Test Bank by Morgan Townsend Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition complete all solved exam questions 100% solution [UPDATED 2025!!]

, Essentials of Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based
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Practice 8th edition Morgan, Townsend Test Bank vv vv vv vv vv vv vv




Chapter 1. Mental Health and Mental Illness
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vv Multiple Choice vv




1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of
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the recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine
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vvhave not changed. How should the nurse interpret the clients behaviors?
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1. The clients behaviors demonstrate mental illness in the form of depression.
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2. The clients behaviors are extensive, which indicates the presence of mental illness.
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3. The clients behaviors are not congruent with cultural norms.
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4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
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ANS: 4 vv


Rationale: The nurse should assess that the clients daily functioning is not impaired. The client
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who experiences feelings of sadness after the loss of a pet is responding within normal
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expectations. Without significant impairment, the clients distress does not indicate a
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mental illness.
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Cognitive Level: Analysis vv vv


Integrated Process: Assessment
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2. At what point should the nurse determine that a client is at risk for developing a
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mental illness?
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1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
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2. When maladaptive responses to stress are coupled with interference in daily functioning.
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3. When a client communicates significant distress.
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4. When a client uses defense mechanisms as ego protection.
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ANS: 2 vv


Rationale: The nurse should determine that the client is at risk for mental illness when
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responses to stress are maladaptive and interfere with daily functioning. The DSM-5
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indicates that in order to be diagnosed with a mental illness, daily functioning must be
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significantly impaired. The clients ability to communicate distress would be considered a
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positive attribute.
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Cognitive Level: Application vv vv


Integrated Process: Assessment
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3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to
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stress. One twin becomes anxious and irritable, and the other withdraws and cries. How
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should the nurse explain these different stress responses to the parents?
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1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
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2. It is abnormal for identical twins to react differently to similar stressors.
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3. Identical twins should share the same temperament and respond similarly to stress.
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4. Environmental influences to stress weigh more heavily than genetic influences.
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,ANS: 1 vv


Rationale: The nurse should explain to the parents that, although the twins have identical
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DNA, there are several other factors that affect reactions to stress. Mental health is a state
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of being that is relative to the individual client. Environmental influences and
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temperament can affect stress reactions.
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Cognitive Level: Application vv vv


Integrated Process: Implementation
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4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?
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1. A Jewish, female social worker.
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2. A Baptist, homeless male.
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3. A Catholic, black male.
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4. A Protestant, Swedish business executive.
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ANS: 1 vv


Rationale: The nurse should anticipate that the client of Jewish culture would place a high
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importance on preventative health care and would consider mental health as equally
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important as physical health. Women are also more likely to seek treatment for mental
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health problems than men.
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Cognitive Level: Application vv vv


Integrated Process: Planning
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5. A psychiatric nurse intern states, This clients use of defense mechanisms should be
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eliminated. Which is a correct evaluation of this nurses statement?
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1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
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2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and
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should always be eliminated.
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3. Defense mechanisms, used by individuals with weak ego integrity, should be discouraged
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and not eliminated.
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4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
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ANS: 1 vv


Rationale: The nurse should determine that defense mechanisms can be appropriate during times
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of stress. The client with no defense mechanisms may have a lower tolerance for stress,
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thus leading to anxiety disorders. Defense mechanisms should be confronted when they
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impede the client from developing healthy coping skills.
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Cognitive Level: Application vv vv


Integrated Process: Evaluation
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6. During an intake assessment, a nurse asks both physiological and psychosocial questions.
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The client angrily responds, Im here for my heart, not my head problems. Which is the
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nurses best response?
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1. Its just a routine part of our assessment. All clients are asked these same questions.
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2. Why are you concerned about these types of questions?
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3. Psychological factors, like excessive stress, have been found to affect medical conditions.
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4. We can skip these questions, if you like. It isnt imperative that we complete this section.
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, ANS: 3 vv


Rationale: The nurse should attempt to educate the client on the negative effects of excessive
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stress on medical conditions. It is not appropriate to skip physiological and psychosocial
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questions, as this would lead to an inaccurate assessment.
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Cognitive Level: Application vv vv


Integrated Process: Implementation
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7. An employee uses the defense mechanism of displacement when the boss openly
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disagrees with suggestions. What behavior would be expected from this employee?
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1. The employee assertively confronts the boss.
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2. The employee leaves the staff meeting to work out in the gym.
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3. The employee criticizes a coworker.
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4. The employee takes the boss out to lunch.
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ANS: 3 vv


Rationale: The nurse should expect that the client using the defense mechanism displacement
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would criticize a coworker after being confronted by the boss. Displacement refers to
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transferring feelings from one target to a neutral or less-threatening target.
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Cognitive Level: Analysis vv vv


Integrated Process: Assessment
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8. A fourth-grade boyteases and makes jokes about a cute girl in his class. This behavior
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should be identified by a nurse as indicative of which defense mechanism?
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1. Displacement
2. Projection
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4. Sublimation
ANS: 3 vv


Rationale: The nurse should identify that the boy is using reaction formation as a defense
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mechanism. Reaction formation is the attempt to prevent undesirable thoughts from being
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expressed by expressing opposite thoughts or behaviors. Displacement refers to
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transferring feelings from one target to another. Rationalization refers to making excuses to
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justify behavior. Projection refers to the attribution of unacceptable feelings or behaviors
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to another person.
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Sublimation refers to channeling unacceptable drives or impulses into more constructive,
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acceptable activities.
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Cognitive Level: Application vv vv


Integrated Process: Assessment
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9. Which nursing statement about the concept of neurosis is most accurate?
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1. An individual experiencing neurosis is unaware that he or she is experiencing distress.
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2. An individual experiencing neurosis feels helpless to change his or her situation.
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3. An individual experiencing neurosis is aware of psychological causes of his or her behavior.
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4. An individual experiencing neurosis has a loss of contact with reality.
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ANS: 2 vv


Rationale: The nurse should define the concept of neurosis with the following characteristics:
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