TEST BANK FOR ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING 8TH EDITION MORGAN|WITH CORRECT ANSWERS
,Table of Contents
CHAPTER 1. MENTAL HEALTH AND MENTAL ILLNESS................................................................................... 3
CHAPTER 2. BIOLOGICAL ............................................................................................................................. 10
CHAPTER 3. ETHICAL AND LEGAL ISSUES .................................................................................................... 16
CHAPTER 4. PSYCHOPHARMACOLOGY ....................................................................................................... 25
CHAPTER 5 . RELATIONSHIP DEVELOPMENT AND THERAPEUTIC COMMUNICATION ............................... 36
CHAPTER 6. THE NURSING PROCESS IN PSYCHIATRIC/MENTAL HEALTH NURSING ................................... 46
Chapter 8. Intervention in Groups Multiple Choice.................................................................................... 59
Chapter 9. Crisis Intervention Multiple Choice ........................................................................................... 67
Chapter 10. The Recovery Model Multiple Choice ..................................................................................... 75
Chapter 11. Suicide Prevention MULTIPLE CHOICE .................................................................................... 82
Chapter 12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice
Settings........................................................................................................................................................ 90
Chapter 13. Neurocognitive Disorders Multiple Choice ............................................................................. 99
Chapter 14. Substance Use and Addictive Disorders Multiple Choice ..................................................... 108
Chapter 15. Schizophrenia Spectrum and Other Psychotic Disorders Multiple Choice ........................... 123
Chapter 16. Depressive Disorders Multiple Choice .................................................................................. 138
Chapter 17. Bipolar and Related Disorders............................................................................................... 153
Chapter 18. Anxiety, Obsessive-Compulsive, and Related Disorders ....................................................... 161
Chapter 19. Trauma- and Stressor-Related Disorders .............................................................................. 174
Chapter 20. Somatic Symptom and Dissociative ...................................................................................... 188
Chapter 21. Eating Disorders .................................................................................................................... 196
Chapter 22. Personality Disorders ............................................................................................................ 203
Chapter 23. Children and Adolescents...................................................................................................... 220
Chapter 25. Survivors of Abuse and Neglect ............................................................................................ 238
Chapter 26. Community Mental Health.................................................................................................... 246
Chapter 27. The Bereaved Individual ........................................................................................................ 254
Chapter 28. Military Families .................................................................................................................... 261
Chapter 29. Concepts of Personality Development.................................................................................. 265
Chapter 30. Complementary and Psychosocial Therapies........................................................................ 271
Chapter 31. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing ................. 278
Chapter 32. Issues Related to Human Sexuality and Gender Dysphoria .................................................. 287
, [TEST BANK] ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION CONCEPTS OF CARE
IN EVIDENCE- BASED PRACTICE 8TH EDITION MORGAN TOWNSEND
QUESTIONS WITH MULTIPLE CHOICES AND CORRECT ANSWERS WITH RATIONALES
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.
CORRECT 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.
CORRECT 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.
4. Environmental influences to stress weigh more heavily than genetic influences.
CORRECT 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.
CORRECT 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.
NURSING 8TH EDITION MORGAN|WITH CORRECT ANSWERS
,Table of Contents
CHAPTER 1. MENTAL HEALTH AND MENTAL ILLNESS................................................................................... 3
CHAPTER 2. BIOLOGICAL ............................................................................................................................. 10
CHAPTER 3. ETHICAL AND LEGAL ISSUES .................................................................................................... 16
CHAPTER 4. PSYCHOPHARMACOLOGY ....................................................................................................... 25
CHAPTER 5 . RELATIONSHIP DEVELOPMENT AND THERAPEUTIC COMMUNICATION ............................... 36
CHAPTER 6. THE NURSING PROCESS IN PSYCHIATRIC/MENTAL HEALTH NURSING ................................... 46
Chapter 8. Intervention in Groups Multiple Choice.................................................................................... 59
Chapter 9. Crisis Intervention Multiple Choice ........................................................................................... 67
Chapter 10. The Recovery Model Multiple Choice ..................................................................................... 75
Chapter 11. Suicide Prevention MULTIPLE CHOICE .................................................................................... 82
Chapter 12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice
Settings........................................................................................................................................................ 90
Chapter 13. Neurocognitive Disorders Multiple Choice ............................................................................. 99
Chapter 14. Substance Use and Addictive Disorders Multiple Choice ..................................................... 108
Chapter 15. Schizophrenia Spectrum and Other Psychotic Disorders Multiple Choice ........................... 123
Chapter 16. Depressive Disorders Multiple Choice .................................................................................. 138
Chapter 17. Bipolar and Related Disorders............................................................................................... 153
Chapter 18. Anxiety, Obsessive-Compulsive, and Related Disorders ....................................................... 161
Chapter 19. Trauma- and Stressor-Related Disorders .............................................................................. 174
Chapter 20. Somatic Symptom and Dissociative ...................................................................................... 188
Chapter 21. Eating Disorders .................................................................................................................... 196
Chapter 22. Personality Disorders ............................................................................................................ 203
Chapter 23. Children and Adolescents...................................................................................................... 220
Chapter 25. Survivors of Abuse and Neglect ............................................................................................ 238
Chapter 26. Community Mental Health.................................................................................................... 246
Chapter 27. The Bereaved Individual ........................................................................................................ 254
Chapter 28. Military Families .................................................................................................................... 261
Chapter 29. Concepts of Personality Development.................................................................................. 265
Chapter 30. Complementary and Psychosocial Therapies........................................................................ 271
Chapter 31. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing ................. 278
Chapter 32. Issues Related to Human Sexuality and Gender Dysphoria .................................................. 287
, [TEST BANK] ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION CONCEPTS OF CARE
IN EVIDENCE- BASED PRACTICE 8TH EDITION MORGAN TOWNSEND
QUESTIONS WITH MULTIPLE CHOICES AND CORRECT ANSWERS WITH RATIONALES
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.
CORRECT 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.
CORRECT 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.
4. Environmental influences to stress weigh more heavily than genetic influences.
CORRECT 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.
CORRECT 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.
