TEST BANK FOR TOWNSEND'S ESSENTIALS OF
PSYCHIATRIC MENTAL HEALTH NURSING 9th EDITION
,Table of Contents
INTRODUCTION TO PSYCHIATRIC/MENTAL
HEALTH CONCEPTS
Mental Health and Mental Illness
Biological Implications
Ethical and Legal Issues
Psychopharmacology
PSYCHIATRIC/MENTAL HEALTH NURSING
INTERVENTIONS
Relationship Development and Therapeutic
Communication
The Nursing Process in Psychiatric/Mental Health Nursing
Milieu Therapy – Therapeutic Community
Intervention in Groups
Crisis Intervention
The Recovery Model
Suicide Prevention
CARE OF CLIENTS WITH PSYCHIATRIC DISORDERS
Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
Neurocognitive Disorders
Substance Use and Addictive Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Depressive Disorders
Bipolar and Related Disorders
Anxiety, Obsessive-Compulsive, and Related Disorders
Trauma- and Stressor-Related Disorders
Somatic Symptom and Dissociative Disorders
Eating Disorders Personality Disorders
PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
Children and Adolescents
The Aging Individual
Survivors of Abuse and Neglect
Community Mental Health Nursing
The Bereaved Individual 28 Military Families
ONLINE CHAPTERS
Concepts of Personality Development
Complementary and Psychosocial Therapies
Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
Issues Related to Human Sexuality and Gender Dysphoria
l
,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 9th EDITION
CONCEPTS OF CARE IN EVIDENCE- BASED PRACTICE 9th EDITION MORGAN
TOWNSEND TEST BANK
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.
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.
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.
l
, 4. Environmental Linfluences Lto Lstress Lweigh Lmore Lheavily Lthan Lgenetic
Linfluences. LANS: L1
Rationale: LThe Lnurse Lshould Lexplain Lto Lthe Lparents Lthat, Lalthough Lthe Ltwins Lhave Lidentical
LDNA,
there Lare Lseveral Lother Lfactors Lthat Laffect Lreactions Lto Lstress. LMental Lhealth Lis La Lstate Lof
Lbeing Lthat Lis Lrelative Lto Lthe Lindividual Lclient. LEnvironmental Linfluences Land
Ltemperament Lcan Laffect Lstress Lreactions.
Cognitive LLevel: LApplication LIntegrated LProcess: LImplementation
4. LWhich Lclient Lshould Lthe Lnurse Lanticipate Lto Lbe Lmost Lreceptive Lto Lpsychiatric Ltreatment?
1. A LJewish, Lfemale Lsocial Lworker.
2. A LBaptist, Lhomeless Lmale.
3. A LCatholic, Lblack Lmale.
4. A LProtestant, LSwedish Lbusiness
Lexecutive. LANS: L1
Rationale: LThe Lnurse Lshould Lanticipate Lthat Lthe Lclient Lof LJewish Lculture Lwould Lplace La
Lhigh Limportance Lon Lpreventative Lhealth Lcare Land Lwould Lconsider Lmental Lhealth Las
Lequally Limportant Las Lphysical Lhealth. LWomen Lare Lalso Lmore Llikely Lto Lseek Ltreatment
Lfor Lmental Lhealth Lproblems Lthan Lmen.
Cognitive LLevel: LApplication LIntegrated LProcess: LPlanning
5. A Lpsychiatric Lnurse Lintern Lstates, LThis Lclients Luse Lof Ldefense Lmechanisms
Lshould Lbe Leliminated. LWhich Lis La Lcorrect Levaluation Lof Lthis Lnurses Lstatement?
1. Defense Lmechanisms Lcan Lbe Lappropriate Lresponses Lto Lstress Land Lneed Lnot Lbe
Leliminated.
2. Defense Lmechanisms Lare La Lmaladaptive Lattempt Lof Lthe Lego Lto Lmanage Lanxiety
Land Lshould Lalways Lbe Leliminated.
3. Defense Lmechanisms, Lused Lby Lindividuals Lwith Lweak Lego Lintegrity, Lshould Lbe
Ldiscouraged Land Lnot Leliminated.
4. Defense Lmechanisms Lcause Ldisintegration Lof Lthe Lego Land Lshould Lbe
Lfostered Landencouraged.
ANS: L1
Rationale: LThe Lnurse Lshould Ldetermine Lthat Ldefense Lmechanisms Lcan Lbe Lappropriate
Lduring Ltimes Lof Lstress. LThe Lclient Lwith Lno Ldefense Lmechanisms Lmay Lhave La Llower
Ltolerance Lfor Lstress, Lthus Lleading Lto Lanxiety Ldisorders. LDefense Lmechanisms Lshould Lbe
Lconfronted Lwhen Lthey Limpede Lthe Lclient Lfrom Ldeveloping Lhealthy Lcoping Lskills.
Cognitive LLevel: LApplication LIntegrated LProcess: LEvaluation
6. During Lan Lintake Lassessment, La Lnurse Lasks Lboth Lphysiological Land Lpsychosocial
Lquestions. LThe Lclient Langrily Lresponds, LIm Lhere Lfor Lmy Lheart, Lnot Lmy Lhead Lproblems.
LWhich Lis Lthe Lnurses Lbest Lresponse?
l
PSYCHIATRIC MENTAL HEALTH NURSING 9th EDITION
,Table of Contents
INTRODUCTION TO PSYCHIATRIC/MENTAL
HEALTH CONCEPTS
Mental Health and Mental Illness
Biological Implications
Ethical and Legal Issues
Psychopharmacology
PSYCHIATRIC/MENTAL HEALTH NURSING
INTERVENTIONS
Relationship Development and Therapeutic
Communication
The Nursing Process in Psychiatric/Mental Health Nursing
Milieu Therapy – Therapeutic Community
Intervention in Groups
Crisis Intervention
The Recovery Model
Suicide Prevention
CARE OF CLIENTS WITH PSYCHIATRIC DISORDERS
Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
Neurocognitive Disorders
Substance Use and Addictive Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Depressive Disorders
Bipolar and Related Disorders
Anxiety, Obsessive-Compulsive, and Related Disorders
Trauma- and Stressor-Related Disorders
Somatic Symptom and Dissociative Disorders
Eating Disorders Personality Disorders
PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
Children and Adolescents
The Aging Individual
Survivors of Abuse and Neglect
Community Mental Health Nursing
The Bereaved Individual 28 Military Families
ONLINE CHAPTERS
Concepts of Personality Development
Complementary and Psychosocial Therapies
Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
Issues Related to Human Sexuality and Gender Dysphoria
l
,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 9th EDITION
CONCEPTS OF CARE IN EVIDENCE- BASED PRACTICE 9th EDITION MORGAN
TOWNSEND TEST BANK
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.
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.
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.
l
, 4. Environmental Linfluences Lto Lstress Lweigh Lmore Lheavily Lthan Lgenetic
Linfluences. LANS: L1
Rationale: LThe Lnurse Lshould Lexplain Lto Lthe Lparents Lthat, Lalthough Lthe Ltwins Lhave Lidentical
LDNA,
there Lare Lseveral Lother Lfactors Lthat Laffect Lreactions Lto Lstress. LMental Lhealth Lis La Lstate Lof
Lbeing Lthat Lis Lrelative Lto Lthe Lindividual Lclient. LEnvironmental Linfluences Land
Ltemperament Lcan Laffect Lstress Lreactions.
Cognitive LLevel: LApplication LIntegrated LProcess: LImplementation
4. LWhich Lclient Lshould Lthe Lnurse Lanticipate Lto Lbe Lmost Lreceptive Lto Lpsychiatric Ltreatment?
1. A LJewish, Lfemale Lsocial Lworker.
2. A LBaptist, Lhomeless Lmale.
3. A LCatholic, Lblack Lmale.
4. A LProtestant, LSwedish Lbusiness
Lexecutive. LANS: L1
Rationale: LThe Lnurse Lshould Lanticipate Lthat Lthe Lclient Lof LJewish Lculture Lwould Lplace La
Lhigh Limportance Lon Lpreventative Lhealth Lcare Land Lwould Lconsider Lmental Lhealth Las
Lequally Limportant Las Lphysical Lhealth. LWomen Lare Lalso Lmore Llikely Lto Lseek Ltreatment
Lfor Lmental Lhealth Lproblems Lthan Lmen.
Cognitive LLevel: LApplication LIntegrated LProcess: LPlanning
5. A Lpsychiatric Lnurse Lintern Lstates, LThis Lclients Luse Lof Ldefense Lmechanisms
Lshould Lbe Leliminated. LWhich Lis La Lcorrect Levaluation Lof Lthis Lnurses Lstatement?
1. Defense Lmechanisms Lcan Lbe Lappropriate Lresponses Lto Lstress Land Lneed Lnot Lbe
Leliminated.
2. Defense Lmechanisms Lare La Lmaladaptive Lattempt Lof Lthe Lego Lto Lmanage Lanxiety
Land Lshould Lalways Lbe Leliminated.
3. Defense Lmechanisms, Lused Lby Lindividuals Lwith Lweak Lego Lintegrity, Lshould Lbe
Ldiscouraged Land Lnot Leliminated.
4. Defense Lmechanisms Lcause Ldisintegration Lof Lthe Lego Land Lshould Lbe
Lfostered Landencouraged.
ANS: L1
Rationale: LThe Lnurse Lshould Ldetermine Lthat Ldefense Lmechanisms Lcan Lbe Lappropriate
Lduring Ltimes Lof Lstress. LThe Lclient Lwith Lno Ldefense Lmechanisms Lmay Lhave La Llower
Ltolerance Lfor Lstress, Lthus Lleading Lto Lanxiety Ldisorders. LDefense Lmechanisms Lshould Lbe
Lconfronted Lwhen Lthey Limpede Lthe Lclient Lfrom Ldeveloping Lhealthy Lcoping Lskills.
Cognitive LLevel: LApplication LIntegrated LProcess: LEvaluation
6. During Lan Lintake Lassessment, La Lnurse Lasks Lboth Lphysiological Land Lpsychosocial
Lquestions. LThe Lclient Langrily Lresponds, LIm Lhere Lfor Lmy Lheart, Lnot Lmy Lhead Lproblems.
LWhich Lis Lthe Lnurses Lbest Lresponse?
l
