Davis Advantage for Townsend’s Essentials of Psychiatric Mental
Health Nursing 9th Edition Karyn Morgan Chapters 1 - 32
,TABLE OF CONTENTS
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS
1. Mental Health and Mental Illness
2. Biological Implications
3. Ethical and Legal Issues
4. Psychopharmacology
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
5. Relationship Development and Therapeutic Communication
6. The Nursing Process in Psychiatric/Mental Health Nursing
7. Psychosocial Interventions and Spiritual Care
8. Intervention in Groups
9. Crisis Intervention
10. The Recovery Model
11. Suicide Prevention
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
13. Neurocognitive Disorders
14. Substance Use and Addiction Disorders
15. Schizophrenia Spectrum and Other Psychotic Disorders
16. Depressive Disorders
17. Bipolar and Related Disorders
18. Anxiety, Obsessive-Compulsive, and Related Disorders
19. Trauma- and Stressor-Related Disorders
20. Somatic Symptom and Dissociative Disorders
21. Eating Disorders
22. Personality Disorders
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
23. Children and Adolescents
24. The Aging Individual
25. Survivors of Abuse or Neglect
26. Community Mental Health Nursing
27. The Bereaved Individual
28. Military Families
V. ONLINE CHAPTERS
29. Concepts of Personality Development
30. Complementary and Integrative Therapies
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
32. Issues Related to Human Sexuality and Gender Dysphoria
,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.
ANSWER: 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.
ANSWER: 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.
4. Environmental influences to stress weigh more heavily than genetic influences.
, ANSWER: 1
Rationale: The nurse should explain to the parents that, although the twins have
identical DNA, there are several other factors that affect reactions to stress. Mental
health is a state of being that is relative to the individual client. Environmental
influences and temperament can affect stress reactions.
Cognitive Level: Application
Integrated Process:
Implementation
4. Which client should the nurse anticipate to be most receptive to psychiatric
treatment? 1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
ANSWER: 1
Rationale: The nurse should anticipate that the client of Jewish culture would place
a high importance on preventative health care and would consider mental health as
equally important as physical health. Women are also more likely to seek treatment
for mental health problems than men.
Cognitive Level:
Application Integrated
Process: Planning
5. A psychiatric nurse intern states, This clients use of defense mechanisms should
be eliminated. Which is a correct evaluation of this nurses statement?
1. Defense mechanisms can be appropriate responses to stress and need not be
eliminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manage
anxiety andshould always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should be
discouragedand not eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
ANSWER: 1
Rationale: The nurse should determine that defense mechanisms can be appropriate
during times of stress. The client with no defense mechanisms may have a lower
tolerance for stress, thus leading to anxiety disorders. Defense mechanisms should
be confronted when they impede the client from developing healthy coping skills.
Cognitive Level:
Application Integrated
Process: Evaluation
6. During an intake assessment, a nurse asks both physiological and psychosocial
questions. The client angrily responds, Im here for my heart, not my head problems.
Which is the nurses best response?
1. Its just a routine part of our assessment. All clients are asked these same questions.
2. Why are you concerned about these types of questions?
3. Psychological factors, like excessive stress, have been found to affect medical
conditions.
Health Nursing 9th Edition Karyn Morgan Chapters 1 - 32
,TABLE OF CONTENTS
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS
1. Mental Health and Mental Illness
2. Biological Implications
3. Ethical and Legal Issues
4. Psychopharmacology
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
5. Relationship Development and Therapeutic Communication
6. The Nursing Process in Psychiatric/Mental Health Nursing
7. Psychosocial Interventions and Spiritual Care
8. Intervention in Groups
9. Crisis Intervention
10. The Recovery Model
11. Suicide Prevention
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
13. Neurocognitive Disorders
14. Substance Use and Addiction Disorders
15. Schizophrenia Spectrum and Other Psychotic Disorders
16. Depressive Disorders
17. Bipolar and Related Disorders
18. Anxiety, Obsessive-Compulsive, and Related Disorders
19. Trauma- and Stressor-Related Disorders
20. Somatic Symptom and Dissociative Disorders
21. Eating Disorders
22. Personality Disorders
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
23. Children and Adolescents
24. The Aging Individual
25. Survivors of Abuse or Neglect
26. Community Mental Health Nursing
27. The Bereaved Individual
28. Military Families
V. ONLINE CHAPTERS
29. Concepts of Personality Development
30. Complementary and Integrative Therapies
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
32. Issues Related to Human Sexuality and Gender Dysphoria
,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.
ANSWER: 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.
ANSWER: 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.
4. Environmental influences to stress weigh more heavily than genetic influences.
, ANSWER: 1
Rationale: The nurse should explain to the parents that, although the twins have
identical DNA, there are several other factors that affect reactions to stress. Mental
health is a state of being that is relative to the individual client. Environmental
influences and temperament can affect stress reactions.
Cognitive Level: Application
Integrated Process:
Implementation
4. Which client should the nurse anticipate to be most receptive to psychiatric
treatment? 1. A Jewish, female social worker.
2. A Baptist, homeless male.
3. A Catholic, black male.
4. A Protestant, Swedish business executive.
ANSWER: 1
Rationale: The nurse should anticipate that the client of Jewish culture would place
a high importance on preventative health care and would consider mental health as
equally important as physical health. Women are also more likely to seek treatment
for mental health problems than men.
Cognitive Level:
Application Integrated
Process: Planning
5. A psychiatric nurse intern states, This clients use of defense mechanisms should
be eliminated. Which is a correct evaluation of this nurses statement?
1. Defense mechanisms can be appropriate responses to stress and need not be
eliminated.
2. Defense mechanisms are a maladaptive attempt of the ego to manage
anxiety andshould always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should be
discouragedand not eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
ANSWER: 1
Rationale: The nurse should determine that defense mechanisms can be appropriate
during times of stress. The client with no defense mechanisms may have a lower
tolerance for stress, thus leading to anxiety disorders. Defense mechanisms should
be confronted when they impede the client from developing healthy coping skills.
Cognitive Level:
Application Integrated
Process: Evaluation
6. During an intake assessment, a nurse asks both physiological and psychosocial
questions. The client angrily responds, Im here for my heart, not my head problems.
Which is the nurses best response?
1. Its just a routine part of our assessment. All clients are asked these same questions.
2. Why are you concerned about these types of questions?
3. Psychological factors, like excessive stress, have been found to affect medical
conditions.
