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
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS
1. Mental Health and Mental Illness
2. Biological Implications
3. Ethical and Legal Issues
4. Psychopharmacology
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
5. Relationship Development and Therapeutic Communication
6. The Nursing Process in Psychiatric/Mental Health Nursing
7. Psychosocial Interventions and Spiritual Care
8. Intervention in Groups
9. Crisis Intervention
10. The Recovery Model
11. Suicide Prevention
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
13. Neurocognitive Disorders
14. Substance Use and Addiction Disorders
15. Schizophrenia Spectrum and Other Psychotic Disorders
16. Depressive Disorders
17. Bipolar and Related Disorders
18. Anxiety, Obsessive-Compulsive, and Related Disorders
19. Trauma- and Stressor-Related Disorders
20. Somatic Symptom and Dissociative Disorders
21. Eating Disorders
22. Personality Disorders
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
23. Children and Adolescents
24. The Aging Individual
25. Survivors of Abuse or Neglect
26. Community Mental Health Nursing
27. The Bereaved Individual
28. Military Families
V. ONLINE CHAPTERS
29. Concepts of Personality Development
30. Complementary and Integrative Therapies
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
32. Issues Related to Human Sexuality and Gender Dysphoria
,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 clients behaviors demonstrate no functional impairment, indicating no mental illness.
ANSWER: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired. The client
who 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 mental
illness?
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.
ANSWER: 2
Rationale: The nurse should determine that the client is at risk for mental illness when responses
to stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in order
to 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. Anurse isassessing a set of15-year-old identicaltwins who respond verydifferentlyto stress.One
* * * * * * * * * * * * * * * * *
twin becomes anxious and irritable, and the other withdraws and cries. How should the nurseexplain
* * * * * * * * * * * * * * * *
these different stress responses to theparents?
* * * * * * *
1. Reactions to stress arerelative rather thanabsolute; individualresponses to stressvary.
* * * * * * * * * * * *
2. It isabnormalfor identicaltwins to react differentlyto similar stressors.
* * * * * * * * * * *
3. Identicaltwins should sharethesametemperament and respond similarlyto stress.
* * * * * * * * * * *
4. Environmentalinfluences to stressweigh moreheavilythangeneticinfluences.
* * * * * * * * *
, ANSWER: 1 *
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,there
* * * * * * * * * * * * * * *
areseveralother factorsthat affect reactions to stress. Mentalhealth is a stateofbeing thatis relative to
* * * * * * * * * * * * * * * * * * * *
the individual client. Environmental influences and temperament can affect stress reactions.
* * * * * * * * * * *
Cognitive Level: Application * *
IntegratedProcess:Implementation
* * *
4. Whichclient should the nurseanticipateto be most receptive to psychiatric treatment?1. A
* * * * * * * * * * * * * * *
Jewish, female socialworker.
* * * *
2. ABaptist, homeless male.
* * *
3. ACatholic, black male.
* * *
4. AProtestant, Swedish businessexecutive.
* * * *
ANSWER: 1 *
Rationale: The nurse should anticipate that the client of Jewish culture would place a high importance
* * * * * * * * * * * * * * *
on preventative health care and would consider mental health as equally important asphysical health.
* * * * * * * * * * * * * * *
Women are also more likely to seek treatment for mental health problems than men.
* * * * * * * * * * * * * *
Cognitive Level: *
ApplicationIntegrated
* *
Process:Planning
* *
5. Apsychiatric nurse internstates,Thisclientsuseofdefense mechanisms should be eliminated.Which
* * * * * * * * * * * * * *
isa correct evaluation of this nurses statement?
* * * * * * * *
1. Defense mechanisms can beappropriate responses to stress and need not beeliminated. * * * * * * * * * * * *
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety * * * * * * * * * * *
andshouldalways be eliminated.
* * * *
3. Defense mechanisms, used by individuals with weak ego integrity, should be discouragedandnot
* * * * * * * * * * * *
eliminated.
*
4. Defense mechanisms cause disintegrationofthe ego and should be fostered andencouraged.
* * * * * * * * * * * *
ANSWER: 1 *
Rationale:Thenurseshould determinethat defense mechanisms canbeappropriateduring timesof
* * * * * * * * * * * * *
stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading to
* * * * * * * * * * * * * * * * *
anxiety disorders. Defense mechanisms should be confronted when they impede the client from
* * * * * * * * * * * * *
developing healthycoping skills.
* * * *
Cognitive Level: Application * *
IntegratedProcess:Evaluation
* * *
6. During an intake assessment, anurse asks bothphysiologicaland psychosocialquestions. Theclient
* * * * * * * * * * * * * *
angrily responds, Im here for my heart, not my head problems. Which is the nurses best response?
* * * * * * * * * * * * * * * * *
1. Itsjust aroutine partofour assessment. Allclients areasked thesesamequestions.
* * * * * * * * * * * * * *
2. Whyare you concerned about these types ofquestions?
* * * * * * * *
3. Psychological factors, likeexcessive stress, have been found to affect medicalconditions. * * * * * * * * * * *
4. Wecanskip thesequestions, ifyou like. Itisnt imperativethat wecompletethis section.
* * * * * * * * * * * * * * *
Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
Chapters 1 - 32 | Complete
,TABLE OF CONTENTS
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS
1. Mental Health and Mental Illness
2. Biological Implications
3. Ethical and Legal Issues
4. Psychopharmacology
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
5. Relationship Development and Therapeutic Communication
6. The Nursing Process in Psychiatric/Mental Health Nursing
7. Psychosocial Interventions and Spiritual Care
8. Intervention in Groups
9. Crisis Intervention
10. The Recovery Model
11. Suicide Prevention
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
13. Neurocognitive Disorders
14. Substance Use and Addiction Disorders
15. Schizophrenia Spectrum and Other Psychotic Disorders
16. Depressive Disorders
17. Bipolar and Related Disorders
18. Anxiety, Obsessive-Compulsive, and Related Disorders
19. Trauma- and Stressor-Related Disorders
20. Somatic Symptom and Dissociative Disorders
21. Eating Disorders
22. Personality Disorders
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
23. Children and Adolescents
24. The Aging Individual
25. Survivors of Abuse or Neglect
26. Community Mental Health Nursing
27. The Bereaved Individual
28. Military Families
V. ONLINE CHAPTERS
29. Concepts of Personality Development
30. Complementary and Integrative Therapies
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
32. Issues Related to Human Sexuality and Gender Dysphoria
,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 clients behaviors demonstrate no functional impairment, indicating no mental illness.
ANSWER: 4
Rationale: The nurse should assess that the clients daily functioning is not impaired. The client
who 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 mental
illness?
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.
ANSWER: 2
Rationale: The nurse should determine that the client is at risk for mental illness when responses
to stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in order
to 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. Anurse isassessing a set of15-year-old identicaltwins who respond verydifferentlyto stress.One
* * * * * * * * * * * * * * * * *
twin becomes anxious and irritable, and the other withdraws and cries. How should the nurseexplain
* * * * * * * * * * * * * * * *
these different stress responses to theparents?
* * * * * * *
1. Reactions to stress arerelative rather thanabsolute; individualresponses to stressvary.
* * * * * * * * * * * *
2. It isabnormalfor identicaltwins to react differentlyto similar stressors.
* * * * * * * * * * *
3. Identicaltwins should sharethesametemperament and respond similarlyto stress.
* * * * * * * * * * *
4. Environmentalinfluences to stressweigh moreheavilythangeneticinfluences.
* * * * * * * * *
, ANSWER: 1 *
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,there
* * * * * * * * * * * * * * *
areseveralother factorsthat affect reactions to stress. Mentalhealth is a stateofbeing thatis relative to
* * * * * * * * * * * * * * * * * * * *
the individual client. Environmental influences and temperament can affect stress reactions.
* * * * * * * * * * *
Cognitive Level: Application * *
IntegratedProcess:Implementation
* * *
4. Whichclient should the nurseanticipateto be most receptive to psychiatric treatment?1. A
* * * * * * * * * * * * * * *
Jewish, female socialworker.
* * * *
2. ABaptist, homeless male.
* * *
3. ACatholic, black male.
* * *
4. AProtestant, Swedish businessexecutive.
* * * *
ANSWER: 1 *
Rationale: The nurse should anticipate that the client of Jewish culture would place a high importance
* * * * * * * * * * * * * * *
on preventative health care and would consider mental health as equally important asphysical health.
* * * * * * * * * * * * * * *
Women are also more likely to seek treatment for mental health problems than men.
* * * * * * * * * * * * * *
Cognitive Level: *
ApplicationIntegrated
* *
Process:Planning
* *
5. Apsychiatric nurse internstates,Thisclientsuseofdefense mechanisms should be eliminated.Which
* * * * * * * * * * * * * *
isa correct evaluation of this nurses statement?
* * * * * * * *
1. Defense mechanisms can beappropriate responses to stress and need not beeliminated. * * * * * * * * * * * *
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety * * * * * * * * * * *
andshouldalways be eliminated.
* * * *
3. Defense mechanisms, used by individuals with weak ego integrity, should be discouragedandnot
* * * * * * * * * * * *
eliminated.
*
4. Defense mechanisms cause disintegrationofthe ego and should be fostered andencouraged.
* * * * * * * * * * * *
ANSWER: 1 *
Rationale:Thenurseshould determinethat defense mechanisms canbeappropriateduring timesof
* * * * * * * * * * * * *
stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading to
* * * * * * * * * * * * * * * * *
anxiety disorders. Defense mechanisms should be confronted when they impede the client from
* * * * * * * * * * * * *
developing healthycoping skills.
* * * *
Cognitive Level: Application * *
IntegratedProcess:Evaluation
* * *
6. During an intake assessment, anurse asks bothphysiologicaland psychosocialquestions. Theclient
* * * * * * * * * * * * * *
angrily responds, Im here for my heart, not my head problems. Which is the nurses best response?
* * * * * * * * * * * * * * * * *
1. Itsjust aroutine partofour assessment. Allclients areasked thesesamequestions.
* * * * * * * * * * * * * *
2. Whyare you concerned about these types ofquestions?
* * * * * * * *
3. Psychological factors, likeexcessive stress, have been found to affect medicalconditions. * * * * * * * * * * *
4. Wecanskip thesequestions, ifyou like. Itisnt imperativethat wecompletethis section.
* * * * * * * * * * * * * * *
