essentials-of-psychiatric-mental-health-nursing-8th-edition-concepts-of-care-in-evidence-based-practice-8th-edition-morgan-townsend-test-bank

Test Bank For Davis Advantage for Townsend’s
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Essentials of Psychiatric Mental Health Nursing
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9th Edition Karyn Morgan
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Chapters 1 - 32 | Complete
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,TABLE OF CONTENTS b b




INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS b b b b b




1. Mental Health and Mental Illness
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2. Biological Implications
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3. Ethical and Legal Issues
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4. Psychopharmacology
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II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
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5. Relationship Development and Therapeutic Communication
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6. The Nursing Process in Psychiatric/Mental Health Nursing
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7. Psychosocial Interventions and Spiritual Care
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8. Intervention in Groups
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9. Crisis Intervention
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10. The Recovery Model
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11. Suicide Prevention
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III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
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12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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13. Neurocognitive Disorders
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14. Substance Use and Addiction Disorders
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15. Schizophrenia Spectrum and Other Psychotic Disorders
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16. Depressive Disorders
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17. Bipolar and Related Disorders
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18. Anxiety, Obsessive-Compulsive, and Related Disorders
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19. Trauma- and Stressor-Related Disorders
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20. Somatic Symptom and Dissociative Disorders
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21. Eating Disorders
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22. Personality Disorders
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IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
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23. Children and Adolescents
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24. The Aging Individual
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25. Survivors of Abuse or Neglect
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26. Community Mental Health Nursing
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27. The Bereaved Individual
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28. Military Families
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V. ONLINE CHAPTERS
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29. Concepts of Personality Development
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30. Complementary and Integrative Therapies
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31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
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32. Issues Related to Human Sexuality and Gender Dysphoria
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,Chapter 1. Mental Health and Mental b b b b b




IllnessMultiple Choice
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1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of therecent
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death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not changed. How
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should the nurse interpret the clients behaviors?
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1. The clients behaviors demonstrate mental illness in the form ofdepression.
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2. The clients behaviors are extensive, which indicates the presence of mentalillness.
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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 mentalillness.
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ANSWER: 4 b




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




IntegratedProcess: 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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mentalillness?
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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 dailyfunctioning.
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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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ANSWER: 2 b




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




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

, ANSWER: 1 b




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




IntegratedProcess: Implementation
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4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?1. A
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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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ANSWER: 1 b




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




ApplicationIntegrated
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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
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andshouldalways be eliminated.
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3. Defense mechanisms, used by individuals with weak ego integrity, should be discouragedandnot
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eliminated.
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4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
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ANSWER: 1 b




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




IntegratedProcess: Evaluation
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6. During an intake assessment, a nurse asks both physiological and psychosocial questions. Theclient
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angrily responds, Im here for my heart, not my head problems. Which is the 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 ofquestions?
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3. Psychological factors, like excessive stress, have been found to affect medicalconditions. b b b b b b b b b b b




4. Wecan skip these questions, if you like. It isnt imperative that we complete this section.
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