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

Essentials of Psychiatric Mental Health Nurse
w w w w w

, -
Concepts of Care in Evidence-Based Practice 8th w w w w w w ww




w
Edition - Morgan Townsend w w w




Test Bank w




Chapter 1. Mental Health and Mental
w w w w w




IllnessMultiple Choice
w w




1. A nurse is assessing a client who is experiencing occasional feelings of sadness
w w w w w w w w w w w w




because of therecent death of a beloved pet. The clients appetite, sleep patterns,
w w w w w w w w w w w w w




and daily routine have not changed. How should the nurse interpret the clients
w w w w w w w w w w w w w




behaviors?
w




1. The clients behaviors demonstrate mental illness in the form of depression.
w w w w w w w w w w




2. The clients behaviors are extensive, which indicates the presence of mental illness.
w w w w w w w w w w w




3. The clients behaviors are not congruent with cultural norms.
w w w w w w w w




4. The clients behaviors demonstrate no functional impairment, indicating no
w w w w w w w w




mental illness.
w w




ANS: 4 w




Rationale: The nurse should assess that the clients daily functioning is not impaired.
w w w w w w w w w w w w




The clientwho experiences feelings of sadness after the loss of a pet is responding
w w w w w w w w w w w w w w




within normal expectations. Without significant impairment, the clients distress does
w w w w w w w w w w




not indicate a mental illness.
w w w w w




Cognitive Level: Analysis w w




Integrated Process:
w w




Assessment

2. At what point should the nurse determine that a client is at risk for
w w w w w w w w w w w w w




developing a mentalillness?
w w w

,1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
w w w w w w w w w w w

, 2. When maladaptive responses to stress are coupled with interference in
w w w w w w w w w




daily functioning.
w w




3. When a client communicates significant distress.
w w w w w




4. When a client uses defense mechanisms as ego protection.
w w w w w w w w




ANS: 2 w




Rationale: The nurse should determine that the client is at risk for mental illness
w w w w w w w w w w w w w




when responsesto stress are maladaptive and interfere with daily functioning. The
w w w w w w w w w w w




DSM-5 indicates that in orderto be diagnosed with a mental illness, daily
w w w w w w w w w w w w




functioning must be significantly impaired. The clients ability to communicate
w w w w w w w w w w




distress would be considered a positive attribute.
w w w w w w w




Cognitive Level: Application w w




Integrated Process:
w w




Assessment

3. A nurse is assessing a set of 15-year-old identical twins who respond very
w w w w w w w w w w w w




differently to stress.One twin becomes anxious and irritable, and the other
w w w w w w w w w w w




withdraws and cries. How should the nurse explain these different stress responses
w w w w w w w w w w w w




to the parents?
w w w




1. Reactions to stress are relative rather than absolute; individual responses to
w w w w w w w w w w




w stress vary. w




2. It is abnormal for identical twins to react differently to similar stressors.
w w w w w w w w w w w




3. Identical twins should share the same temperament and respond similarly to stress.
w w w w w w w w w w w




4. Environmental influences to stress weigh more heavily than genetic influences.
w w w w w w w w w