ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
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NURSING 8TH EDITION CONCEPTS OF CARE IN
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EVIDENCE- BASED PRACTICE 8TH EDITION MORGAN
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TOWNSEND TEST BANK
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,Table of Contents
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INTRODUCTION TO yu
PSYCHIATRIC/MENTAL HEALTH
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CONCEPTS
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Mental Health and Mental Illness
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Biological Implications
yu yu
Ethical and Legal
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Issues
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Psychopharmacology
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PSYCHIATRIC/MENTAL HEALTH yu
NURSING INTERVENTIONS
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Relationship Development and yu yu
Therapeutic Communication
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The Nursing Process in Psychiatric/Mental Health Nursing
yu yu yu yu yu yu
Milieu Therapy – Therapeutic Community
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Intervention in yu
Groups Crisis
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Intervention The
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Recovery Model
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Suicide Prevention
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CARE OF CLIENTS WITH PSYCHIATRIC DISORDERS
yu yu yu yu yu
Caring for Patients with Mental Illness and Substance Use Disorders in General PracticeSettings
yu yu yu yu yu yu yu yu yu yu yu yu
Neurocognitive Disorders
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Substance Use and Addictive Disorders
yu yu yu yu
Schizophrenia Spectrum and Other Psychotic Disorders
yu yu yu yu yu
Depressive Disorders
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Bipolar and Related Disorders
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Anxiety, Obsessive-Compulsive, and Related
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Disorders Trauma- and Stressor-Related Disorders
yu yu yu yu yu
Somatic Symptom and Dissociative Disorders
yu yu yu yu
Eating DisordersPersonality Disorders
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PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
yu yu yu yu yu yu
Children and yu
Adolescents The Aging
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Individual
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Survivors of Abuse and Neglect
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Community Mental Health Nursing
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The Bereaved Individual 28 Military Families
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ONLINE CHAPTERS yu
Concepts of Personality Development
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Complementary and Psychosocial
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Therapies
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Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health
yu yu yu yu yu yu yu yu
Nursing Issues Related to Human Sexuality and Gender Dysphoria
yu yu yu yu yu yu yu yu yu
,Chapter 1. Mental Health and Mental Illness Multiple Choice
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1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of
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the recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
have not changed. How should the nurse interpret the clients behaviors?
yu yu yu yu yu yu yu yu yu yu yu
1. The clients behaviors demonstrate mental illness in the form of depression.
yu yu yu yu yu yu yu yu yu yu
2. The clients behaviors are extensive, which indicates the presence of mental illness.
yu yu yu yu yu yu yu yu yu yu yu
3. The clients behaviors are not congruent with cultural norms.
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4. The clients behaviors demonstrate no functional impairment, indicating no mental
yu yu yu yu yu yu yu yu yu
illness. ANS: 4
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Rationale: The nurse should assess that the clients daily functioning is not impaired. The
yu yu yu yu yu yu yu yu yu yu yu yu yu
client who experiences feelings of sadness after the loss of a pet is responding within
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
normal expectations. Without significant impairment, the clients distress does not indicate
yu yu yu yu yu yu yu yu yu yu yu
a mental illness.
yu yu yu
Cognitive Level: Analysis Integrated Process: Assessment
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2. At what point should the nurse determine that a client is at risk for developing a
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
mental illness?
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1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
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2. When maladaptive responses to stress are coupled with interference in daily functioning.
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3. When a client communicates significant distress.
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4. When a client uses defense mechanisms as ego
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protection. ANS: 2
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Rationale: The nurse should determine that the client is at risk for mental illness when
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
responses to stress are maladaptive and interfere with daily functioning. The DSM-5
yu yu yu yu yu yu yu yu yu yu yu yu
indicates that in order to be diagnosed with a mental illness, daily functioning must be
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
significantly impaired. The clients ability to communicate distress would be considered a
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positive attribute.
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Cognitive Level: Application Integrated Process: Assessment
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3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
stress. One twin becomes anxious and irritable, and the other withdraws and cries. How
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
should the nurse explain these different stress responses to the parents?
yu yu yu yu yu yu yu yu yu yu yu
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
yu yu yu yu yu yu yu yu yu yu yu yu
2. It is abnormal for identical twins to react differently to similar stressors.
yu yu yu yu yu yu yu yu yu yu yu
3. Identical twins should share the same temperament and respond similarly to stress.
yu yu yu yu yu yu yu yu yu yu yu
, 4. Environmental influences to stress weigh more heavily than genetic yu yu yu yu yu yu yu yu
influences. ANS: 1
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Rationale: The nurse should explain to the parents that, although the twins have identical DNA,
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
there are several other factors that affect reactions to stress. Mental health is a state of being
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
that is relative to the individual client. Environmental influences and temperament can
yu yu yu yu yu yu yu yu yu yu yu yu
affect stress reactions.
yu yu yu
Cognitive Level: Application Integrated Process: Implementation
yu yu yu yu yu
4. Which client 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. A Baptist, homeless male.
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3. A Catholic, black male.
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4. A Protestant, Swedish business
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executive. ANS: 1
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Rationale: The nurse should anticipate that the client of Jewish culture would place a high
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importance on preventative health care and would consider mental health as equally
yu yu yu yu yu yu yu yu yu yu yu yu
important as physical health. Women are also more likely to seek treatment for mental
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health problems than men.
yu yu yu yu
Cognitive Level: Application Integrated Process: Planning
yu yu yu yu yu
5. A psychiatric nurse intern states, This clients use of defense mechanisms should
yu yu yu yu yu yu yu yu yu yu yu
be eliminated. Which is a correct evaluation of this nurses statement?
yu yu yu yu yu yu yu yu yu yu yu
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
yu yu yu yu yu yu yu yu yu yu yu yu
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
yu yu yu yu yu yu yu yu yu yu yu yu
should always be eliminated.
yu yu yu yu
3. Defense mechanisms, used by individuals with weak ego integrity, should be
yu yu yu yu yu yu yu yu yu yu
discouraged and not eliminated.
yu yu yu yu
4. Defense mechanisms cause disintegration of the ego and should be
yu yu yu yu yu yu yu yu yu
fostered andencouraged.
yu yu
ANS: 1 yu
Rationale: The nurse should determine that defense mechanisms can be appropriate during
yu yu yu yu yu yu yu yu yu yu yu
times of stress. The client with no defense mechanisms may have a lower tolerance for
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
stress, thus leading to anxiety disorders. Defense mechanisms should be confronted when
yu yu yu yu yu yu yu yu yu yu yu yu
they impede the client from developing healthy coping skills.
yu yu yu yu yu yu yu yu yu
Cognitive Level: Application Integrated Process: Evaluation
yu yu yu yu yu
6. During an intake assessment, a nurse asks both physiological and psychosocial questions.
yu yu yu yu yu yu yu yu yu yu yu
The client angrily responds, Im here for my heart, not my head problems. Which is the
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
nurses best response?
yu yu yu
yu yu yu yu
NURSING 8TH EDITION CONCEPTS OF CARE IN
yu yu yu yu yu yu yu
EVIDENCE- BASED PRACTICE 8TH EDITION MORGAN
yu yu yu yu yu yu
TOWNSEND TEST BANK
yu yu yu
,Table of Contents
yu yu
INTRODUCTION TO yu
PSYCHIATRIC/MENTAL HEALTH
yu yu
CONCEPTS
yu
Mental Health and Mental Illness
yu yu yu yu
Biological Implications
yu yu
Ethical and Legal
yu yu
Issues
yu
Psychopharmacology
yu
PSYCHIATRIC/MENTAL HEALTH yu
NURSING INTERVENTIONS
yu yu
Relationship Development and yu yu
Therapeutic Communication
yu yu
The Nursing Process in Psychiatric/Mental Health Nursing
yu yu yu yu yu yu
Milieu Therapy – Therapeutic Community
yu yu yu yu yu
Intervention in yu
Groups Crisis
yu yu
Intervention The
yu yu
Recovery Model
yu yu
Suicide Prevention
yu yu
CARE OF CLIENTS WITH PSYCHIATRIC DISORDERS
yu yu yu yu yu
Caring for Patients with Mental Illness and Substance Use Disorders in General PracticeSettings
yu yu yu yu yu yu yu yu yu yu yu yu
Neurocognitive Disorders
yu yu
Substance Use and Addictive Disorders
yu yu yu yu
Schizophrenia Spectrum and Other Psychotic Disorders
yu yu yu yu yu
Depressive Disorders
yu yu
Bipolar and Related Disorders
yu yu yu
Anxiety, Obsessive-Compulsive, and Related
yu yu yu
Disorders Trauma- and Stressor-Related Disorders
yu yu yu yu yu
Somatic Symptom and Dissociative Disorders
yu yu yu yu
Eating DisordersPersonality Disorders
yu yu yu
PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
yu yu yu yu yu yu
Children and yu
Adolescents The Aging
yu yu yu
Individual
yu
Survivors of Abuse and Neglect
yu yu yu yu
Community Mental Health Nursing
yu yu yu yu
The Bereaved Individual 28 Military Families
yu yu yu yu yu
ONLINE CHAPTERS yu
Concepts of Personality Development
yu yu yu
Complementary and Psychosocial
yu yu yu
Therapies
yu
Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health
yu yu yu yu yu yu yu yu
Nursing Issues Related to Human Sexuality and Gender Dysphoria
yu yu yu yu yu yu yu yu yu
,Chapter 1. Mental Health and Mental Illness Multiple Choice
yu yu yu yu yu yu yu yu
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
the recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
have not changed. How should the nurse interpret the clients behaviors?
yu yu yu yu yu yu yu yu yu yu yu
1. The clients behaviors demonstrate mental illness in the form of depression.
yu yu yu yu yu yu yu yu yu yu
2. The clients behaviors are extensive, which indicates the presence of mental illness.
yu yu yu yu yu yu yu yu yu yu yu
3. The clients behaviors are not congruent with cultural norms.
yu yu yu yu yu yu yu yu
4. The clients behaviors demonstrate no functional impairment, indicating no mental
yu yu yu yu yu yu yu yu yu
illness. ANS: 4
yu yu yu
Rationale: The nurse should assess that the clients daily functioning is not impaired. The
yu yu yu yu yu yu yu yu yu yu yu yu yu
client who experiences feelings of sadness after the loss of a pet is responding within
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
normal expectations. Without significant impairment, the clients distress does not indicate
yu yu yu yu yu yu yu yu yu yu yu
a mental illness.
yu yu yu
Cognitive Level: Analysis Integrated Process: Assessment
yu yu yu yu yu
2. At what point should the nurse determine that a client is at risk for developing a
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
mental illness?
yu yu
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
yu yu yu yu yu yu yu yu yu yu yu
2. When maladaptive responses to stress are coupled with interference in daily functioning.
yu yu yu yu yu yu yu yu yu yu yu
3. When a client communicates significant distress.
yu yu yu yu yu
4. When a client uses defense mechanisms as ego
yu yu yu yu yu yu yu
protection. ANS: 2
yu yu yu
Rationale: The nurse should determine that the client is at risk for mental illness when
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
responses to stress are maladaptive and interfere with daily functioning. The DSM-5
yu yu yu yu yu yu yu yu yu yu yu yu
indicates that in order to be diagnosed with a mental illness, daily functioning must be
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
significantly impaired. The clients ability to communicate distress would be considered a
yu yu yu yu yu yu yu yu yu yu yu yu
positive attribute.
yu yu
Cognitive Level: Application Integrated Process: Assessment
yu yu yu yu yu
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
stress. One twin becomes anxious and irritable, and the other withdraws and cries. How
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
should the nurse explain these different stress responses to the parents?
yu yu yu yu yu yu yu yu yu yu yu
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
yu yu yu yu yu yu yu yu yu yu yu yu
2. It is abnormal for identical twins to react differently to similar stressors.
yu yu yu yu yu yu yu yu yu yu yu
3. Identical twins should share the same temperament and respond similarly to stress.
yu yu yu yu yu yu yu yu yu yu yu
, 4. Environmental influences to stress weigh more heavily than genetic yu yu yu yu yu yu yu yu
influences. ANS: 1
yu yu yu
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
there are several other factors that affect reactions to stress. Mental health is a state of being
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
that is relative to the individual client. Environmental influences and temperament can
yu yu yu yu yu yu yu yu yu yu yu yu
affect stress reactions.
yu yu yu
Cognitive Level: Application Integrated Process: Implementation
yu yu yu yu yu
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?
yu yu yu yu yu yu yu yu yu yu yu yu yu
1. A Jewish, female social worker.
yu yu yu yu
2. A Baptist, homeless male.
yu yu yu
3. A Catholic, black male.
yu yu yu
4. A Protestant, Swedish business
yu yu yu
executive. ANS: 1
yu yu yu
Rationale: The nurse should anticipate that the client of Jewish culture would place a high
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
importance on preventative health care and would consider mental health as equally
yu yu yu yu yu yu yu yu yu yu yu yu
important as physical health. Women are also more likely to seek treatment for mental
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
health problems than men.
yu yu yu yu
Cognitive Level: Application Integrated Process: Planning
yu yu yu yu yu
5. A psychiatric nurse intern states, This clients use of defense mechanisms should
yu yu yu yu yu yu yu yu yu yu yu
be eliminated. Which is a correct evaluation of this nurses statement?
yu yu yu yu yu yu yu yu yu yu yu
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
yu yu yu yu yu yu yu yu yu yu yu yu
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
yu yu yu yu yu yu yu yu yu yu yu yu
should always be eliminated.
yu yu yu yu
3. Defense mechanisms, used by individuals with weak ego integrity, should be
yu yu yu yu yu yu yu yu yu yu
discouraged and not eliminated.
yu yu yu yu
4. Defense mechanisms cause disintegration of the ego and should be
yu yu yu yu yu yu yu yu yu
fostered andencouraged.
yu yu
ANS: 1 yu
Rationale: The nurse should determine that defense mechanisms can be appropriate during
yu yu yu yu yu yu yu yu yu yu yu
times of stress. The client with no defense mechanisms may have a lower tolerance for
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
stress, thus leading to anxiety disorders. Defense mechanisms should be confronted when
yu yu yu yu yu yu yu yu yu yu yu yu
they impede the client from developing healthy coping skills.
yu yu yu yu yu yu yu yu yu
Cognitive Level: Application Integrated Process: Evaluation
yu yu yu yu yu
6. During an intake assessment, a nurse asks both physiological and psychosocial questions.
yu yu yu yu yu yu yu yu yu yu yu
The client angrily responds, Im here for my heart, not my head problems. Which is the
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
nurses best response?
yu yu yu
