Test Bank for Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition Morgan Townsend, A+ guide.

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Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts
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of Care in Evidence- Based Practice 8th Edition Morgan Townsend
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Test Bank
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Essentials of Psychiatric Mental Health Nursing 8th
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Edition Concepts of Care in Evidence - Based
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Practice 8th Edition Morgan Townsend
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Chapter i1. iMental iHealth iand iMental
IllnessMultiple iChoice
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1. A inurse iis iassessing ia iclient iwho iis iexperiencing ioccasional ifeelings iof isadness
because iof itherecent ideath iof ia ibeloved ipet. iThe iclients iappetite, isleep ipatterns, iand
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daily iroutine ihave inot ichanged. iHow ishould ithe inurse iinterpret ithe iclients ibehaviors?
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1. The iclients ibehaviors idemonstrate imental iillness iin ithe iform iof idepression.
2. The iclients ibehaviors iare iextensive, iwhich iindicates ithe ipresence iof imental iillness.
3. The iclients ibehaviors iare inot icongruent iwith icultural inorms.
4. The iclients ibehaviors idemonstrate ino ifunctional iimpairment, iindicating ino
mental iillness.
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ANS: i4
Rationale: iThe inurse ishould iassess ithat ithe iclients idaily ifunctioning iis inot iimpaired.
The iclientwho iexperiences ifeelings iof isadness iafter ithe iloss iof ia ipet iis iresponding
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within inormal iexpectations. iWithout isignificant iimpairment, ithe iclients idistress idoes
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not iindicate ia imental iillness.
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Cognitive iLevel: iAnalysis
Integrated iProcess:
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Assessment

2. At iwhat ipoint ishould ithe inurse idetermine ithat ia iclient iis iat irisk ifor ideveloping
a imentalillness?
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1. When ithoughts, ifeelings, iand ibehaviors iare inot ireflective iof ithe iDSM-5 icriteria.
2. When imaladaptive iresponses ito istress iare icoupled iwith iinterference iin
daily ifunctioning.
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3. When ia iclient icommunicates isignificant idistress.
4. When ia iclient iuses idefense imechanisms ias iego iprotection.

ANS: i2
Rationale: iThe inurse ishould idetermine ithat ithe iclient iis iat irisk ifor imental iillness iwhen




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,responsesto istress iarSetum a l a d a p ti v e a n d i n te r f e r e w i t h d ai l y functioning. i The i DSM-5
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indicates ithat iin iorderto ibe idiagnosed iwith ia imental iillness, idaily ifunctioning imust ibe
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significantly iimpaired. iThe iclients iability ito icommunicate idistress iwould ibe
considered ia ipositive iattribute.
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Cognitive iLevel: iApplication
Integrated iProcess:
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Assessment

3. A inurse iis iassessing ia iset iof i15-year-old iidentical itwins iwho irespond ivery
differently ito istress.One itwin ibecomes ianxious iand iirritable, iand ithe iother
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withdraws iand icries. iHow ishould ithe inurse iexplain ithese idifferent istress iresponses
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to ithe iparents?
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1. Reactions ito istress iare irelative irather ithan iabsolute; iindividual iresponses ito
stress ivary.
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2. It iis iabnormal ifor iidentical itwins ito ireact idifferently ito isimilar istressors.
3. Identical itwins ishould ishare ithe isame itemperament iand irespond isimilarly ito istress.
4. Environmental iinfluences ito istress iweigh imore iheavily ithan igenetic iinfluences.




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ANS: i1
Rationale: iThe inurse ishould iexplain ito ithe iparents ithat, ialthough ithe itwins ihave
identical iDNA,there iare iseveral iother ifactors ithat iaffect ireactions ito istress. iMental
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health iis ia istate iof ibeing ithatis irelative ito ithe iindividual iclient. iEnvironmental
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influences iand itemperament ican iaffect istress ireactions.
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Cognitive iLevel: iApplication
Integrated iProcess:
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Implementation

4. Which iclient ishould ithe inurse ianticipate ito ibe imost ireceptive ito ipsychiatric itreatment?
1. A iJewish, ifemale isocial iworker.
2. A iBaptist, ihomeless imale.
3. A iCatholic, iblack imale.
4. A iProtestant, iSwedish ibusiness iexecutive.

ANS: i1
Rationale: iThe inurse ishould ianticipate ithat ithe iclient iof iJewish iculture iwould iplace ia
high iimportance ion ipreventative ihealth icare iand iwould iconsider imental ihealth ias
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equally iimportant iasphysical ihealth. iWomen iare ialso imore ilikely ito iseek itreatment ifor
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mental ihealth iproblems ithan imen.
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Cognitive iLevel:
ApplicationIntegrated
Process: iPlanning
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5. A ipsychiatric inurse iintern istates, iThis iclients iuse iof idefense imechanisms ishould
be ieliminated.Which iis ia icorrect ievaluation iof ithis inurses istatement?
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1. Defense imechanisms ican ibe iappropriate iresponses ito istress iand ineed inot
be ieliminated.
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2. Defense imechanisms iare ia imaladaptive iattempt iof ithe iego ito imanage
anxiety iand ishouldalways ibe ieliminated.
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3. Defense imechanisms, iused iby iindividuals iwith iweak iego iintegrity, ishould
be idiscouraged iandnot ieliminated.
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4. Defense imechanisms icause idisintegration iof ithe iego iand ishould ibe ifostered
and iencouraged.
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ANS: i1



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