Test Bank For Davis Advantage for Townsend’s
b b b b b b
b Essentials of Psychiatric Mental Health Nursing
b b b b b
9th Edition Karyn Morgan
b b b
Chapt
ers 1 - b b
b 32 | b
b Com
plete b
,TABLE OF CONTENTS b b
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS b b b b b
1. Mental Health and Mental Illness
b b b b b
2. Biological Implications
b b
3. Ethical and Legal Issues
b b b b
4. Psychopharmacology
b
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
b b b b b
5. Relationship Development and Therapeutic Communication
b b b b b
6. The Nursing Process in Psychiatric/Mental Health Nursing
b b b b b b b
7. Psychosocial Interventions and Spiritual Care
b b b b b
8. Intervention in Groups
b b b
9. Crisis Intervention
b b
10. The Recovery Model
b b b
11. Suicide Prevention
b b
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
b b b b b b
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
b b b b b b b b b b b b b b
13. Neurocognitive Disorders
b b
14. Substance Use and Addiction Disorders
b b b b b
15. Schizophrenia Spectrum and Other Psychotic Disorders
b b b b b b
16. Depressive Disorders
b b
17. Bipolar and Related Disorders
b b b b
18. Anxiety, Obsessive-Compulsive, and Related Disorders
b b b b b
19. Trauma- and Stressor-Related Disorders
b b b b
20. Somatic Symptom and Dissociative Disorders
b b b b b
21. Eating Disorders
b b
22. Personality Disorders
b b
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
b b b b b b b
23. Children and Adolescents
b b b
24. The Aging Individual
b b b
25. Survivors of Abuse or Neglect
b b b b b
26. Community Mental Health Nursing
b b b b
27. The Bereaved Individual
b b b
28. Military Families
b b
V. ONLINE CHAPTERS
b b
29. Concepts of Personality Development
b b b b
30. Complementary and Integrative Therapies
b b b b
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
b b b b b b b b
32. Issues Related to Human Sexuality and Gender Dysphoria
b b b b b b b b b
,Chapter 1. Mental Health and Mental b b b b b
IllnessMultiple Choice
b b b
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of
b b b b b b b b b b b b b b b
therecent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not
b b b b b b b b b b b b b b b b b
changed. How should the nurse interpret the clients behaviors?
b b b b b b b b b
1. The clients behaviors demonstrate mental illness in the form of depression.
b b b b b b b b b b
2. The clients behaviors are extensive, which indicates the presence of mental illness.
b b b b b b b b b b b
3. The clients behaviors are not congruent with cultural norms.
b b b b b b b b
4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
b b b b b b b b b b
ANSWER: 4 b
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho
b b b b b b b b b b b b b b b
experiences feelings of sadness after the loss of a pet is responding within normal expectations.
b b b b b b b b b b b b b b b
Without significant impairment, the clients distress does not indicate a mental illness.
b b b b b b b b b b b b
Cognitive Level: Analysis b b
Integrated Process: Assessment
b b b
2. At what point should the nurse determine that a client is at risk for developing a
b b b b b b b b b b b b b b b b
mentalillness?
b b
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
b b b b b b b b b b b
2. When maladaptive responses to stress are coupled with interference in daily functioning.
b b b b b b b b b b b
3. When a client communicates significant distress.
b b b b b
4. When a client uses defense mechanisms as ego protection.
b b b b b b b b
ANSWER: 2 b
Rationale: The nurse should determine that the client is at risk for mental illness when responsesto
b b b b b b b b b b b b b b b b
stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in orderto
b b b b b b b b b b b b b b b
be diagnosed with a mental illness, daily functioning must be significantly impaired. The clients
b b b b b b b b b b b b b b
ability to communicate distress would be considered a positive attribute.
b b b b b b b b b b
Cognitive Level: Application b b
Integrated Process: Assessment
b b b
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to
b b b b b b b b b b b b b b b
stress.One twin becomes anxious and irritable, and the other withdraws and cries. How should the
b b b b b b b b b b b b b b b b
nurse explain these different stress responses to the parents?
b b b b b b b b b
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
b b b b b b b b b b b b
2. It is abnormal for identical twins to react differently to similar stressors.
b b b b b b b b b b b
3. Identical twins should share the same temperament and respond similarly to stress.
b b b b b b b b b b b
4. Environmental influences to stress weigh more heavily than genetic influences. b b b b b b b b b
, ANSWER: 1 b
Rationale: The nurse should explain to the parents that, although the twins have identical
b b b b b b b b b b b b b
DNA,there are several other factors that affect reactions to stress. Mental health is a state of being
b b b b b b b b b b b b b b b b b b
thatis relative to the individual client. Environmental influences and temperament can affect
b b b b b b b b b b b b b
stress reactions.
b b
Cognitive Level: Application b b
Integrated Process: Implementation
b b b
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?1.
b b b b b b b b b b b b b b
A Jewish, female social worker.
b b b b b
2. A Baptist, homeless male.
b b b
3. A Catholic, black male.
b b b
4. A Protestant, Swedish business executive.
b b b b
ANSWER: 1 b
Rationale: The nurse should anticipate that the client of Jewish culture would place a high
b b b b b b b b b b b b b b
importance on preventative health care and would consider mental health as equally important
b b b b b b b b b b b b b
asphysical health. Women are also more likely to seek treatment for mental health problems than
b b b b b b b b b b b b b b b b
men.
b
Cognitive Level: b
ApplicationIntegrated
b b
Process: Planning
b b
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be
b b b b b b b b b b b b
eliminated.Which is a correct evaluation of this nurses statement?
b b b b b b b b b b
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
b b b b b b b b b b b b
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety
b b b b b b b b b b b
andshouldalways be eliminated.
b b b b
3. Defense mechanisms, used by individuals with weak ego integrity, should be
b b b b b b b b b b
discouragedandnot eliminated.
b b b
4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
b b b b b b b b b b b b
ANSWER: 1 b
Rationale: The nurse should determine that defense mechanisms can be appropriate during timesof
b b b b b b b b b b b b b
stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading
b b b b b b b b b b b b b b b b
to anxiety disorders. Defense mechanisms should be confronted when they impede the client from
b b b b b b b b b b b b b b
developing healthy coping skills.
b b b b
Cognitive Level: Application b b
Integrated Process: Evaluation
b b b
6. During an intake assessment, a nurse asks both physiological and psychosocial questions.
b b b b b b b b b b b b
Theclient angrily responds, Im here for my heart, not my head problems. Which is the nurses best
b b b b b b b b b b b b b b b b b b
response?
b
1. Its just a routine part of our assessment. All clients are asked these same questions.
b b b b b b b b b b b b b b
2. Why are you concerned about these types of questions?
b b b b b b b b
3. Psychological factors, like excessive stress, have been found to affect medical conditions. b b b b b b b b b b b
4. We can skip these questions, if you like. It isnt imperative that we complete this section.
b b b b b b b b b b b b b b b
b b b b b b
b Essentials of Psychiatric Mental Health Nursing
b b b b b
9th Edition Karyn Morgan
b b b
Chapt
ers 1 - b b
b 32 | b
b Com
plete b
,TABLE OF CONTENTS b b
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS b b b b b
1. Mental Health and Mental Illness
b b b b b
2. Biological Implications
b b
3. Ethical and Legal Issues
b b b b
4. Psychopharmacology
b
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
b b b b b
5. Relationship Development and Therapeutic Communication
b b b b b
6. The Nursing Process in Psychiatric/Mental Health Nursing
b b b b b b b
7. Psychosocial Interventions and Spiritual Care
b b b b b
8. Intervention in Groups
b b b
9. Crisis Intervention
b b
10. The Recovery Model
b b b
11. Suicide Prevention
b b
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
b b b b b b
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
b b b b b b b b b b b b b b
13. Neurocognitive Disorders
b b
14. Substance Use and Addiction Disorders
b b b b b
15. Schizophrenia Spectrum and Other Psychotic Disorders
b b b b b b
16. Depressive Disorders
b b
17. Bipolar and Related Disorders
b b b b
18. Anxiety, Obsessive-Compulsive, and Related Disorders
b b b b b
19. Trauma- and Stressor-Related Disorders
b b b b
20. Somatic Symptom and Dissociative Disorders
b b b b b
21. Eating Disorders
b b
22. Personality Disorders
b b
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
b b b b b b b
23. Children and Adolescents
b b b
24. The Aging Individual
b b b
25. Survivors of Abuse or Neglect
b b b b b
26. Community Mental Health Nursing
b b b b
27. The Bereaved Individual
b b b
28. Military Families
b b
V. ONLINE CHAPTERS
b b
29. Concepts of Personality Development
b b b b
30. Complementary and Integrative Therapies
b b b b
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
b b b b b b b b
32. Issues Related to Human Sexuality and Gender Dysphoria
b b b b b b b b b
,Chapter 1. Mental Health and Mental b b b b b
IllnessMultiple Choice
b b b
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of
b b b b b b b b b b b b b b b
therecent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not
b b b b b b b b b b b b b b b b b
changed. How should the nurse interpret the clients behaviors?
b b b b b b b b b
1. The clients behaviors demonstrate mental illness in the form of depression.
b b b b b b b b b b
2. The clients behaviors are extensive, which indicates the presence of mental illness.
b b b b b b b b b b b
3. The clients behaviors are not congruent with cultural norms.
b b b b b b b b
4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
b b b b b b b b b b
ANSWER: 4 b
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho
b b b b b b b b b b b b b b b
experiences feelings of sadness after the loss of a pet is responding within normal expectations.
b b b b b b b b b b b b b b b
Without significant impairment, the clients distress does not indicate a mental illness.
b b b b b b b b b b b b
Cognitive Level: Analysis b b
Integrated Process: Assessment
b b b
2. At what point should the nurse determine that a client is at risk for developing a
b b b b b b b b b b b b b b b b
mentalillness?
b b
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
b b b b b b b b b b b
2. When maladaptive responses to stress are coupled with interference in daily functioning.
b b b b b b b b b b b
3. When a client communicates significant distress.
b b b b b
4. When a client uses defense mechanisms as ego protection.
b b b b b b b b
ANSWER: 2 b
Rationale: The nurse should determine that the client is at risk for mental illness when responsesto
b b b b b b b b b b b b b b b b
stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in orderto
b b b b b b b b b b b b b b b
be diagnosed with a mental illness, daily functioning must be significantly impaired. The clients
b b b b b b b b b b b b b b
ability to communicate distress would be considered a positive attribute.
b b b b b b b b b b
Cognitive Level: Application b b
Integrated Process: Assessment
b b b
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to
b b b b b b b b b b b b b b b
stress.One twin becomes anxious and irritable, and the other withdraws and cries. How should the
b b b b b b b b b b b b b b b b
nurse explain these different stress responses to the parents?
b b b b b b b b b
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
b b b b b b b b b b b b
2. It is abnormal for identical twins to react differently to similar stressors.
b b b b b b b b b b b
3. Identical twins should share the same temperament and respond similarly to stress.
b b b b b b b b b b b
4. Environmental influences to stress weigh more heavily than genetic influences. b b b b b b b b b
, ANSWER: 1 b
Rationale: The nurse should explain to the parents that, although the twins have identical
b b b b b b b b b b b b b
DNA,there are several other factors that affect reactions to stress. Mental health is a state of being
b b b b b b b b b b b b b b b b b b
thatis relative to the individual client. Environmental influences and temperament can affect
b b b b b b b b b b b b b
stress reactions.
b b
Cognitive Level: Application b b
Integrated Process: Implementation
b b b
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?1.
b b b b b b b b b b b b b b
A Jewish, female social worker.
b b b b b
2. A Baptist, homeless male.
b b b
3. A Catholic, black male.
b b b
4. A Protestant, Swedish business executive.
b b b b
ANSWER: 1 b
Rationale: The nurse should anticipate that the client of Jewish culture would place a high
b b b b b b b b b b b b b b
importance on preventative health care and would consider mental health as equally important
b b b b b b b b b b b b b
asphysical health. Women are also more likely to seek treatment for mental health problems than
b b b b b b b b b b b b b b b b
men.
b
Cognitive Level: b
ApplicationIntegrated
b b
Process: Planning
b b
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be
b b b b b b b b b b b b
eliminated.Which is a correct evaluation of this nurses statement?
b b b b b b b b b b
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
b b b b b b b b b b b b
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety
b b b b b b b b b b b
andshouldalways be eliminated.
b b b b
3. Defense mechanisms, used by individuals with weak ego integrity, should be
b b b b b b b b b b
discouragedandnot eliminated.
b b b
4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
b b b b b b b b b b b b
ANSWER: 1 b
Rationale: The nurse should determine that defense mechanisms can be appropriate during timesof
b b b b b b b b b b b b b
stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading
b b b b b b b b b b b b b b b b
to anxiety disorders. Defense mechanisms should be confronted when they impede the client from
b b b b b b b b b b b b b b
developing healthy coping skills.
b b b b
Cognitive Level: Application b b
Integrated Process: Evaluation
b b b
6. During an intake assessment, a nurse asks both physiological and psychosocial questions.
b b b b b b b b b b b b
Theclient angrily responds, Im here for my heart, not my head problems. Which is the nurses best
b b b b b b b b b b b b b b b b b b
response?
b
1. Its just a routine part of our assessment. All clients are asked these same questions.
b b b b b b b b b b b b b b
2. Why are you concerned about these types of questions?
b b b b b b b b
3. Psychological factors, like excessive stress, have been found to affect medical conditions. b b b b b b b b b b b
4. We can skip these questions, if you like. It isnt imperative that we complete this section.
b b b b b b b b b b b b b b b
