Test Bank
For Davis Advantage for Townsend’s Essentials of Psychiatric Mental
Health Nursing 9th Edition Karyn Morgan
Chapters 1 - 32 | Complete
essentials-of-psychiatric-mental-health-nursing-9th-edition-concepts-...file:///C:/Users/HP/Downloads/essentials-of-psychiatric-mental-healt...
1 of 527/25/2024, 7:00 AM 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. Th eNursingProcess in Psychiatric/MentalHealthNursing
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 Dysphoriaessentials-of-psychiatric-mental-health-nursing-9th-edition-concepts-...file:///C:/Users/HP/Downloads/essentials-of-psychiatric-mental-healt...
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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
whoexperiences 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
tostress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in order
to bediagnosed 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.essentials-of-psychiatric-mental-health-nursing-9th-edition-concepts-...file:///C:/Users/HP/Downloads/essentials-of-psychiatric-mental-healt...
3 of 527/25/2024, 7:00 AM 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
isrelative 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
noteliminated.
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 toanxiety 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-concepts-...file:///C:/Users/HP/Downloads/essentials-of-psychiatric-mental-healt...
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