TESTBANKS BY TESTBANKSPROF
Test Bank for Essentials of Psychiatric Mental Health Nursing 8th
Edition Concepts of Care in Evidence- Based Practice 8th Edition
Morgan Townsend Test Bank
All Chapter (1-32) Verified Answers
ISBN- 9781719647571
TABLE OF CONTENTS
~1~
,TESTBANKS BY TESTBANKSPROF
Chapter 1. Mental Health and Mental Illness......................................................................... 3
Chapter 2. Biological Implications .......................................................................................... 10
Chapter 3. Ethical and Legal Issues ......................................................................................... 16
Chapter 4. Psychopharmacology .............................................................................................. 24
Chapter 5. Relationship Development and Therapeutic Communication ................. 35
Chapter 6. The Nursing Process in Psychiatric/Mental Health Nursing .................... 44
Chapter 7. Milieu Therapy - Therapeutic Community ...................................................... 52
Chapter 8. Intervention in Groups ........................................................................................... 57
Chapter 9. Crisis Intervention ................................................................................................... 65
Chapter 10. The Recovery Model ............................................................................................. 72
Chapter 11. Suicide Prevention ................................................................................................ 80
Chapter 12. Caring for Patients with Mental Illness and Substance Use
Disorders in General Practice Settings .................................................................................. 88
Chapter 13. Neurocognitive Disorders .................................................................................. 97
Chapter 14. Substance Use and Addictive Disorders ..................................................... 106
Chapter 15. Schizophrenia Spectrum and Other Psychotic Disorders .................... 120
Chapter 16. Depressive Disorders ........................................................................................ 135
Chapter 17. Bipolar and Related Disorders ...................................................................... 150
Chapter 18. Anxiety, Obsessive-Compulsive, and Related Disorders ....................... 157
Chapter 19. Trauma- and Stressor-Related Disorders .................................................. 171
Chapter 20. Somatic Symptom and Dissociative Disorders ......................................... 184
Chapter 21. Eating Disorders ................................................................................................. 192
Chapter 22. Personality Disorders ....................................................................................... 198
Chapter 23. Children and Adolescents ................................................................................ 215
Chapter 24. The Aging Individual ......................................................................................... 224
Chapter 25. Survivors of Abuse and Neglect ..................................................................... 231
Chapter 26. Community Mental Health Nursing .............................................................. 239
Chapter 27. The Bereaved Individual .................................................................................. 247
Chapter 28. Military Families ................................................................................................. 254
Chapter 29. Concepts of Personality Development ........................................................ 258
Chapter 30. Complementary and Psychosocial Therapies .......................................... 264
Chapter 31. Cultural and Spiritual Concepts Relevant to Psychiatric Mental
Health Nursing ............................................................................................................................ 271
Chapter 32. Issues Related to Human Sexuality and Gender Dysphoria ................. 279
~2~
,TESTBANKS BY TESTBANKSPROF
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.
CORRECT ANSWERS: 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.
CORRECT ANSWERS: 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.
~3~
, TESTBANKS BY TESTBANKSPROF
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.
CORRECT ANSWERS: 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.
CORRECT ANSWERS: 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 and
should always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should be
discouraged and not eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
CORRECT ANSWERS: 1
~4~
Test Bank for Essentials of Psychiatric Mental Health Nursing 8th
Edition Concepts of Care in Evidence- Based Practice 8th Edition
Morgan Townsend Test Bank
All Chapter (1-32) Verified Answers
ISBN- 9781719647571
TABLE OF CONTENTS
~1~
,TESTBANKS BY TESTBANKSPROF
Chapter 1. Mental Health and Mental Illness......................................................................... 3
Chapter 2. Biological Implications .......................................................................................... 10
Chapter 3. Ethical and Legal Issues ......................................................................................... 16
Chapter 4. Psychopharmacology .............................................................................................. 24
Chapter 5. Relationship Development and Therapeutic Communication ................. 35
Chapter 6. The Nursing Process in Psychiatric/Mental Health Nursing .................... 44
Chapter 7. Milieu Therapy - Therapeutic Community ...................................................... 52
Chapter 8. Intervention in Groups ........................................................................................... 57
Chapter 9. Crisis Intervention ................................................................................................... 65
Chapter 10. The Recovery Model ............................................................................................. 72
Chapter 11. Suicide Prevention ................................................................................................ 80
Chapter 12. Caring for Patients with Mental Illness and Substance Use
Disorders in General Practice Settings .................................................................................. 88
Chapter 13. Neurocognitive Disorders .................................................................................. 97
Chapter 14. Substance Use and Addictive Disorders ..................................................... 106
Chapter 15. Schizophrenia Spectrum and Other Psychotic Disorders .................... 120
Chapter 16. Depressive Disorders ........................................................................................ 135
Chapter 17. Bipolar and Related Disorders ...................................................................... 150
Chapter 18. Anxiety, Obsessive-Compulsive, and Related Disorders ....................... 157
Chapter 19. Trauma- and Stressor-Related Disorders .................................................. 171
Chapter 20. Somatic Symptom and Dissociative Disorders ......................................... 184
Chapter 21. Eating Disorders ................................................................................................. 192
Chapter 22. Personality Disorders ....................................................................................... 198
Chapter 23. Children and Adolescents ................................................................................ 215
Chapter 24. The Aging Individual ......................................................................................... 224
Chapter 25. Survivors of Abuse and Neglect ..................................................................... 231
Chapter 26. Community Mental Health Nursing .............................................................. 239
Chapter 27. The Bereaved Individual .................................................................................. 247
Chapter 28. Military Families ................................................................................................. 254
Chapter 29. Concepts of Personality Development ........................................................ 258
Chapter 30. Complementary and Psychosocial Therapies .......................................... 264
Chapter 31. Cultural and Spiritual Concepts Relevant to Psychiatric Mental
Health Nursing ............................................................................................................................ 271
Chapter 32. Issues Related to Human Sexuality and Gender Dysphoria ................. 279
~2~
,TESTBANKS BY TESTBANKSPROF
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.
CORRECT ANSWERS: 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.
CORRECT ANSWERS: 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.
~3~
, TESTBANKS BY TESTBANKSPROF
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.
CORRECT ANSWERS: 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.
CORRECT ANSWERS: 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 and
should always be eliminated.
3. Defense mechanisms, used by individuals with weak ego integrity, should be
discouraged and not eliminated.
4. Defense mechanisms cause disintegration of the ego and should be fostered and
encouraged.
CORRECT ANSWERS: 1
~4~
