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TEST BANK FOR DAVIS
ADVANTAGE FOR
TOWNSEND’S ESSENTIALS
OF PSYCHIATRIC MENTAL
HEALTH NURSING 9TH
EDITION KARYN MORGAN
TEST
BAN
Test bank
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2
chapters 1. Mental Health and Mental
illness
1. A nurse is assessing a client who is experiencing
occasional feelings of sadness because of their sad
death of a beloved pet the clients appetite and sleep
patterns and daily routine have not changed how
should the nurse interpret the client’s behaviors the
clients behaviors
1. The clients behaviours demonstrate mental illness in
the form of depression
2. the clients behavior 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
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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: AnalysisIntegrated
Process: Assessment
2. At what point should the nurse determine that a client
is at risk for developing amental illness
1. when thoughts feelings and behaviours are not
reflective of the DSM 5 criteria
2. when maladaptive responses to stress are coupled
with interference in daily functioning
3. when applying to communicate 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 response to stress are
maladaptive and interfere with daily functioning
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applied indicates that in order to be diagnosed with the
mental illness daily functioning must be significantly
impaired the clients ability to communicate and stress
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 .
which 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 the 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