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DAVIS ADVANTAGE FOR TOWNSEND'S ESSENTIALS OF PSYCHIATRIC MENTAL-HEALTH NURSING CONCEPTS OF CARE IN EVIDENCE- PRACTICE 9TH EDITION KARYN MORGAN/COMPLETE GUIDE 2024

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DAVIS ADVANTAGE FOR TOWNSEND'S ESSENTIALS
OF PSYCHIATRIC MENTAL-HEALTH NURSING
CONCEPTS OF CARE IN EVIDENCE- PRACTICE 9TH
EDITION KARYN MORGAN/COMPLETE GUIDE 2024

,Chapter 1. Mental Health and Mental Illness

Multiple Choice

1. A caregiver is assessing a patient who is experiencing occasional feelings of sadness because of

therecent death of a beloved pet. The patients appetite, sleep patterns, and daily routine have not

changed. How should the caregiver interpret the patients behaviors?

1. The patients behaviors demonstrate mental illness in the form of depression.

2. The patients behaviors are extensive, which indicates the presence of mental illness.

3. The patients behaviors are not congruent with cultural norms.

4. The patients behaviors demonstrate no functional impairment, indicating no mental illness.

CORRECT ANS:->>> 4

EXPLANATION:>>> The caregiver should assess that the patients daily functioning is not

impaired. The patient who experiences feelings of sadness after the loss of a pet is responding

within normal expectations. Without significant impairment, the patients distress does not

indicate a mental illness.

Cognitive Level: Analysis

Integrated Process: Assessment

2. At what point should the caregiver determine that a patient 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 patient communicates significant distress.

4. When a patient uses defense mechanisms as ego protection.

CORRECT ANS:->>> 2

EXPLANATION :>>> The caregiver should determine that the patient 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 patients ability to communicate distress would be considered a

positive attribute.

Cognitive Level: Application

Integrated Process: Assessment

3. A caregiver 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 caregiver 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.

CORRECT ANS:->>> 1

EXPLANATION:>>> The caregiver 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 patient. Environmental influences and

temperament can affect stress reactions.

Cognitive Level: Application

Integrated Process: Implementation

4. Which patient should the caregiver 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.

CORRECT ANS:->>> 1

EXPLANATION:>>> The caregiver should anticipate that the patient 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 caregiver intern states, This patients use of defense mechanisms should be

eliminated. Which is a correct evaluation of this caregivers 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.

CORRECT ANS:->>> 1

EXPLANATION:>>> The caregiver should determine that defense mechanisms can be

appropriate during timesof stress. The patient 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 patient from developing healthy coping skills.

Cognitive Level: Application

Integrated Process: Evaluation

6. During an intake assessment, a caregiver asks both physiological and psychosocial questions.

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DAVIS ADVANTAGE FOR TOWNSEND'S ESSENTIALS OF PSYCHIATRIC MENTAL-HEALTH NURSING CONCEPTS OF CARE IN EVIDENCE- PRACTICE 9TH EDITION KARYN MORGAN/COMPLETE GUIDE 2024

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