Test Bank For Davis Advantage for Townsend’s
Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
Chapters 1 - 32 | Complete
,TABLE OF CONTENTS r r
INTRODUCTIONrTOrPSYCHIATRICrMENTALrHEALTHrCONCEPTS
1.rMentalrHealthrandrMentalrIllness
2.rBiologicalrImplications
3.rEthicalrandrLegalrIssues
4.rPsychopharmacology
II.rPSYCHIATRICrMENTALrHEALTHrNURSINGrINTERVENTIONS
5.rRelationshiprDevelopmentrandrTherapeuticrCommunication
6.rTherNursingrProcessrinrPsychiatric/MentalrHealthrNursing
7.rPsychosocialrInterventionsrandrSpiritualrCare
8.rInterventionrinrGroups
9.rCrisisrIntervention
10.rTherRecoveryrModel
11.rSuiciderPrevention
III.rCARErOFrPATIENTSrWITHrPSYCHIATRICrDISORDERS
12.rCaringrforrPatientsrwithrMentalrIllnessrandrSubstancerUserDisordersrinrGeneralrPracticerSettings
13.rNeurocognitiverDisorders
14.rSubstancerUserandrAddictionrDisorders
15.rSchizophreniarSpectrumrandrOtherrPsychoticrDisorders
16.rDepressiverDisorders
17.rBipolarrandrRelatedrDisorders
18.rAnxiety,rObsessive-Compulsive,randrRelatedrDisorders
19.rTrauma-randrStressor-RelatedrDisorders
20.rSomaticrSymptomrandrDissociativerDisorders
21.rEatingrDisorders
22.rPersonalityrDisorders
IV.rPSYCHIATRICrMENTALrHEALTHrNURSINGrOFrSPECIALrPOPULATIONS
23.rChildrenrandrAdolescents
24.rTherAgingrIndividual
25.rSurvivorsrofrAbuserorrNeglect
26.rCommunityrMentalrHealthrNursing
27.rTherBereavedrIndividual
28.rMilitaryrFamilies
V.rONLINErCHAPTERS
29.rConceptsrofrPersonalityrDevelopment
30.rComplementaryrandrIntegrativerTherapies
31.rCulturalrConceptsrRelevantrtorPsychiatricrMentalrHealthrNursing
32.rIssuesrRelatedrtorHumanrSexualityrandrGenderrDysphoriar
,Chapterr1.rMentalrHealthrandrMentalrIllnessr
MultiplerChoice
1.rArnurserisrassessingrarclientrwhor isrexperiencingroccasionalrfeelingsrofrsadnessrbecauserofrtherrece
ntrdeathrofrarbelovedrpet.rTherclientsrappetite,rsleeprpatterns,randrdailyrroutinerhavernotrchanged.rH
owrshouldrther nurser interpretrtherclientsrbehaviors?
1. Therclientsrbehaviorsrdemonstratermentalrillnessrinrtherformrofrdepression.
2. Therclientsrbehaviorsrarerextensive,rwhichrindicatesrtherpresencerofrmentalrillness.
3. Therclientsrbehaviorsrarernotrcongruentrwithrculturalrnorms.
4. Therclientsrbehaviorsrdemonstraternorfunctionalrimpairment,rindicatingr nor mentalrillness.
ANSWER:r4
Rationale:rThernursershouldrassessrthatrtherclientsrdailyrfunctioningrisrnotrimpaired.rTherclientrwhore
xperiencesrfeelingsrofrsadnessrafterrtherlossrofrarpetrisrrespondingrwithinrnormalrexpectations.rWith
outrsignificantrimpairment,rtherclientsrdistressrdoesrnotrindicaterarmentalrillness.
CognitiverLevel:rAnalysisrInteg
ratedrProcess:rAssessment
2.rAtrwhatrpointrshouldrthernurserdeterminerthatrarclientrisratrriskrforrdevelopingrarmentalrilln
ess?
1. Whenrthoughts,rfeelings,randrbehaviorsrarernotrreflectiverofrtherDSM-5rcriteria.
2. Whenrmaladaptiverresponsesrtorstressrarercoupledrwithrinterferencerinrdailyrfunctioning.
3. Whenrarclientrcommunicatesrsignificantr distress.
4. Whenrarclientrusesrdefensermechanismsrasregor protection.
ANSWER:r2
Rationale:rThernursershouldrdeterminerthatrtherclientrisratrriskrforrmentalrillnessrwhenrresponsesrtors
tressrarermaladaptiverandrinterfererwithrdailyrfunctioning.rTherDSM-
5rindicatesrthatrinrorderrtorberdiagnosedrwithrarmentalrillness,rdailyrfunctioningrmustrbersignificantl
yrimpaired.rTherclientsrabilityrtorcommunicaterdistressrwouldrberconsideredrarpositiverattribute.
CognitiverLevel:rApplicationrIn
tegratedrProcess:rAssessment
3.rArnurserisrassessingrarsetrofr15-year-
oldridenticalrtwinsrwhorrespondrveryrdifferentlyrtorstress.rOnertwinrbecomesranxiousrandrirritable,ra
ndrtherotherrwithdrawsrandrcries.rHowrshouldrthernurserexplainrtheserdifferentr stressrresponsesrtort
herparents?
1. Reactionsrtor stressrarerrelativerratherrthanrabsolute;rindividualrresponsesrtor stressrvary.
2. Itrisrabnormalrforridenticalrtwinsrtorreactrdifferentlyrtorsimilarrstressors.
3. Identicalrtwinsrshouldrsharerthersamertemperamentrandrrespondrsimilarlyrtorstress.
4. Environmentalrinfluencesrtorstressrweighrmorerheavilyrthanrgeneticrinfluences.
, ANSWER:r1
Rationale:rThernursershouldrexplainrtortherparentsrthat,ralthoughrthertwinsrhaveridenticalrDNA,rther
erarerseveralrotherrfactorsrthatraffectrreactionsrtorstress.rMentalrhealthrisrarstaterofrbeingrthatrisrrelati
vertortherindividualrclient.rEnvironmentalrinfluencesrandrtemperamentrcanraffectrstressrreactions.
CognitiverLevel:rApplicationrIntegr
atedrProcess:rImplementation
4.rWhichrclientrshouldrthernurseranticipatertorbermostrreceptivertorpsychiatricrtreatment?r1.r
ArJewish,r femalersocialrworker.
2. ArBaptist,rhomelessrmale.
3. ArCatholic,rblackr male.
4. ArProtestant,rSwedishrbusinessrexecutive.
ANSWER:r1
Rationale:rThernursershouldranticipaterthatrtherclientrofrJewishrculturerwouldrplacerarhighrimportan
ceronrpreventativerhealthrcarerandrwouldrconsiderrmentalrhealthrasrequallyrimportantrasrphysicalrhe
alth.rWomenrareralsormorerlikelyrtorseekrtreatmentrforrmentalrhealthrproblemsrthanrmen.
CognitiverLevel:rApplicationr
IntegratedrProcess:rPlanning
5. Arpsychiatricrnurserinternrstates,rThisrclientsruserofrdefensermechanismsrshouldrbereliminated.rW
hichrisrarcorrectr evaluationrofrthisrnursesrstatement?
1. Defensermechanismsrcanrberappropriaterresponsesrtorstressrandrneedrnotrbereliminated.
2. Defensermechanismsrarerarmaladaptiverattemptrofrtheregortormanageranxietyrandshouldral
waysrber eliminated.
3. Defensermechanisms,rusedrbyrindividualsrwithrweakregorintegrity,rshouldrberdiscouragedandrn
otreliminated.
4. Defensermechanismsrcauserdisintegrationrofrtheregorandrshouldrberfosteredrandrencouraged.
ANSWER:r1
Rationale:rThernursershouldrdeterminerthatrdefensermechanismsr canrberappropriaterduringrtimesrofrs
tress.rTherclientrwithrnordefensermechanismsrmayrhaverarlowerrtolerancerforrstress,rthusrleadingrtora
nxietyrdisorders.rDefensermechanismsrshouldrberconfrontedrwhenrtheyrimpedertherclientr fromrdeve
lopingr healthyrcopingrskills.
CognitiverLevel:rApplicationrI
ntegratedrProcess:rEvaluation
6.rDuringranrintakerassessment,rarnurserasksrbothrphysiologicalrandrpsychosocialrquestions.rTherclie
ntrangrilyrresponds,rImrhererforrmyrheart,rnotrmyrheadrproblems.rWhichrisrthernursesrbestrresponse?
1. Itsrjustrarroutinerpartrofrourrassessment.rAllrclientsrareraskedrthesersamerquestions.
2. Whyrareryourconcernedraboutrthesertypesrofrquestions?
3. Psychologicalrfactors,rlikerexcessiverstress,r haverbeenrfoundrtor affectr medicalrconditions.
4. Wercanrskiprtheserquestions,rifryourlike.rItrisntrimperativerthatrwercompleterthisr section.
Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
Chapters 1 - 32 | Complete
,TABLE OF CONTENTS r r
INTRODUCTIONrTOrPSYCHIATRICrMENTALrHEALTHrCONCEPTS
1.rMentalrHealthrandrMentalrIllness
2.rBiologicalrImplications
3.rEthicalrandrLegalrIssues
4.rPsychopharmacology
II.rPSYCHIATRICrMENTALrHEALTHrNURSINGrINTERVENTIONS
5.rRelationshiprDevelopmentrandrTherapeuticrCommunication
6.rTherNursingrProcessrinrPsychiatric/MentalrHealthrNursing
7.rPsychosocialrInterventionsrandrSpiritualrCare
8.rInterventionrinrGroups
9.rCrisisrIntervention
10.rTherRecoveryrModel
11.rSuiciderPrevention
III.rCARErOFrPATIENTSrWITHrPSYCHIATRICrDISORDERS
12.rCaringrforrPatientsrwithrMentalrIllnessrandrSubstancerUserDisordersrinrGeneralrPracticerSettings
13.rNeurocognitiverDisorders
14.rSubstancerUserandrAddictionrDisorders
15.rSchizophreniarSpectrumrandrOtherrPsychoticrDisorders
16.rDepressiverDisorders
17.rBipolarrandrRelatedrDisorders
18.rAnxiety,rObsessive-Compulsive,randrRelatedrDisorders
19.rTrauma-randrStressor-RelatedrDisorders
20.rSomaticrSymptomrandrDissociativerDisorders
21.rEatingrDisorders
22.rPersonalityrDisorders
IV.rPSYCHIATRICrMENTALrHEALTHrNURSINGrOFrSPECIALrPOPULATIONS
23.rChildrenrandrAdolescents
24.rTherAgingrIndividual
25.rSurvivorsrofrAbuserorrNeglect
26.rCommunityrMentalrHealthrNursing
27.rTherBereavedrIndividual
28.rMilitaryrFamilies
V.rONLINErCHAPTERS
29.rConceptsrofrPersonalityrDevelopment
30.rComplementaryrandrIntegrativerTherapies
31.rCulturalrConceptsrRelevantrtorPsychiatricrMentalrHealthrNursing
32.rIssuesrRelatedrtorHumanrSexualityrandrGenderrDysphoriar
,Chapterr1.rMentalrHealthrandrMentalrIllnessr
MultiplerChoice
1.rArnurserisrassessingrarclientrwhor isrexperiencingroccasionalrfeelingsrofrsadnessrbecauserofrtherrece
ntrdeathrofrarbelovedrpet.rTherclientsrappetite,rsleeprpatterns,randrdailyrroutinerhavernotrchanged.rH
owrshouldrther nurser interpretrtherclientsrbehaviors?
1. Therclientsrbehaviorsrdemonstratermentalrillnessrinrtherformrofrdepression.
2. Therclientsrbehaviorsrarerextensive,rwhichrindicatesrtherpresencerofrmentalrillness.
3. Therclientsrbehaviorsrarernotrcongruentrwithrculturalrnorms.
4. Therclientsrbehaviorsrdemonstraternorfunctionalrimpairment,rindicatingr nor mentalrillness.
ANSWER:r4
Rationale:rThernursershouldrassessrthatrtherclientsrdailyrfunctioningrisrnotrimpaired.rTherclientrwhore
xperiencesrfeelingsrofrsadnessrafterrtherlossrofrarpetrisrrespondingrwithinrnormalrexpectations.rWith
outrsignificantrimpairment,rtherclientsrdistressrdoesrnotrindicaterarmentalrillness.
CognitiverLevel:rAnalysisrInteg
ratedrProcess:rAssessment
2.rAtrwhatrpointrshouldrthernurserdeterminerthatrarclientrisratrriskrforrdevelopingrarmentalrilln
ess?
1. Whenrthoughts,rfeelings,randrbehaviorsrarernotrreflectiverofrtherDSM-5rcriteria.
2. Whenrmaladaptiverresponsesrtorstressrarercoupledrwithrinterferencerinrdailyrfunctioning.
3. Whenrarclientrcommunicatesrsignificantr distress.
4. Whenrarclientrusesrdefensermechanismsrasregor protection.
ANSWER:r2
Rationale:rThernursershouldrdeterminerthatrtherclientrisratrriskrforrmentalrillnessrwhenrresponsesrtors
tressrarermaladaptiverandrinterfererwithrdailyrfunctioning.rTherDSM-
5rindicatesrthatrinrorderrtorberdiagnosedrwithrarmentalrillness,rdailyrfunctioningrmustrbersignificantl
yrimpaired.rTherclientsrabilityrtorcommunicaterdistressrwouldrberconsideredrarpositiverattribute.
CognitiverLevel:rApplicationrIn
tegratedrProcess:rAssessment
3.rArnurserisrassessingrarsetrofr15-year-
oldridenticalrtwinsrwhorrespondrveryrdifferentlyrtorstress.rOnertwinrbecomesranxiousrandrirritable,ra
ndrtherotherrwithdrawsrandrcries.rHowrshouldrthernurserexplainrtheserdifferentr stressrresponsesrtort
herparents?
1. Reactionsrtor stressrarerrelativerratherrthanrabsolute;rindividualrresponsesrtor stressrvary.
2. Itrisrabnormalrforridenticalrtwinsrtorreactrdifferentlyrtorsimilarrstressors.
3. Identicalrtwinsrshouldrsharerthersamertemperamentrandrrespondrsimilarlyrtorstress.
4. Environmentalrinfluencesrtorstressrweighrmorerheavilyrthanrgeneticrinfluences.
, ANSWER:r1
Rationale:rThernursershouldrexplainrtortherparentsrthat,ralthoughrthertwinsrhaveridenticalrDNA,rther
erarerseveralrotherrfactorsrthatraffectrreactionsrtorstress.rMentalrhealthrisrarstaterofrbeingrthatrisrrelati
vertortherindividualrclient.rEnvironmentalrinfluencesrandrtemperamentrcanraffectrstressrreactions.
CognitiverLevel:rApplicationrIntegr
atedrProcess:rImplementation
4.rWhichrclientrshouldrthernurseranticipatertorbermostrreceptivertorpsychiatricrtreatment?r1.r
ArJewish,r femalersocialrworker.
2. ArBaptist,rhomelessrmale.
3. ArCatholic,rblackr male.
4. ArProtestant,rSwedishrbusinessrexecutive.
ANSWER:r1
Rationale:rThernursershouldranticipaterthatrtherclientrofrJewishrculturerwouldrplacerarhighrimportan
ceronrpreventativerhealthrcarerandrwouldrconsiderrmentalrhealthrasrequallyrimportantrasrphysicalrhe
alth.rWomenrareralsormorerlikelyrtorseekrtreatmentrforrmentalrhealthrproblemsrthanrmen.
CognitiverLevel:rApplicationr
IntegratedrProcess:rPlanning
5. Arpsychiatricrnurserinternrstates,rThisrclientsruserofrdefensermechanismsrshouldrbereliminated.rW
hichrisrarcorrectr evaluationrofrthisrnursesrstatement?
1. Defensermechanismsrcanrberappropriaterresponsesrtorstressrandrneedrnotrbereliminated.
2. Defensermechanismsrarerarmaladaptiverattemptrofrtheregortormanageranxietyrandshouldral
waysrber eliminated.
3. Defensermechanisms,rusedrbyrindividualsrwithrweakregorintegrity,rshouldrberdiscouragedandrn
otreliminated.
4. Defensermechanismsrcauserdisintegrationrofrtheregorandrshouldrberfosteredrandrencouraged.
ANSWER:r1
Rationale:rThernursershouldrdeterminerthatrdefensermechanismsr canrberappropriaterduringrtimesrofrs
tress.rTherclientrwithrnordefensermechanismsrmayrhaverarlowerrtolerancerforrstress,rthusrleadingrtora
nxietyrdisorders.rDefensermechanismsrshouldrberconfrontedrwhenrtheyrimpedertherclientr fromrdeve
lopingr healthyrcopingrskills.
CognitiverLevel:rApplicationrI
ntegratedrProcess:rEvaluation
6.rDuringranrintakerassessment,rarnurserasksrbothrphysiologicalrandrpsychosocialrquestions.rTherclie
ntrangrilyrresponds,rImrhererforrmyrheart,rnotrmyrheadrproblems.rWhichrisrthernursesrbestrresponse?
1. Itsrjustrarroutinerpartrofrourrassessment.rAllrclientsrareraskedrthesersamerquestions.
2. Whyrareryourconcernedraboutrthesertypesrofrquestions?
3. Psychologicalrfactors,rlikerexcessiverstress,r haverbeenrfoundrtor affectr medicalrconditions.
4. Wercanrskiprtheserquestions,rifryourlike.rItrisntrimperativerthatrwercompleterthisr section.
