COMPLETE TEST BANK
ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH 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 .................................................................................. 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 ..................................................................... 74
CHAPTER 8. INTERVENTION IN GROUPS ..................................................................................................... 81
CHAPTER 9. CRISIS INTERVENTION ............................................................................................................. 92
CHAPTER 10. THE RECOVERY MODEL ....................................................................................................... 102
CHAPTER 11. SUICIDE PREVENTION .......................................................................................................... 112
CHAPTER 12. CARING FOR PATIENTS WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS IN
GENERALPRACTICE SETTINGS ................................................................................................................... 122
CHAPTER 13. NEUROCOGNITIVE DISORDERS............................................................................................ 135
CHAPTER 14. SUBSTANCE USE AND ADDICTIVE DISORDERS .................................................................... 146
CHAPTER 15. SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS ..................................... 169
CHAPTER 16. DEPRESSIVE DISORDERS ...................................................................................................... 193
CHAPTER 17. BIPOLAR AND RELATED DISORDERS .................................................................................... 216
CHAPTER 18. ANXIETY, OBSESSIVE-COMPULSIVE, AND RELATED DISORDERS ......................................... 227
CHAPTER 19. TRAUMA- AND STRESSOR-RELATED DISORDERS ................................................................ 250
CHAPTER 20. SOMATIC SYMPTOM AND DISSOCIATIVE DISORDERS ......................................................... 271
CHAPTER 21. EATING DISORDERS ............................................................................................................. 282
CHAPTER 22. PERSONALITY DISORDERS ................................................................................................... 291
CHAPTER 23. CHILDREN AND ADOLESCENTS ............................................................................................ 316
CHAPTER 24. THE AGING INDIVIDUAL ...................................................................................................... 328
CHAPTER 25. SURVIVORS OF ABUSE AND NEGLECT ................................................................................. 338
CHAPTER 26. COMMUNITY MENTAL HEALTH NURSING........................................................................... 349
CHAPTER 27. THE BEREAVED INDIVIDUAL ................................................................................................ 358
,CHAPTER 28. MILITARY FAMILIES ............................................................................................................. 367
CHAPTER 29. CONCEPTS OF PERSONALITY DEVELOPMENT...................................................................... 373
CHAPTER 30. COMPLEMENTARY AND PSYCHOSOCIAL THERAPIES .......................................................... 382
CHAPTER 31. CULTURAL AND SPIRITUAL CONCEPTS RELEVANT TO PSYCHIATRIC MENTAL HEALTH
NURSING ................................................................................................................................................... 391
CHAPTER 32. ISSUES RELATED TO HUMAN SEXUALITY AND GENDER DYSPHORIA .................................. 402
, 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
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.
ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH 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 .................................................................................. 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 ..................................................................... 74
CHAPTER 8. INTERVENTION IN GROUPS ..................................................................................................... 81
CHAPTER 9. CRISIS INTERVENTION ............................................................................................................. 92
CHAPTER 10. THE RECOVERY MODEL ....................................................................................................... 102
CHAPTER 11. SUICIDE PREVENTION .......................................................................................................... 112
CHAPTER 12. CARING FOR PATIENTS WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS IN
GENERALPRACTICE SETTINGS ................................................................................................................... 122
CHAPTER 13. NEUROCOGNITIVE DISORDERS............................................................................................ 135
CHAPTER 14. SUBSTANCE USE AND ADDICTIVE DISORDERS .................................................................... 146
CHAPTER 15. SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS ..................................... 169
CHAPTER 16. DEPRESSIVE DISORDERS ...................................................................................................... 193
CHAPTER 17. BIPOLAR AND RELATED DISORDERS .................................................................................... 216
CHAPTER 18. ANXIETY, OBSESSIVE-COMPULSIVE, AND RELATED DISORDERS ......................................... 227
CHAPTER 19. TRAUMA- AND STRESSOR-RELATED DISORDERS ................................................................ 250
CHAPTER 20. SOMATIC SYMPTOM AND DISSOCIATIVE DISORDERS ......................................................... 271
CHAPTER 21. EATING DISORDERS ............................................................................................................. 282
CHAPTER 22. PERSONALITY DISORDERS ................................................................................................... 291
CHAPTER 23. CHILDREN AND ADOLESCENTS ............................................................................................ 316
CHAPTER 24. THE AGING INDIVIDUAL ...................................................................................................... 328
CHAPTER 25. SURVIVORS OF ABUSE AND NEGLECT ................................................................................. 338
CHAPTER 26. COMMUNITY MENTAL HEALTH NURSING........................................................................... 349
CHAPTER 27. THE BEREAVED INDIVIDUAL ................................................................................................ 358
,CHAPTER 28. MILITARY FAMILIES ............................................................................................................. 367
CHAPTER 29. CONCEPTS OF PERSONALITY DEVELOPMENT...................................................................... 373
CHAPTER 30. COMPLEMENTARY AND PSYCHOSOCIAL THERAPIES .......................................................... 382
CHAPTER 31. CULTURAL AND SPIRITUAL CONCEPTS RELEVANT TO PSYCHIATRIC MENTAL HEALTH
NURSING ................................................................................................................................................... 391
CHAPTER 32. ISSUES RELATED TO HUMAN SEXUALITY AND GENDER DYSPHORIA .................................. 402
, 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
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.
