Test Bank for Davis Advantage for Townsend's Psychiatric
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Mental Health Nursing, 11th Edition by Karyn I. Morgan
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Table of Contents
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I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
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1. The Concept of Stress Adaptation
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2. Mental Health and Mental Illness: Historical and Theoretical Concepts
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II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING v v v v
3. Concepts of Psychobiology v v
4. Psychopharmacology
5. Ethical and Legal Issues
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III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE v v v v v
6. Relationship Development v
7. Therapeutic Communication v
8. The Nursing Process in Psychiatric-Mental Health Nursing
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9. Therapeutic Groups v
10. Intervention with Families v v
11. Milieu Therapy— the Therapeutic Community
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12. Crisis Intervention
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13. Assertiveness Training v
14. Promoting Self Esteem v v
15. Anger and Aggression Management
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16. Suicide Prevention v
17. Behavior Therapy v
18. Cognitive Behavioral Therapy v v
19. Electroconvulsive Therapy v
20. The Recovery Model
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IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
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21. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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22. Neurocognitive Disorders v
23. Substance-Related and Addictive Disorders v v v
24. Schizophrenia Spectrum and Other Psychotic Disorders v v v v v
25. Depressive Disorders v
26. Bipolar and Related Disorders
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27. Anxiety, Obsessive-Compulsive, and Related Disorders
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28. Trauma and Stressor-Related Disorders
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29. Somatic Symptom and Dissociative Disorders
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30. Eating Disorders
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31. Personality Disorders v
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS v v v v v
32. Children and Adolescents v v
33. The Aging Individual
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34. Survivors of Abuse or Neglect v v v v
35. Community Mental Health Nursing v v v
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36. The Bereaved Individual
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37. Military Families v
EBook Bonus Chapters
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38. Theoretical Models of Personality Developmentv v v v
39. Cultural and Spiritual Concepts Relevant to Psychiatric Mental Health Nursing
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40. Complementary and Psychosocial Therapies v v v
41. Relaxation Therapy v
42. Issues Related to Human Sexuality and Gender Dysphoria
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43. Forensic Nursing v
Chapter 1. Mental Health and Mentalillness
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Multiple Choice v
1. A nurse is assessing a client who is experiencing occasional feelings of sadness
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Because of the recent death of a beloved pet. The client’s appetite, sleep patterns,
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and daily routine have not changed. How should the nurse interpret the client’s
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behaviors?
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1. The client’s behaviors demonstrate mental illness in the formof depression.
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2. The client’s behaviors are extensive, which indicates the presence of mentalillness.
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3. The client’s behaviors are not congruent with cultural norms.
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4. The client’s behaviors demonstrate no functional impairment, indicating no mentalillness.
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ANSWERS:- 4 v
FEEDBACK: The nurse should assess that the client’s daily functioning is not impaired. The
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client who experiences feelings of sadness after the loss of a pet is responding within normal
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expectations. Without significant impairment, the client’s distress does not indicate a mental
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illness.
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COGNITIVE LEVEL: v
Analysis
INTEGRATED PROCESS: v
Assessment
2. At what point should the nurse determine that a client is at risk for developing a
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mental illness?
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When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
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When maladaptive responses to stress are coupled with interference in daily
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functioning.
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When a client communicates significant distress.
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When a client uses defense mechanisms as ego protection.
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ANSWERS:- 2
FEEDBACK: The nurse should determine that the client is at risk for mental illness when
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responses to stress are maladaptive and interfere with daily functioning. TheDSM-5
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indicatesthat in order to be diagnosed with a mental illness, daily
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Functioning must be significantly impaired. The client s abilityto communicatedistress would be
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considered a positive attribute.
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COGNITIVE LEVEL: v
Application
INTERGRATE
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D
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PROCESS: Assessment v
3. A nurse is assessing a set of 15-year-old identical twins who respond very differently to
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stress. One twin becomes anxious and irritable, and the other withdraws and cries. How
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vshouldthe nurse explain these different stress responsesto the parents?
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1. Reactions to stress are relative rather than absolute; individual responses to stressvary.
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2. It is abnormal for identical twins to react differentlyto similar stressors.
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3. Identical twins should share the same temperament and respond similarlytostress.
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4. Environmental influences to stress weigh more heavilythan genetic influences. v v v v v v v v
ANSWERS:- 1 v
FEEDBACK: The nurse should explain to the parents that, although the twins have
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identical DNA, there are several other factors that affect reactions to stress.
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