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Test Bank for Davis Advantage for Townsend's Psychiatric Mental Health Nursing, 11th Edition by Karyn I. Morgan All Chapters included LATESTR356,54
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Psychiatric Mental Health Nursing, 11th Edition
Psychiatric Mental Health Nursing, 11th Edition
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,TABLE OF CONTENTS
I. BASIC CONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
1. The Concept OF Stress Adaptation
2. Mental Health And Mental Illness: Historical And Theoretical Concepts
II. FOUNDATIONS FOR PSYCHIATRIC-MENTAL HEALTH NURSING
3. Concepts OF Psychobiology
4. Psychopharmacology
5. Ethical And Legal Issues
III. THERAPEUTIC APPROACHES IN PSYCHIATRIC NURSING CARE
6. Relationship Development
7. Therapeutic Communication
8. The Nursing Process In Psychiatric-Mental Health Nursing
9. Therapeutic Groups
10. Intervention With Families
11. Milieu Therapy—The Therapeutic Community
12. Crisis Intervention
13. Assertiveness Training
14. Promoting SelF Esteem
15. Anger And Aggression Management
16. Suicide Prevention
17. Behavior Therapy
18. Cognitive Behavioral Therapy
19. Electroconvulsive Therapy
20. The Recovery Model
IV. NURSING CARE OF PATIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
21. Caring For Patients With Mental Illness And Substance Use Disorders In General Practice Settings
22. Neurocognitive Disorders
23. Substance-Related And Addictive Disorders
24. Schizophrenia Spectrum And Other Psychotic Disorders
25. Depressive Disorders
26. Bipolar And Related Disorders
27. Anxiety, Obsessive-Compulsive, And Related Disorders
28. Trauma And Stressor-Related Disorders
29. Somatic Symptom And Dissociative Disorders
30. Eating Disorders
31. Personality Disorders
V. PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
32. Children And Adolescents
33. The Aging Individual
34. Survivors OF Abuse Or Neglect
35. Community Mental Health Nursing
36. The Bereaved Individual
37. Military Families
Ebook Bonus Chapters
38. Theoretical Models OF Personality Development
39. Cultural And Spiritual Concepts Relevant To Psychiatric Mental Health Nursing
40. Complementary And Psychosocial Therapies
41. Relaxation Therapy
42. Issues Related To Human Sexuality And Gender Dysphoria
43. Forensic Nursing
,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 client’s appetite, sleep patterns, and daily routine have not
changed. How should 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 extensive, 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.
ANSWER: 4
Feedback: 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 client’s 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.
ANSWER: 2
Feedback: The nurse should determine that the client is at risk for mental illness when
responsesto 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 client’s 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.
, ANSWER: 1
Feedback: 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.
ANSWER: 1
Feedback: 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:
ApplicationINTEGRATED
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.
ANSWER: 1
Feedback: The nurse should determine that defense mechanisms can be appropriate during
timesof 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, I’m here for my heart, not my head problems. Which is the nurse’s best
response?
1. It’s 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 isn’t imperative that we complete this section.
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