Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition Morgan Townsend Test Bank

Essentials of Psychiatric Mental Health Nursing 8th Edition
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Concepts of Care in Evidence- Based Practice 8th Edition Morgan
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Townsend Test Bank
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Essentials of Psychiatric Mental Health Nursing 8th y. y. y. y. y. y. y.




y. Edition Concepts of Care in Evidence - Based Practice y. y. y. y. y. y. y. y. y.




y. 8th Edition Morgan Townsend y. y. y.




Chapter 1. Mental Health and Mental y. y. y. y. y.




y. IllnessMultiple Choice y.




1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of
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therecent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have
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y. not changed. How should the nurse interpret the clients behaviors?
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1. The clients behaviors demonstrate mental illness in the formof depression.
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2. The clients behaviors are extensive, which indicates the presence of mental illness.
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3. The clients behaviors are not congruent withculturalnorms.
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4. The clientsbehaviors demonstrate no functional impairment, indicating no mental
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y. illness.

ANS: 4 y.




Rationale: The nurse should assess that the clients daily functioning is not impaired. The
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clientwho experiences feelings of sadness after the loss of a pet is responding within
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y. normal expectations. Without significant impairment, the clients distress does not
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y. indicate a mental illness. y. y. y.




CognitiveLevel:Analysis y. y.




y. Integrated Process: y.




Assessment

2. At what point should the nurse determine that aclient is at risk for developing a
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y. mentalillness?
1. Whenthoughts, feelings, and behaviors are not reflective ofthe DSM-5 criteria.
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2. Whenmaladaptive responses to stress are coupled with interference indaily
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y. functioning.
3. Whena client communicates significant distress.
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4. Whena client uses defense mechanisms as ego protection.
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ANS: 2 y.




Rationale: The nurse should determine that the client is at risk for mental illness when
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,responsesto stress are maladaptive and interfere with daily functioning. The DSM-5
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y. indicates that in orderto be diagnosed with a mental illness, daily functioning must be
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y. significantly impaired. The clients abilityto communicate distress would be considered a
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y. positive attribute. y.




CognitiveLevel:Application y. y.




y. Integrated Process: y.




Assessment

3. A nurse is assessing a set of 15-year-old identical twins who respond verydifferently to
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y. stress.One twin becomes anxious and irritable, and the other withdraws and cries. How
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y. should the nurse explain these different stress responses to the parents?
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1. Reactions to stress are relative rather than absolute; individual responses to stress
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y. vary.
2. It is abnormal for identical twins to react differentlyto similar stressors.
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3. Identicaltwins should share the same temperament and respond similarly to stress.
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4. Environmental influences to stress weigh moreheavily than genetic influences. y. y. y. y. y. y. y. y. y.

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ANS: 1 y.




Rationale: The nurse should explain to the parents that, although the twins have identical
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y. DNA,there are several other factors that affect reactions to stress. Mental health is a state
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y. of being thatis relative to the individual client. Environmental influences and
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y. temperament can affect stress reactions. y. y. y. y.




CognitiveLevel:Application y. y.




y. Integrated Process: y.




Implementation

4. Whichclient should the nurse anticipate to be most receptive to psychiatric treatment?
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1. A Jewish, female social worker.
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2. ABaptist, homeless male.
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3. ACatholic, black male.
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4. AProtestant, Swedish business executive.
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ANS: 1 y.




Rationale: The nurse should anticipate that the client of Jewish culture would place a
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y. high importance on preventative health care and would consider mental health as
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y. equally important asphysical health. Women are also more likely to seek treatment for
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y. mental health problems than men.
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Cognitive Level: y.




ApplicationIntegrated
Process: Planning
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5. A psychiatric nurse intern states, This clients use ofdefense mechanisms should be
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y. eliminated.Which is a correct evaluation of this nurses statement? y. y. y. y. y. y. y. y.




1. Defense mechanisms can be appropriate responses to stress and need not be
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y. eliminated.
2. Defense mechanisms are a maladaptive attempt of the egoto manage anxiety
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y. and shouldalways be eliminated.
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3. Defense mechanisms, used by individuals withweak ego integrity, should be
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y. discouraged andnot eliminated. y. y.




4. Defense mechanisms cause disintegration ofthe ego and should be fostered and
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y. encouraged.

ANS: 1 y.