ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING-CONCEPTS OF CARE IN EVIDENCE- BASED 07/08/2025
PRACTICE 8TH EDITION
Complete Test bank_
Essentials of Psychiatric Mental Health Nursing-Concepts of Care
in Evidence- Based Practice
8th Edition
(Morgan Townsend) complete exam (Q&A) latest 2025 A+ graded
T T
E E
S S
T T
B B
A A
N N
K K
,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING-CONCEPTS OF CARE IN EVIDENCE- BASED 07/08/2025
PRACTICE 8TH EDITION
Table of Contents
Chapter 1. Mental Health and Mental Illness ........................................................................................... 3
Chapter 2. Biological Implications ......................................................................................................... 19
Chapter 3. Ethical and Legal Issues ........................................................................................................ 35
Chapter 4. Psychopharmacology ............................................................................................................ 54
Chapter 5. Relationship Development and Therapeutic Communication .................................................85
Chapter 6. The Nursing Process in Psychiatric/Mental Health Nursing ................................................. 109
Chapter 7. Milieu Therapy - Therapeutic Community ............................................................................ 126
Chapter 8. Intervention in Groups ....................................................................................................... 137
Chapter 9. Crisis Intervention .............................................................................................................. 157
Chapter 10. The Recovery Model .......................................................................................................... 176
Chapter 11. Suicide Prevention ............................................................................................................. 194
Chapter 12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice
Settings ................................................................................................................................................211
Chapter 13. Neurocognitive Disorders .................................................................................................. 237
Chapter 14. Substance Use and Addictive Disorders.............................................................................. 257
Chapter 15. Schizophrenia Spectrum and Other Psychotic Disorders .................................................... 297
Chapter 16. Depressive Disorders ........................................................................................................ 335
Chapter 17. Bipolar and Related Disorders ........................................................................................... 372
Chapter 18. Anxiety, Obsessive-Compulsive, and Related Disorders ..................................................... 393
Chapter 19. Trauma- and Stressor-Related Disorders ........................................................................... 432
Chapter 20. Somatic Symptom and Dissociative Disorders ................................................................... 470
Chapter 21. Eating Disorders ............................................................................................................... 487
Chapter 22. Personality Disorders .......................................................................................................504
Chapter 23. Children and Adolescents ................................................................................................. 546
Chapter 24. The Aging Individual ........................................................................................................ 570
Chapter 25. Survivors of Abuse and Neglect ..........................................................................................588
Chapter 26. Community Mental Health Nursing .................................................................................. 609
Chapter 27. The Bereaved Individual ................................................................................................... 626
Chapter 28. Military Families ...............................................................................................................644
Chapter 30. Complementary and Psychosocial Therapies .................................................................... 668
Chapter 31. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing ................ 686
Chapter 32. Issues Related to Human Sexuality and Gender Dysphoria ................................................. 706
,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING-CONCEPTS OF CARE IN EVIDENCE- BASED 07/08/2025
PRACTICE 8TH EDITION
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 therecent 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.
ANS: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired. The
clientwho 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
mentalillness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
, ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING-CONCEPTS OF CARE IN EVIDENCE- BASED 07/08/2025
PRACTICE 8TH EDITION
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.
ANS: 2
Rationale: The nurse should determine that the client is at risk for mental illness when
responsesto stress are maladaptive and interfere with daily functioning. The DSM-5
indicates that in orderto 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.
NURSING-CONCEPTS OF CARE IN EVIDENCE- BASED 07/08/2025
PRACTICE 8TH EDITION
Complete Test bank_
Essentials of Psychiatric Mental Health Nursing-Concepts of Care
in Evidence- Based Practice
8th Edition
(Morgan Townsend) complete exam (Q&A) latest 2025 A+ graded
T T
E E
S S
T T
B B
A A
N N
K K
,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING-CONCEPTS OF CARE IN EVIDENCE- BASED 07/08/2025
PRACTICE 8TH EDITION
Table of Contents
Chapter 1. Mental Health and Mental Illness ........................................................................................... 3
Chapter 2. Biological Implications ......................................................................................................... 19
Chapter 3. Ethical and Legal Issues ........................................................................................................ 35
Chapter 4. Psychopharmacology ............................................................................................................ 54
Chapter 5. Relationship Development and Therapeutic Communication .................................................85
Chapter 6. The Nursing Process in Psychiatric/Mental Health Nursing ................................................. 109
Chapter 7. Milieu Therapy - Therapeutic Community ............................................................................ 126
Chapter 8. Intervention in Groups ....................................................................................................... 137
Chapter 9. Crisis Intervention .............................................................................................................. 157
Chapter 10. The Recovery Model .......................................................................................................... 176
Chapter 11. Suicide Prevention ............................................................................................................. 194
Chapter 12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice
Settings ................................................................................................................................................211
Chapter 13. Neurocognitive Disorders .................................................................................................. 237
Chapter 14. Substance Use and Addictive Disorders.............................................................................. 257
Chapter 15. Schizophrenia Spectrum and Other Psychotic Disorders .................................................... 297
Chapter 16. Depressive Disorders ........................................................................................................ 335
Chapter 17. Bipolar and Related Disorders ........................................................................................... 372
Chapter 18. Anxiety, Obsessive-Compulsive, and Related Disorders ..................................................... 393
Chapter 19. Trauma- and Stressor-Related Disorders ........................................................................... 432
Chapter 20. Somatic Symptom and Dissociative Disorders ................................................................... 470
Chapter 21. Eating Disorders ............................................................................................................... 487
Chapter 22. Personality Disorders .......................................................................................................504
Chapter 23. Children and Adolescents ................................................................................................. 546
Chapter 24. The Aging Individual ........................................................................................................ 570
Chapter 25. Survivors of Abuse and Neglect ..........................................................................................588
Chapter 26. Community Mental Health Nursing .................................................................................. 609
Chapter 27. The Bereaved Individual ................................................................................................... 626
Chapter 28. Military Families ...............................................................................................................644
Chapter 30. Complementary and Psychosocial Therapies .................................................................... 668
Chapter 31. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing ................ 686
Chapter 32. Issues Related to Human Sexuality and Gender Dysphoria ................................................. 706
,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING-CONCEPTS OF CARE IN EVIDENCE- BASED 07/08/2025
PRACTICE 8TH EDITION
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 therecent 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.
ANS: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired. The
clientwho 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
mentalillness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
, ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH
NURSING-CONCEPTS OF CARE IN EVIDENCE- BASED 07/08/2025
PRACTICE 8TH EDITION
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.
ANS: 2
Rationale: The nurse should determine that the client is at risk for mental illness when
responsesto stress are maladaptive and interfere with daily functioning. The DSM-5
indicates that in orderto 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.
