Essentials of Psychiatric Mental Health Nurse
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Concepts of Care in Evidence-Based Practice 8th
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Edition - Morgan Townsend
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Test Bank w
Chapter 1. Mental Health and Mental
IllnessMultiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of therecent death of a beloved pet. The clients appetite, sleep patterns,
and daily routine have not changed. How should the nurse interpret the clients
behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
2. The clients behaviors are extensive, which indicates the presence of mental illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment, indicating no
mental illness.
ANS: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired.
The clientwho experiences feelings of sadness after the loss of a pet is responding
within normal expectations. Without significant impairment, the clients distress does
not indicate a mental illness.
Cognitive Level: Analysis
Integrated Process:
Assessment
2. At what point should the nurse determine that a client is at risk for
developing a mentalillness?
,1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
, 2. When maladaptive responses to stress are coupled with interference in
daily functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
ANS: 2
Rationale: The nurse should determine that the client is at risk for mental illness
when responsesto stress are maladaptive and interfere with daily functioning. The
DSM-5 indicates that in orderto be diagnosed with a mental illness, daily
functioning must be significantly impaired. The clients ability to communicate
distress would be considered a positive attribute.
Cognitive Level: Application
Integrated Process:
Assessment
3. A nurse is assessing a set of 15-year-old identical twins who respond very
differently to stress.One twin becomes anxious and irritable, and the other
withdraws and cries. How should the nurse explain these different stress responses
to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to
stress vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to stress.
4. Environmental influences to stress weigh more heavily than genetic influences.
w w w w w
, -
Concepts of Care in Evidence-Based Practice 8th
w w w w w w ww
w
Edition - Morgan Townsend
w w w
Test Bank w
Chapter 1. Mental Health and Mental
IllnessMultiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
because of therecent death of a beloved pet. The clients appetite, sleep patterns,
and daily routine have not changed. How should the nurse interpret the clients
behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
2. The clients behaviors are extensive, which indicates the presence of mental illness.
3. The clients behaviors are not congruent with cultural norms.
4. The clients behaviors demonstrate no functional impairment, indicating no
mental illness.
ANS: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired.
The clientwho experiences feelings of sadness after the loss of a pet is responding
within normal expectations. Without significant impairment, the clients distress does
not indicate a mental illness.
Cognitive Level: Analysis
Integrated Process:
Assessment
2. At what point should the nurse determine that a client is at risk for
developing a mentalillness?
,1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
, 2. When maladaptive responses to stress are coupled with interference in
daily functioning.
3. When a client communicates significant distress.
4. When a client uses defense mechanisms as ego protection.
ANS: 2
Rationale: The nurse should determine that the client is at risk for mental illness
when responsesto stress are maladaptive and interfere with daily functioning. The
DSM-5 indicates that in orderto be diagnosed with a mental illness, daily
functioning must be significantly impaired. The clients ability to communicate
distress would be considered a positive attribute.
Cognitive Level: Application
Integrated Process:
Assessment
3. A nurse is assessing a set of 15-year-old identical twins who respond very
differently to stress.One twin becomes anxious and irritable, and the other
withdraws and cries. How should the nurse explain these different stress responses
to the parents?
1. Reactions to stress are relative rather than absolute; individual responses to
stress vary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly to stress.
4. Environmental influences to stress weigh more heavily than genetic influences.
