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DAVIS ADVANTAGE FOR TOWNSEND'S ESSENTIALS OF PSYCHIATRIC MENTAL-HEALTH NURSING 9th EDITION $24.99   Add to cart

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DAVIS ADVANTAGE FOR TOWNSEND'S ESSENTIALS OF PSYCHIATRIC MENTAL-HEALTH NURSING 9th EDITION

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DAVIS ADVANTAGE FOR TOWNSEND'S ESSENTIALS OF PSYCHIATRIC MENTAL-HEALTH NURSING 9th EDITION

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  • October 21, 2024
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DAVIS ADVANTAGE FOR TOWNSEND'S ESSENTIALS
OF PSYCHIATRIC MENTAL-HEALTH NURSING 9th
EDITION




CH: 1. Mental Health and Mental Illness

,Multiple Choice


1. A professional nurse is assessing a client who is experiencing occasional feelings of sadness

because of therecent death of a beloved pet. The clients appetite, sleep patterns, and daily routine

have not changed. How should the professional 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.


RIGHT CHOICE:- 4

RATIONALE :->>The professional 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 professional nurse determine that a client is at risk for developing a

mentalillness?

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.


RIGHT CHOICE:- 2

EXPLANATION :>>> The professional nurse should determine that the client is at risk for

mental illness when responsesto stress are maladaptive and interfere with daily functioning. The

,DSM-5 indicates that in orderto 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 professional 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 professional 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.

RIGHT CHOICE:- 1

RATIONALE:->>The professional 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 professional 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.


RIGHT CHOICE:- 1

RATIONALE:->>The professional 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 asphysical health. Women are also more likely to seek treatment for mental

health problems than men.


Cognitive Level: Application

Integrated Process: Planning


5. A psychiatric professional nurse intern states, This clients use of defense mechanisms should

be eliminated. Which is a correct evaluation of this professional 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 and should

always be eliminated.

3. Defense mechanisms, used by individuals with weak ego integrity, should be discouraged and

not eliminated.

4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.


RIGHT CHOICE:- 1

RATIONALE:->>The professional nurse should determine that defense mechanisms can be

appropriate during timesof 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 professional nurse asks both physiological and psychosocial

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