,DOWNLOADTHETestBankforDavisAdvantageforPsychiatric
b b b b b b b b
HealthNursing10thEdition b b b
Townsend
PMHN, b
10e
Chapter 2. Mental Health and Mental Illness: Historical and Theoretical Concepts
b b b b b b b b b b
MULTIPLE CHOICE b
1.A nurse is assessing a clientwho is experiencing occasional feelings of sadness
b b b b b b b b b b b b b
becauseoftherecentdeath of abeloved pet. The client’s appetite, sleep patterns,and
b b b b b b b b b b b b b b b
daily routine have not changed. The nurse determines the client’s behaviors:
b b b b b b b b b b b
1. Demonstrate typical variations in daily mood, not mental illness b b b b b b b b
2. Are clinically significant and indicate serious mental illness
b b b b b b b
3. Are incongruent with cultural norms and indicate mental illness
b b b b b b b b
4. Show common symptoms of grief and do not indicate mentalillness
b b b b b b b b b b
ANS: 4 b
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
b b b b b b b b b b
Concepts
b
Objective: Describe psychological adaptation responses to stress. Page:
b b b b b b b
20 b
Heading: Grief b
Integrated Processes: Nursing Process: Assessment b b b b
Client Need: Psychosocial Integrity
b b b b
Cognitive Level: Analysis [Analyzing] Concept: b b b b
Grief and Loss
b b b
Difficulty: Moderate b
Feedback
1. This is incorrect. Feelings of sadness are not a typical aspect of daily mood
b b b b b b b b b b b b b
variations.
b
2. This is incorrect. These symptoms are not clinically significant from the
b b b b b b b b b b
perspective of mental illness. The client demonstrates a common grief response.
b b b b b b b b b b b
3. This is incorrect. Feelings of sadness are expected and normal following the
b b b b b b b b b b b
loss of a pet.The clientdoes not exhibit signsof mental illness, as daily functioning
b b b b b b b b b b b b b b b
is not impaired.
b b b
4. Thisiscorrect.Feelings of sadness are expected and normal following the lossofa
b b b b b b b b b b b b b
pet. This client does not demonstrate changes in daily function but does demonstrate
b b b b b b b b b b b b b
common symptoms of grief.
b b b b
CON: Grief and Loss b b b
2.Which indicates a client is likely demonstrating a mental disorder?
b b b b b b b b b b
mynursytest.store
,DOWNLOADTHETestBankforDavisAdvantageforPsychiatric
b b b b b b b b
HealthNursing10thEdition b b b
Townsend
PMHN,
b
10e
1. The client expresses mild anxiety and is eating more than usual
b b b b b b b b b b
before an examination.
b b b
2. The client displays an inability to concentrate, including reduced job performance.
b b b b b b b b b b
3. The client describes engaging in fidgeting behavior consistently over a few days.
b b b b b b b b b b b
4. The client states an increasein smoking over a few days from0.5 to 1 pack perday.
b b b b b b b b b b b b b b b b
ANS: 2 b
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
b b b b b b b b b b
bConcepts
Objective: Define mental health and mental illness. b b b b b b
Page: 14 b
Heading: Mental Illness b b
Integrated Processes: Nursing Process: Assessment b b b b
Client Need: Psychosocial Integrity
b b b b
Cognitive Level: Application [Applying] b b b
Concept:Stress
b b
Difficulty: Moderate b
Feedback
1. This is incorrect.The client is expressing normal behaviors related to mild
b b b b b b b b b b b
anxietyappropriate to a situation, in this case an examination. Mild anxiety b b b b b b b b b b b
can be beneficial to improve performance.
b b b b b b
2. This is correct. The client is unable to concentrate, and job performance has
b b b b b b b b b b b b
been negatively impacted. This demonstrates a possible mental disorder.
b b b b b b b b b
3. Thisisincorrect. Fidgeting behavioroverashort-term periodisacommon
b b b b b b b b b b b
psychologicaladaptiveresponsetomildanxiety.Thisdoes not suggest a mental
b b b b b b b b b b b b
disorder. b
4. This is incorrect. Smoking or increasing smoking over a few days is a common
b b b b b b b b b b b b b
response to stress and suggests mild anxiety, which does notsuggest a mental
b b b b b b b b b b b b
disorder. b
CON: Stress b
3.A mental health nurse is speaking with parents who are concerned about their
b b b b b b b b b b b b b
teenagechildren’sresponsestostress. One child becomes anxious and irritableand the
b b b b b b b b b b b b b
bother
withdraws and cries. Which is the nurse’s best response? b b b b b b b b
1. “Individual responses to stress are affected by many factors and can vary.” b b b b b b b b b b b
2. “Children from the same family should not react so differently to stress.”b b b b b b b b b b b
3. “Children should have similar dispositions and responses to stress.” b b b b b b b b
4. “Environmental factors influence stress responses more than genetic factors.” b b b b b b b b
ANS: 1 b
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
b b b b b b b b b b
Concepts
b
mynursytest.store
, DOWNLOADTHETestBankforDavisAdvantageforPsychiatric
b b b b b b b b
HealthNursing10thEdition b b b
Townsend
PMHN,
b
10e
Objective: Describe psychological adaptation responses to stress. Page:
b b b b b b b
16
b
Heading: Psychological Adaptation toStress Integrated
b b b b b
Processes: Nursing Process:
b b b
Implementation Client Need: Teaching and b b b b
Learning
b
Cognitive Level: Application [Applying] b b b
Concept:Stress
b b
Difficulty: Moderate b
Feedback
1. This is correct. Responses to stress are variable among individuals and may be
b b b b b b b b b b b b
influenced by perception, past experiences, environmental factors, and genetic b b b b b b b b
factors.
b
2. This is incorrect. Responses to stress vary among individuals; even those within
b b b b b b b b b b b
the same family will have different stress responses.
b b b b b b b b
3. This is incorrect. Children, like adults, will demonstrate various responses to
b b b b b b b b b b
stress, depending on factorssuch as environment, past experiences, and perceptions.
b b b b b b b b b b
4. This is incorrect. Responses to stress depend on genetic factors, perception, past
b b b b b b b b b b b
experiences, and environmental factors. b b b
CON: Stress b
4.Thenurseisinterviewingaclientwithahistoryof excessive drinking andmultiple arrests
b b b b b b b b b b b b b b b
bfor impaired driving. The client states, “I work hard to provideformy family. I
b b b b b b b b b b b b b
don’t see why I can’t drink to relax.” Which defensemechanismis the client
b b b b b b b b b b b b b b
demonstrating?
b
1. Projection
2. Rationalization
3. Regression
4. Sublimation
ANS: 2 b
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
b b b b b b b b b b
bConcepts
Objective: Correlate adaptive and maladaptive responses to the mental health and mental
b b b b b b b b b b b
illness continuum.
b b
Page: 16 b
Heading: Anxiety > Behavioral Adaptation Responses to Anxiety > Table 2–2,
b b b b b b b b b b
Ego Defense Mechanisms
b b b
Integrated Processes: Nursing Process: Assessment b b b b
Client Need: Psychosocial Integrity
b b b b
Cognitive Level: Comprehension [Understanding] b b b
Concept: Addiction and Behaviors
b b b b
Difficulty: Easy b
mynursytest.store
b b b b b b b b
HealthNursing10thEdition b b b
Townsend
PMHN, b
10e
Chapter 2. Mental Health and Mental Illness: Historical and Theoretical Concepts
b b b b b b b b b b
MULTIPLE CHOICE b
1.A nurse is assessing a clientwho is experiencing occasional feelings of sadness
b b b b b b b b b b b b b
becauseoftherecentdeath of abeloved pet. The client’s appetite, sleep patterns,and
b b b b b b b b b b b b b b b
daily routine have not changed. The nurse determines the client’s behaviors:
b b b b b b b b b b b
1. Demonstrate typical variations in daily mood, not mental illness b b b b b b b b
2. Are clinically significant and indicate serious mental illness
b b b b b b b
3. Are incongruent with cultural norms and indicate mental illness
b b b b b b b b
4. Show common symptoms of grief and do not indicate mentalillness
b b b b b b b b b b
ANS: 4 b
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
b b b b b b b b b b
Concepts
b
Objective: Describe psychological adaptation responses to stress. Page:
b b b b b b b
20 b
Heading: Grief b
Integrated Processes: Nursing Process: Assessment b b b b
Client Need: Psychosocial Integrity
b b b b
Cognitive Level: Analysis [Analyzing] Concept: b b b b
Grief and Loss
b b b
Difficulty: Moderate b
Feedback
1. This is incorrect. Feelings of sadness are not a typical aspect of daily mood
b b b b b b b b b b b b b
variations.
b
2. This is incorrect. These symptoms are not clinically significant from the
b b b b b b b b b b
perspective of mental illness. The client demonstrates a common grief response.
b b b b b b b b b b b
3. This is incorrect. Feelings of sadness are expected and normal following the
b b b b b b b b b b b
loss of a pet.The clientdoes not exhibit signsof mental illness, as daily functioning
b b b b b b b b b b b b b b b
is not impaired.
b b b
4. Thisiscorrect.Feelings of sadness are expected and normal following the lossofa
b b b b b b b b b b b b b
pet. This client does not demonstrate changes in daily function but does demonstrate
b b b b b b b b b b b b b
common symptoms of grief.
b b b b
CON: Grief and Loss b b b
2.Which indicates a client is likely demonstrating a mental disorder?
b b b b b b b b b b
mynursytest.store
,DOWNLOADTHETestBankforDavisAdvantageforPsychiatric
b b b b b b b b
HealthNursing10thEdition b b b
Townsend
PMHN,
b
10e
1. The client expresses mild anxiety and is eating more than usual
b b b b b b b b b b
before an examination.
b b b
2. The client displays an inability to concentrate, including reduced job performance.
b b b b b b b b b b
3. The client describes engaging in fidgeting behavior consistently over a few days.
b b b b b b b b b b b
4. The client states an increasein smoking over a few days from0.5 to 1 pack perday.
b b b b b b b b b b b b b b b b
ANS: 2 b
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
b b b b b b b b b b
bConcepts
Objective: Define mental health and mental illness. b b b b b b
Page: 14 b
Heading: Mental Illness b b
Integrated Processes: Nursing Process: Assessment b b b b
Client Need: Psychosocial Integrity
b b b b
Cognitive Level: Application [Applying] b b b
Concept:Stress
b b
Difficulty: Moderate b
Feedback
1. This is incorrect.The client is expressing normal behaviors related to mild
b b b b b b b b b b b
anxietyappropriate to a situation, in this case an examination. Mild anxiety b b b b b b b b b b b
can be beneficial to improve performance.
b b b b b b
2. This is correct. The client is unable to concentrate, and job performance has
b b b b b b b b b b b b
been negatively impacted. This demonstrates a possible mental disorder.
b b b b b b b b b
3. Thisisincorrect. Fidgeting behavioroverashort-term periodisacommon
b b b b b b b b b b b
psychologicaladaptiveresponsetomildanxiety.Thisdoes not suggest a mental
b b b b b b b b b b b b
disorder. b
4. This is incorrect. Smoking or increasing smoking over a few days is a common
b b b b b b b b b b b b b
response to stress and suggests mild anxiety, which does notsuggest a mental
b b b b b b b b b b b b
disorder. b
CON: Stress b
3.A mental health nurse is speaking with parents who are concerned about their
b b b b b b b b b b b b b
teenagechildren’sresponsestostress. One child becomes anxious and irritableand the
b b b b b b b b b b b b b
bother
withdraws and cries. Which is the nurse’s best response? b b b b b b b b
1. “Individual responses to stress are affected by many factors and can vary.” b b b b b b b b b b b
2. “Children from the same family should not react so differently to stress.”b b b b b b b b b b b
3. “Children should have similar dispositions and responses to stress.” b b b b b b b b
4. “Environmental factors influence stress responses more than genetic factors.” b b b b b b b b
ANS: 1 b
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
b b b b b b b b b b
Concepts
b
mynursytest.store
, DOWNLOADTHETestBankforDavisAdvantageforPsychiatric
b b b b b b b b
HealthNursing10thEdition b b b
Townsend
PMHN,
b
10e
Objective: Describe psychological adaptation responses to stress. Page:
b b b b b b b
16
b
Heading: Psychological Adaptation toStress Integrated
b b b b b
Processes: Nursing Process:
b b b
Implementation Client Need: Teaching and b b b b
Learning
b
Cognitive Level: Application [Applying] b b b
Concept:Stress
b b
Difficulty: Moderate b
Feedback
1. This is correct. Responses to stress are variable among individuals and may be
b b b b b b b b b b b b
influenced by perception, past experiences, environmental factors, and genetic b b b b b b b b
factors.
b
2. This is incorrect. Responses to stress vary among individuals; even those within
b b b b b b b b b b b
the same family will have different stress responses.
b b b b b b b b
3. This is incorrect. Children, like adults, will demonstrate various responses to
b b b b b b b b b b
stress, depending on factorssuch as environment, past experiences, and perceptions.
b b b b b b b b b b
4. This is incorrect. Responses to stress depend on genetic factors, perception, past
b b b b b b b b b b b
experiences, and environmental factors. b b b
CON: Stress b
4.Thenurseisinterviewingaclientwithahistoryof excessive drinking andmultiple arrests
b b b b b b b b b b b b b b b
bfor impaired driving. The client states, “I work hard to provideformy family. I
b b b b b b b b b b b b b
don’t see why I can’t drink to relax.” Which defensemechanismis the client
b b b b b b b b b b b b b b
demonstrating?
b
1. Projection
2. Rationalization
3. Regression
4. Sublimation
ANS: 2 b
Chapter: Chapter 2, Mental Health and Mental Illness: Historical and Theoretical
b b b b b b b b b b
bConcepts
Objective: Correlate adaptive and maladaptive responses to the mental health and mental
b b b b b b b b b b b
illness continuum.
b b
Page: 16 b
Heading: Anxiety > Behavioral Adaptation Responses to Anxiety > Table 2–2,
b b b b b b b b b b
Ego Defense Mechanisms
b b b
Integrated Processes: Nursing Process: Assessment b b b b
Client Need: Psychosocial Integrity
b b b b
Cognitive Level: Comprehension [Understanding] b b b
Concept: Addiction and Behaviors
b b b b
Difficulty: Easy b
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