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

Test Bank For Davis Advantage for Townsend’s Essenti
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als of Psychiatric Mental Health Nursing
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9th Edition Karyn Morgan
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Chapters 1 - 32 | Complete
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,TABLE OF CONTENTS n n




INTRODUCTIONnTOnPSYCHIATRICnMENTALnHEALTHnCONCEPTS
1.nMentalnHealthnandnMentalnIllness
2.nBiologicalnImplications
3.nEthicalnandnLegalnIssues
4.nPsychopharmacology
II.nPSYCHIATRICnMENTALnHEALTHnNURSINGnINTERVENTIONS
5.nRelationshipnDevelopmentnandnTherapeuticnCommunication
6.nThenNursingnProcessninnPsychiatric/MentalnHealthnNursing
7.nPsychosocialnInterventionsnandnSpiritualnCare
8.nInterventionninnGroups
9.nCrisisnIntervention
10.nThenRecoverynModel
11.nSuicidenPrevention
III.nCAREnOFnPATIENTSnWITHnPSYCHIATRICnDISORDERS
12.nCaringnfornPatientsnwithnMentalnIllnessnandnSubstancenUsenDisordersninnGeneralnPracticenSettings
13.nNeurocognitivenDisorders
14.nSubstancenUsenandnAddictionnDisorders
15.nSchizophrenianSpectrumnandnOthernPsychoticnDisorders
16.nDepressivenDisorders
17.nBipolarnandnRelatednDisorders
18.nAnxiety,nObsessive-Compulsive,nandnRelatednDisorders
19.nTrauma-nandnStressor-RelatednDisorders
20.nSomaticnSymptomnandnDissociativenDisorders
21.nEatingnDisorders
22.nPersonalitynDisorders
IV.nPSYCHIATRICnMENTALnHEALTHnNURSINGnOFnSPECIALnPOPULATIONS
23.nChildrennandnAdolescents
24.nThenAgingnIndividual
25.nSurvivorsnofnAbusenornNeglect
26.nCommunitynMentalnHealthnNursing
27.nThenBereavednIndividual
28.nMilitarynFamilies
V.nONLINEnCHAPTERS
29.nConceptsnofnPersonalitynDevelopment
30.nComplementarynandnIntegrativenTherapies
31.nCulturalnConceptsnRelevantntonPsychiatricnMentalnHealthnNursing
32.nIssuesnRelatedntonHumannSexualitynandnGendernDysphorian

,Chaptern1.nMentalnHealthnandnMentalnIllnessn

MultiplenChoice
1.nAnnursenisnassessingnanclientnwhonisnexperiencingnoccasionalnfeelingsnofnsadnessnbecausenofnthenre
centndeathnofnanbelovednpet.nThenclientsnappetite,nsleepnpatterns,nandndailynroutinenhavennotnchanged
.nHownshouldnthennursen interpretnthenclientsnbehaviors?
1. Thenclientsnbehaviorsndemonstratenmentalnillnessninnthenformnofndepression.
2. Thenclientsnbehaviorsnarenextensive,nwhichnindicatesnthenpresencenofnmentalnillness.
3. Thenclientsnbehaviorsnarennotncongruentnwithnculturalnnorms.
4. Thenclientsnbehaviorsndemonstratennonfunctionalnimpairment,nindicatingn non mentalnillness.
ANSWER:n4
Rationale:nThennursenshouldnassessnthatnthenclientsndailynfunctioningnisnnotnimpaired.nThenclientnwho
nexperiencesnfeelingsnofnsadnessnafternthenlossnofnanpetnisnrespondingnwithinnnormalnexpectations.nW

ithoutnsignificantnimpairment,nthenclientsndistressndoesnnotnindicatenanmentalnillness.
CognitivenLevel:nAnalysisnInte
gratednProcess:nAssessment
2.nAtnwhatnpointnshouldnthennursendeterminenthatnanclientnisnatnrisknforndevelopingnanmentalnil
lness?
1. Whennthoughts,nfeelings,nandnbehaviorsnarennotnreflectivenofnthenDSM-5ncriteria.
2. Whennmaladaptivenresponsesntonstressnarencouplednwithninterferenceninndailynfunctioning.
3. Whennanclientncommunicatesnsignificantn distress.
4. Whennanclientnusesndefensenmechanismsnasnegon protection.
ANSWER:n2
Rationale:nThennursenshouldndeterminenthatnthenclientnisnatnrisknfornmentalnillnessnwhennresponsesnt
onstressnarenmaladaptivenandninterferenwithndailynfunctioning.nThenDSM-
5nindicatesnthatninnorderntonbendiagnosednwithnanmentalnillness,ndailynfunctioningnmustnbensignifican
tlynimpaired.nThenclientsnabilityntoncommunicatendistressnwouldnbenconsiderednanpositivenattribute.
CognitivenLevel:nApplicationnI
ntegratednProcess:nAssessment
3.nAnnursenisnassessingnansetnofn15-year-
oldnidenticalntwinsnwhonrespondnveryndifferentlyntonstress.nOnentwinnbecomesnanxiousnandnirritable,n
andnthenothernwithdrawsnandncries.nHownshouldnthennursenexplainnthesendifferentn stressnresponsesnt
onthenparents?
1. Reactionsnton stressnarenrelativenrathernthannabsolute;nindividualnresponsesnton stressnvary.
2. Itnisnabnormalnfornidenticalntwinsntonreactndifferentlyntonsimilarnstressors.
3. Identicalntwinsnshouldnsharenthensamentemperamentn andnrespondnsimilarlyntonstress.
4. Environmentalninfluencesntonstressnweighnmorenheavilynthanngeneticninfluences.

, ANSWER:n1
Rationale:nThennursenshouldnexplainntonthenparentsnthat,nalthoughnthentwinsnhavenidenticalnDNA,nth
erenarenseveralnothernfactorsnthatnaffectnreactionsntonstress.nMentalnhealthnisnanstatenofnbeingnthatnisnre
lativentonthenindividualnclient.nEnvironmentalninfluencesnandntemperamentncannaffectnstressnreactio
ns.
CognitivenLevel:nApplicationnInteg
ratednProcess:nImplementation
4.nWhichnclientnshouldnthennursenanticipatentonbenmostnreceptiventonpsychiatricntreatment?n1.n
AnJewish,n femalensocialnworker.
2. AnBaptist,nhomelessnmale.
3. AnCatholic,nblacknmale.
4. AnProtestant,nSwedishnbusinessnexecutive.
ANSWER:n1
Rationale:nThennursenshouldnanticipatenthatnthenclientnofnJewishnculturenwouldnplacenanhighnimporta
ncenonnpreventativenhealthncarenandnwouldnconsidernmentalnhealthnasnequallynimportantnasnphysicaln
health.nWomennarenalsonmorenlikelyntonseekntreatmentnfornmentalnhealthnproblemsnthannmen.
CognitivenLevel:nApplicationn
IntegratednProcess:nPlanning
5. Anpsychiatricnnurseninternnstates,nThisnclientsnusenofndefensenmechanismsnshouldnbeneliminated.n
Whichnisnancorrectn evaluationnofnthisnnursesn statement?
1. Defensenmechanismsncannbenappropriatenresponsesntonstressnandnneednnotnbeneliminated.
2. Defensenmechanismsnarenanmaladaptivenattemptnofnthenegontonmanagenanxietynandshouldna
lwaysnben eliminated.
3. Defensenmechanisms,nusednbynindividualsnwithnweaknegonintegrity,nshouldnbendiscouragedandn
notneliminated.
4. Defensenmechanismsncausendisintegrationnofnthenegonandnshouldnbenfosterednandnencouraged.
ANSWER:n1
Rationale:nThennursenshouldndeterminenthatndefensenmechanismsn cannbenappropriatenduringntimesnof
nstress.nThenclientnwithnnondefensenmechanismsnmaynhavenanlowerntolerancenfornstress,nthusnleadingn

tonanxietyndisorders.nDefensenmechanismsnshouldnbenconfrontednwhenntheynimpedenthenclientnfromn
developingn healthyncopingnskills.
CognitivenLevel:nApplicationnI
ntegratednProcess:nEvaluation
6.nDuringnannintakenassessment,nannursenasksnbothnphysiologicalnandnpsychosocialnquestions.nThencli
entnangrilynresponds,nImnherenfornmynheart,nnotnmynheadnproblems.nWhichnisnthennursesnbestnrespon
se?
1. Itsnjustnanroutinenpartnofnournassessment.nAllnclientsnarenaskednthesensamenquestions.
2. Whynarenyounconcernednaboutnthesentypesnofnquestions?
3. Psychologicalnfactors,nlikenexcessivenstress,nhavenbeennfoundnton affectnmedicalnconditions.
4. Wencannskipnthesenquestions,nifnyounlike.nItnisntnimperativenthatnwencompletenthisnsection.