COMPLETE TEST BANK ESSENTIALS OF PSYCHIATRIC
MENTAL HEALTH NURSING: CONCEPTS OF CARE IN EVIDENCE-
BASED PRACTICE
8TH EDITION
BY MORGAN, KARYN, MARY C. TOWNSEND
1
,TABLE OF CONTENTS
CHAPTER 1. MENTAL HEALTH AND MENTAL ILLNESS ............................................................................................. 3
CHAPTER 2. BIOLOGICAL IMPLICATIONS .................................................................................................................... 12
CHAPTER 3. ETHICAL AND LEGAL ISSUES ................................................................................................................. 19
CHAPTER 4. PSYCHOPHARMACOLOGY ........................................................................................................................ 30
CHAPTER 5. RELATIONSHIP DEVELOPMENT AND THERAPEUTIC COMMUNICATION .................................. 42
CHAPTER 6. THE NURSING PROCESS IN PSYCHIATRIC/MENTAL HEALTH NURSING .................................. 53
CHAPTER 7. MILIEU THERAPY - THERAPEUTIC COMMUNITY ...............................................................................62
CHAPTER 8. INTERVENTION IN GROUPS .....................................................................................................................69
CHAPTER 9. CRISIS INTERVENTION .............................................................................................................................. 79
CHAPTER 10. THE RECOVERY MODEL .......................................................................................................................... 89
CHAPTER 11. SUICIDE PREVENTION ..............................................................................................................................99
CHAPTER 12. CARING FOR PATIENTS WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS IN
GENERAL PRACTICE SETTINGS .................................................................................................................................... 108
CHAPTER 13. NEUROCOGNITIVE DISORDERS ............................................................................................................ 119
CHAPTER 14. SUBSTANCE USE AND ADDICTIVE DISORDERS ............................................................................ 129
CHAPTER 15. SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS ...................................... 146
CHAPTER 16. DEPRESSIVE DISORDERS ..................................................................................................................... 162
CHAPTER 17. BIPOLAR AND RELATED DISORDERS ............................................................................................... 180
CHAPTER 18. ANXIETY, OBSESSIVE-COMPULSIVE, AND RELATED DISORDERS .......................................... 190
CHAPTER 19. TRAUMA- AND STRESSOR-RELATED DISORDERS ..................................................................... 205
CHAPTER 20. SOMATIC SYMPTOM AND DISSOCIATIVE DISORDERS ................................................................ 221
CHAPTER 21. EATING DISORDERS .............................................................................................................................. 230
CHAPTER 22. PERSONALITY DISORDERS ................................................................................................................ 239
CHAPTER 23. CHILDREN AND ADOLESCENTS ....................................................................................................... 257
CHAPTER 24. THE AGING INDIVIDUAL ........................................................................................................................269
CHAPTER 25. SURVIVORS OF ABUSE AND NEGLECT ........................................................................................... 279
CHAPTER 26. COMMUNITY MENTAL HEALTH NURSING ...................................................................................... 289
CHAPTER 27. THE BEREAVED INDIVIDUAL .............................................................................................................. 298
CHAPTER 28. MILITARY FAMILIES .............................................................................................................................. 307
CHAPTER 29. CONCEPTS OF PERSONALITY DEVELOPMENT .............................................................................. 312
CHAPTER 30. COMPLEMENTARY AND PSYCHOSOCIAL THERAPIES ............................................................... 320
CHAPTER 31. CULTURAL AND SPIRITUAL CONCEPTS RELEVANT TO PSYCHIATRIC MENTAL HEALTH
NURSING ............................................................................................................................................................................. 329
CHAPTER 32. ISSUES RELATED TO HUMAN SEXUALITY AND GENDER DYSPHORIA ................................. 339
2
,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION CONCEPTS OF
CARE IN EVIDENCE-BASED PRACTICE 8TH EDITION MORGAN TOWNSEND TEST BANK
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.
ANS: 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.
ANS: 2
3
, 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. 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.
ANS: 1
RATIONALE: THE NURSE SHOULD EXPLAIN TO THE PARENTS THAT, ALTHOUGH THE
TWINS HAVE IDENTICAL DNA, THERE ARE SEVERAL OTHER FACTORS THAT AFFECT
REACTIONS TO STRESS. MENTAL HEALTH IS A STATE OF BEING THAT IS RELATIVE TO
THE INDIVIDUAL CLIENT. ENVIRONMENTAL INFLUENCES AND TEMPERAMENT CAN
AFFECT STRESS REACTIONS.
COGNITIVE LEVEL: APPLICATION INTEGRATED PROCESS:
IMPLEMENTATION
4. WHICH CLIENT SHOULD THE NURSE ANTICIPATE TO BE MOST RECEPTIVE TO
PSYCHIATRIC TREATMENT?
1. A JEWISH, FEMALE SOCIAL WORKER.
2. A BAPTIST, HOMELESS MALE.
3. A CATHOLIC, BLACK MALE.
4
MENTAL HEALTH NURSING: CONCEPTS OF CARE IN EVIDENCE-
BASED PRACTICE
8TH EDITION
BY MORGAN, KARYN, MARY C. TOWNSEND
1
,TABLE OF CONTENTS
CHAPTER 1. MENTAL HEALTH AND MENTAL ILLNESS ............................................................................................. 3
CHAPTER 2. BIOLOGICAL IMPLICATIONS .................................................................................................................... 12
CHAPTER 3. ETHICAL AND LEGAL ISSUES ................................................................................................................. 19
CHAPTER 4. PSYCHOPHARMACOLOGY ........................................................................................................................ 30
CHAPTER 5. RELATIONSHIP DEVELOPMENT AND THERAPEUTIC COMMUNICATION .................................. 42
CHAPTER 6. THE NURSING PROCESS IN PSYCHIATRIC/MENTAL HEALTH NURSING .................................. 53
CHAPTER 7. MILIEU THERAPY - THERAPEUTIC COMMUNITY ...............................................................................62
CHAPTER 8. INTERVENTION IN GROUPS .....................................................................................................................69
CHAPTER 9. CRISIS INTERVENTION .............................................................................................................................. 79
CHAPTER 10. THE RECOVERY MODEL .......................................................................................................................... 89
CHAPTER 11. SUICIDE PREVENTION ..............................................................................................................................99
CHAPTER 12. CARING FOR PATIENTS WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS IN
GENERAL PRACTICE SETTINGS .................................................................................................................................... 108
CHAPTER 13. NEUROCOGNITIVE DISORDERS ............................................................................................................ 119
CHAPTER 14. SUBSTANCE USE AND ADDICTIVE DISORDERS ............................................................................ 129
CHAPTER 15. SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS ...................................... 146
CHAPTER 16. DEPRESSIVE DISORDERS ..................................................................................................................... 162
CHAPTER 17. BIPOLAR AND RELATED DISORDERS ............................................................................................... 180
CHAPTER 18. ANXIETY, OBSESSIVE-COMPULSIVE, AND RELATED DISORDERS .......................................... 190
CHAPTER 19. TRAUMA- AND STRESSOR-RELATED DISORDERS ..................................................................... 205
CHAPTER 20. SOMATIC SYMPTOM AND DISSOCIATIVE DISORDERS ................................................................ 221
CHAPTER 21. EATING DISORDERS .............................................................................................................................. 230
CHAPTER 22. PERSONALITY DISORDERS ................................................................................................................ 239
CHAPTER 23. CHILDREN AND ADOLESCENTS ....................................................................................................... 257
CHAPTER 24. THE AGING INDIVIDUAL ........................................................................................................................269
CHAPTER 25. SURVIVORS OF ABUSE AND NEGLECT ........................................................................................... 279
CHAPTER 26. COMMUNITY MENTAL HEALTH NURSING ...................................................................................... 289
CHAPTER 27. THE BEREAVED INDIVIDUAL .............................................................................................................. 298
CHAPTER 28. MILITARY FAMILIES .............................................................................................................................. 307
CHAPTER 29. CONCEPTS OF PERSONALITY DEVELOPMENT .............................................................................. 312
CHAPTER 30. COMPLEMENTARY AND PSYCHOSOCIAL THERAPIES ............................................................... 320
CHAPTER 31. CULTURAL AND SPIRITUAL CONCEPTS RELEVANT TO PSYCHIATRIC MENTAL HEALTH
NURSING ............................................................................................................................................................................. 329
CHAPTER 32. ISSUES RELATED TO HUMAN SEXUALITY AND GENDER DYSPHORIA ................................. 339
2
,ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION CONCEPTS OF
CARE IN EVIDENCE-BASED PRACTICE 8TH EDITION MORGAN TOWNSEND TEST BANK
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.
ANS: 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.
ANS: 2
3
, 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. 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.
ANS: 1
RATIONALE: THE NURSE SHOULD EXPLAIN TO THE PARENTS THAT, ALTHOUGH THE
TWINS HAVE IDENTICAL DNA, THERE ARE SEVERAL OTHER FACTORS THAT AFFECT
REACTIONS TO STRESS. MENTAL HEALTH IS A STATE OF BEING THAT IS RELATIVE TO
THE INDIVIDUAL CLIENT. ENVIRONMENTAL INFLUENCES AND TEMPERAMENT CAN
AFFECT STRESS REACTIONS.
COGNITIVE LEVEL: APPLICATION INTEGRATED PROCESS:
IMPLEMENTATION
4. WHICH CLIENT SHOULD THE NURSE ANTICIPATE TO BE MOST RECEPTIVE TO
PSYCHIATRIC TREATMENT?
1. A JEWISH, FEMALE SOCIAL WORKER.
2. A BAPTIST, HOMELESS MALE.
3. A CATHOLIC, BLACK MALE.
4
