100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Test Bank for Davis Advantage for Townsend's Psychiatric Mental Health Nursing, 11th Edition by Karyn I. Morgan All Chapters included LATEST ||Complete A+ Guide $17.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. Psychiatric Mental Health Nursing, 11th Edition
  4.  
  5. Psychiatric Mental Health Nursing, 11th Edition

Exam (elaborations)

Test Bank for Davis Advantage for Townsend's Psychiatric Mental Health Nursing, 11th Edition by Karyn I. Morgan All Chapters included LATEST ||Complete A+ Guide
 0 purchase
  • Course
  • Psychiatric Mental Health Nursing, 11th Edition
  • Institution
  • Psychiatric Mental Health Nursing, 11th Edition

Test Bank for Davis Advantage for Townsend's Psychiatric Mental Health Nursing, 11th Edition by Karyn I. Morgan All Chapters included LATEST ||Complete A+ Guide

Preview 4 out of 249  pages

Document information

  • October 24, 2024
  • 249
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • 9781719648240
  • test bank for davis advantage for townsends psych
  • psychiatric mental health nursing 11th edition
  • davis advantage for townsends psychiatric mental
  • townsends psychiatric mental health nurs

Connected book

book image

Book Title:

Author(s):

  • Edition:
  • ISBN:
  • Edition:

More summaries for

All for this textbook (57)

Written for

  • Psychiatric Mental Health Nursing, 11th Edition
  • Psychiatric Mental Health Nursing, 11th Edition

Seller

avatar-seller
Ascorers

Reviews received

Content preview

,Chapter 1. Mental Health and Mental Illness
f f f f f f




Multiple Choice
f f




1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the
f f f f f f f f f f f f f f f f


recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not
f f f f f f f f f f f f f f f f


changed. How should the nurse interpret the clients behaviors?
f f f f f f f f f


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


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


3. The clients behaviors are not congruent with cultural norms.
f f f f f f f f


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




ANS: 4 f


Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwho
f f f f f f f f f f f f f f f


experiences feelings of sadness after the loss of a pet is responding within normal expectations.
f f f f f f f f f f f f f f f


Without significant impairment, the clients distress does not indicate a mental illness.
f f f f f f f f f f f f




Cognitive Level: Analysis f f


Integrated Process: Assessment
f f f




2. At what point should the nurse determine that a client is at risk for developing a mentalillness?
f f f f f f f f f f f f f f f f f f


1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
f f f f f f f f f f f


2. When maladaptive responses to stress are coupled with interference in daily functioning.
f f f f f f f f f f f


3. When a client communicates significant distress.
f f f f f


4. When a client uses defense mechanisms as ego protection.
f f f f f f f f




ANS: 2 f


Rationale: The nurse should determine that the client is at risk for mental illness when responsesto
f f f f f f f f f f f f f f f f


stress are maladaptive and interfere with daily functioning. The DSM-5 indicates that in orderto
f f f f f f f f f f f f f f f


be diagnosed with a mental illness, daily functioning must be significantly impaired. The clients
f f f f f f f f f f f f f f


ability to communicate distress would be considered a positive attribute.
f f f f f f f f f f




Cognitive Level: Application f f


Integrated Process: Assessment
f f f




3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress.
f f f f f f f f f f f f f f f f


One twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse
f f f f f f f f f f f f f f f f


explain these different stress responses to the parents?
f f f f f f f f


1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
f f f f f f f f f f f f


2. It is abnormal for identical twins to react differently to similar stressors.
f f f f f f f f f f f


3. Identical twins should share the same temperament and respond similarly to stress.
f f f f f f f f f f f


4. Environmental influences to stress weigh more heavily than genetic influences. f f f f f f f f f

,ANS: 1 f


Rationale: The nurse should explain to the parents that, although the twins have identical DNA,
f f f f f f f f f f f f f f


there are several other factors that affect reactions to stress. Mental health is a state of being thatis
f f f f f f f f f f f f f f f f f f f


relative to the individual client. Environmental influences and temperament can affect stress
f f f f f f f f f f f f


reactions.
f




Cognitive Level: Application f f


Integrated Process: Implementation
f f f




4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?
f f f f f f f f f f f f f


1. A Jewish, female social worker.
f f f f


2. A Baptist, homeless male.
f f f


3. A Catholic, black male.
f f f


4. A Protestant, Swedish business executive.
f f f f




ANS: 1 f


Rationale: The nurse should anticipate that the client of Jewish culture would place a high
f f f f f f f f f f f f f f


importance on preventative health care and would consider mental health as equally important as
f f f f f f f f f f f f f f


physical health. Women are also more likely to seek treatment for mental health problems than
f f f f f f f f f f f f f f f


men.
f




Cognitive Level: Application f f


Integrated Process: Planning
f f f




5. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated.
f f f f f f f f f f f f f


Which is a correct evaluation of this nurses statement?
f f f f f f f f f


1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
f f f f f f f f f f f f


2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and should
f f f f f f f f f f f f f


always be eliminated.
f f f


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


not eliminated.
f f


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




ANS: 1 f


Rationale: The nurse should determine that defense mechanisms can be appropriate during timesof
f f f f f f f f f f f f f


stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leading
f f f f f f f f f f f f f f f f


to anxiety disorders. Defense mechanisms should be confronted when they impede the client
f f f f f f f f f f f f f


from developing healthy coping skills.
f f f f f




Cognitive Level: Application f f


Integrated Process: Evaluation
f f f




6. During an intake assessment, a nurse asks both physiological and psychosocial questions. The
f f f f f f f f f f f f f


client angrily responds, Im here for my heart, not my head problems. Which is the nurses best
f f f f f f f f f f f f f f f f f


response?
f


1. Its just a routine part of our assessment. All clients are asked these same questions.
f f f f f f f f f f f f f f


2. Why are you concerned about these types of questions?
f f f f f f f f


3. Psychological factors, like excessive stress, have been found to affect medical conditions. f f f f f f f f f f f


4. We can skip these questions, if you like. It isnt imperative that we complete this section.
f f f f f f f f f f f f f f f

, ANS: 3 f


Rationale: The nurse should attempt to educate the client on the negative effects of excessivestress
f f f f f f f f f f f f f f f


on medical conditions. It is not appropriate to skip physiological and psychosocial questions, as
f f f f f f f f f f f f f f


this would lead to an inaccurate assessment.
f f f f f f f




Cognitive Level: Application f f


Integrated Process: Implementation
f f f




7. An employee uses the defense mechanism of displacement when the boss openly disagreeswith
f f f f f f f f f f f f f f


suggestions. What behavior would be expected from this employee?
f f f f f f f f f


1. The employee assertively confronts the boss.
f f f f f


2. The employee leaves the staff meeting to work out in the gym.
f f f f f f f f f f f


3. The employee criticizes a coworker.
f f f f


4. The employee takes the boss out to lunch.
f f f f f f f




ANS: 3 f


Rationale: The nurse should expect that the client using the defense mechanism displacement
f f f f f f f f f f f f


would criticize a coworker after being confronted by the boss. Displacement refers to transferring
f f f f f f f f f f f f f f


feelings from one target to a neutral or less-threatening target.
f f f f f f f f f f




Cognitive Level: Analysis f f


Integrated Process: Assessment
f f f




8. A fourth-grade boy teases and makes jokes about a cute girl in his class. This behavior shouldbe
f f f f f f f f f f f f f f f f f f


identified by a nurse as indicative of which defense mechanism?
f f f f f f f f f f


1. Displacement
2. Projection
3. Reaction formation f


4. Sublimation
ANS: 3 f


Rationale: The nurse should identify that the boy is using reaction formation as a defense
f f f f f f f f f f f f f f


mechanism. Reaction formation is the attempt to prevent undesirable thoughts from being
f f f f f f f f f f f f


expressed by expressing opposite thoughts or behaviors. Displacement refers to transferring
f f f f f f f f f f f


feelings from one target to another. Rationalization refers to making excuses to justify behavior.
f f f f f f f f f f f f f f


Projection refers to the attribution of unacceptable feelings or behaviors to another person.
f f f f f f f f f f f f f


Sublimation refers to channeling unacceptable drives or impulses into more constructive,
f f f f f f f f f f


acceptable activities.
f f




Cognitive Level: Application f f


Integrated Process: Assessment
f f f




9. Which nursing statement about the concept of neurosis is most accurate?
f f f f f f f f f f f


1. An individual experiencing neurosis is unaware that he or she is experiencing distress.
f f f f f f f f f f f f


2. An individual experiencing neurosis feels helpless to change his or her situation.
f f f f f f f f f f f


3. An individual experiencing neurosis is aware of psychological causes of his or her behavior.
f f f f f f f f f f f f f


4. An individual experiencing neurosis has a loss of contact with reality.
f f f f f f f f f f




ANS: 2 f


Rationale: The nurse should define the concept of neurosis with the following characteristics:
f f f f f f f f f f f f

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Ascorers. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67479 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$17.99
  • (0)
Add to cart
Added