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 b b



INTRODUCTIONbTObPSYCHIATRICbMENTALbHEALTHbCONCEPTS
1.bMentalbHealthbandbMentalbIllness
2.bBiologicalbImplications
3.bEthicalbandbLegalbIssues
4.bPsychopharmacology
II.bPSYCHIATRICbMENTALbHEALTHbNURSINGbINTERVENTIONS
5.bRelationshipbDevelopmentbandbTherapeuticbCommunication
6.bThebNursingbProcessbinbPsychiatric/MentalbHealthbNursing
7.bPsychosocialbInterventionsbandbSpiritualbCare
8.bInterventionbinbGroups
9.bCrisisbIntervention
10.bThebRecoverybModel
11.bSuicidebPrevention
III.bCAREbOFbPATIENTSbWITHbPSYCHIATRICbDISORDERS
12.bCaringbforbPatientsbwithbMentalbIllnessbandbSubstancebUsebDisordersbinbGeneralbPracticebSettings
13.bNeurocognitivebDisorders
14.bSubstancebUsebandbAddictionbDisorders
15.bSchizophreniabSpectrumbandbOtherbPsychoticbDisorders
16.bDepressivebDisorders
17.bBipolarbandbRelatedbDisorders
18.bAnxiety,bObsessive-Compulsive,bandbRelatedbDisorders
19.bTrauma-bandbStressor-RelatedbDisorders
20.bSomaticbSymptombandbDissociativebDisorders
21.bEatingbDisorders
22.bPersonalitybDisorders
IV.bPSYCHIATRICbMENTALbHEALTHbNURSINGbOFbSPECIALbPOPULATIONS
23.bChildrenbandbAdolescents
24.bThebAgingbIndividual
25.bSurvivorsbofbAbuseborbNeglect
26.bCommunitybMentalbHealthbNursing
27.bThebBereavedbIndividual
28.bMilitarybFamilies
V.bONLINEbCHAPTERS
29.bConceptsbofbPersonalitybDevelopment
30.bComplementarybandbIntegrativebTherapies
31.bCulturalbConceptsbRelevantbtobPsychiatricbMentalbHealthbNursing
32.bIssuesbRelatedbtobHumanbSexualitybandbGenderbDysphoriab

,Chapterb1.bMentalbHealthbandbMentalbIllnessb

MultiplebChoice
1.bAbnursebisbassessingbabclientbwhobisbexperiencingboccasionalbfeelingsbofbsadnessbbecausebofbthebr
ecentbdeathbofbabbelovedbpet.bThebclientsbappetite,bsleepbpatterns,bandbdailybroutinebhavebnotbchan
ged.bHowbshouldbthebnursebinterpretbthebclientsbbehaviors?
1. Thebclientsbbehaviorsbdemonstratebmentalbillnessbinbthebformbofbdepression.
2. Thebclientsbbehaviorsbarebextensive,bwhichbindicatesbthebpresencebofbmentalbillness.
3. Thebclientsbbehaviorsbarebnotbcongruentbwithbculturalbnorms.
4. Thebclientsbbehaviorsbdemonstratebnobfunctionalbimpairment,bindicatingbnob mentalbillness.
ANSWER:b4
Rationale:bThebnursebshouldbassessbthatbthebclientsbdailybfunctioningbisbnotbimpaired.bThebclientbwh
obexperiencesbfeelingsbofbsadnessbafterbtheblossbofbabpetbisbrespondingbwithinbnormalbexpectations.
bWithoutbsignificantbimpairment,bthebclientsbdistressbdoesbnotbindicatebabmentalbillness.


CognitivebLevel:bAnalysisbInte
gratedbProcess:bAssessment
2.bAtbwhatbpointbshouldbthebnursebdeterminebthatbabclientbisbatbriskbforbdevelopingbabmentalb
illness?
1. Whenbthoughts,bfeelings,bandbbehaviorsbarebnotbreflectivebofbthebDSM-5bcriteria.
2. Whenbmaladaptivebresponsesbtobstressbarebcoupledbwithbinterferencebinbdailybfunctioning.
3. Whenbabclientbcommunicatesbsignificantb distress.
4. Whenbabclientbusesbdefensebmechanismsbasbegob protection.
ANSWER:b2
Rationale:bThebnursebshouldbdeterminebthatbthebclientbisbatbriskbforbmentalbillnessbwhenbresponsesb
tobstressbarebmaladaptivebandbinterferebwithbdailybfunctioning.bThebDSM-
5bindicatesbthatbinborderbtobbebdiagnosedbwithbabmentalbillness,bdailybfunctioningbmustbbebsignific
antlybimpaired.bThebclientsbabilitybtobcommunicatebdistressbwouldbbebconsideredbabpositivebattrib
ute.
CognitivebLevel:bApplicationbI
ntegratedbProcess:bAssessment
3.bAbnursebisbassessingbabsetbofb15-year-
oldbidenticalbtwinsbwhobrespondbverybdifferentlybtobstress.bOnebtwinbbecomesbanxiousbandbirritabl
e,bandbthebotherbwithdrawsbandbcries.bHowbshouldbthebnursebexplainbthesebdifferentbstressbrespons
esbtobthebparents?
1. Reactionsbtob stressbarebrelativebratherbthanbabsolute;bindividualbresponsesbtob stressbvary.
2. Itbisbabnormalbforbidenticalbtwinsbtobreactbdifferentlybtobsimilarbstressors.
3. Identicalbtwinsbshouldbsharebthebsamebtemperamentbandbrespondbsimilarlybtobstress.
4. Environmentalbinfluencesbtobstressbweighbmorebheavilybthanbgeneticbinfluences.

, ANSWER:b1
Rationale:bThebnursebshouldbexplainbtobthebparentsbthat,balthoughbthebtwinsbhavebidenticalbDNA,bt
herebarebseveralbotherbfactorsbthatbaffectbreactionsbtobstress.bMentalbhealthbisbabstatebofbbeingbthatbi
sbrelativebtobthebindividualbclient.bEnvironmentalbinfluencesbandbtemperamentbcanbaffectbstressbre
actions.
CognitivebLevel:bApplicationbInteg
ratedbProcess:bImplementation
4.bWhichbclientbshouldbthebnursebanticipatebtobbebmostbreceptivebtobpsychiatricbtreatment?b1
.bAbJewish,bfemalebsocialbworker.
2. AbBaptist,bhomelessbmale.
3. AbCatholic,bblackbmale.
4. AbProtestant,bSwedishbbusinessbexecutive.
ANSWER:b1
Rationale:bThebnursebshouldbanticipatebthatbthebclientbofbJewishbculturebwouldbplacebabhighbimpor
tancebonbpreventativebhealthbcarebandbwouldbconsiderbmentalbhealthbasbequallybimportantbasbphysi
calbhealth.bWomenbarebalsobmoreblikelybtobseekbtreatmentbforbmentalbhealthbproblemsbthanbmen.
CognitivebLevel:bApplicationb
IntegratedbProcess:bPlanning
5. Abpsychiatricbnursebinternbstates,bThisbclientsbusebofbdefensebmechanismsbshouldbbebeliminated.b
Whichbisbabcorrectbevaluationbofbthisbnursesbstatement?
1. Defensebmechanismsbcanbbebappropriatebresponsesbtobstressbandbneedbnotbbebeliminated.
2. Defensebmechanismsbarebabmaladaptivebattemptbofbthebegobtobmanagebanxietybandshouldb
alwaysbbebeliminated.
3. Defensebmechanisms,busedbbybindividualsbwithbweakbegobintegrity,bshouldbbebdiscouragedandb
notbeliminated.
4. Defensebmechanismsbcausebdisintegrationbofbthebegobandbshouldbbebfosteredbandbencouraged.
ANSWER:b1
Rationale:bThebnursebshouldbdeterminebthatbdefensebmechanismsbcanbbebappropriatebduringbtimesb
ofbstress.bThebclientbwithbnobdefensebmechanismsbmaybhavebablowerbtolerancebforbstress,bthusblead
ingbtobanxietybdisorders.bDefensebmechanismsbshouldbbebconfrontedbwhenbtheybimpedebthebclientb
frombdevelopingbhealthybcopingbskills.
CognitivebLevel:bApplicationb
IntegratedbProcess:bEvaluation
6.bDuringbanbintakebassessment,babnursebasksbbothbphysiologicalbandbpsychosocialbquestions.bThebc
lientbangrilybresponds,bImbherebforbmybheart,bnotbmybheadbproblems.bWhichbisbthebnursesbbestbres
ponse?
1. Itsbjustbabroutinebpartbofbourbassessment.bAllbclientsbarebaskedbthesebsamebquestions.
2. Whybarebyoubconcernedbaboutbthesebtypesbofbquestions?
3. Psychologicalbfactors,blikebexcessivebstress,bhavebbeenbfoundbtobaffectbmedicalbconditions.
4. Webcanbskipbthesebquestions,bifbyoublike.bItbisntbimperativebthatbwebcompletebthisbsection.