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Test Bank for Davis Advantage for Townsend's Psychiatric
Mental Health Nursing, 11th Edition by Karyn I. Morgan
Table of Contents
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
1. The Concept of Stress Adaptation
2. Mental Health and Mental Illness: Historical and Theoretical Concepts
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
3. Concepts of Psychobiology
4. Psychopharmacology
5. Ethical and Legal Issues
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
6. Relationship Development
7. Therapeutic Communication
8. The Nursing Process in Psychiatric-Mental Health Nursing
9. Therapeutic Groups
10. Intervention with Families
11. Milieu Therapy— the Therapeutic Community
12. Crisis Intervention
13. Assertiveness Training
14. Promoting Self Esteem
15. Anger and Aggression Management
16. Suicide Prevention
17. Behavior Therapy
18. Cognitive Behavioral Therapy
19. Electroconvulsive Therapy
20. The Recovery Model
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
22. Neurocognitive Disorders
23. Substance-Related and Addictive Disorders
24. Schizophrenia Spectrum and Other Psychotic Disorders
25. Depressive Disorders
26. Bipolar and Related Disorders
27. Anxiety, Obsessive-Compulsive, and Related Disorders
28. Trauma and Stressor-Related Disorders
29. Somatic Symptom and Dissociative Disorders
30. Eating Disorders
31. Personality Disorders
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
32. Children and Adolescents
33. The Aging Individual
34. Survivors of Abuse or Neglect
35. Community Mental Health Nursing
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36. The Bereaved Individual
37. Military Families
EBook Bonus Chapters
38. Theoretical Models of Personality Development
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
40. Complementary and Psychosocial Therapies
41. Relaxation Therapy
42. Issues Related to Human Sexuality and Gender Dysphoria
43. Forensic Nursing
Chapter 1. Mental Health and Mentalillness
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 client’s appetite, sleep patterns,
and daily routine have not changed. How should the nurse interpret the client’s
behaviors?
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1. The client’s behaviors demonstrate mental illness in the form of depression.
2. The client’s behaviors are extensive, which indicates the presence of mentalillness.
3. The client’s behaviors are not congruent with cultural norms.
4. The client’s behaviors demonstrate no functional impairment, indicating no mentalillness.
ANSWERS:- 4
FEEDBACK: The nurse should assess that the client’s 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 client’s distress does not indicate a mental
illness.
2. At what point should the nurse determine that a client is at risk for developing a
mental illness?
When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
When maladaptive responses to stress are coupled with interference in daily
functioning.
When a client communicates significant distress.
When a client uses defense mechanisms as ego protection.
ANSWERS:- 2
FEEDBACK: The nurse should determine that the client is at risk for mental illness when
responses to stress are maladaptive and interfere with daily functioning. TheDSM-5 indicates
that in order to be diagnosed with a mental illness, daily
Functioning must be significantly impaired. The client s ability to communicatedistress would be
considered a positive attribute.
COGNITIVE LEVEL:
Application
INTERGRATED
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 responsesto the parents?
1. Reactions to stress are relative rather than absolute; individual responses to stressvary.
2. It is abnormal for identical twins to react differently to similar stressors.
3. Identical twins should share the same temperament and respond similarly tostress.
4. Environmental influences to stress weigh more heavily than genetic influences.
ANSWERS:- 1
FEEDBACK: The nurse should explain to the parents that, although the twins have
identical DNA, there are several other factors that affect reactions to stress.
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