Test Bank For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing 9th Edition Karyn Morgan Chapters 1 - 32 | Complete

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 0 0


INTRODUCTION0TO0PSYCHIATRIC0MENTAL0HEALTH0CONCEPTS
1.0Mental0Health0and0Mental0Illness
2.0Biological0Implications
3.0Ethical0and0Legal0Issues
4.0Psychopharmacology
II.0PSYCHIATRIC0MENTAL0HEALTH0NURSING0INTERVENTIONS
5.0Relationship0Development0and0Therapeutic0Communication
6.0The0Nursing0Process0in0Psychiatric/Mental0Health0Nursing
7.0Psychosocial0Interventions0and0Spiritual0Care
8.0Intervention0in0Groups
9.0Crisis0Intervention
10.0The0Recovery0Model
11.0Suicide0Prevention
III.0CARE0OF0PATIENTS0WITH0PSYCHIATRIC0DISORDERS
12.0Caring0for0Patients0with0Mental0Illness0and0Substance0Use0Disorders0in0General0Practice0Settings
13.0Neurocognitive0Disorders
14.0Substance0Use0and0Addiction0Disorders
15.0Schizophrenia0Spectrum0and0Other0Psychotic0Disorders
16.0Depressive0Disorders
17.0Bipolar0and0Related0Disorders
18.0Anxiety,0Obsessive-Compulsive,0and0Related0Disorders
19.0Trauma-0and0Stressor-Related0Disorders
20.0Somatic0Symptom0and0Dissociative0Disorders
21.0Eating0Disorders
22.0Personality0Disorders
IV.0PSYCHIATRIC0MENTAL0HEALTH0NURSING0OF0SPECIAL0POPULATIONS
23.0Children0and0Adolescents
24.0The0Aging0Individual
25.0Survivors0of0Abuse0or0Neglect
26.0Community0Mental0Health0Nursing
27.0The0Bereaved0Individual
28.0Military0Families
V.0ONLINE0CHAPTERS
29.0Concepts0of0Personality0Development
30.0Complementary0and0Integrative0Therapies
31.0Cultural0Concepts0Relevant0to0Psychiatric0Mental0Health0Nursing
32.0Issues0Related0to0Human0Sexuality0and0Gender0Dysphoria0

,Chapter01.0Mental0Health0and0Mental0Illne

ss0Multiple0Choice
1.0A0nurse0is0assessing0a0client0who0is0experiencing0occasional0feelings0of0sadness0because0of0
the0recent0death0of0a0beloved0pet.0The0clients0appetite,0sleep0patterns,0and0daily0routine0have0n
ot0changed.0How0should0the0 nurse0 interpret0the0clients0behaviors?
1. The0clients0behaviors0demonstrate0mental0illness0in0the0form0of0depression.
2. The0clients0behaviors0are0extensive,0which0indicates0the0presence0of0mental0illness.
3. The0clients0behaviors0are0not0congruent0with0cultural0norms.
4. The0clients0behaviors0demonstrate0no0functional0impairment,0indicating0 no0 mental0illness.
ANSWER:04
Rationale:0The0nurse0should0assess0that0the0clients0daily0functioning0is0not0impaired.0The0client
0who0experiences0feelings0of0sadness0after0the0loss0of0a0pet0is0responding0within0normal0expect
ations.0Without0significant0impairment,0the0clients0distress0does0not0indicate0a0mental0illness.
Cognitive0Level:0Analysis0Inte
grated0Process:0Assessment
2.0At0what0point0should0the0nurse0determine0that0a0client0is0at0risk0for0developing0a0me
ntal0illness?
1. When0thoughts,0feelings,0and0behaviors0are0not0reflective0of0the0DSM-50criteria.
2. When0maladaptive0responses0to0stress0are0coupled0with0interference0in0daily0functioning.
3. When0a0client0communicates0significant0 distress.
4. When0a0client0uses0defense0mechanisms0as0ego0 protection.
ANSWER:02
Rationale:0The0nurse0should0determine0that0the0client0is0at0risk0for0mental0illness0when0respon
ses0to0stress0are0maladaptive0and0interfere0with0daily0functioning.0The0DSM-
50indicates0that0in0order0to0be0diagnosed0with0a0mental0illness,0daily0functioning0must0be0signi
ficantly0impaired.0The0clients0ability0to0communicate0distress0would0be0considered0a0positive0
attribute.
Cognitive0Level:0Application0I
ntegrated0Process:0Assessment
3.0A0nurse0is0assessing0a0set0of015-year-
old0identical0twins0who0respond0very0differently0to0stress.0One0twin0becomes0anxious0and0irrita
ble,0and0the0other0withdraws0and0cries.0How0should0the0nurse0explain0these0different0 stress0re
sponses0to0the0parents?
1. Reactions0to0 stress0are0relative0rather0than0absolute;0individual0responses0to0 stress0vary.
2. It0is0abnormal0for0identical0twins0to0react0differently0to0similar0stressors.
3. Identical0twins0should0share0the0same0temperament0and0respond0similarly0to0stress.
4. Environmental0influences0to0stress0weigh0more0heavily0than0genetic0influences.

, ANSWER:01
Rationale:0The0nurse0should0explain0to0the0parents0that,0although0the0twins0have0identical0DN
A,0there0are0several0other0factors0that0affect0reactions0to0stress.0Mental0health0is0a0state0of0bein
g0that0is0relative0to0the0individual0client.0Environmental0influences0and0temperament0can0affec
t0stress0reactions.
Cognitive0Level:0Application0Inte
grated0Process:0Implementation
4.0Which0client0should0the0nurse0anticipate0to0be0most0receptive0to0psychiatric0treatmen
t?01.0 A0Jewish,0 female0social0worker.
2. A0Baptist,0homeless0male.
3. A0Catholic,0black0 male.
4. A0Protestant,0Swedish0business0executive.
ANSWER:01
Rationale:0The0nurse0should0anticipate0that0the0client0of0Jewish0culture0would0place0a0high0im
portance0on0preventative0health0care0and0would0consider0mental0health0as0equally0important0as
0physical0health.0Women0are0also0more0likely0to0seek0treatment0for0mental0health0problems0tha
n0men.
Cognitive0Level:0Applicatio
n0Integrated0Process:0Plannin
g
5. A0psychiatric0nurse0intern0states,0This0clients0use0of0defense0mechanisms0should0be0eliminat
ed.0Which0is0a0correct0 evaluation0of0this0nurses0 statement?
1. Defense0mechanisms0can0be0appropriate0responses0to0stress0and0need0not0be0eliminated.
2. Defense0mechanisms0are0a0maladaptive0attempt0of0the0ego0to0manage0anxiety0andsho
uld0always0be0 eliminated.
3. Defense0mechanisms,0used0by0individuals0with0weak0ego0integrity,0should0be0discourageda
nd0not0eliminated.
4. Defense0mechanisms0cause0disintegration0of0the0ego0and0should0be0fostered0and0encouraged.
ANSWER:01
Rationale:0The0nurse0should0determine0that0defense0mechanisms0 can0be0appropriate0during0tim
es0of0stress.0The0client0with0no0defense0mechanisms0may0have0a0lower0tolerance0for0stress,0thu
s0leading0to0anxiety0disorders.0Defense0mechanisms0should0be0confronted0when0they0impede0t
he0client0 from0developing0 healthy0coping0skills.
Cognitive0Level:0Application
0Integrated0Process:0Evaluatio
n
6.0During0an0intake0assessment,0a0nurse0asks0both0physiological0and0psychosocial0questions.0T
he0client0angrily0responds,0Im0here0for0my0heart,0not0my0head0problems.0Which0is0the0nurses0b
est0response?
1. Its0just0a0routine0part0of0our0assessment.0All0clients0are0asked0these0same0questions.
2. Why0are0you0concerned0about0these0types0of0questions?
3. Psychological0factors,0like0excessive0stress,0 have0been0found0to0 affect0 medical0conditions.
4. We0can0skip0these0questions,0if0you0like.0It0isnt0imperative0that0we0complete0this0 section.