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. |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.
, ANSWER: |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. A |Protestant, |Swedish |business |executive.
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 |as
|physical |health. |Women |are |also |more |likely |to |seek |treatment |for |mental |health |problems |than
|men.
Cognitive |Level: |Application
|Integrated |Process: |Planning
5. A |psychiatric |nurse |intern |states, |This |clients |use |of |defense |mechanisms |should |be |eliminated.
|Which |is |a |correct | evaluation |of |this |nurses | statement?
1. Defense |mechanisms |can |be |appropriate |responses |to |stress |and |need |not |be |eliminated.
2. Defense |mechanisms |are |a |maladaptive |attempt |of |the |ego |to |manage |anxiety |andshould
|always | be | eliminated.
3. Defense |mechanisms, |used |by |individuals |with |weak |ego |integrity, |should |be |discouragedand
|not |eliminated.
4. Defense |mechanisms |cause |disintegration |of |the |ego |and |should |be |fostered |and |encouraged.
ANSWER: |1
Rationale: |The |nurse |should |determine |that |defense |mechanisms |can |be |appropriate |during |times|of
|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 | healthy |coping |skills.
Cognitive |Level: |Application
|Integrated |Process: |Evaluation
6. |During |an |intake |assessment, |a |nurse |asks |both |physiological |and |psychosocial |questions. |The
|client |angrily |responds, |Im |here |for |my |heart, |not |my |head |problems. |Which |is |the |nurses |best
|response?
1. Its |just |a |routine |part |of |our |assessment. |All |clients |are |asked |these |same |questions.
2. Why |are |you |concerned |about |these |types |of |questions?
3. Psychological |factors, |like |excessive |stress, |have |been |found |to |affect |medical |conditions.
4. We |can |skip |these |questions, |if |you |like. |It |isnt |imperative |that |we |complete |this |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. |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.
, ANSWER: |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. A |Protestant, |Swedish |business |executive.
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 |as
|physical |health. |Women |are |also |more |likely |to |seek |treatment |for |mental |health |problems |than
|men.
Cognitive |Level: |Application
|Integrated |Process: |Planning
5. A |psychiatric |nurse |intern |states, |This |clients |use |of |defense |mechanisms |should |be |eliminated.
|Which |is |a |correct | evaluation |of |this |nurses | statement?
1. Defense |mechanisms |can |be |appropriate |responses |to |stress |and |need |not |be |eliminated.
2. Defense |mechanisms |are |a |maladaptive |attempt |of |the |ego |to |manage |anxiety |andshould
|always | be | eliminated.
3. Defense |mechanisms, |used |by |individuals |with |weak |ego |integrity, |should |be |discouragedand
|not |eliminated.
4. Defense |mechanisms |cause |disintegration |of |the |ego |and |should |be |fostered |and |encouraged.
ANSWER: |1
Rationale: |The |nurse |should |determine |that |defense |mechanisms |can |be |appropriate |during |times|of
|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 | healthy |coping |skills.
Cognitive |Level: |Application
|Integrated |Process: |Evaluation
6. |During |an |intake |assessment, |a |nurse |asks |both |physiological |and |psychosocial |questions. |The
|client |angrily |responds, |Im |here |for |my |heart, |not |my |head |problems. |Which |is |the |nurses |best
|response?
1. Its |just |a |routine |part |of |our |assessment. |All |clients |are |asked |these |same |questions.
2. Why |are |you |concerned |about |these |types |of |questions?
3. Psychological |factors, |like |excessive |stress, |have |been |found |to |affect |medical |conditions.
4. We |can |skip |these |questions, |if |you |like. |It |isnt |imperative |that |we |complete |this |section.
