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