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Essentials of Psychiatric Mental Health Nursing 8th
Edition Concepts of Care in Evidence- Based Practice 8th
Edition Morgan Townsend Test Bank
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Essentials of Psychiatric Mental Health Nursing 8th
Edition Concepts of Care in Evidence - Based
Practice 8th Edition Morgan Townsend
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 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 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.
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
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,responsesto stress arSetum
viaa
.cloamd-aTphetiM
vaerkaen
tp d
lac ientote
Brufyearne
d Swe ill tyh
oud
r Satiuldyy fMu
an
terciatlioning. The DSM-5
lOMoARcPSD|7906827
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.
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, lOMoARcPSD|7906827
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ANS: 1
Rationale:hThehnursehshouldhexplainhtohthehparentshthat,halthoughhthehtwinshhavehid
enticalhDNA,thereharehseveralhotherhfactorshthathaffecthreactionshtohstress.hMentalhhe
althhishahstatehofhbeinghthatishrelativehtohthehindividualhclient.hEnvironmentalhinflue
nceshandhtemperamenthcanhaffecthstresshreactions.
CognitivehLevel:hApplication
hIntegratedhProcess:
Implementation
4. Whichhclienthshouldhthehnursehanticipatehtohbehmosthreceptivehtohpsychiatrichtreatmen
t?
1. AhJewish,hfemalehsocialhworker.
2. AhBaptist,hhomelesshmale.
3. AhCatholic,hblackhmale.
4. AhProtestant,hSwedishhbusinesshexecutive.
ANS:h1
Rationale:hThehnursehshouldhanticipatehthaththehclienthofhJewishhculturehwouldhplace
hahhighhimportancehonhpreventativehhealthhcarehandhwouldhconsiderhmentalhhealthha
shequallyhimportanthasphysicalhhealth.hWomenharehalsohmorehlikelyhtohseekhtreatment
hforhmentalhhealthhproblemshthanhmen.
CognitivehLevel:
ApplicationIntegratedhProce
ss:hPlanning
5. Ahpsychiatrichnursehinternhstates,hThishclientshusehofhdefensehmechanismshshoul
dhbeheliminated.Whichhishahcorrecthevaluationhofhthishnurseshstatement?
1. Defensehmechanismshcanhbehappropriatehresponseshtohstresshandhneedhno
thbeheliminated.
2. Defensehmechanismsharehahmaladaptivehattempthofhthehegohtohmanagehanx
ietyhandhshouldalwayshbeheliminated.
3. Defensehmechanisms,husedhbyhindividualshwithhweakhegohintegrity,hshould
hbehdiscouragedhandnotheliminated.
4. Defensehmechanismshcausehdisintegrationhofhthehegohandhshouldhbehfosteredh
andhencouraged.
ANS:h1
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Essentials of Psychiatric Mental Health Nursing 8th
Edition Concepts of Care in Evidence- Based Practice 8th
Edition Morgan Townsend Test Bank
Downloaded by: clintonson |
Distribution of this document is illegal
, lOMoARcPSD|7906827
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Essentials of Psychiatric Mental Health Nursing 8th
Edition Concepts of Care in Evidence - Based
Practice 8th Edition Morgan Townsend
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 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 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.
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
Downloaded by: clintonson |
Distribution of this document is illegal
,responsesto stress arSetum
viaa
.cloamd-aTphetiM
vaerkaen
tp d
lac ientote
Brufyearne
d Swe ill tyh
oud
r Satiuldyy fMu
an
terciatlioning. The DSM-5
lOMoARcPSD|7906827
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.
Downloaded by: clintonson |
Distribution of this document is illegal
, lOMoARcPSD|7906827
Stuvia.com - The Marketplace to Buy and Sell your Study Material
ANS: 1
Rationale:hThehnursehshouldhexplainhtohthehparentshthat,halthoughhthehtwinshhavehid
enticalhDNA,thereharehseveralhotherhfactorshthathaffecthreactionshtohstress.hMentalhhe
althhishahstatehofhbeinghthatishrelativehtohthehindividualhclient.hEnvironmentalhinflue
nceshandhtemperamenthcanhaffecthstresshreactions.
CognitivehLevel:hApplication
hIntegratedhProcess:
Implementation
4. Whichhclienthshouldhthehnursehanticipatehtohbehmosthreceptivehtohpsychiatrichtreatmen
t?
1. AhJewish,hfemalehsocialhworker.
2. AhBaptist,hhomelesshmale.
3. AhCatholic,hblackhmale.
4. AhProtestant,hSwedishhbusinesshexecutive.
ANS:h1
Rationale:hThehnursehshouldhanticipatehthaththehclienthofhJewishhculturehwouldhplace
hahhighhimportancehonhpreventativehhealthhcarehandhwouldhconsiderhmentalhhealthha
shequallyhimportanthasphysicalhhealth.hWomenharehalsohmorehlikelyhtohseekhtreatment
hforhmentalhhealthhproblemshthanhmen.
CognitivehLevel:
ApplicationIntegratedhProce
ss:hPlanning
5. Ahpsychiatrichnursehinternhstates,hThishclientshusehofhdefensehmechanismshshoul
dhbeheliminated.Whichhishahcorrecthevaluationhofhthishnurseshstatement?
1. Defensehmechanismshcanhbehappropriatehresponseshtohstresshandhneedhno
thbeheliminated.
2. Defensehmechanismsharehahmaladaptivehattempthofhthehegohtohmanagehanx
ietyhandhshouldalwayshbeheliminated.
3. Defensehmechanisms,husedhbyhindividualshwithhweakhegohintegrity,hshould
hbehdiscouragedhandnotheliminated.
4. Defensehmechanismshcausehdisintegrationhofhthehegohandhshouldhbehfosteredh
andhencouraged.
ANS:h1
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