Davis Advantage for
Townsend’s Essentials of
Psychiatric mental Health
Nursing 9th Edition by
Karyn Morgan
Chapters 1-8 Complete exEssay/Problem-Based
Questions: In law exams, students are often given hypothetical scenarios (problem questions) and are asked to analyze the legal
issues involved. These require students to apply specific legal principles and statutes to
,TABLE OF CONTENTS
IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines not only have distinct to
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
IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines not only have distinct -
Based Questions: In law exams, students are often given hypothetical scenarios (problem questions) and are asked to analyze the legal issues involved. These require students to apply specific legal principles and
statutes to
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.
Answers:4
IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines not only
have distinct
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?