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Davis Advantage for Townsend\'s Essentials of Psychiatric Mental-health Nursing
TEST BANK For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing, 9th Edition by Karyn Morgan, Verified Chapters 1 - 32, Complete Newest Version TEST BANK For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing, 9th Edition by Karyn Morgan,...
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Test Bank For Davis Advantage for Townsend’s
Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
Chapters 1 - 32 | Complete
,TABLE OF CONTENTS OK OK
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS OK OK OK OK OK
1. Mental Health and Mental Illness
OK OK OK OK OK
2. Biological Implications
OK OK
3. Ethical and Legal Issues
OK OK OK OK
4. Psychopharmacology
OK
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
OK OK OK OK OK
5. Relationship Development and Therapeutic Communication
OK OK OK OK OK
6. The Nursing Process in Psychiatric/Mental Health Nursing
OK OK OK OK OK OK OK
7. Psychosocial Interventions and Spiritual Care
OK OK OK OK OK
8. Intervention in Groups
OK OK OK
9. Crisis Intervention
OK OK
10. The Recovery Model
OK OK OK
11. Suicide Prevention
OK OK
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
OK OK OK OK OK OK
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
OK OK OK OK OK OK OK OK OK OK OK OK OK OK
13. Neurocognitive Disorders
OK OK
14. Substance Use and Addiction Disorders
OK OK OK OK OK
15. Schizophrenia Spectrum and Other Psychotic Disorders
OK OK OK OK OK OK
16. Depressive Disorders
OK OK
17. Bipolar and Related Disorders
OK OK OK OK
18. Anxiety, Obsessive-Compulsive, and Related Disorders
OK OK OK OK OK
19. Trauma- and Stressor-Related Disorders
OK OK OK OK
20. Somatic Symptom and Dissociative Disorders
OK OK OK OK OK
21. Eating Disorders
OK OK
22. Personality Disorders
OK OK
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
OK OK OK OK OK OK OK
23. Children and Adolescents
OK OK OK
24. The Aging Individual
OK OK OK
25. Survivors of Abuse or Neglect
OK OK OK OK OK
26. Community Mental Health Nursing
OK OK OK OK
27. The Bereaved Individual
OK OK OK
28. Military Families
OK OK
V. ONLINE CHAPTERS
OK OK
29. Concepts of Personality Development
OK OK OK OK
30. Complementary and Integrative Therapies
OK OK OK OK
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
OK OK OK OK OK OK OK OK
32. Issues Related to Human Sexuality and Gender Dysphoria
OK OK OK OK OK OK OK OK OK
,Chapter 1. Mental Health and Mental Illness OK OK OK OK OK OK K
O
Multiple Choice OK
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of ther
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK K
O
ecent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not chang
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
ed. How should the nurse interpret the clients behaviors?
OK OK OK OK OK OK OK OK
1. The clients behaviors demonstrate mental illness in the form of depression.
OK OK OK OK OK OK OK OK OK OK
2. The clients behaviors are extensive, which indicates the presence of mental illness.
OK OK OK OK OK OK OK OK OK OK OK
3. The clients behaviors are not congruent with cultural norms.
OK OK OK OK OK OK OK OK
4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
OK OK OK OK OK OK OK OK O K OK
ANSWER: 4 OK
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clientwh
OK OK OK OK OK OK OK OK OK OK OK OK OK OK K
O
o experiences feelings of sadness after the loss of a pet is responding within normal expectations.
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK O
Without significant impairment, the clients distress does not indicate a mental illness.
K OK OK OK OK OK OK OK OK OK OK OK
Cognitive Level: Analysis Inte OK OK OK
grated Process: Assessment OK OK
2. At what point should the nurse determine that a client is at risk for developing a mental
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK K
O
illness?
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
OK OK OK OK OK OK OK OK OK OK OK
2. When maladaptive responses to stress are coupled with interference in daily functioning.
OK OK OK OK OK OK OK OK OK OK OK
3. When a client communicates significant distress.
OK OK OK OK OK
4. When a client uses defense mechanisms as ego protection.
OK OK OK OK OK OK OK OK
ANSWER: 2 OK
Rationale: The nurse should determine that the client is at risk for mental illness when responses
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK K
O
to stress are maladaptive and interfere with daily functioning. The DSM-
OK OK OK OK OK OK OK OK OK OK
5 indicates that in orderto be diagnosed with a mental illness, daily functioning must be significa
OK OK OK OK K
O OK OK OK OK OK OK OK OK OK OK OK
ntly impaired. The clients ability to communicate distress would be considered a positive attribu
OK OK OK OK OK OK OK OK OK OK OK OK OK
te.
Cognitive Level: Application I OK OK OK
ntegrated Process: Assessment OK OK
3. A nurse is assessing a set of 15-year-
OK OK OK OK OK OK OK OK
old identical twins who respond very differently to stress.One twin becomes anxious and irritable
OK OK OK OK OK OK OK OK K
O OK OK OK OK OK
, and the other withdraws and cries. How should the nurse explain these different stress response
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
s to the parents?
OK OK OK
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
OK OK OK OK OK OK OK OK OK OK OK OK
2. It is abnormal for identical twins to react differently to similar stressors.
OK OK OK OK OK OK OK OK OK OK OK
3. Identical twins should share the same temperament and respond similarly to stress.
OK OK OK OK OK OK OK OK OK OK OK
4. Environmental influences to stress weigh more heavily than genetic influences. OK OK OK OK OK OK OK OK OK
, ANSWER: 1 OK
Rationale: The nurse should explain to the parents that, although the twins have identical DNA,t
OK OK OK OK OK OK OK OK OK OK OK OK OK OK K
O
here are several other factors that affect reactions to stress. Mental health is a state of being that is
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK K
O OK
relative to the individual client. Environmental influences and temperament can affect stress rea
OK OK OK OK OK OK OK OK OK OK OK OK
ctions.
Cognitive Level: Application Integ OK OK OK
rated Process: Implementation OK OK
4. Which client should the nurse anticipate to be most receptive to psychiatric treatment?1.
OK OK OK OK OK OK OK OK OK OK OK OK OK K
O
A Jewish, female social worker.
OK OK OK OK OK
2. A Baptist, homeless male.
OK OK OK
3. A Catholic, black male.OK OK OK
4. A Protestant, Swedish business executive.
OK OK OK OK
ANSWER: 1 OK
Rationale: The nurse should anticipate that the client of Jewish culture would place a high import
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
ance on preventative health care and would consider mental health as equally important asphysic
OK OK OK OK OK OK OK OK OK OK OK OK OK K
O
al health. Women are also more likely to seek treatment for mental health problems than men.
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
Cognitive Level: Application OK OK K
O
Integrated Process: Planning OK OK
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be eliminated.
OK OK OK OK OK OK OK OK OK OK OK OK OK K
O
Which is a correct evaluation of this nurses statement?
OK OK OK OK OK OK OK OK
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
OK OK OK OK OK OK OK OK OK OK OK OK
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety andshould
OK OK OK OK OK OK OK OK OK OK OK OK K
O
always be eliminated. OK OK
3. Defense mechanisms, used by individuals with weak ego integrity, should be discouragedand
OK OK OK OK OK OK OK OK OK OK OK K
O
not eliminated. OK
4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
OK OK OK OK OK OK OK OK OK OK OK OK
ANSWER: 1 OK
Rationale: The nurse should determine that defense mechanisms can be appropriate during timeso
OK OK OK OK OK OK OK OK OK OK OK OK K
O
f stress. The client with no defense mechanisms may have a lower tolerance for stress, thus leadi
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
ng to anxiety disorders. Defense mechanisms should be confronted when they impede the client f
OK OK OK OK OK OK OK OK OK OK OK OK OK OK
rom developing healthy coping skills.
OK OK OK OK
Cognitive Level: Application OK OK OK
Integrated Process: Evaluation OK OK
6. During an intake assessment, a nurse asks both physiological and psychosocial questions. Thecl
OK OK OK OK OK OK OK OK OK OK OK OK OK K
O
ient angrily responds, Im here for my heart, not my head problems. Which is the nurses best resp
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
onse?
1. Its just a routine part of our assessment. All clients are asked these same questions.
OK OK OK OK OK OK OK OK OK OK OK OK OK OK
2. Why are you concerned about these types of questions?
OK OK OK OK OK OK OK OK
3. Psychological factors, like excessive stress, have been found to affect medical conditions. OK OK OK OK OK OK OK OK OK OK OK
4. We can skip these questions, if you like. It isnt imperative that we complete this section.
OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK
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