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COMPLETE TEST BANK: Essentials of Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 8th Edition by Karyn I. Morgan Latest Update.$17.99
COMPLETE TEST BANK: Essentials of Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 8th Edition by Karyn I. Morgan Latest Update.
COMPLETE TEST BANK:
Essentials of Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice 8th Edition
by Karyn I. Morgan Latest Update.
COMPLETE TEST BANK:
Essentials of Psychiatric Mental Health Nursing: Concepts of
Care in Evidence-Based Practice 8th Edition
by Karyn I. Morgan Latest Update.
, Essentials Of Psychiatric Mental Health Nursing: Concepts Of Care In Evidence-Based
Practice 8th Edition Morgan, Townsend Test Bank
Chapter 1. Mental Health And Mental Illness
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 Clients Appetite, Sleep Patterns, And Daily
Routine Have Not Changed. How Should The Nurse Interpret The Clients Behaviors?
1. The Clients Behaviors Demonstrate Mental Illness In The Form Of Depression.
2. The Clients Behaviors Are Extensive, Which Indicates The Presence Of Mental Illness.
3. The Clients Behaviors Are Not Congruent With Cultural Norms.
4. The Clients Behaviors Demonstrate No Functional Impairment, Indicating No Mental Illness.
Ans: 4
Rationale: The Nurse Should Assess That The Clients 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 Clients Distress Does Not Indicate
A Mental Illness.
Cognitive Level: Analysis
Integrated Process: Assessment
2. At What Point Should 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.
Ans: 2
Rationale: 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 Functioning Must Be
Significantly Impaired. The Clients Ability To Communicate Distress Would Be Considered A
Positive Attribute.
Cognitive Level: Application
Integrated 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 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.
Essentials Of Psychiatric Mental Health Nursing:
,Ans: 1
Rationale: The Nurse 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 Client. Environmental Influences And
Temperament Can Affect Stress Reactions.
Cognitive Level: Application
Integrated Process: Implementation
4. Which Client Should The Nurse 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.
Ans: 1
Rationale: The Nurse Should Anticipate That The Client Of Jewish Culture Would Place A
High Importance On Preventative Health Care And Would Consider Mental Health As Equally
Important As Physical Health. Women Are Also More Likely To Seek Treatment For Mental
Health Problems Than Men.
Cognitive Level: Application
Integrated Process: Planning
5. A Psychiatric Nurse Intern States, This Clients Use Of Defense Mechanisms Should Be
Eliminated. Which Is A Correct Evaluation Of This Nurses 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.
Ans: 1
Rationale: The Nurse Should Determine That Defense Mechanisms Can Be Appropriate During
Times Of Stress. The Client 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 Client From Developing Healthy Coping Skills.
Cognitive Level: Application
Integrated Process: Evaluation
6. During An Intake Assessment, A Nurse Asks Both Physiological And Psychosocial
Questions. The Client Angrily Responds, Im Here For My Heart, Not My Head Problems.
Which Is The Nurses Best Response?
1. Its Just A Routine Part Of Our Assessment. All Clients Are Asked These Same Questions.
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 Isnt Imperative That We Complete This Section.
Downloaded By Abdellah Saad (Mrym.Imad@Outlook.Com)
, Ans: 3
Rationale: The Nurse Should Attempt To Educate The Client On The Negative Effects Of
Excessive Stress On Medical Conditions. It Is Not Appropriate To Skip Physiological And
Psychosocial Questions, As This Would Lead To An Inaccurate Assessment.
Cognitive Level: Application
Integrated Process: Implementation
7. An Employee Uses The Defense Mechanism Of Displacement When The Boss Openly
Disagrees With Suggestions. What Behavior Would Be Expected From This Employee?
1. The Employee Assertively Confronts The Boss.
2. The Employee Leaves The Staff Meeting To Work Out In The Gym.
3. The Employee Criticizes A Coworker.
4. The Employee Takes The Boss Out To Lunch.
Ans: 3
Rationale: The Nurse Should Expect That The Client Using The Defense Mechanism
Displacement Would Criticize A Coworker After Being Confronted By The Boss. Displacement
Refers To Transferring Feelings From One Target To A Neutral Or Less-Threatening Target.
Cognitive Level: Analysis
Integrated Process: Assessment
8. A Fourth-Grade Boy Teases And Makes Jokes About A Cute Girl In His Class. This
Behavior Should Be Identified By A Nurse As Indicative Of Which Defense Mechanism?
1. Displacement
2. Projection
3. Reaction Formation
4. Sublimation
Ans: 3
Rationale: The Nurse Should Identify That The Boy Is Using Reaction Formation As A Defense
Mechanism. Reaction Formation Is The Attempt To Prevent Undesirable Thoughts From Being
Expressed By Expressing Opposite Thoughts Or Behaviors. Displacement Refers To
Transferring Feelings From One Target To Another. Rationalization Refers To Making Excuses
To Justify Behavior. Projection Refers To The Attribution Of Unacceptable Feelings Or
Behaviors To Another Person.
Sublimation Refers To Channeling Unacceptable Drives Or Impulses Into More Constructive,
Acceptable Activities.
Cognitive Level: Application
Integrated Process: Assessment
9. Which Nursing Statement About The Concept Of Neurosis Is Most Accurate?
1. An Individual Experiencing Neurosis Is Unaware That He Or She Is Experiencing Distress.
2. AN INDIVIDUAL EXPERIENCING NEUROSIS FEELS HELPLESS TO CHANGE HIS OR HER
SITUATION.
3. AN INDIVIDUAL EXPERIENCING NEUROSIS IS AWARE OF PSYCHOLOGICAL CAUSES
OF HIS OR HER BEHAVIOR.
4. AN INDIVIDUAL EXPERIENCING NEUROSIS HAS A LOSS OF CONTACT WITH REALITY.
ANS: 2
RATIONALE: THE NURSE SHOULD DEFINE THE CONCEPT OF NEUROSIS WITH THE
FOLLOWING CHARACTERISTICS:
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