Test Bank for Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition Morgan Townsend, A+ guide.

Test Bank For Davis Advantage for Townsend’s
b b b b b b




Essentials of Psychiatric Mental Health Nursing
b b b b b b




9th Edition Karyn Morgan
b b b




Chapters 1 - 32 | Complete
b b b b b 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. MentalHealthand MentalIllness b b b b b b




Multiple Choice
b b




1. Anurse is assessing a client who is experiencingoccasionalfeelings ofsadness because oftherecent
b b b b b b b b b b b b b b b b b




death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not changed. How
b b b b b b b b b b b b b b b b b




should the nurse interpret the clients behaviors?
b b b b b b b




1. The clients behaviors demonstrate mental illness inthe formofdepression.
b b b b b b b b b b




2. Theclients behaviors are extensive, which indicates the presence ofmentalillness.
b b b b b b b b b b b




3. Theclientsbehaviors are not congruent withcultural norms.
b b b b b b b b




4. The clients behaviors demonstrate no functional impairment, indicating no mentalillness.
b b b b b b b b b b




ANSWER: 4 b




Rationale: Thenurseshould assessthat theclientsdailyfunctioning is not impaired. Theclientwho
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. Without
b b b b b b b b b b b b b b b b




significant impairment, the clients distress does not indicate a mental illness.
b b b b b b b b b b b




Cognitive Level: Analysis b b




IntegratedProcess:Assessment
b b b




2. At what point should the nurse determine that a client is at risk for developing a mentalillness?
b b b b b b b b b b b b b b b b b b




1. Whenthoughts, feelings, and behaviors arenot reflective oftheDSM-5 criteria.
b b b b b b b b b b b




2. When maladaptiveresponsestostress arecoupled withinterference indailyfunctioning.
b b b b b b b b b b b




3. Whenaclient communicatessignificant distress. b b b b b




4. Whena client uses defense mechanismsas 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 be
b b b b b b b b b b b b b b b b




diagnosed with a mental illness, daily functioning must be significantly impaired. The clients abilityto
b b b b b b b b b b b b b b b




communicate distress would be considered a positive attribute.
b b b b b b b b




Cognitive Level: Application b b




IntegratedProcess:Assessment
b b b




3. Anurse isassessing a set of15-year-old identicaltwins who respond verydifferentlyto stress.One
b b b b b b b b b b b b b b b b b




twin becomes anxious and irritable, and the other withdraws and cries. How should the nurseexplain
b b b b b b b b b b b b b b b b




these different stress responses to theparents?
b b b b b b b




1. Reactions to stress arerelative rather thanabsolute; individualresponses to stressvary. b b b b b b b b b b b b




2. It isabnormalfor identicaltwins to react differentlyto similar stressors.
b b b b b b b b b b b




3. Identicaltwins should sharethesametemperament and respond similarlyto stress. b b b b b b b b b b b




4. Environmentalinfluences to stressweigh moreheavilythangeneticinfluences. 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 DNA,there
b b b b b b b b b b b b b b b




areseveralother factorsthat affect reactions to stress. Mentalhealth is a stateofbeing thatis relative to
b b b b b b b b b b b b b b b b b b b b




the individual client. Environmental influences and temperament can affect stress reactions.
b b b b b b b b b b b




Cognitive Level: Application b b




IntegratedProcess:Implementation
b b b




4. Whichclient should the nurseanticipateto be most receptive to psychiatric treatment?1. A
b b b b b b b b b b b b b b b




Jewish, female socialworker.
b b b b




2. ABaptist, homeless male.
b b b




3. ACatholic, black male.
b b b




4. AProtestant, Swedish businessexecutive.
b b b b




ANSWER: 1 b




Rationale: The nurse should anticipate that the client of Jewish culture would place a high importance
b b b b b b b b b b b b b b b




on preventative health care and would consider mental health as equally important asphysical health.
b b b b b b b b b b b b b b b




Women are also more likely to seek treatment for mental health problems than men.
b b b b b b b b b b b b b b




Cognitive Level: Application b b




IntegratedProcess: Planning
b b b




5. Apsychiatric nurse internstates,Thisclientsuseofdefense mechanisms should be eliminated.Which
b b b b b b b b b b b b b b




isa correct evaluation of this nurses statement?
b b b b b b b b




1. Defense mechanisms can beappropriate responses to stress and need not beeliminated. 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 andshould b b b b b b b b b b b b




always be eliminated.
b b b




3. Defense mechanisms, used by individuals with weak ego integrity, should be discouragedandnot b b b b b b b b b b b b




eliminated.
b




4. Defense mechanisms cause disintegrationofthe ego and should be fostered andencouraged. b b b b b b b b b b b b




ANSWER: 1 b




Rationale:Thenurseshould determinethat defense mechanisms canbeappropriateduring 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 to
b b b b b b b b b b b b b b b b b




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




developing healthycoping skills.
b b b b




Cognitive Level: Application b b




IntegratedProcess:Evaluation
b b b




6. During an intake assessment, anurse asks bothphysiologicaland psychosocialquestions. Theclient
b b b b b b b b b b b b b b




angrily responds, Im here for my heart, not my head problems. Which is the nurses best response?
b b b b b b b b b b b b b b b b b




1. Itsjust aroutine partofour assessment. Allclients areasked thesesamequestions.
b b b b b b b b b b b b b b




2. Whyare you concerned about these types ofquestions?
b b b b b b b b




3. Psychological factors, likeexcessive stress, have been found to affect medicalconditions. b b b b b b b b b b b




4. Wecanskip thesequestions, ifyou like.Itisnt imperativethat wecompletethis section.
b b b b b b b b b b b b b b b