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Essentials of Psychiatric Mental Health Nursing 8th
Edition Concepts of Care in Evidence- Based Practice 8th
Edition Morgan Townsend Test Bank
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Essentials of Psychiatric Mental Health Nursing 8th
Edition Concepts of Care in Evidence - Based
Practice 8th Edition Morgan Townsend
Chapter 1. Mental Health and Mental
IllnessMultiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because
of therecent 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.
ANS: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired.
The clientwho 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
mentalillness?
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.
ANS: 2
Rationale: The nurse should determine that the client is at risk for mental illness when
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,responsesto stress arSetum
viaa
.cloamd-aTphetiM
vaerkaen
tp d
lac ientote
Brufyearne
d Swe ill tyh
oud
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an
terciatlioning. The DSM-5
lOMoARcPSD| 7906827
indicates that in orderto 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 knurse kis kassessing ka kset kof k15-year-old kidentical ktwins kwho krespond kvery
kdifferently kto kstress.One ktwin kbecomes kanxious kand kirritable, kand kthe kother
kwithdraws kand kcries. kHow kshould kthe knurse kexplain kthese kdifferent kstress
kresponses kto kthe kparents?
1. Reactions kto kstress kare krelative krather kthan kabsolute; kindividual kresponses kto
kstress kvary.
2. It kis kabnormal kfor kidentical ktwins kto kreact kdifferently kto ksimilar kstressors.
3. Identical ktwins kshould kshare kthe ksame ktemperament kand krespond ksimilarly kto
kstress.
4. Environmental kinfluences kto kstress kweigh kmore kheavily kthan kgenetic kinfluences.
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ANS: k1
Rationale: kThe knurse kshould kexplain kto kthe kparents kthat, kalthough kthe ktwins
khave kidentical kDNA,there kare kseveral kother kfactors kthat kaffect kreactions kto kstress.
kMental khealth kis ka kstate kof kbeing kthatis krelative kto kthe kindividual kclient.
kEnvironmental kinfluences kand ktemperament kcan kaffect kstress kreactions.
Cognitive kLevel:
kApplication kIntegrated
kProcess:
Implementation
4. Which kclient kshould kthe knurse kanticipate kto kbe kmost kreceptive kto kpsychiatric
ktreatment?
1. A kJewish, kfemale ksocial kworker.
2. A kBaptist, khomeless kmale.
3. A kCatholic, kblack kmale.
4. A kProtestant, kSwedish kbusiness kexecutive.
ANS: k1
Rationale: kThe knurse kshould kanticipate kthat kthe kclient kof kJewish kculture kwould
kplace ka khigh kimportance kon kpreventative khealth kcare kand kwould kconsider kmental
khealth kas kequally kimportant kasphysical khealth. kWomen kare kalso kmore klikely kto
kseek ktreatment kfor kmental khealth kproblems kthan kmen.
Cognitive kLevel:
ApplicationIntegrated
kProcess: kPlanning
5. A kpsychiatric knurse kintern kstates, kThis kclients kuse kof kdefense kmechanisms
kshould kbe keliminated.Which kis ka kcorrect kevaluation kof kthis knurses kstatement?
1. Defense kmechanisms kcan kbe kappropriate kresponses kto kstress kand kneed
knot kbe keliminated.
2. Defense kmechanisms kare ka kmaladaptive kattempt kof kthe kego kto kmanage
kanxiety kand kshouldalways kbe keliminated.
3. Defense kmechanisms, kused kby kindividuals kwith kweak kego kintegrity,
kshould kbe kdiscouraged kandnot keliminated.
4. Defense kmechanisms kcause kdisintegration kof kthe kego kand kshould kbe
kfostered kand kencouraged.
ANS: k1
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Essentials of Psychiatric Mental Health Nursing 8th
Edition Concepts of Care in Evidence- Based Practice 8th
Edition Morgan Townsend Test Bank
Downloaded by: clintonson |
Distribution of this document is illegal
, lOMoARcPSD| 7906827
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Essentials of Psychiatric Mental Health Nursing 8th
Edition Concepts of Care in Evidence - Based
Practice 8th Edition Morgan Townsend
Chapter 1. Mental Health and Mental
IllnessMultiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because
of therecent 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.
ANS: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired.
The clientwho 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
mentalillness?
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.
ANS: 2
Rationale: The nurse should determine that the client is at risk for mental illness when
Downloaded by: clintonson |
Distribution of this document is illegal
,responsesto stress arSetum
viaa
.cloamd-aTphetiM
vaerkaen
tp d
lac ientote
Brufyearne
d Swe ill tyh
oud
r Satiuldyy fMu
an
terciatlioning. The DSM-5
lOMoARcPSD| 7906827
indicates that in orderto 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 knurse kis kassessing ka kset kof k15-year-old kidentical ktwins kwho krespond kvery
kdifferently kto kstress.One ktwin kbecomes kanxious kand kirritable, kand kthe kother
kwithdraws kand kcries. kHow kshould kthe knurse kexplain kthese kdifferent kstress
kresponses kto kthe kparents?
1. Reactions kto kstress kare krelative krather kthan kabsolute; kindividual kresponses kto
kstress kvary.
2. It kis kabnormal kfor kidentical ktwins kto kreact kdifferently kto ksimilar kstressors.
3. Identical ktwins kshould kshare kthe ksame ktemperament kand krespond ksimilarly kto
kstress.
4. Environmental kinfluences kto kstress kweigh kmore kheavily kthan kgenetic kinfluences.
Downloaded by: clintonson |
Distribution of this document is illegal
, lOMoARcPSD| 7906827
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ANS: k1
Rationale: kThe knurse kshould kexplain kto kthe kparents kthat, kalthough kthe ktwins
khave kidentical kDNA,there kare kseveral kother kfactors kthat kaffect kreactions kto kstress.
kMental khealth kis ka kstate kof kbeing kthatis krelative kto kthe kindividual kclient.
kEnvironmental kinfluences kand ktemperament kcan kaffect kstress kreactions.
Cognitive kLevel:
kApplication kIntegrated
kProcess:
Implementation
4. Which kclient kshould kthe knurse kanticipate kto kbe kmost kreceptive kto kpsychiatric
ktreatment?
1. A kJewish, kfemale ksocial kworker.
2. A kBaptist, khomeless kmale.
3. A kCatholic, kblack kmale.
4. A kProtestant, kSwedish kbusiness kexecutive.
ANS: k1
Rationale: kThe knurse kshould kanticipate kthat kthe kclient kof kJewish kculture kwould
kplace ka khigh kimportance kon kpreventative khealth kcare kand kwould kconsider kmental
khealth kas kequally kimportant kasphysical khealth. kWomen kare kalso kmore klikely kto
kseek ktreatment kfor kmental khealth kproblems kthan kmen.
Cognitive kLevel:
ApplicationIntegrated
kProcess: kPlanning
5. A kpsychiatric knurse kintern kstates, kThis kclients kuse kof kdefense kmechanisms
kshould kbe keliminated.Which kis ka kcorrect kevaluation kof kthis knurses kstatement?
1. Defense kmechanisms kcan kbe kappropriate kresponses kto kstress kand kneed
knot kbe keliminated.
2. Defense kmechanisms kare ka kmaladaptive kattempt kof kthe kego kto kmanage
kanxiety kand kshouldalways kbe keliminated.
3. Defense kmechanisms, kused kby kindividuals kwith kweak kego kintegrity,
kshould kbe kdiscouraged kandnot keliminated.
4. Defense kmechanisms kcause kdisintegration kof kthe kego kand kshould kbe
kfostered kand kencouraged.
ANS: k1
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