Test Bank For Davis Advantage for Townsend’s
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v 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 v v
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS v v v v v
1. Mental Health and Mental Illness
v v v v v
2. Biological Implications
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3. Ethical and Legal Issues
v v v v
4. Psychopharmacology
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II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
v v v v v
5. Relationship Development and Therapeutic Communication
v v v v v
6. The Nursing Process in Psychiatric/Mental Health Nursing
v v v v v v v
7. Psychosocial Interventions and Spiritual Care
v v v v v
8. Intervention in Groups
v v v
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
v v v v v v
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
v v v v v v v v v v v v v v
13. Neurocognitive Disorders
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14. Substance Use and Addiction Disorders
v v v v v
15. Schizophrenia Spectrum and Other Psychotic Disorders
v v v v v v
16. Depressive Disorders
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17. Bipolar and Related Disorders
v v v v
18. Anxiety, Obsessive-Compulsive, and Related Disorders
v v v v v
19. Trauma- and Stressor-Related Disorders
v v v v
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 Illness
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Multiple 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 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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ANSWER: 4 v
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 v v
IntegratedProcess: Assessment
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2. At what point should the nurse determine that a client is at risk for developing a mental
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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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ANSWER: 2 v
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 v v
IntegratedProcess: Assessment
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3. A nurse is assessing a set of 15-year-old identical twins who respond very differently 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 stress vary.
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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 similarly to stress.
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4. Environmental influences to stress weigh more heavily than genetic influences. v v v v v v v v v
, ANSWER: 1 v
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,there
v v v v v v v v v v v v v v v
are several other factors that affect reactions to stress. Mental health is a stateof being thatis relative to
v v v v v v v v v v v v v v v v v v v v
the individual client. Environmental influences and temperament can affect stress reactions.
v v v v v v v v v v v
Cognitive Level: Application v v
IntegratedProcess: Implementation
v v v
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 v
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: Application v v
Integrated Process: Planning
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5. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated.
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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 andshould
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always 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 andencouraged.
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ANSWER: 1 v
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.
v v v v
Cognitive Level: Application v v
IntegratedProcess: Evaluation
v v v
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. v v v v v v v v v v v
4. We can skip these questions, if you like. It isnt imperative that we complete this section.
v v v v v v v v v v v v v v v
v v v v v v
v Essentials of Psychiatric Mental Health Nursing
v v v v v
9th Edition Karyn Morgan
v v v
Chapters 1 - 32 | Complete
v v v v v v
,TABLE OF CONTENTS v v
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS v v v v v
1. Mental Health and Mental Illness
v v v v v
2. Biological Implications
v v
3. Ethical and Legal Issues
v v v v
4. Psychopharmacology
v
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
v v v v v
5. Relationship Development and Therapeutic Communication
v v v v v
6. The Nursing Process in Psychiatric/Mental Health Nursing
v v v v v v v
7. Psychosocial Interventions and Spiritual Care
v v v v v
8. Intervention in Groups
v v v
9. Crisis Intervention
v v
10. The Recovery Model
v v v
11. Suicide Prevention
v v
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
v v v v v v
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
v v v v v v v v v v v v v v
13. Neurocognitive Disorders
v v
14. Substance Use and Addiction Disorders
v v v v v
15. Schizophrenia Spectrum and Other Psychotic Disorders
v v v v v v
16. Depressive Disorders
v v
17. Bipolar and Related Disorders
v v v v
18. Anxiety, Obsessive-Compulsive, and Related Disorders
v v v v v
19. Trauma- and Stressor-Related Disorders
v v v v
20. Somatic Symptom and Dissociative Disorders
v v v v v
21. Eating Disorders
v v
22. Personality Disorders
v v
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
v v v v v v v
23. Children and Adolescents
v v v
24. The Aging Individual
v v v
25. Survivors of Abuse or Neglect
v v v v v
26. Community Mental Health Nursing
v v v v
27. The Bereaved Individual
v v v
28. Military Families
v v
V. ONLINE CHAPTERS
v v
29. Concepts of Personality Development
v v v v
30. Complementary and Integrative Therapies
v v v v
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
v v v v v v v v
32. Issues Related to Human Sexuality and Gender Dysphoria
v v v v v v v v v
,Chapter 1. Mental Health and Mental Illness
v v v v v v
Multiple Choice
v v
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of therecent
v v v v v v v v v v v v v v v v v
death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not changed. How
v v v v v v v v v v v v v v v v v
should the nurse interpret the clients behaviors?
v v v v v v v
1. The clients behaviors demonstrate mental illness in the form ofdepression.
v v v v v v v v v v
2. The clients behaviors are extensive, which indicates the presence of mental illness.
v v v v v v v v v v v
3. The clients behaviors are not congruent with cultural norms.
v v v v v v v v
4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
v v v v v v v v v v
ANSWER: 4 v
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho
v v v v v v v v v v v v v v v
experiences feelings of sadness after the loss of a pet is responding within normal expectations.
v v v v v v v v v v v v v v v
Without significant impairment, the clients distress does not indicate a mental illness.
v v v v v v v v v v v v
Cognitive Level: Analysis v v
IntegratedProcess: Assessment
v v v
2. At what point should the nurse determine that a client is at risk for developing a mental
v v v v v v v v v v v v v v v v v
illness?
v
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
v v v v v v v v v v v
2. When maladaptive responses to stress are coupled with interference in daily functioning.
v v v v v v v v v v v
3. When a client communicates significant distress.
v v v v v
4. When a client uses defense mechanisms as ego protection.
v v v v v v v v
ANSWER: 2 v
Rationale: The nurse should determine that the client is at risk for mental illness when responsesto
v v v v v v v v v v v v v v v v
stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in orderto be
v v v v v v v v v v v v v v v v
diagnosed with a mental illness, daily functioning must be significantly impaired. The clients ability
v v v v v v v v v v v v v v
to communicate distress would be considered a positive attribute.
v v v v v v v v v
Cognitive Level: Application v v
IntegratedProcess: Assessment
v v v
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress.One
v v v v v v v v v v v v v v v v v
twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse explain
v v v v v v v v v v v v v v v v
these different stress responses to the parents?
v v v v v v v
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
v v v v v v v v v v v v
2. It isabnormal for identical twins to react differently to similar stressors.
v v v v v v v v v v v
3. Identical twins should share the same temperament and respond similarly to stress.
v v v v v v v v v v v
4. Environmental influences to stress weigh more heavily than genetic influences. v v v v v v v v v
, ANSWER: 1 v
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,there
v v v v v v v v v v v v v v v
are several other factors that affect reactions to stress. Mental health is a stateof being thatis relative to
v v v v v v v v v v v v v v v v v v v v
the individual client. Environmental influences and temperament can affect stress reactions.
v v v v v v v v v v v
Cognitive Level: Application v v
IntegratedProcess: Implementation
v v v
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?1. A
v v v v v v v v v v v v v v v
Jewish, female social worker.
v v v v
2. A Baptist, homeless male.
v v v
3. A Catholic, black male.
v v v
4. A Protestant, Swedish business executive.
v v v v
ANSWER: 1 v
Rationale: The nurse should anticipate that the client of Jewish culture would place a high importance
v v v v v v v v v v v v v v v
on preventative health care and would consider mental health as equally important asphysical health.
v v v v v v v v v v v v v v v
Women are also more likely to seek treatment for mental health problems than men.
v v v v v v v v v v v v v v
Cognitive Level: Application v v
Integrated Process: Planning
v v v
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated.
v v v v v v v v v v v v v
Which is a correct evaluation of this nurses statement?
v v v v v v v v v
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
v v v v v v v v v v v v
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety andshould
v v v v v v v v v v v v
always be eliminated.
v v v
3. Defense mechanisms, used by individuals with weak ego integrity, should be discouragedandnot
v v v v v v v v v v v v
eliminated.
v
4. Defense mechanisms cause disintegration of the ego and should be fostered andencouraged.
v v v v v v v v v v v v
ANSWER: 1 v
Rationale: The nurse should determine that defense mechanisms can be appropriate during timesof
v v v v v v v v v v v v v
stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading to
v v v v v v v v v v v v v v v v v
anxiety disorders. Defense mechanisms should be confronted when they impede the client from
v v v v v v v v v v v v v
developing healthy coping skills.
v v v v
Cognitive Level: Application v v
IntegratedProcess: Evaluation
v v v
6. During an intake assessment, a nurse asks both physiological and psychosocial questions. Theclient
v v v v v v v v v v v v v v
angrily responds, Im here for my heart, not my head problems. Which is the nurses best response?
v v v v v v v v v v v v v v v v v
1. Its just a routine part of our assessment. All clients are asked these same questions.
v v v v v v v v v v v v v v
2. Why are you concerned about these types ofquestions?
v v v v v v v v
3. Psychological factors, like excessive stress, have been found to affect medicalconditions. v v v v v v v v v v v
4. We can skip these questions, if you like. It isnt imperative that we complete this section.
v v v v v v v v v v v v v v v
