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FULL TEST BANK
Essentials of Psychiatric Mental Health
Nursing Concepts of Care in Evidence-Based
Practice with Davis Edge 8th Edition Complete Test bank, All Chapters are included. Stuvia.com - The Marketplace to Buy and Sell your Study Material
Table of Contents
Chapter 01: Mental Health and Mental Illness 1
Chapter 02: Biological Implications 14
Chapter 03: Ethical and Legal Issues 29
Chapter 04: Psychopharmacology 44
Chapter 05: Relationship Development and Therapeutic Communication 63
Chapter 06: The Nursing Process in Psychiatric/Mental Health Nursing 79
Chapter 07: Milieu Therapy—The Therapeutic Community 91
Chapter 08: Interventions in Groups 101
Chapter 09: Crisis Intervention 115
Chapter 10: The Recovery Model 126
Chapter 11: Suicide Prevention 140
Chapter 12: Caring for Clients with Mental Illness and Substance Use Disorders in General Practice Settings 157
Chapter 13: Neurocognitive Disorders 170
Chapter 14: Substance Use and Addictive Disorders 184
Chapter 15: Schizophrenia Spectrum and Other Psychotic Disorders 204
Chapter 16: Depressive Disorders 221
Chapter 17: Bipolar and Related Disorders 242
Chapter 18: Anxiety, Obsessive-Compulsive, and Related Disorders 255
Chapter 19: Traumaand Stressor-Related Disorders 276
Chapter 20: Somatic Symptom and Dissociative Disorders 296
Chapter 21: Eating Disorders 312
Chapter 22: Personality Disorders 324
Chapter 23: Children and Adolescents 349
Chapter 24: The Aging Individual 365
Chapter 25: Survivors of Abuse or Neglect 377
Chapter 26: Community Mental Health Nursing 392
Chapter 27: The Bereaved Individual 405
Chapter 28: Military Families 417
Chapter 29: Concepts of Personality Development 425
Chapter 30: Complementary and Psychosocial Therapies 438
Chapter 31: Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing 451
Chapter 32: Issues Related to Human Sexuality and Gender Dysphoria 463Stuvia.com - The Marketplace to Buy and Sell your Study Material
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https://www.stuvia.com/en-us/user/AllStudyGuidesWWW.TBSM.WS Chapter 1: Mental Health and Mental Illness Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A nurse is assessing a client who experiences 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 would the nurse interpret the client’s behaviors? 1. The client’s behaviors demonstrate mental illness in the form of depression. 2. The client’s behaviors are inappropriate, which indicates the presence of mental illness. 3. The client’s behaviors are not congruent with cultural norms. 4. The client’ s behaviors demonstrate no functional impairment, indicating no mental illness. ____ 2. At which point would 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. ____ 3. A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement made by the client does the nurse recognize as the bargaining stage of grief? 1. “I hate my partner for giving me this disease I will die from!” 2. “If I don’t do intravenous (IV) drugs anymore, God won’t let me die.” 3. “I am going to support groups and learn more about the disease.” 4. “Can you please re- draw the test results, I think they may be wrong?” ____ 4. A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The nurse assesses the client’s anxiety as which level? 1. Mild anxiety 2. Moderate anxiety 3. Severe anxiety 4. Panic anxiety ____ 5. A psychiatric nurse intern states, “This client’s use of defense mechanisms should be eliminated.” Which is a correct evaluation of this nurse’s 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 completely eliminated. 4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Essentials of Psychiatric Mental Health Nursing, 8th Edition (Morgan and Townsend, 2020)
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https://www.stuvia.com/en-us/user/AllStudyGuidesWWW.TBSM.WS ____ 6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, “I’m here for my heart, not my head problems.” Which is the nurse’s best response? 1. “It is just a routine part of our assessment. All clients are asked these same questi ons.” 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 isn’t imperative that we complete this section.” ____ 7. A client who is being treated for chronic kidney disease complains to the health-care provider that he does not like the food available to him while hospitalized. The health-care provider insists that the client strictly adhere to the diet plan. What action can be expected is the client uses the defense mechanism of displacement? 1. The client assertively confronts the health-care provider. 2. The client insists on being discharged and goes for a long, brisk walk. 3. The client snaps at the nurse and criticizes the nursing care provided. 4. The client hides his anger by explaining the logical reasoning for the diet to his spouse. ____ 8. A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize this behavior as indicative of which defense mechanism? 1. Displacement 2. Projection 3. Reaction formation 4. Sublimation ____ 9. Which nursing statement regarding the concept of psychosis is most accurate? 1. Individuals experiencing psychoses are aware that their behaviors are maladaptive. 2. Individuals experiencing psychoses experience little distress. 3. Individuals experiencing psychoses are aware of experiencing psychological problems. 4. Individuals experiencing psychoses are based in reality. ____ 10. When under stress, a client rou tinely uses alcohol to excess. When the client’s husband finds her drunk, the husband yells at the client about her chronic alcohol abuse. Which action alerts the nurse to the client’s use of the defense mechanism of denial? 1. The client hides liquor bottles in a closet. 2. The client yells at her son for slouching in his chair. 3. The client burns dinner on purpose. 4. The client says to the spouse, “I don’t drink too much!” ____ 11. Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife would indicate to a nurse that the client is in the acceptance stage of grief? 1. “If only we could have tried again, things might have worked out.” 2. “I am so mad that the children and I had to put up with him as long as we did.” 3. “Yes, it was a difficult relationship, but I think I have learned from the ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Essentials of Psychiatric Mental Health Nursing, 8th Edition (Morgan and Townsend, 2020)
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https://www.stuvia.com/en-us/user/AllStudyGuidesWWW.TBSM.WS experience.” 4. “I have a difficult time getting out of bed most days.” ____ 12. According to Maslow’s hierarchy of needs, which client action would demonstrate the highest achievement in terms of mental health? 1. Maintaining a long-term, faithful, intimate relationship 2. Achieving a sense of self-confidence 3. Possessing a feeling of self-fulfillment and realizing full potential 4. Developing a sense of purpose and the ability to direct activities ____ 13. According to Maslow’s hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention by a nurse? 1. A client rudely complaining about limited visiting hours 2. A client exhibiting aggressive behavior toward another client 3. A client stating that no one cares 4. A client verbalizing feelings of failure Multiple Response Identify one or more choices that best complete the statement or answer the question. ____ 14. Which describes a defense mechanism an individual may use to relieve anxiety in a stressful situation? ( Select all that apply. ) 1. Homework 2. Smoking 3. Itching 4. Nail biting 5. Sleeping ____ 15. The nurse is reviewing the DSM-5 definition of a mental health disorder and notes the definition includes a disturbance in which areas? ( Select all that apply. ) 1. Cognition 2. Physical 3. Emotional regulation 4. Behavior 5. Developmental Completion Complete each statement. 16. _______________________ is a diffuse apprehension that is vague in nature and is associated with feelings of uncertainty and helplessness. 17. _______________________ is a subjective state of emotional, physical, and social responses to the loss of a valued entity. Other ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Essentials of Psychiatric Mental Health Nursing, 8th Edition (Morgan and Townsend, 2020)
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https://www.stuvia.com/en-us/user/AllStudyGuidesWWW.TBSM.WS 18. Place in order the Kübler Ross stages of grief from 1-5. ( Enter the number of each step in the proper sequence, using comma and space format, such as: 1, 2, 3, 4 .) 1. Bargaining 2. Denial 3. Acceptance 4. Depression 5. Anger______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Essentials of Psychiatric Mental Health Nursing, 8th Edition (Morgan and Townsend, 2020)
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https://www.stuvia.com/en-us/user/AllStudyGuidesWWW.TBSM.WS Chapter 1: Mental Health and Mental Illness Answer Section MULTIPLE CHOICE 1. ANS: 4 Chapter: Chapter 1, Mental Health and Mental Illness Objective: Discuss cultural elements that influence attitudes toward mental health and mental illness. Page: 9 Heading: Grief Integrated Processes: Nursing Process Client Need: Psychosocial Integrity Cognitive Level: Analysis [Analyzing] Concept: Grief and Loss Difficulty: Moderate Feedback 1 The client’s behaviors are to be expected in a time of grief. 2 The client’ s behaviors are appropriate. It is quite normal for an individual to function normally but to experience periods of sadness after the loss of a pet. 3 It is expected in most cultures to experience occasional feelings of sadness following a loss, yet not experience an alteration in normal day- to-day activities 4 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. PTS: 1 CON: Grief and Loss 2. ANS: 2 Chapter: Chapter 1, Mental Health and Mental Illness Objective: Define mental health and mental illness. Page: 4 Heading: Mental Illness Integrated Processes: Nursing Process Client Need: Psychosocial Integrity Cognitive Level: Comprehension [Understanding] Concept: Stress Difficulty: Easy Feedback 1 The client with a mental illness would have symptoms that reflect the DSM-5. 2 The nurse should determine that the client is at risk for mental illness when responses to stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in order to be diagnosed with a mental illness, daily ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Essentials of Psychiatric Mental Health Nursing, 8th Edition (Morgan and Townsend, 2020)
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https://www.stuvia.com/en-us/user/AllStudyGuidesWWW.TBSM.WS functioning must be significantly impaired. 3 The client’s ability to communicate distress would be considered a positive attribute. 4 The use of defense mechanisms does not indicate that the client is at risk for mental illness. PTS: 1 CON: Stress 3. ANS: 2 Chapter: Chapter 1, Mental Health and Mental Illness Objective: Discuss the concepts of anxiety and grief as physiological responses to stress Page: Heading: Stages of Grief Integrated Processes: Nursing Process Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Grief and Loss Difficulty: Moderate Feedback 1 This statement demonstrates anger. 2 The client is asking God for a longer life in exchange for ceasing drugs, which demonstrates bargaining. 3 This client is in the acceptance stage of the grief process 4 This client is in the denial stage of the grief process PTS: 1 CON: Grief and Loss 4. ANS: 4 Chapter: Chapter 1, Mental Health and Mental Illness Objective: Page: Heading: Anxiety Integrated Processes: Nursing Process Client Need: Psychosocial Integrity Cognitive Level: Analysis (Analyzing) Concept: Stress Difficulty: Moderate Feedback 1 Mild anxiety is not typically symptomatic for an individual. 2 An individual with moderate anxiety has difficulty focusing and may be more restless. 3 Severe anxiety influences attention and can cause physical symptoms such as headaches and insomnia as well as emotional symptoms such as confusion and dread. 4 Panic anxiety leads to inability to focus, hallucinations, delusions, wild or ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Essentials of Psychiatric Mental Health Nursing, 8th Edition (Morgan and Townsend, 2020)
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https://www.stuvia.com/en-us/user/AllStudyGuidesWWW.TBSM.WS desperate behavior, feeling of terror, fear of “going crazy” or losing control, emotional exhaustion, and physical exhaustion. PTS: 1 CON: Stress 5. ANS: 1 Chapter: Chapter 1, Mental Health and Mental Illness Objective: Identify physiological responses to stress. Page: 7 Heading: Physical and Psychological Responses to Stress > Mild Anxiety Cognitive Level: Application [Applying] Integrated Processes: Nursing Process Client Need: Psychosocial Integrity Concept: Stress Difficulty: Moderate Feedback 1 The nurse should determine that defense mechanisms could be appropriate during times of stress. 2 Defense mechanisms are not maladaptive attempts of the ego to manage anxiety. 3 Defense mechanisms are a normal part of coping with stress. They are not used by individuals with weak ego integrity. They should not be discouraged and not completely eliminated. 4 Defense mechanisms are normal and are used by all individuals in some way during times of stress; they do not cause disintegration of the ego. PTS: 1 CON: Stress 6. ANS: 3 Chapter: Chapter 1, Mental Health and Mental Illness Objective: Identify physiological responses to stress. Page: 9 Heading: Physical and Psychological Responses to Stress > Severe Anxiety Integrated Processes: Nursing Process Client Need: Psychosocial Integrity Cognitive Level: Application [Applying] Concept: Stress Difficulty: Easy Feedback 1 This statement disregards the client’s statement and is not therapeutic to the client. 2 This statement does not address the client’s statement and may anger the client further. 3 The nurse should attempt to educate the client on the negative effects of excessive stress on medical conditions. ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Essentials of Psychiatric Mental Health Nursing, 8th Edition (Morgan and Townsend, 2020)
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