lOMoARc n
7
PSD| 790682
EssentialsnofnPsychiatricnMentalnHealthnNursingn8thnEditionnConceptsno
fnCareninnEvidencen-nBasednPracticen8thnEditionnMorgannTownsend
Chaptern1.nMentalnHealthnandnMentaln
IllnessMultiplenChoice
1.nAnnursenisnassessingnanclientnwhonisnexperiencingnoccasionalnfeelingsnofnsadnessnbecausen
ofntherecentndeathnofnanbelovednpet.nThenclientsnappetite,nsleepnpatterns,nandndailynroutinen
havennotnchanged.nHownshouldnthennursen interpretnthenclientsnbehaviors?
1. Thenclientsnbehaviorsndemonstratenmentalnillnessninnthenformnofndepression.
2. Thenclientsnbehaviorsnarenextensive,nwhichnindicatesnthenpresencenofnmentalnillness.
3. Thenclientsnbehaviorsnarennotncongruentnwithnculturalnnorms.
4. Thenclientsnbehaviorsndemonstratennonfunctionalnimpairment,nindicatingnnonmentaln
illness.
ANS:n4
Rationale:nThennursenshouldnassessnthatnthenclientsndailynfunctioningnisnnotnimpaired.nTh
enclientwhonexperiencesnfeelingsnofnsadnessnafternthenlossnofnanpetnisnrespondingnwithin
, nn
normalnexpectations.nWithoutnsignificantnimp airment,nthenclientsndistressn doesnnotnindi
lOM oARc PSD|7 90 68 27
catenanmentaln illness.
CognitivenLevel:nAnalysisn
IntegratednProcess:
Assessment
2.nAtnwhatnpointnshouldnthennursendeterminenthatnanclientnisnatnrisknforndevelopingnanment
alillness?
1. Whennthoughts,nfeelings,nandnbehaviorsnarennotnreflectivenofnthenDSM-5ncriteria.
2. Whennmaladaptivenresponsesntonstressnarencouplednwithninterferenceninndailyn
functioning.
3. Whennanclientncommunicatesnsignificantndistress.
4. Whennanclientnusesndefensenmechanismsnasnegonprotection.
ANS:n2
Rationale:nThennursenshouldndeterminenthatnthenclientnisnatnrisknfornmentalnillnessnwhen
, n
responsestonstressnarenmaladaptivenandninter ferenwithndailynfunctioning.nThenDSM-
lOMoARc PSD| 79 06 8 27
5nindicatesnthatninnordertonbendiagnosednwithnanmentalnillness,ndailynfunctioningnmustnb
ensignificantlynimpaired.nThenclientsnabilityntoncommunicatendistressnwouldnbenconsidere
dnanpositivenattribute.
CognitivenLevel:nApplicationn
IntegratednProcess:
Assessment
3.nAnnursenisnassessingnansetnofn15-year-
oldnidenticalntwinsnwhonrespondnveryndifferentlyntonstress.Onentwinnbecomesnanxiousnan
dnirritable,nandnthenothernwithdrawsnandncries.nHownshouldnthennursenexplainnthesendiff
erentn stressnresponsesntonthenparents?
1. Reactionsntonstressnarenrelativenrathernthannabsolute;nindividualnresponsesntonstressn
vary.
2. Itnisnabnormalnfornidenticalntwinsntonreactndifferentlyntonsimilarnstressors.
3. Identicalntwinsnshouldnsharenthensamentemperamentn andnrespondnsimilarlyntonstress.
4. Environmentalninfluencesntonstressnweighnmorenheavilynthanngeneticninfluences.
, lOMoARc
27
n
PSD| 79068
ANS:n1
Rationale:nThennursenshouldnexplainntonthenparentsnthat,nalthoughnthentwinsnhavenidenti
calnDNA,therenarenseveralnothernfactorsnthatnaffectnreactionsntonstress.nMentalnhealthnisnan
statenofnbeingnthatisnrelativentonthenindividualnclient.nEnvironmentalninfluencesnandntem
peramentncannaffectnstressnreactions.
CognitivenLevel:nApplicationn
IntegratednProcess:
Implementation
4.nWhichnclientnshouldnthennursenanticipatentonbenmostnreceptiventonpsychiatricntreatment?
1. AnJewish,nfemalensocialnworker.
2. AnBaptist,nhomelessnmale.
3. AnCatholic,nblacknmale.
4. AnProtestant,nSwedishnbusinessnexecutive.
ANS:n1
Rationale:nThennursenshouldnanticipatenthatnthenclientnofnJewishnculturenwouldnplacenanh
ighnimportancenonnpreventativenhealthncarenandnwouldnconsidernmentalnhealthnasnequall
ynimportantnasphysicalnhealth.nWomennarenalsonmorenlikelyntonseekntreatmentnfornmentaln
healthnproblemsnthannmen.
CognitivenLevel:
ApplicationIntegratednPr
ocess:nPlanning
5. Anpsychiatricnnurseninternnstates,nThisnclientsnusenofndefensenmechanismsnshouldnben
eliminated.Whichnisnancorrectnevaluationnofnthisnnursesnstatement?
1. Defensenmechanismsncannbenappropriatenresponsesntonstressnandnneednnotnben
eliminated.
2. Defensenmechanismsnarenanmaladaptivenattemptnofnthenegontonmanagenanxietyn
andnshouldalwaysnbeneliminated.
3. Defensenmechanisms,nusednbynindividualsnwithnweaknegonintegrity,nshouldnben
discouragednandnotneliminated.
4. Defensenmechanismsncausendisintegrationnofnthenegonandnshouldnbenfosterednandn
encouraged.
ANS:n1
7
PSD| 790682
EssentialsnofnPsychiatricnMentalnHealthnNursingn8thnEditionnConceptsno
fnCareninnEvidencen-nBasednPracticen8thnEditionnMorgannTownsend
Chaptern1.nMentalnHealthnandnMentaln
IllnessMultiplenChoice
1.nAnnursenisnassessingnanclientnwhonisnexperiencingnoccasionalnfeelingsnofnsadnessnbecausen
ofntherecentndeathnofnanbelovednpet.nThenclientsnappetite,nsleepnpatterns,nandndailynroutinen
havennotnchanged.nHownshouldnthennursen interpretnthenclientsnbehaviors?
1. Thenclientsnbehaviorsndemonstratenmentalnillnessninnthenformnofndepression.
2. Thenclientsnbehaviorsnarenextensive,nwhichnindicatesnthenpresencenofnmentalnillness.
3. Thenclientsnbehaviorsnarennotncongruentnwithnculturalnnorms.
4. Thenclientsnbehaviorsndemonstratennonfunctionalnimpairment,nindicatingnnonmentaln
illness.
ANS:n4
Rationale:nThennursenshouldnassessnthatnthenclientsndailynfunctioningnisnnotnimpaired.nTh
enclientwhonexperiencesnfeelingsnofnsadnessnafternthenlossnofnanpetnisnrespondingnwithin
, nn
normalnexpectations.nWithoutnsignificantnimp airment,nthenclientsndistressn doesnnotnindi
lOM oARc PSD|7 90 68 27
catenanmentaln illness.
CognitivenLevel:nAnalysisn
IntegratednProcess:
Assessment
2.nAtnwhatnpointnshouldnthennursendeterminenthatnanclientnisnatnrisknforndevelopingnanment
alillness?
1. Whennthoughts,nfeelings,nandnbehaviorsnarennotnreflectivenofnthenDSM-5ncriteria.
2. Whennmaladaptivenresponsesntonstressnarencouplednwithninterferenceninndailyn
functioning.
3. Whennanclientncommunicatesnsignificantndistress.
4. Whennanclientnusesndefensenmechanismsnasnegonprotection.
ANS:n2
Rationale:nThennursenshouldndeterminenthatnthenclientnisnatnrisknfornmentalnillnessnwhen
, n
responsestonstressnarenmaladaptivenandninter ferenwithndailynfunctioning.nThenDSM-
lOMoARc PSD| 79 06 8 27
5nindicatesnthatninnordertonbendiagnosednwithnanmentalnillness,ndailynfunctioningnmustnb
ensignificantlynimpaired.nThenclientsnabilityntoncommunicatendistressnwouldnbenconsidere
dnanpositivenattribute.
CognitivenLevel:nApplicationn
IntegratednProcess:
Assessment
3.nAnnursenisnassessingnansetnofn15-year-
oldnidenticalntwinsnwhonrespondnveryndifferentlyntonstress.Onentwinnbecomesnanxiousnan
dnirritable,nandnthenothernwithdrawsnandncries.nHownshouldnthennursenexplainnthesendiff
erentn stressnresponsesntonthenparents?
1. Reactionsntonstressnarenrelativenrathernthannabsolute;nindividualnresponsesntonstressn
vary.
2. Itnisnabnormalnfornidenticalntwinsntonreactndifferentlyntonsimilarnstressors.
3. Identicalntwinsnshouldnsharenthensamentemperamentn andnrespondnsimilarlyntonstress.
4. Environmentalninfluencesntonstressnweighnmorenheavilynthanngeneticninfluences.
, lOMoARc
27
n
PSD| 79068
ANS:n1
Rationale:nThennursenshouldnexplainntonthenparentsnthat,nalthoughnthentwinsnhavenidenti
calnDNA,therenarenseveralnothernfactorsnthatnaffectnreactionsntonstress.nMentalnhealthnisnan
statenofnbeingnthatisnrelativentonthenindividualnclient.nEnvironmentalninfluencesnandntem
peramentncannaffectnstressnreactions.
CognitivenLevel:nApplicationn
IntegratednProcess:
Implementation
4.nWhichnclientnshouldnthennursenanticipatentonbenmostnreceptiventonpsychiatricntreatment?
1. AnJewish,nfemalensocialnworker.
2. AnBaptist,nhomelessnmale.
3. AnCatholic,nblacknmale.
4. AnProtestant,nSwedishnbusinessnexecutive.
ANS:n1
Rationale:nThennursenshouldnanticipatenthatnthenclientnofnJewishnculturenwouldnplacenanh
ighnimportancenonnpreventativenhealthncarenandnwouldnconsidernmentalnhealthnasnequall
ynimportantnasphysicalnhealth.nWomennarenalsonmorenlikelyntonseekntreatmentnfornmentaln
healthnproblemsnthannmen.
CognitivenLevel:
ApplicationIntegratednPr
ocess:nPlanning
5. Anpsychiatricnnurseninternnstates,nThisnclientsnusenofndefensenmechanismsnshouldnben
eliminated.Whichnisnancorrectnevaluationnofnthisnnursesnstatement?
1. Defensenmechanismsncannbenappropriatenresponsesntonstressnandnneednnotnben
eliminated.
2. Defensenmechanismsnarenanmaladaptivenattemptnofnthenegontonmanagenanxietyn
andnshouldalwaysnbeneliminated.
3. Defensenmechanisms,nusednbynindividualsnwithnweaknegonintegrity,nshouldnben
discouragednandnotneliminated.
4. Defensenmechanismsncausendisintegrationnofnthenegonandnshouldnbenfosterednandn
encouraged.
ANS:n1
