TEST-BANK FOR DAVIS ADVANTAGE FOR TOWNSENDS ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION KARYN MORGAN CHAPTERS 1 – 32 COMPLETE GUIDE LATEST VERSION 2023 .. GRADED A+

TEST-BANK FOR DAVIS ADVANTAGE FOR TOWNSENDS ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION KARYN MORGAN CHAPTERS 1 – 32 COMPLETE GUIDE LATEST VERSION 2023 .. GRADED A+ Chapter 1. Mental Health and MentalIllness 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 mentalillness. 3. The clients behaviors are not congruent with cultural norms. 4. The clients behaviors demonstrate no functional impairment, indicating no mentalillness. 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 clientsdistress 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 amentalillness? 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 dailyfunctioning. 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. TheDSM-5 indicates that in orderto be diagnosed with a mental illness, daily functioning must be significantly impaired. The clients ability to communicatedistress 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 responsesto the parents? 1. Reactions to stress are relative rather than absolute; individual responses to stressvary. 2. It is abnormal for identical twins to react differently to similar stressors. 3. Identical twins should share the same temperament and respond similarly tostress. 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. Mentalhealth is a state of being thatis 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 psychiatrictreatment? 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 asphysical health. Women are also more likely to seek treatmentfor mental health problems than men. Cognitive Level: ApplicationIntegrated Process: Planning 5. A psychiatric nurse intern states, This clients use of defense mechanisms shouldbe eliminated.Which is a correct evaluation of this nurses statement? 1. Defense mechanisms can be appropriate responses to stress and need not beeliminated. 2. Defense mechanisms are a maladaptive attempt of the ego to manageanxiety and shouldalways be eliminated. 3. Defense mechanisms, used by individuals with weak ego integrity, should bediscouraged andnot 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 timesof 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