TEST BANK
Davis Advantage for Townsend's Essentials of Psychiatric Mental
Health Nursing: Concepts of Care in Evidence-Based Practice
KARYN I. MORGAN
Ninth Edition
,Table of Contents
INTRODUCTION TO PSYCHIATRIC/MENTAL HEALTH
CONCEPTS
Mental Health and Mental Illness
Biological Implications
Ethical and Legal Issues
Psychopharmacology
PSYCHIATRIC/MENTAL HEALTH NURSING
INTERVENTIONS
Relationship Development and Therapeutic
Communication
The Nursing Process in Psychiatric/Mental Health Nursing
Milieu Therapy – Therapeutic Community
Intervention in Groups
Crisis Intervention
The Recovery Model
Suicide Prevention
CARE OF CLIENTS WITH PSYCHIATRIC DISORDERS
Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
Neurocognitive Disorders
Substance Use and Addictive Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Depressive Disorders
Bipolar and Related Disorders
Anxiety, Obsessive-Compulsive, and Related Disorders
Trauma- and Stressor-Related Disorders
Somatic Symptom and Dissociative Disorders
Eating Disorders Personality Disorders
PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
Children and Adolescents
The Aging Individual
Survivors of Abuse and Neglect
Community Mental Health Nursing
The Bereaved Individual 28 Military Families
ONLINE CHAPTERS
Concepts of Personality Development
Complementary and Psychosocial Therapies
Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
Issues Related to Human Sexuality and Gender Dysphoria
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,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 9th EDITION CONCEPTS OF CARE IN
EVIDENCE- BASED PRACTICE 9th EDITION MORGAN TOWNSEND TEST BANK
Chapter 1. Mental Health and Mental Illness Multiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of
the recent 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 client
who 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
mental illness?
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
responses to stress are maladaptive and interfere with daily functioning. The DSM-5 indicates
that in order to 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.
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, 4. Environmental influences to stress weigh more heavily than genetic
influences. ANS: 1
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,
there are several other factors that affect reactions to stress. Mental health is a state of being
that is relative to the individual client. Environmental influences and temperament can affect
stress reactions.
Cognitive Level: Application Integrated Process: Implementation
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
ANS: 1
Rationale: The nurse should anticipate that the client of Jewish culture would place a high
importance on preventative health care and would consider mental health as equally important
as physical health. Women are also more likely to seek treatment for mental health problems
than men.
Cognitive Level: Application Integrated Process: Planning
5. A psychiatric nurse intern states, This clients use of defense mechanisms should
be eliminated. Which is a correct evaluation of this nurses statement?
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
should always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should be
discouraged and not eliminated.
4. Defense mechanisms cause disintegration of the ego and should be
fostered andencouraged.
ANS: 1
Rationale: The nurse should determine that defense mechanisms can be appropriate during
times of stress. The client with no defense mechanisms may have a lower tolerance for stress,
thus leading to anxiety disorders. Defense mechanisms should be confronted when they
impede the client from developing healthy coping skills.
Cognitive Level: Application Integrated Process: Evaluation
6. During an intake assessment, a nurse asks both physiological and psychosocial questions.
The client angrily responds, Im here for my heart, not my head problems. Which is the nurses
best response?
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Davis Advantage for Townsend's Essentials of Psychiatric Mental
Health Nursing: Concepts of Care in Evidence-Based Practice
KARYN I. MORGAN
Ninth Edition
,Table of Contents
INTRODUCTION TO PSYCHIATRIC/MENTAL HEALTH
CONCEPTS
Mental Health and Mental Illness
Biological Implications
Ethical and Legal Issues
Psychopharmacology
PSYCHIATRIC/MENTAL HEALTH NURSING
INTERVENTIONS
Relationship Development and Therapeutic
Communication
The Nursing Process in Psychiatric/Mental Health Nursing
Milieu Therapy – Therapeutic Community
Intervention in Groups
Crisis Intervention
The Recovery Model
Suicide Prevention
CARE OF CLIENTS WITH PSYCHIATRIC DISORDERS
Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
Neurocognitive Disorders
Substance Use and Addictive Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Depressive Disorders
Bipolar and Related Disorders
Anxiety, Obsessive-Compulsive, and Related Disorders
Trauma- and Stressor-Related Disorders
Somatic Symptom and Dissociative Disorders
Eating Disorders Personality Disorders
PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
Children and Adolescents
The Aging Individual
Survivors of Abuse and Neglect
Community Mental Health Nursing
The Bereaved Individual 28 Military Families
ONLINE CHAPTERS
Concepts of Personality Development
Complementary and Psychosocial Therapies
Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
Issues Related to Human Sexuality and Gender Dysphoria
l
2|Page
,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 9th EDITION CONCEPTS OF CARE IN
EVIDENCE- BASED PRACTICE 9th EDITION MORGAN TOWNSEND TEST BANK
Chapter 1. Mental Health and Mental Illness Multiple Choice
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of
the recent 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 client
who 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
mental illness?
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
responses to stress are maladaptive and interfere with daily functioning. The DSM-5 indicates
that in order to 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.
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, 4. Environmental influences to stress weigh more heavily than genetic
influences. ANS: 1
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,
there are several other factors that affect reactions to stress. Mental health is a state of being
that is relative to the individual client. Environmental influences and temperament can affect
stress reactions.
Cognitive Level: Application Integrated Process: Implementation
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?
1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
ANS: 1
Rationale: The nurse should anticipate that the client of Jewish culture would place a high
importance on preventative health care and would consider mental health as equally important
as physical health. Women are also more likely to seek treatment for mental health problems
than men.
Cognitive Level: Application Integrated Process: Planning
5. A psychiatric nurse intern states, This clients use of defense mechanisms should
be eliminated. Which is a correct evaluation of this nurses statement?
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
should always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should be
discouraged and not eliminated.
4. Defense mechanisms cause disintegration of the ego and should be
fostered andencouraged.
ANS: 1
Rationale: The nurse should determine that defense mechanisms can be appropriate during
times of stress. The client with no defense mechanisms may have a lower tolerance for stress,
thus leading to anxiety disorders. Defense mechanisms should be confronted when they
impede the client from developing healthy coping skills.
Cognitive Level: Application Integrated Process: Evaluation
6. During an intake assessment, a nurse asks both physiological and psychosocial questions.
The client angrily responds, Im here for my heart, not my head problems. Which is the nurses
best response?
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