and5respond5similarly5to5stress.
4. Environmental5influences5to5stress5weigh5more5heavily5than5genetic5influences.

, ANSWER:51
Rationale:5The5nurse5should5explain5to5the5parents5that,5although5the5twins5have5identical5DNA,5t
here5are5several5other5factors5that5affect5reactions5to5stress.5Mental5health5is5a5state5of5being5that5i
s5relative5to5the5individual5client.5Environmental5influences5and5temperament5can5affect5stress5re
actions.
Cognitive5Level:5Application5Integ
rated5Process:5Implementation
4.5Which5client5should5the5nurse5anticipate5to5be5most5receptive5to5psychiatric5treatment?51
.5A5Jewish,5 female5social5worker.
2. A5Baptist,5homeless5male.
3. A5Catholic,5black5male.
4. A5Protestant,5Swedish5business5executive.
ANSWER:51
Rationale:5The5nurse5should5anticipate5that5the5client5of5Jewish5culture5would5place5a5high5impor
tance5on5preventative5health5care5and5would5consider5mental5health5as5equally5important5as5physi
cal5health.5Women5are5also5more5likely5to5seek5treatment5for5mental5health5problems5than5men.
Cognitive5Level:5Application5
Integrated5Process:5Planning
5. A5psychiatric5nurse5intern5states,5This5clients5use5of5defense5mechanisms5should5be5eliminated.5
Which5is5a5correct5 evaluation5of5this5nurses5statement?
1. Defense5mechanisms5can5be5appropriate5responses5to5stress5and5need5not5be5eliminated.
2. Defense5mechanisms5are5a5maladaptive5attempt5of5the5ego5to5manage5anxiety5andshould5
always5be5eliminated.
3. Defense5mechanisms,5used5by5individuals5with5weak5ego5integrity,5should5be5discouragedand5
not5eliminated.
4. Defense5mechanisms5cause5disintegration5of5the5ego5and5should5be5fostered5and5encouraged.
ANSWER:51
Rationale:5The5nurse5should5determine5that5defense5mechanisms5 can5be5appropriate5during5times5
of5stress.5The5client5with5no5defense5mechanisms5may5have5a5lower5tolerance5for5stress,5thus5lead
ing5to5anxiety5disorders.5Defense5mechanisms5should5be5confronted5when5they5impede5the5client5
from5developing5 healthy5coping5skills.
Cognitive5Level:5Application5
Integrated5Process:5Evaluation
6.5During5an5intake5assessment,5a5nurse5asks5both5physiological5and5psychosocial5questions.5The5c
lient5angrily5responds,5Im5here5for5my5heart,5not5my5head5problems.5Which5is5the5nurses5best5res
ponse?
1. Its5just5a5routine5part5of5our5assessment.5All5clients5are5asked5these5same5questions.
2. Why5are5you5concerned5about5these5types5of5questions?
3. Psychological5factors,5like5excessive5stress,5 have5been5found5to5 affect5 medical5conditions.
4. We5can5skip5these5questions,5if5you5like.5It5isnt5imperative5that5we5complete5this5 section.