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

Test Bank For Davis Advantage for Townsend’s
Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
Chapters 1 - 32 | Complete

,TABLE OF CONTENTS r r



INTRODUCTIONrTOrPSYCHIATRICrMENTALrHEALTHrCONCEPTS
1.rMentalrHealthrandrMentalrIllness
2.rBiologicalrImplications
3.rEthicalrandrLegalrIssues
4.rPsychopharmacology
II.rPSYCHIATRICrMENTALrHEALTHrNURSINGrINTERVENTIONS
5.rRelationshiprDevelopmentrandrTherapeuticrCommunication
6.rTherNursingrProcessrinrPsychiatric/MentalrHealthrNursing
7.rPsychosocialrInterventionsrandrSpiritualrCare
8.rInterventionrinrGroups
9.rCrisisrIntervention
10.rTherRecoveryrModel
11.rSuiciderPrevention
III.rCARErOFrPATIENTSrWITHrPSYCHIATRICrDISORDERS
12.rCaringrforrPatientsrwithrMentalrIllnessrandrSubstancerUserDisordersrinrGeneralrPracticerSettings
13.rNeurocognitiverDisorders
14.rSubstancerUserandrAddictionrDisorders
15.rSchizophreniarSpectrumrandrOtherrPsychoticrDisorders
16.rDepressiverDisorders
17.rBipolarrandrRelatedrDisorders
18.rAnxiety,rObsessive-Compulsive,randrRelatedrDisorders
19.rTrauma-randrStressor-RelatedrDisorders
20.rSomaticrSymptomrandrDissociativerDisorders
21.rEatingrDisorders
22.rPersonalityrDisorders
IV.rPSYCHIATRICrMENTALrHEALTHrNURSINGrOFrSPECIALrPOPULATIONS
23.rChildrenrandrAdolescents
24.rTherAgingrIndividual
25.rSurvivorsrofrAbuserorrNeglect
26.rCommunityrMentalrHealthrNursing
27.rTherBereavedrIndividual
28.rMilitaryrFamilies
V.rONLINErCHAPTERS
29.rConceptsrofrPersonalityrDevelopment
30.rComplementaryrandrIntegrativerTherapies
31.rCulturalrConceptsrRelevantrtorPsychiatricrMentalrHealthrNursing
32.rIssuesrRelatedrtorHumanrSexualityrandrGenderrDysphoriar

,Chapterr1.rMentalrHealthrandrMentalrIllnessr

MultiplerChoice
1.rArnurserisrassessingrarclientrwhor isrexperiencingroccasionalrfeelingsrofrsadnessrbecauserofrtherrece
ntrdeathrofrarbelovedrpet.rTherclientsrappetite,rsleeprpatterns,randrdailyrroutinerhavernotrchanged.rH
owrshouldrther nurser interpretrtherclientsrbehaviors?
1. Therclientsrbehaviorsrdemonstratermentalrillnessrinrtherformrofrdepression.
2. Therclientsrbehaviorsrarerextensive,rwhichrindicatesrtherpresencerofrmentalrillness.
3. Therclientsrbehaviorsrarernotrcongruentrwithrculturalrnorms.
4. Therclientsrbehaviorsrdemonstraternorfunctionalrimpairment,rindicatingr nor mentalrillness.
ANSWER:r4
Rationale:rThernursershouldrassessrthatrtherclientsrdailyrfunctioningrisrnotrimpaired.rTherclientrwhore
xperiencesrfeelingsrofrsadnessrafterrtherlossrofrarpetrisrrespondingrwithinrnormalrexpectations.rWith
outrsignificantrimpairment,rtherclientsrdistressrdoesrnotrindicaterarmentalrillness.
CognitiverLevel:rAnalysisrInteg
ratedrProcess:rAssessment
2.rAtrwhatrpointrshouldrthernurserdeterminerthatrarclientrisratrriskrforrdevelopingrarmentalrilln
ess?
1. Whenrthoughts,rfeelings,randrbehaviorsrarernotrreflectiverofrtherDSM-5rcriteria.
2. Whenrmaladaptiverresponsesrtorstressrarercoupledrwithrinterferencerinrdailyrfunctioning.
3. Whenrarclientrcommunicatesrsignificantr distress.
4. Whenrarclientrusesrdefensermechanismsrasregor protection.
ANSWER:r2
Rationale:rThernursershouldrdeterminerthatrtherclientrisratrriskrforrmentalrillnessrwhenrresponsesrtors
tressrarermaladaptiverandrinterfererwithrdailyrfunctioning.rTherDSM-
5rindicatesrthatrinrorderrtorberdiagnosedrwithrarmentalrillness,rdailyrfunctioningrmustrbersignificantl
yrimpaired.rTherclientsrabilityrtorcommunicaterdistressrwouldrberconsideredrarpositiverattribute.
CognitiverLevel:rApplicationrIn
tegratedrProcess:rAssessment
3.rArnurserisrassessingrarsetrofr15-year-
oldridenticalrtwinsrwhorrespondrveryrdifferentlyrtorstress.rOnertwinrbecomesranxiousrandrirritable,ra
ndrtherotherrwithdrawsrandrcries.rHowrshouldrthernurserexplainrtheserdifferentr stressrresponsesrtort
herparents?
1. Reactionsrtor stressrarerrelativerratherrthanrabsolute;rindividualrresponsesrtor stressrvary.
2. Itrisrabnormalrforridenticalrtwinsrtorreactrdifferentlyrtorsimilarrstressors.
3. Identicalrtwinsrshouldrsharerthersamertemperamentrandrrespondrsimilarlyrtorstress.
4. Environmentalrinfluencesrtorstressrweighrmorerheavilyrthanrgeneticrinfluences.

, ANSWER:r1
Rationale:rThernursershouldrexplainrtortherparentsrthat,ralthoughrthertwinsrhaveridenticalrDNA,rther
erarerseveralrotherrfactorsrthatraffectrreactionsrtorstress.rMentalrhealthrisrarstaterofrbeingrthatrisrrelati
vertortherindividualrclient.rEnvironmentalrinfluencesrandrtemperamentrcanraffectrstressrreactions.
CognitiverLevel:rApplicationrIntegr
atedrProcess:rImplementation
4.rWhichrclientrshouldrthernurseranticipatertorbermostrreceptivertorpsychiatricrtreatment?r1.r
ArJewish,r femalersocialrworker.
2. ArBaptist,rhomelessrmale.
3. ArCatholic,rblackr male.
4. ArProtestant,rSwedishrbusinessrexecutive.
ANSWER:r1
Rationale:rThernursershouldranticipaterthatrtherclientrofrJewishrculturerwouldrplacerarhighrimportan
ceronrpreventativerhealthrcarerandrwouldrconsiderrmentalrhealthrasrequallyrimportantrasrphysicalrhe
alth.rWomenrareralsormorerlikelyrtorseekrtreatmentrforrmentalrhealthrproblemsrthanrmen.
CognitiverLevel:rApplicationr
IntegratedrProcess:rPlanning
5. Arpsychiatricrnurserinternrstates,rThisrclientsruserofrdefensermechanismsrshouldrbereliminated.rW
hichrisrarcorrectr evaluationrofrthisrnursesrstatement?
1. Defensermechanismsrcanrberappropriaterresponsesrtorstressrandrneedrnotrbereliminated.
2. Defensermechanismsrarerarmaladaptiverattemptrofrtheregortormanageranxietyrandshouldral
waysrber eliminated.
3. Defensermechanisms,rusedrbyrindividualsrwithrweakregorintegrity,rshouldrberdiscouragedandrn
otreliminated.
4. Defensermechanismsrcauserdisintegrationrofrtheregorandrshouldrberfosteredrandrencouraged.
ANSWER:r1
Rationale:rThernursershouldrdeterminerthatrdefensermechanismsr canrberappropriaterduringrtimesrofrs
tress.rTherclientrwithrnordefensermechanismsrmayrhaverarlowerrtolerancerforrstress,rthusrleadingrtora
nxietyrdisorders.rDefensermechanismsrshouldrberconfrontedrwhenrtheyrimpedertherclientr fromrdeve
lopingr healthyrcopingrskills.
CognitiverLevel:rApplicationrI
ntegratedrProcess:rEvaluation
6.rDuringranrintakerassessment,rarnurserasksrbothrphysiologicalrandrpsychosocialrquestions.rTherclie
ntrangrilyrresponds,rImrhererforrmyrheart,rnotrmyrheadrproblems.rWhichrisrthernursesrbestrresponse?
1. Itsrjustrarroutinerpartrofrourrassessment.rAllrclientsrareraskedrthesersamerquestions.
2. Whyrareryourconcernedraboutrthesertypesrofrquestions?
3. Psychologicalrfactors,rlikerexcessiverstress,r haverbeenrfoundrtor affectr medicalrconditions.
4. Wercanrskiprtheserquestions,rifryourlike.rItrisntrimperativerthatrwercompleterthisr section.