Test Bank For Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence Based Practice 8th Edition Morgan Townsend | 9780803676787 | Chapter 1-32 |All Chapters with Answers and Rationals

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Chapter 1. Mental Health and Mental
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1. A nurse is assessing anclient who is experiencing occasional feelings of sadness
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because of therecent death of a beloved pet. The clients appetite, sleep patterns, and
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ss daily routin e have not changed. How should the nurse interpret the clients
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s s behaviors?
1. The clients behaviors demonstrate mental illness in the form of depression.
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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. Thenclientsnbehaviorsndemonstratennonfunctionalnimpairment,nindicatingnnonmental
illness.

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Rationale: The nurse should assess that the clients daily functioning is not
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ss impaired. T he clientwho experiences feelings of sadness after the loss of a pet is
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egrated Process:
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Assessment

2. At what point should the nurse determine that anclient is at risknfor developing a
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ss mentalillness?
1. When thoughts, feelings, andnbehaviors are not reflective of the DSM-5ncriteria.
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2. Whennmaladaptivenresponsesntonstressnarencouplednwithninterferenceninndaily
functioning.
3. When anclient communicates significant distress.
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4. When anclient uses defense mechanisms as ego protection.
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Rationale: The nurse should determine that the client is at risk for mental illness
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when
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s s DSM- 5 indicates that in orderto be diagnosed with a mental illness, daily
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ss functioning must b e significantly impaired. The clientsnability to communicate
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ss distress would be considere d a positive attribute.
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Assessment

3. A nurse is assessing a set of 15-year-
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oldnidentical twins who respond very differently to stress.One twinnbecomes anxious
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a ndnirritable, and thenother withdraws and cries. How should the nurse explain
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ss these d ifferent stress responses to the parents?
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1. Reactionsntonstressnarenrelativenrathernthannabsolute;nindividualnresponsesntonstress
vary.
2. It is abnormal for identical twins to react differently to similar stressors.
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3. Identical twins should share the same temperament and respondnsimilarly to stress.
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4. Environmental influences to stress weigh more heavily than genetic influences.
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