FULL TEST BANK
ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING
A8TH EDITION CONCEPTS OF CARE IN EVIDENCE
BASED PRACTICE MORGAN TOWNSEND|ALL CHAPTERS
1-32|WITH RATOINALE
,TABLE OF CONTENTS
CHAPTER 1. MENTAL HEALTH AND MENTAL ILLNESS MULTIPLE CHOICE ............... 4
CHAPTER 2. BIOLOGICAL IMPLICATIONS .............................................................. 13
CHAPTER 3. ETHICAL AND LEGAL ISSUES.............................................................. 23
CHAPTER 4. PSYCHOPHARMACOLOGY ................................................................. 34
CHAPTER 5. RELATIONSHIP DEVELOPMENT AND THERAPEUTIC COMMUNICATION
............................................................................................................................. 50
CHAPTER 6. THE NURSING PROCESS IN PSYCHIATRIC/MENTAL HEALTH NURSING
............................................................................................................................. 62
CHAPTER 7. MILIEU THERAPY - THERAPEUTIC COMMUNITY................................ 73
CHAPTER 8. INTERVENTION IN GROUPS .............................................................. 81
CHAPTER 9. CRISIS INTERVENTION....................................................................... 91
CHAPTER 10. THE RECOVERY MODEL................................................................. 101
CHAPTER 11. SUICIDE PREVENTION ................................................................... 111
CHAPTER 12. CARING FOR PATIENTS WITH MENTAL ILLNESS AND SUBSTANCE USE
DISORDERS IN GENERALPRACTICE SETTINGS ..................................................... 121
CHAPTER 13. NEUROCOGNITIVE DISORDERS ..................................................... 134
CHAPTER 14. SUBSTANCE USE AND ADDICTIVE DISORDERS .............................. 145
CHAPTER 15. SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS 168
CHAPTER 16. DEPRESSIVE DISORDERS ............................................................... 192
CHAPTER 17. BIPOLAR AND RELATED DISORDERS.............................................. 214
CHAPTER 18. ANXIETY, OBSESSIVE-COMPULSIVE, AND RELATED DISORDERS .... 225
CHAPTER 19. TRAUMA- AND STRESSOR-RELATED DISORDERS........................... 247
CHAPTER 20. SOMATIC SYMPTOM AND DISSOCIATIVE DISORDERS ................... 269
CHAPTER 21. EATING DISORDERS ...................................................................... 279
CHAPTER 22. PERSONALITY DISORDERS ............................................................. 288
CHAPTER 23. CHILDREN AND ADOLESCENTS...................................................... 313
CHAPTER 24. THE AGING INDIVIDUAL ................................................................ 326
,CHAPTER 25. SURVIVORS OF ABUSE AND NEGLECT ........................................... 335
CHAPTER 26. COMMUNITY MENTAL HEALTH NURSING..................................... 346
CHAPTER 27. THE BEREAVED INDIVIDUAL.......................................................... 355
CHAPTER 28. MILITARY FAMILIES....................................................................... 364
CHAPTER 29. CONCEPTS OF PERSONALITY DEVELOPMENT................................ 370
CHAPTER 30. COMPLEMENTARY AND PSYCHOSOCIAL THERAPIES ..................... 378
CHAPTER 31. CULTURAL AND SPIRITUAL CONCEPTS RELEVANT TO PSYCHIATRIC
MENTAL HEALTH NURSING ................................................................................ 387
CHAPTER 32. ISSUES RELATED TO HUMAN SEXUALITY AND GENDER DYSPHORIA
........................................................................................................................... 398
, 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.
CORRECT 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.
CORRECT 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:
ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING
A8TH EDITION CONCEPTS OF CARE IN EVIDENCE
BASED PRACTICE MORGAN TOWNSEND|ALL CHAPTERS
1-32|WITH RATOINALE
,TABLE OF CONTENTS
CHAPTER 1. MENTAL HEALTH AND MENTAL ILLNESS MULTIPLE CHOICE ............... 4
CHAPTER 2. BIOLOGICAL IMPLICATIONS .............................................................. 13
CHAPTER 3. ETHICAL AND LEGAL ISSUES.............................................................. 23
CHAPTER 4. PSYCHOPHARMACOLOGY ................................................................. 34
CHAPTER 5. RELATIONSHIP DEVELOPMENT AND THERAPEUTIC COMMUNICATION
............................................................................................................................. 50
CHAPTER 6. THE NURSING PROCESS IN PSYCHIATRIC/MENTAL HEALTH NURSING
............................................................................................................................. 62
CHAPTER 7. MILIEU THERAPY - THERAPEUTIC COMMUNITY................................ 73
CHAPTER 8. INTERVENTION IN GROUPS .............................................................. 81
CHAPTER 9. CRISIS INTERVENTION....................................................................... 91
CHAPTER 10. THE RECOVERY MODEL................................................................. 101
CHAPTER 11. SUICIDE PREVENTION ................................................................... 111
CHAPTER 12. CARING FOR PATIENTS WITH MENTAL ILLNESS AND SUBSTANCE USE
DISORDERS IN GENERALPRACTICE SETTINGS ..................................................... 121
CHAPTER 13. NEUROCOGNITIVE DISORDERS ..................................................... 134
CHAPTER 14. SUBSTANCE USE AND ADDICTIVE DISORDERS .............................. 145
CHAPTER 15. SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS 168
CHAPTER 16. DEPRESSIVE DISORDERS ............................................................... 192
CHAPTER 17. BIPOLAR AND RELATED DISORDERS.............................................. 214
CHAPTER 18. ANXIETY, OBSESSIVE-COMPULSIVE, AND RELATED DISORDERS .... 225
CHAPTER 19. TRAUMA- AND STRESSOR-RELATED DISORDERS........................... 247
CHAPTER 20. SOMATIC SYMPTOM AND DISSOCIATIVE DISORDERS ................... 269
CHAPTER 21. EATING DISORDERS ...................................................................... 279
CHAPTER 22. PERSONALITY DISORDERS ............................................................. 288
CHAPTER 23. CHILDREN AND ADOLESCENTS...................................................... 313
CHAPTER 24. THE AGING INDIVIDUAL ................................................................ 326
,CHAPTER 25. SURVIVORS OF ABUSE AND NEGLECT ........................................... 335
CHAPTER 26. COMMUNITY MENTAL HEALTH NURSING..................................... 346
CHAPTER 27. THE BEREAVED INDIVIDUAL.......................................................... 355
CHAPTER 28. MILITARY FAMILIES....................................................................... 364
CHAPTER 29. CONCEPTS OF PERSONALITY DEVELOPMENT................................ 370
CHAPTER 30. COMPLEMENTARY AND PSYCHOSOCIAL THERAPIES ..................... 378
CHAPTER 31. CULTURAL AND SPIRITUAL CONCEPTS RELEVANT TO PSYCHIATRIC
MENTAL HEALTH NURSING ................................................................................ 387
CHAPTER 32. ISSUES RELATED TO HUMAN SEXUALITY AND GENDER DYSPHORIA
........................................................................................................................... 398
, 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.
CORRECT 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.
CORRECT 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:
