Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition Morgan Townsend Test Bank | Latest 2022

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Chapter 1. Mental Health and Mental ff ff ff ff ff




ff IllnessMultiple Choice ff




1. A nurse is assessing anclient who is experiencing occasional feelings of sadness because
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ff of therecent death of a beloved pet. The clients appetite, sleep patterns, and daily
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routin e
ff ff f f have f f not f f changed. How ff f f should the ff f f nurse f f interpret f f the f f clients
f f 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.

ANS: 4 ff




Rationale: The nurse should assess that the clients daily functioning is not impaired.
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ff T he clientwho experiences feelings of sadness after the loss of a pet is responding
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ff cate a mental illness.
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Cognitive Level: Analysis Int ff ff ff




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Assessment

2. At what point should the nurse determine that anclient is at risknfor developing a
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ff 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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ANS: 2 ff



Rationale: The nurse should determine that the client is at risk for mental illness
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when
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responsesto stress arSetunm
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f f DSM- 5 indicates that in orderto be diagnosed with a mental illness, daily functioning
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ff must b e significantly impaired. The clientsnability to communicate distress would be
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considere d a positive attribute.
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Cognitive Level: Application ff ff




ff Integrated Process: ff




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 a
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ff ndnirritable, and thenother withdraws and cries. How should the nurse explain these
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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. ff ff f f ff f f ff f f ff ff