n n n n
NURSING 8TH EDITION CONCEPTS OF CARE IN
n n n n n n n
EVIDENCE- BASED PRACTICE 8TH EDITION
n n n n n
MORGAN TOWNSEND TEST BANK
n n n n
, lOMoARcPSD|7906827
Essentials of Psychiatric Mental Health Nursing 8th
n n n n n n n
Edition Concepts of Care in Evidence - Based
n n n n n n n n n
nPractice 8th Edition Morgan Townsend
n n n n
Chapter 1.
n Mental
n Health
n n and
Mental nIllnessMultiple nChoice
n
1. A nnurse nis nassessing na nclient nwho nis nexperiencing noccasional nfeelings nof nsadness
because nof ntherecent ndeath nof na nbeloved npet. nThe nclients nappetite, nsleep npatterns,
n
and ndaily nroutine nhave nnot nchanged. nHow nshould nthe nnurse ninterpret nthe nclients
n
behaviors?
n
1. The nclients nbehaviors ndemonstrate nmental nillness nin nthe nform nof ndepression.
2. The nclients nbehaviors nare nextensive, nwhich nindicates nthe npresence nof nmental nillness.
3. The nclients nbehaviors nare nnot ncongruent nwith ncultural nnorms.
4. The nclients nbehaviors ndemonstrate nno nfunctional nimpairment, nindicating nno
mental nillness.
n
ANS: n4
Rationale: nThe nnurse nshould nassess nthat nthe nclients ndaily nfunctioning nis nnot
impaired. nThe nclientwho nexperiences nfeelings nof nsadness nafter nthe nloss nof na npet nis
n
responding nwithin nnormal nexpectations. nWithout nsignificant nimpairment, nthe nclients
n
distress ndoes nnot nindicate na nmental nillness.
n
Cognitive nLevel: nAnalysis
Integrated nProcess:
n
Assessment
2. At nwhat npoint nshould nthe nnurse ndetermine nthat na nclient nis nat nrisk nfor
developing na nmentalillness?
n
1. When nthoughts, nfeelings, nand nbehaviors nare nnot nreflective nof nthe nDSM-5 ncriteria.
2. When nmaladaptive nresponses nto nstress nare ncoupled nwith ninterference nin
daily nfunctioning.
n
3. When na nclient ncommunicates nsignificant ndistress.
,4. When na nclient nuses ndefense nmechanisms nas nego nprotection.
lOMoARcPSD|7906827
ANS: n2
Rationale: nThe nnurse nshould ndetermine nthat nthe nclient nis nat nrisk nfor nmental nillness nwhen
, responsesto nstress nare nmaladaptive nand ninterfere nwith ndaily nfunctioning. nThe
lOMoARcPSD|7906827
DSM-5 nindicates nthat nin norderto nbe ndiagnosed nwith na nmental nillness, ndaily
n
functioning nmust nbe nsignificantly nimpaired. nThe nclients nability nto ncommunicate
n
distress nwould nbe nconsidered na npositive nattribute.
n
Cognitive nLevel:
Application nIntegrated
n
Process:
n
Assessment
3. A nnurse nis nassessing na nset nof n15-year-old nidentical ntwins nwho nrespond nvery
differently nto nstress.One ntwin nbecomes nanxious nand nirritable, nand nthe nother
n
withdraws nand ncries. nHow nshould nthe nnurse nexplain nthese ndifferent nstress
n
responses nto nthe nparents?
n
1. Reactions nto nstress nare nrelative nrather nthan nabsolute; nindividual nresponses nto
stress nvary.
n
2. It nis nabnormal nfor nidentical ntwins nto nreact ndifferently nto nsimilar nstressors.
3. Identical ntwins nshould nshare nthe nsame ntemperament nand nrespond nsimilarly nto nstress.
4. Environmental ninfluences nto nstress nweigh nmore nheavily nthan ngenetic ninfluences.