Test Bank For Davis Advantage for Townsend’s
c c c c c c
Essentials of Psychiatric Mental Health Nursing
c c c c c c
9th Edition Karyn Morgan
c c c
Chapters 1 - 32 | Complete
c c c c c c
,TABLE OF CONTENTS c c
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS c c c c c
1. Mental Health and Mental Illness
c c c c c
2. Biological Implications
c c
3. Ethical and Legal Issues
c c c c
4. Psychopharmacology
c
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
c c c c c
5. Relationship Development and Therapeutic Communication
c c c c c
6. The Nursing Process in Psychiatric/Mental Health Nursing
c c c c c c c
7. Psychosocial Interventions and Spiritual Care
c c c c c
8. Intervention in Groups
c c c
9. Crisis Intervention
c c
10. The Recovery Model
c c c
11. Suicide Prevention
c c
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
c c c c c c
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
c c c c c c c c c c c c c c
13. Neurocognitive Disorders
c c
14. Substance Use and Addiction Disorders
c c c c c
15. Schizophrenia Spectrum and Other Psychotic Disorders
c c c c c c
16. Depressive Disorders
c c
17. Bipolar and Related Disorders
c c c c
18. Anxiety, Obsessive-Compulsive, and Related Disorders
c c c c c
19. Trauma- and Stressor-Related Disorders
c c c c
20. Somatic Symptom and Dissociative Disorders
c c c c c
21. Eating Disorders
c c
22. Personality Disorders
c c
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
c c c c c c c
23. Children and Adolescents
c c c
24. The Aging Individual
c c c
25. Survivors of Abuse or Neglect
c c c c c
26. Community Mental Health Nursing
c c c c
27. The Bereaved Individual
c c c
28. Military Families
c c
V. ONLINE CHAPTERS
c c
29. Concepts of Personality Development
c c c c
30. Complementary and Integrative Therapies
c c c c
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
c c c c c c c c
32. Issues Related to Human Sexuality and Gender Dysphoria
c c c c c c c c c
,Chapter 1. Mental Health and Mental Illness
c c c c c c
Multiple Choice
c c
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the
c c c c c c c c c c c c c c c c
recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not
c c c c c c c c c c c c c c c c
changed. How should the nurse interpret the clients behaviors?
c c c c c c c c c
1. The clients behaviors demonstrate mental illness in the form of depression.
c c c c c c c c c c
2. The clients behaviors are extensive, which indicates the presence of mental illness.
c c c c c c c c c c c
3. The clients behaviors are not congruent with cultural norms.
c c c c c c c c
4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
c c c c c c c c c c
ANSWER: 4 c
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho
c c c c c c c c c c c c c c c
experiences feelings of sadness after the loss of a pet is responding within normal expectations.
c c c c c c c c c c c c c c c
Without significant impairment, the clients distress does not indicate a mental illness.
c c c c c c c c c c c c
Cognitive Level: Analysis c c
Integrated Process: Assessment
c c c
2. At what point should the nurse determine that a client is at risk for developing a mental
c c c c c c c c c c c c c c c c c
illness?
c
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
c c c c c c c c c c c
2. When maladaptive responses to stress are coupled with interference in daily functioning.
c c c c c c c c c c c
3. When a client communicates significant distress.
c c c c c
4. When a client uses defense mechanisms as ego protection.
c c c c c c c c
ANSWER: 2 c
Rationale: The nurse should determine that the client is at risk for mental illness when responsesto
c c c c c c c c c c c c c c c c
stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in orderto be
c c c c c c c c c c c c c c c c
diagnosed with a mental illness, daily functioning must be significantly impaired. The clients
c c c c c c c c c c c c c
ability to communicate distress would be considered a positive attribute.
c c c c c c c c c c
Cognitive Level: Application c c
Integrated Process: Assessment
c c c
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress.One
c c c c c c c c c c c c c c c c c
twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse
c c c c c c c c c c c c c c c
explain these different stress responses to the parents?
c c c c c c c c
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
c c c c c c c c c c c c
2. It is abnormal for identical twins to react differently to similar stressors.
c c c c c c c c c c c
3. Identical twins should share the same temperament and respond similarly to stress.
c c c c c c c c c c c
4. Environmental influences to stress weigh more heavily than genetic influences. c c c c c c c c c
, ANSWER: 1 c
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,
c c c c c c c c c c c c c c
there are several other factors that affect reactions to stress. Mental health is a state of being thatis
c c c c c c c c c c c c c c c c c c c
relative to the individual client. Environmental influences and temperament can affect stress
c c c c c c c c c c c c
reactions.
c
Cognitive Level: Application c c
Integrated Process: Implementation
c c c
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?1.
c c c c c c c c c c c c c c
A Jewish, female social worker.
c c c c c
2. A Baptist, homeless male.
c c c
3. A Catholic, black male.
c c c
4. A Protestant, Swedish business executive.
c c c c
ANSWER: 1 c
Rationale: The nurse should anticipate that the client of Jewish culture would place a high
c c c c c c c c c c c c c c
importance on preventative health care and would consider mental health as equally important as
c c c c c c c c c c c c c c
physical health. Women are also more likely to seek treatment for mental health problems than
c c c c c c c c c c c c c c c
men.
c
Cognitive Level: Application c c
Integrated Process: Planning
c c c
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated.
c c c c c c c c c c c c c
Which is a correct evaluation of this nurses statement?
c c c c c c c c c
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
c c c c c c c c c c c c
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety andshould
c c c c c c c c c c c c
always be eliminated.
c c c
3. Defense mechanisms, used by individuals with weak ego integrity, should be discouragedand
c c c c c c c c c c c
not eliminated.
c c
4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
c c c c c c c c c c c c
ANSWER: 1 c
Rationale: The nurse should determine that defense mechanisms can be appropriate during timesof
c c c c c c c c c c c c c
stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading to
c c c c c c c c c c c c c c c c c
anxiety disorders. Defense mechanisms should be confronted when they impede the client from
c c c c c c c c c c c c c
developing healthy coping skills.
c c c c
Cognitive Level: Application c c
Integrated Process: Evaluation
c c c
6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
c c c c c c c c c c c c c
client angrily responds, Im here for my heart, not my head problems. Which is the nurses best
c c c c c c c c c c c c c c c c c
response?
c
1. Its just a routine part of our assessment. All clients are asked these same questions.
c c c c c c c c c c c c c c
2. Why are you concerned about these types of questions?
c c c c c c c c
3. Psychological factors, like excessive stress, have been found to affect medical conditions. c c c c c c c c c c c
4. We can skip these questions, if you like. It isnt imperative that we complete this section.
c c c c c c c c c c c c c c c
c c c c c c
Essentials of Psychiatric Mental Health Nursing
c c c c c c
9th Edition Karyn Morgan
c c c
Chapters 1 - 32 | Complete
c c c c c c
,TABLE OF CONTENTS c c
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS c c c c c
1. Mental Health and Mental Illness
c c c c c
2. Biological Implications
c c
3. Ethical and Legal Issues
c c c c
4. Psychopharmacology
c
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
c c c c c
5. Relationship Development and Therapeutic Communication
c c c c c
6. The Nursing Process in Psychiatric/Mental Health Nursing
c c c c c c c
7. Psychosocial Interventions and Spiritual Care
c c c c c
8. Intervention in Groups
c c c
9. Crisis Intervention
c c
10. The Recovery Model
c c c
11. Suicide Prevention
c c
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
c c c c c c
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
c c c c c c c c c c c c c c
13. Neurocognitive Disorders
c c
14. Substance Use and Addiction Disorders
c c c c c
15. Schizophrenia Spectrum and Other Psychotic Disorders
c c c c c c
16. Depressive Disorders
c c
17. Bipolar and Related Disorders
c c c c
18. Anxiety, Obsessive-Compulsive, and Related Disorders
c c c c c
19. Trauma- and Stressor-Related Disorders
c c c c
20. Somatic Symptom and Dissociative Disorders
c c c c c
21. Eating Disorders
c c
22. Personality Disorders
c c
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
c c c c c c c
23. Children and Adolescents
c c c
24. The Aging Individual
c c c
25. Survivors of Abuse or Neglect
c c c c c
26. Community Mental Health Nursing
c c c c
27. The Bereaved Individual
c c c
28. Military Families
c c
V. ONLINE CHAPTERS
c c
29. Concepts of Personality Development
c c c c
30. Complementary and Integrative Therapies
c c c c
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
c c c c c c c c
32. Issues Related to Human Sexuality and Gender Dysphoria
c c c c c c c c c
,Chapter 1. Mental Health and Mental Illness
c c c c c c
Multiple Choice
c c
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the
c c c c c c c c c c c c c c c c
recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not
c c c c c c c c c c c c c c c c
changed. How should the nurse interpret the clients behaviors?
c c c c c c c c c
1. The clients behaviors demonstrate mental illness in the form of depression.
c c c c c c c c c c
2. The clients behaviors are extensive, which indicates the presence of mental illness.
c c c c c c c c c c c
3. The clients behaviors are not congruent with cultural norms.
c c c c c c c c
4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
c c c c c c c c c c
ANSWER: 4 c
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho
c c c c c c c c c c c c c c c
experiences feelings of sadness after the loss of a pet is responding within normal expectations.
c c c c c c c c c c c c c c c
Without significant impairment, the clients distress does not indicate a mental illness.
c c c c c c c c c c c c
Cognitive Level: Analysis c c
Integrated Process: Assessment
c c c
2. At what point should the nurse determine that a client is at risk for developing a mental
c c c c c c c c c c c c c c c c c
illness?
c
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
c c c c c c c c c c c
2. When maladaptive responses to stress are coupled with interference in daily functioning.
c c c c c c c c c c c
3. When a client communicates significant distress.
c c c c c
4. When a client uses defense mechanisms as ego protection.
c c c c c c c c
ANSWER: 2 c
Rationale: The nurse should determine that the client is at risk for mental illness when responsesto
c c c c c c c c c c c c c c c c
stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in orderto be
c c c c c c c c c c c c c c c c
diagnosed with a mental illness, daily functioning must be significantly impaired. The clients
c c c c c c c c c c c c c
ability to communicate distress would be considered a positive attribute.
c c c c c c c c c c
Cognitive Level: Application c c
Integrated Process: Assessment
c c c
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress.One
c c c c c c c c c c c c c c c c c
twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse
c c c c c c c c c c c c c c c
explain these different stress responses to the parents?
c c c c c c c c
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
c c c c c c c c c c c c
2. It is abnormal for identical twins to react differently to similar stressors.
c c c c c c c c c c c
3. Identical twins should share the same temperament and respond similarly to stress.
c c c c c c c c c c c
4. Environmental influences to stress weigh more heavily than genetic influences. c c c c c c c c c
, ANSWER: 1 c
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,
c c c c c c c c c c c c c c
there are several other factors that affect reactions to stress. Mental health is a state of being thatis
c c c c c c c c c c c c c c c c c c c
relative to the individual client. Environmental influences and temperament can affect stress
c c c c c c c c c c c c
reactions.
c
Cognitive Level: Application c c
Integrated Process: Implementation
c c c
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?1.
c c c c c c c c c c c c c c
A Jewish, female social worker.
c c c c c
2. A Baptist, homeless male.
c c c
3. A Catholic, black male.
c c c
4. A Protestant, Swedish business executive.
c c c c
ANSWER: 1 c
Rationale: The nurse should anticipate that the client of Jewish culture would place a high
c c c c c c c c c c c c c c
importance on preventative health care and would consider mental health as equally important as
c c c c c c c c c c c c c c
physical health. Women are also more likely to seek treatment for mental health problems than
c c c c c c c c c c c c c c c
men.
c
Cognitive Level: Application c c
Integrated Process: Planning
c c c
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated.
c c c c c c c c c c c c c
Which is a correct evaluation of this nurses statement?
c c c c c c c c c
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
c c c c c c c c c c c c
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety andshould
c c c c c c c c c c c c
always be eliminated.
c c c
3. Defense mechanisms, used by individuals with weak ego integrity, should be discouragedand
c c c c c c c c c c c
not eliminated.
c c
4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
c c c c c c c c c c c c
ANSWER: 1 c
Rationale: The nurse should determine that defense mechanisms can be appropriate during timesof
c c c c c c c c c c c c c
stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading to
c c c c c c c c c c c c c c c c c
anxiety disorders. Defense mechanisms should be confronted when they impede the client from
c c c c c c c c c c c c c
developing healthy coping skills.
c c c c
Cognitive Level: Application c c
Integrated Process: Evaluation
c c c
6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
c c c c c c c c c c c c c
client angrily responds, Im here for my heart, not my head problems. Which is the nurses best
c c c c c c c c c c c c c c c c c
response?
c
1. Its just a routine part of our assessment. All clients are asked these same questions.
c c c c c c c c c c c c c c
2. Why are you concerned about these types of questions?
c c c c c c c c
3. Psychological factors, like excessive stress, have been found to affect medical conditions. c c c c c c c c c c c
4. We can skip these questions, if you like. It isnt imperative that we complete this section.
c c c c c c c c c c c c c c c
