Test Bank For Davis Advantage for Townsend’s
gt gt gt gt gt gt
gt Essentials of Psychiatric Mental Health Nursing
gt gt gt gt gt
9th Edition Karyn Morgan
gt gt gt
Chapt
ers 1 - gt gt
gt 32 | gt
gt Com
plete gt
,TABLE OF CONTENTS gt gt
INTRODUCTION gtTO gtPSYCHIATRIC gtMENTAL gtHEALTH gtCONCEPTS
1. gtMental gtHealth gtand gtMental gtIllness
2. gtBiological gtImplications
3. gtEthical gtand gtLegal gtIssues
4. gtPsychopharmacology
II. gtPSYCHIATRIC gtMENTAL gtHEALTH gtNURSING gtINTERVENTIONS
5. gtRelationship gtDevelopment gtand gtTherapeutic gtCommunication
6. gtThe gtNursing gtProcess gtin gtPsychiatric/Mental gtHealth gtNursing
7. gtPsychosocial gtInterventions gtand gtSpiritual gtCare
8. gtIntervention gtin gtGroups
9. gtCrisis gtIntervention
10. gtThe gtRecovery gtModel
11. gtSuicide gtPrevention
III. gtCARE gtOF gtPATIENTS gtWITH gtPSYCHIATRIC gtDISORDERS
12. gtCaring gtfor gtPatients gtwith gtMental gtIllness gtand gtSubstance gtUse gtDisorders gtin gtGeneral gtPractice gtSettings
13. gtNeurocognitive gtDisorders
14. gtSubstance gtUse gtand gtAddiction gtDisorders
15. gtSchizophrenia gtSpectrum gtand gtOther gtPsychotic gtDisorders
16. gtDepressive gtDisorders
17. gtBipolar gtand gtRelated gtDisorders
18. gtAnxiety, gtObsessive-Compulsive, gtand gtRelated gtDisorders
19. gtTrauma- gtand gtStressor-Related gtDisorders
20. gtSomatic gtSymptom gtand gtDissociative gtDisorders
21. gtEating gtDisorders
22. gtPersonality gtDisorders
IV. gtPSYCHIATRIC gtMENTAL gtHEALTH gtNURSING gtOF gtSPECIAL gtPOPULATIONS
23. gtChildren gtand gtAdolescents
24. gtThe gtAging gtIndividual
25. gtSurvivors gtof gtAbuse gtor gtNeglect
26. gtCommunity gtMental gtHealth gtNursing
27. gtThe gtBereaved gtIndividual
28. gtMilitary gtFamilies
V. gtONLINE gtCHAPTERS
29. gtConcepts gtof gtPersonality gtDevelopment
30. gtComplementary gtand gtIntegrative gtTherapies
31. gtCultural gtConcepts gtRelevant gtto gtPsychiatric gtMental gtHealth gtNursing
32. gtIssues gtRelated gtto gtHuman gtSexuality gtand gtGender gtDysphoria gt
,Chapter gt1. gtMental gtHealth gtand gtMental
IllnessgtMultiple gtChoice
gt
1. gtA gtnurse gtis gtassessing gta gtclient gtwho gt is gtexperiencing gtoccasional gtfeelings gtof gtsadness gtbecause
gtof gtthegtrecent gtdeath gtof gta gtbeloved gtpet. gtThe gtclients gtappetite, gtsleep gtpatterns, gtand gtdaily gtroutine
gthave gtnot gtchanged. gt How gtshould gtthe gt nurse gt interpret gtthe gt clients gtbehaviors?
1. The gtclients gtbehaviors gtdemonstrate gtmental gtillness gtin gtthe gtform gtof gtdepression.
2. The gtclients gtbehaviors gtare gtextensive, gtwhich gtindicates gtthe gtpresence gtof gtmental gtillness.
3. The gtclients gtbehaviors gtare gtnot gtcongruent gtwith gtcultural gtnorms.
4. The gtclients gtbehaviors gtdemonstrate gtno gtfunctional gtimpairment, gtindicating gt no g t mental gtillness.
ANSWER: gt4
Rationale: gtThe gtnurse gtshould gtassess gtthat gtthe gtclients gtdaily gtfunctioning gtis gtnot gtimpaired. gtThe
gtclientgtwho gtexperiences gtfeelings gtof gtsadness gtafter gtthe gtloss gtof gta gtpet gtis gtresponding gtwithin
gtnormal gtexpectations. gtWithout gtsignificant gtimpairment, gtthe gtclients gtdistress gtdoes gtnot gtindicate
gta gtmental gtillness.
Cognitive gtLevel: gtAnalysis
gt Integrated gtProcess:
gtAssessment
2. gtAt gtwhat gtpoint gtshould gtthe gtnurse gtdetermine gtthat gta gtclient gtis gtat gtrisk gtfor gtdeveloping gta
gtmentalgtillness?
1. When gtthoughts, gtfeelings, gtand gtbehaviors gtare gtnot gtreflective gtof gtthe gtDSM-5 gtcriteria.
2. When gtmaladaptive gtresponses gtto gtstress gtare gtcoupled gtwith gtinterference gtin gtdaily gtfunctioning.
3. When gta gtclient gtcommunicates gtsignificant gt distress.
4. When gta gtclient gtuses gtdefense gtmechanisms gtas gtego gt protection.
ANSWER: gt2
Rationale: gtThe gtnurse gtshould gtdetermine gtthat gtthe gtclient gtis gtat gtrisk gtfor gtmental gtillness gtwhen
gtresponsesgtto gtstress gtare gtmaladaptive gtand gtinterfere gtwith gtdaily gtfunctioning. gtThe gtDSM-5
gtindicates gtthat gtin gtordergtto gtbe gtdiagnosed gtwith gta gtmental gtillness, gtdaily gtfunctioning gtmust gtbe
gtsignificantly gtimpaired. gtThe gtclients gtability gtto gtcommunicate gt distress gtwould gt be gt considered gta
gtpositive gtattribute.
Cognitive gtLevel: gtApplication
gt Integrated gtProcess:
gtAssessment
3. gtA gtnurse gtis gtassessing gta gtset gtof gt15-year-old gtidentical gttwins gtwho gtrespond gtvery gtdifferently gtto
gtstress.gtOne gttwin gtbecomes gtanxious gtand gtirritable, gtand gtthe gtother gtwithdraws gtand gtcries. gtHow
gtshould gtthe gtnurse gtexplain gtthese gt different gt stress gtresponses gt to gt the gtparents?
1. Reactions gtto gt stress gtare gtrelative gtrather gtthan gtabsolute; gtindividual gtresponses gtto gt stress gtvary.
2. It gtis gtabnormal gtfor gtidentical gttwins gtto gtreact gtdifferently gtto gtsimilar gtstressors.
3. Identical gttwins gtshould gtshare gtthe gtsame gttemperament gtand gtrespond gtsimilarly gtto gtstress.
4. Environmental gtinfluences gtto gtstress gtweigh gtmore gtheavily gtthan gtgenetic gtinfluences.
, ANSWER: gt1
Rationale: gtThe gtnurse gtshould gtexplain gtto gtthe gtparents gtthat, gtalthough gtthe gttwins gthave gtidentical
gtDNA,gtthere gtare gtseveral gtother gtfactors gtthat gtaffect gt reactions gtto gtstress. gt Mental gthealth gtis gta gtstate
gtof gtbeing gtthatg
tis gtrelative gtto gtthe gtindividual gtclient. gtEnvironmental gtinfluences gtand gttemperament
gtcan gtaffect gtstress gtreactions.
Cognitive gtLevel: gtApplication
gt Integrated gtProcess:
gtImplementation
4. gtWhich gtclient gtshould gtthe gtnurse gtanticipate gtto gtbe gtmost gtreceptive gtto gtpsychiatric
gttreatment?gt1. gt A gtJewish, gt female gt social gtworker.
2. A gtBaptist, gthomeless gtmale.
3. A gtCatholic, gtblack gt male.
4. A gtProtestant, gtSwedish gtbusiness gtexecutive.
ANSWER: gt1
Rationale: gtThe gtnurse gtshould gtanticipate gtthat gtthe gtclient gtof gtJewish gtculture gtwould gtplace gta gthigh
gtimportance gton gtpreventative gthealth gtcare gtand gtwould gtconsider gtmental gthealth gtas gtequally
gtimportant gtasg
tphysical gthealth. gtWomen gtare gtalso gtmore gtlikely gtto gtseek gttreatment gtfor gtmental
gthealth gtproblems gtthan gtmen.
Cognitive gtLevel:
gtApplicationg tIntegrated
gtProcess: gtPlanning
5. A gtpsychiatric gtnurse gtintern gtstates, gtThis gtclients gtuse gtof gtdefense gtmechanisms gtshould gtbe
gteliminated.gtWhich gt is gta gtcorrect gt evaluation gtof gtthis gtnurses gt statement?
1. Defense gtmechanisms gtcan gtbe gtappropriate gtresponses gtto gtstress gtand gtneed gtnot gtbe gteliminated.
2. Defense gtmechanisms gtare gta gtmaladaptive gtattempt gtof gtthe gtego gtto gtmanage gtanxiety
gtandshouldgtalways gt be gt eliminated.
3. Defense gtmechanisms, gtused gtby gtindividuals gtwith gtweak gtego gtintegrity, gtshould gtbe
gtdiscouragedandg tnot gt eliminated.
4. Defense gtmechanisms gtcause gtdisintegration gtof gtthe gtego gtand gtshould gtbe gtfostered gtand gtencouraged.
ANSWER: gt1
Rationale: gtThe gtnurse gtshould gtdetermine gtthat gtdefense gtmechanisms gt can gtbe gtappropriate gtduring
gttimesgtof gtstress. gtThe gtclient gtwith gtno gtdefense gtmechanisms gtmay gthave gta gtlower gttolerance gtfor
gtstress, gtthus gtleading gtto gtanxiety gtdisorders. gtDefense gtmechanisms gtshould gtbe gtconfronted gtwhen
gtthey gtimpede gtthe gtclient gt from gtdeveloping gt healthy gtcoping gt skills.
Cognitive gtLevel: gtApplication
gt Integrated gtProcess:
gtEvaluation
6. gtDuring gtan gtintake gtassessment, gta gtnurse gtasks gtboth gtphysiological gtand gtpsychosocial gtquestions.
gtThegtclient gtangrily gtresponds, gtIm gthere gtfor gtmy gtheart, gtnot gtmy gthead gtproblems. gtWhich gtis gtthe
gtnurses gtbest gtresponse?
1. Its gtjust gta gtroutine gtpart gtof gtour gtassessment. gtAll gtclients gtare gtasked gtthese gtsame gtquestions.
2. Why gtare gtyou gtconcerned gtabout gtthese gttypes gtof gtquestions?
3. Psychological gtfactors, gtlike gtexcessive gtstress, gt have gtbeen gtfound gtto gt affect gtmedical gtconditions.
4. We gtcan gtskip gtthese gtquestions, gtif gtyou gtlike. gtIt gtisnt gtimperative gtthat gtwe gtcomplete gtthis gt section.
gt gt gt gt gt gt
gt Essentials of Psychiatric Mental Health Nursing
gt gt gt gt gt
9th Edition Karyn Morgan
gt gt gt
Chapt
ers 1 - gt gt
gt 32 | gt
gt Com
plete gt
,TABLE OF CONTENTS gt gt
INTRODUCTION gtTO gtPSYCHIATRIC gtMENTAL gtHEALTH gtCONCEPTS
1. gtMental gtHealth gtand gtMental gtIllness
2. gtBiological gtImplications
3. gtEthical gtand gtLegal gtIssues
4. gtPsychopharmacology
II. gtPSYCHIATRIC gtMENTAL gtHEALTH gtNURSING gtINTERVENTIONS
5. gtRelationship gtDevelopment gtand gtTherapeutic gtCommunication
6. gtThe gtNursing gtProcess gtin gtPsychiatric/Mental gtHealth gtNursing
7. gtPsychosocial gtInterventions gtand gtSpiritual gtCare
8. gtIntervention gtin gtGroups
9. gtCrisis gtIntervention
10. gtThe gtRecovery gtModel
11. gtSuicide gtPrevention
III. gtCARE gtOF gtPATIENTS gtWITH gtPSYCHIATRIC gtDISORDERS
12. gtCaring gtfor gtPatients gtwith gtMental gtIllness gtand gtSubstance gtUse gtDisorders gtin gtGeneral gtPractice gtSettings
13. gtNeurocognitive gtDisorders
14. gtSubstance gtUse gtand gtAddiction gtDisorders
15. gtSchizophrenia gtSpectrum gtand gtOther gtPsychotic gtDisorders
16. gtDepressive gtDisorders
17. gtBipolar gtand gtRelated gtDisorders
18. gtAnxiety, gtObsessive-Compulsive, gtand gtRelated gtDisorders
19. gtTrauma- gtand gtStressor-Related gtDisorders
20. gtSomatic gtSymptom gtand gtDissociative gtDisorders
21. gtEating gtDisorders
22. gtPersonality gtDisorders
IV. gtPSYCHIATRIC gtMENTAL gtHEALTH gtNURSING gtOF gtSPECIAL gtPOPULATIONS
23. gtChildren gtand gtAdolescents
24. gtThe gtAging gtIndividual
25. gtSurvivors gtof gtAbuse gtor gtNeglect
26. gtCommunity gtMental gtHealth gtNursing
27. gtThe gtBereaved gtIndividual
28. gtMilitary gtFamilies
V. gtONLINE gtCHAPTERS
29. gtConcepts gtof gtPersonality gtDevelopment
30. gtComplementary gtand gtIntegrative gtTherapies
31. gtCultural gtConcepts gtRelevant gtto gtPsychiatric gtMental gtHealth gtNursing
32. gtIssues gtRelated gtto gtHuman gtSexuality gtand gtGender gtDysphoria gt
,Chapter gt1. gtMental gtHealth gtand gtMental
IllnessgtMultiple gtChoice
gt
1. gtA gtnurse gtis gtassessing gta gtclient gtwho gt is gtexperiencing gtoccasional gtfeelings gtof gtsadness gtbecause
gtof gtthegtrecent gtdeath gtof gta gtbeloved gtpet. gtThe gtclients gtappetite, gtsleep gtpatterns, gtand gtdaily gtroutine
gthave gtnot gtchanged. gt How gtshould gtthe gt nurse gt interpret gtthe gt clients gtbehaviors?
1. The gtclients gtbehaviors gtdemonstrate gtmental gtillness gtin gtthe gtform gtof gtdepression.
2. The gtclients gtbehaviors gtare gtextensive, gtwhich gtindicates gtthe gtpresence gtof gtmental gtillness.
3. The gtclients gtbehaviors gtare gtnot gtcongruent gtwith gtcultural gtnorms.
4. The gtclients gtbehaviors gtdemonstrate gtno gtfunctional gtimpairment, gtindicating gt no g t mental gtillness.
ANSWER: gt4
Rationale: gtThe gtnurse gtshould gtassess gtthat gtthe gtclients gtdaily gtfunctioning gtis gtnot gtimpaired. gtThe
gtclientgtwho gtexperiences gtfeelings gtof gtsadness gtafter gtthe gtloss gtof gta gtpet gtis gtresponding gtwithin
gtnormal gtexpectations. gtWithout gtsignificant gtimpairment, gtthe gtclients gtdistress gtdoes gtnot gtindicate
gta gtmental gtillness.
Cognitive gtLevel: gtAnalysis
gt Integrated gtProcess:
gtAssessment
2. gtAt gtwhat gtpoint gtshould gtthe gtnurse gtdetermine gtthat gta gtclient gtis gtat gtrisk gtfor gtdeveloping gta
gtmentalgtillness?
1. When gtthoughts, gtfeelings, gtand gtbehaviors gtare gtnot gtreflective gtof gtthe gtDSM-5 gtcriteria.
2. When gtmaladaptive gtresponses gtto gtstress gtare gtcoupled gtwith gtinterference gtin gtdaily gtfunctioning.
3. When gta gtclient gtcommunicates gtsignificant gt distress.
4. When gta gtclient gtuses gtdefense gtmechanisms gtas gtego gt protection.
ANSWER: gt2
Rationale: gtThe gtnurse gtshould gtdetermine gtthat gtthe gtclient gtis gtat gtrisk gtfor gtmental gtillness gtwhen
gtresponsesgtto gtstress gtare gtmaladaptive gtand gtinterfere gtwith gtdaily gtfunctioning. gtThe gtDSM-5
gtindicates gtthat gtin gtordergtto gtbe gtdiagnosed gtwith gta gtmental gtillness, gtdaily gtfunctioning gtmust gtbe
gtsignificantly gtimpaired. gtThe gtclients gtability gtto gtcommunicate gt distress gtwould gt be gt considered gta
gtpositive gtattribute.
Cognitive gtLevel: gtApplication
gt Integrated gtProcess:
gtAssessment
3. gtA gtnurse gtis gtassessing gta gtset gtof gt15-year-old gtidentical gttwins gtwho gtrespond gtvery gtdifferently gtto
gtstress.gtOne gttwin gtbecomes gtanxious gtand gtirritable, gtand gtthe gtother gtwithdraws gtand gtcries. gtHow
gtshould gtthe gtnurse gtexplain gtthese gt different gt stress gtresponses gt to gt the gtparents?
1. Reactions gtto gt stress gtare gtrelative gtrather gtthan gtabsolute; gtindividual gtresponses gtto gt stress gtvary.
2. It gtis gtabnormal gtfor gtidentical gttwins gtto gtreact gtdifferently gtto gtsimilar gtstressors.
3. Identical gttwins gtshould gtshare gtthe gtsame gttemperament gtand gtrespond gtsimilarly gtto gtstress.
4. Environmental gtinfluences gtto gtstress gtweigh gtmore gtheavily gtthan gtgenetic gtinfluences.
, ANSWER: gt1
Rationale: gtThe gtnurse gtshould gtexplain gtto gtthe gtparents gtthat, gtalthough gtthe gttwins gthave gtidentical
gtDNA,gtthere gtare gtseveral gtother gtfactors gtthat gtaffect gt reactions gtto gtstress. gt Mental gthealth gtis gta gtstate
gtof gtbeing gtthatg
tis gtrelative gtto gtthe gtindividual gtclient. gtEnvironmental gtinfluences gtand gttemperament
gtcan gtaffect gtstress gtreactions.
Cognitive gtLevel: gtApplication
gt Integrated gtProcess:
gtImplementation
4. gtWhich gtclient gtshould gtthe gtnurse gtanticipate gtto gtbe gtmost gtreceptive gtto gtpsychiatric
gttreatment?gt1. gt A gtJewish, gt female gt social gtworker.
2. A gtBaptist, gthomeless gtmale.
3. A gtCatholic, gtblack gt male.
4. A gtProtestant, gtSwedish gtbusiness gtexecutive.
ANSWER: gt1
Rationale: gtThe gtnurse gtshould gtanticipate gtthat gtthe gtclient gtof gtJewish gtculture gtwould gtplace gta gthigh
gtimportance gton gtpreventative gthealth gtcare gtand gtwould gtconsider gtmental gthealth gtas gtequally
gtimportant gtasg
tphysical gthealth. gtWomen gtare gtalso gtmore gtlikely gtto gtseek gttreatment gtfor gtmental
gthealth gtproblems gtthan gtmen.
Cognitive gtLevel:
gtApplicationg tIntegrated
gtProcess: gtPlanning
5. A gtpsychiatric gtnurse gtintern gtstates, gtThis gtclients gtuse gtof gtdefense gtmechanisms gtshould gtbe
gteliminated.gtWhich gt is gta gtcorrect gt evaluation gtof gtthis gtnurses gt statement?
1. Defense gtmechanisms gtcan gtbe gtappropriate gtresponses gtto gtstress gtand gtneed gtnot gtbe gteliminated.
2. Defense gtmechanisms gtare gta gtmaladaptive gtattempt gtof gtthe gtego gtto gtmanage gtanxiety
gtandshouldgtalways gt be gt eliminated.
3. Defense gtmechanisms, gtused gtby gtindividuals gtwith gtweak gtego gtintegrity, gtshould gtbe
gtdiscouragedandg tnot gt eliminated.
4. Defense gtmechanisms gtcause gtdisintegration gtof gtthe gtego gtand gtshould gtbe gtfostered gtand gtencouraged.
ANSWER: gt1
Rationale: gtThe gtnurse gtshould gtdetermine gtthat gtdefense gtmechanisms gt can gtbe gtappropriate gtduring
gttimesgtof gtstress. gtThe gtclient gtwith gtno gtdefense gtmechanisms gtmay gthave gta gtlower gttolerance gtfor
gtstress, gtthus gtleading gtto gtanxiety gtdisorders. gtDefense gtmechanisms gtshould gtbe gtconfronted gtwhen
gtthey gtimpede gtthe gtclient gt from gtdeveloping gt healthy gtcoping gt skills.
Cognitive gtLevel: gtApplication
gt Integrated gtProcess:
gtEvaluation
6. gtDuring gtan gtintake gtassessment, gta gtnurse gtasks gtboth gtphysiological gtand gtpsychosocial gtquestions.
gtThegtclient gtangrily gtresponds, gtIm gthere gtfor gtmy gtheart, gtnot gtmy gthead gtproblems. gtWhich gtis gtthe
gtnurses gtbest gtresponse?
1. Its gtjust gta gtroutine gtpart gtof gtour gtassessment. gtAll gtclients gtare gtasked gtthese gtsame gtquestions.
2. Why gtare gtyou gtconcerned gtabout gtthese gttypes gtof gtquestions?
3. Psychological gtfactors, gtlike gtexcessive gtstress, gt have gtbeen gtfound gtto gt affect gtmedical gtconditions.
4. We gtcan gtskip gtthese gtquestions, gtif gtyou gtlike. gtIt gtisnt gtimperative gtthat gtwe gtcomplete gtthis gt section.
