,Test Bank for Davis Advantage for Townsend's Essentials of
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Psychiatric Mental Health Nursing, 9th Edition by Karyn I. M
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organ W L
Table of Contents
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I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
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1. The Concept of Stress Adaptation
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2. Mental Health and Mental Illness: Historical and Theoretical Concepts
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II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
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3. Concepts of Psychobiology
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4. Psychopharmacology
5. Ethical and Legal Issues
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III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
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6. Relationship DevelopmentWL
7. Therapeutic Communication
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8. The Nursing Process in Psychiatric-Mental Health Nursing
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9. Therapeutic Groups WL
10. Intervention with Families WL WL
11. Milieu Therapy— the Therapeutic Community
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12. Crisis Intervention
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13. Assertiveness Training WL
14. Promoting Self Esteem WL WL
15. Anger and Aggression Management
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16. Suicide Prevention
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17. Behavior Therapy WL
18. Cognitive Behavioral Therapy
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19. Electroconvulsive Therapy WL
20. The Recovery Model
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IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATI
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ON
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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22. Neurocognitive Disorders WL
23. Substance-Related and Addictive Disorders WL WL WL
24. Schizophrenia Spectrum and Other Psychotic Disorders
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25. Depressive Disorders WL
26. Bipolar and Related Disorders
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27. Anxiety, Obsessive-Compulsive, and Related Disorders
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28. Trauma and Stressor-Related Disorders
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29. Somatic Symptom and Dissociative Disorders
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30. Eating Disorders
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31. Personality Disorders WL
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS WL WL WL WL WL
32. Children and Adolescents
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33. The Aging Individual
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34. Survivors of Abuse or Neglect
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35. Community Mental Health Nursing
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,36. The Bereaved Individual
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37. Military FamiliesWL
EBook Bonus Chapters
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38. Theoretical Models of Personality Development
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39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health
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40. Complementary and Psychosocial Therapies
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41. Relaxation Therapy WL
42. Issues Related to Human Sexuality and Gender Dysphoria
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43. Forensic Nursing WL
Chapter 1. Mental Health and Mentalillness
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Multiple Choice
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1. A nurse is assessing a client who is experiencing occasional feelings of sa
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dness Because of the recent death of a beloved pet. The client’s appetite, sl
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eep patterns, and daily routine have not changed. How should the nurse inte
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rpret the client’s behaviors?
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, 1. The client’s behaviors demonstrate mental illness in the form of depression.
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2. The client’s behaviors are extensive, which indicates the presence of mentalillness.
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3. The client’s behaviors are not congruent with cultural norms.
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4. The client’s behaviors demonstrate no functional impairment, indicating no mentalillness.
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ANSWERS:- 4 W L
FEEDBACK: The nurse should assess that the client’s daily functioning is not impair
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ed. The client who experiences feelings of sadness after the loss of a pet is respond
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ing within normal expectations. Without significant impairment, the client’s distress d
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oes not indicate a mental illness.
WL WL WL WL WL
COGNITIVE LEVEL: WL
Analysis
INTEGRATED PROCESS: WL
Assessment
2. At what point should the nurse determine that a client is at risk for develo
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ping a mental illness?
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When thoughts, feelings, and behaviors are not reflective of the DSM-
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5 criteria. When maladaptive responses to stress are coupled with interference
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in daily functioning.
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When a client communicates significant distress.
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When a client uses defense mechanisms as ego protection.
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ANSWERS:- 2
FEEDBACK: The nurse should determine that the client is at risk for mental illness wh
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en responses to stress are maladaptive and interfere with daily functioning. TheDSM-
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5 indicates that in order to be diagnosed with a mental illness, daily
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Functioning must be significantly impaired. The client s ability to communicatedistress wo
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uld be considered a positive attribute.
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COGNITIVE LEVEL: WL
Application INTERG WL
RATED
PROCESS: Assessment WL
3. A nurse is assessing a set of 15-year-
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old identical twins who respond very differently to stress. One twin becomes anxious
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and irritable, and the other withdraws and cries. How should the nurse explain these d
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ifferent stress responsesto the parents?
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1. Reactions to stress are relative rather than absolute; individual responses to stressvary.
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2. It is abnormal for identical twins to react differently to similar stressors.
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3. Identical twins should share the same temperament and respond similarly tostress.
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4. Environmental influences to stress weigh more heavily than genetic influences.
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ANSWERS:- 1 W L
FEEDBACK: The nurse should explain to the parents that, although the twins
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have identical DNA, there are several other factors that affect reactions to st
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ress.
WL WL WL WL WL WL WL WL WL
Psychiatric Mental Health Nursing, 9th Edition by Karyn I. M
WLWL WL WL WL WL WL WL WL WL
organ W L
Table of Contents
WL WL
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
WL WL WL WL WL
1. The Concept of Stress Adaptation
WL WL WL WL
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
WL WL WL WL WL WL WL WL
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
WL WL WL WL
3. Concepts of Psychobiology
WL WL
4. Psychopharmacology
5. Ethical and Legal Issues
WL WL WL
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
WL WL WL WL WL
6. Relationship DevelopmentWL
7. Therapeutic Communication
WL
8. The Nursing Process in Psychiatric-Mental Health Nursing
WL WL WL WL WL WL
9. Therapeutic Groups WL
10. Intervention with Families WL WL
11. Milieu Therapy— the Therapeutic Community
WL WL WL WL
12. Crisis Intervention
WL
13. Assertiveness Training WL
14. Promoting Self Esteem WL WL
15. Anger and Aggression Management
WL WL WL
16. Suicide Prevention
WL
17. Behavior Therapy WL
18. Cognitive Behavioral Therapy
WL WL
19. Electroconvulsive Therapy WL
20. The Recovery Model
WL WL
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATI
WL WL WL WL WL WL WL WL
ON
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
WL WL WL WL WL WL WL WL WL WL WL WL WL
22. Neurocognitive Disorders WL
23. Substance-Related and Addictive Disorders WL WL WL
24. Schizophrenia Spectrum and Other Psychotic Disorders
WL WL WL WL WL
25. Depressive Disorders WL
26. Bipolar and Related Disorders
WL WL WL
27. Anxiety, Obsessive-Compulsive, and Related Disorders
WL WL WL WL
28. Trauma and Stressor-Related Disorders
WL WL WL
29. Somatic Symptom and Dissociative Disorders
WL WL WL WL
30. Eating Disorders
WL
31. Personality Disorders WL
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS WL WL WL WL WL
32. Children and Adolescents
WL WL
33. The Aging Individual
WL WL
34. Survivors of Abuse or Neglect
WL WL WL WL
35. Community Mental Health Nursing
WL WL WL
,36. The Bereaved Individual
WL WL
37. Military FamiliesWL
EBook Bonus Chapters
WL WL
38. Theoretical Models of Personality Development
WL WL WL WL
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health
WL WL WL WL WL WL WL WL W L Nursing
40. Complementary and Psychosocial Therapies
WL WL WL
41. Relaxation Therapy WL
42. Issues Related to Human Sexuality and Gender Dysphoria
WL WL WL WL WL WL WL
43. Forensic Nursing WL
Chapter 1. Mental Health and Mentalillness
WL WL WL WL WL
Multiple Choice
WL
1. A nurse is assessing a client who is experiencing occasional feelings of sa
WL WL WL WL WL WL WL WL WL WL WL WL
dness Because of the recent death of a beloved pet. The client’s appetite, sl
WL WL WL WL WL WL WL WL WL WL WL WL WL
eep patterns, and daily routine have not changed. How should the nurse inte
WL WL WL WL WL WL WL WL WL WL WL WL
rpret the client’s behaviors?
WL WL WL
, 1. The client’s behaviors demonstrate mental illness in the form of depression.
WL WL WL WL WL WL WL WL WL WL
2. The client’s behaviors are extensive, which indicates the presence of mentalillness.
WL WL WL WL WL WL WL WL WL WL
3. The client’s behaviors are not congruent with cultural norms.
WL WL WL WL WL WL WL WL
4. The client’s behaviors demonstrate no functional impairment, indicating no mentalillness.
WL WL WL WL WL WL WL WL WL
ANSWERS:- 4 W L
FEEDBACK: The nurse should assess that the client’s daily functioning is not impair
WL WL WL WL WL WL WL WL WL WL WL WL
ed. The client who experiences feelings of sadness after the loss of a pet is respond
WL WL WL WL WL WL WL WL WL WL WL WL WL WL WL
ing within normal expectations. Without significant impairment, the client’s distress d
WL WL WL WL WL WL WL WL WL WL
oes not indicate a mental illness.
WL WL WL WL WL
COGNITIVE LEVEL: WL
Analysis
INTEGRATED PROCESS: WL
Assessment
2. At what point should the nurse determine that a client is at risk for develo
WL WL WL WL WL WL WL WL WL WL WL WL WL WL
ping a mental illness?
WL WL WL
When thoughts, feelings, and behaviors are not reflective of the DSM-
WL WL WL WL WL WL WL WL WL WL
5 criteria. When maladaptive responses to stress are coupled with interference
WL WL WL WL WL WL WL WL WL WL
in daily functioning.
WL WL WL
When a client communicates significant distress.
WL WL WL WL WL
When a client uses defense mechanisms as ego protection.
WL WL WL WL WL WL WL WL
ANSWERS:- 2
FEEDBACK: The nurse should determine that the client is at risk for mental illness wh
WL WL WL WL WL WL WL WL WL WL WL WL WL WL
en responses to stress are maladaptive and interfere with daily functioning. TheDSM-
WL WL WL WL WL WL WL WL WL WL WL
5 indicates that in order to be diagnosed with a mental illness, daily
WL WL WL WL WL WL WL WL WL WL WL WL
Functioning must be significantly impaired. The client s ability to communicatedistress wo
WL WL WL WL WL WL WL WL WL WL WL
uld be considered a positive attribute.
WL WL WL WL WL
COGNITIVE LEVEL: WL
Application INTERG WL
RATED
PROCESS: Assessment WL
3. A nurse is assessing a set of 15-year-
WL WL WL WL WL WL WL
old identical twins who respond very differently to stress. One twin becomes anxious
WL WL WL WL WL WL WL WL WL WL WL WL WL
and irritable, and the other withdraws and cries. How should the nurse explain these d
WL WL WL WL WL WL WL WL WL WL WL WL WL WL
ifferent stress responsesto the parents?
WL WL WL WL
1. Reactions to stress are relative rather than absolute; individual responses to stressvary.
WL WL WL WL WL WL WL WL WL WL WL
2. It is abnormal for identical twins to react differently to similar stressors.
WL WL WL WL WL WL WL WL WL WL WL
3. Identical twins should share the same temperament and respond similarly tostress.
WL WL WL WL WL WL WL WL WL WL
4. Environmental influences to stress weigh more heavily than genetic influences.
WL WL WL WL WL WL WL WL WL
ANSWERS:- 1 W L
FEEDBACK: The nurse should explain to the parents that, although the twins
WL WL WL WL WL WL WL WL WL WL WL WL
have identical DNA, there are several other factors that affect reactions to st
WL WL WL WL WL WL WL WL WL WL WL WL
ress.