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 WE WE
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS WE WE WE WE WE
1. Mental Health and Mental Illness
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2. Biological Implications
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3. Ethical and Legal Issues
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4. Psychopharmacology
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II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
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5. Relationship Development and Therapeutic Communication
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6. The Nursing Process in Psychiatric/Mental Health Nursing
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7. Psychosocial Interventions and Spiritual Care
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8. Intervention in Groups
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9. Crisis Intervention
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10. The Recovery Model
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11. Suicide Prevention
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III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
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12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
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13. Neurocognitive Disorders
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14. Substance Use and Addiction Disorders
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15. Schizophrenia Spectrum and Other Psychotic Disorders
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16. Depressive Disorders
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17. Bipolar and Related Disorders
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18. Anxiety, Obsessive-Compulsive, and Related Disorders
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19. Trauma- and Stressor-Related Disorders
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20. Somatic Symptom and Dissociative Disorders
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21. Eating Disorders
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22. Personality Disorders
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IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
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23. Children and Adolescents
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24. The Aging Individual
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25. Survivors of Abuse or Neglect
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26. Community Mental Health Nursing
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27. The Bereaved Individual
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28. Military Families
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V. ONLINE CHAPTERS
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29. Concepts of Personality Development
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30. Complementary and Integrative Therapies
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31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
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32. Issues Related to Human Sexuality and Gender Dysphoria
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,Chapter 1. Mental Health and Mental Illne
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ssMultiple Choice
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1. A nurse is assessing a client who is experiencing occasional feelings of sadness because o
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f therecent death of a beloved pet. The clients appetite, sleep patterns, and daily routine hav
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e not changed. How should the nurse interpret the clients behaviors?
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1. The clients behaviors demonstrate mental illness in the form of depression.
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2. The clients behaviors are extensive, which indicates the presence of mental illness.
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3. The clients behaviors are not congruent with cultural norms.
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4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
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ANSWER: 4 WE
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clie
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ntwho experiences feelings of sadness after the loss of a pet is responding within normal ex
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pectations. Without significant impairment, the clients distress does not indicate a mental illn
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ess.
Cognitive Level: Analysis Int WE WE WE
egrated Process: Assessment WE WE
2. At what point should the nurse determine that a client is at risk for developing a
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mentalillness? W
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1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
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2. When maladaptive responses to stress are coupled with interference in daily functioning.
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3. When a client communicates significant distress.
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4. When a client uses defense mechanisms as ego protection.
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ANSWER: 2 WE
Rationale: The nurse should determine that the client is at risk for mental illness when resp
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onsesto stress are maladaptive and interfere with daily functioning. The DSM-
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5 indicates that in orderto be diagnosed with a mental illness, daily functioning must be sig
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nificantly impaired. The clients ability to communicate distress would be considered a positi
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ve attribute.
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Cognitive Level: Application WE WE WE
Integrated Process: Assessmen WE WE
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3. A nurse is assessing a set of 15-year-
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old identical twins who respond very differently to stress.One twin becomes anxious and irri
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table, and the other withdraws and cries. How should the nurse explain these different stres
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s responses to the parents?
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1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
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2. It is abnormal for identical twins to react differently to similar stressors.
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3. Identical twins should share the same temperament and respond similarly to stress.
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4. Environmental influences to stress weigh more heavily than genetic influences.
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, ANSWER: 1 WE
Rationale: The nurse should explain to the parents that, although the twins have identical D
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NA,there are several other factors that affect reactions to stress. Mental health is a state of b
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eing thatis relative to the individual client. Environmental influences and temperament can a
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ffect stress reactions.
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Cognitive Level: Application Inte WE WE WE
grated Process: Implementation
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4. Which client should the nurse anticipate to be most receptive to psychiatric treatme
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nt?1. A Jewish, female social worker.
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2. A Baptist, homeless male.
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3. A Catholic, black male.
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4. A Protestant, Swedish business executive.
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ANSWER: 1 WE
Rationale: The nurse should anticipate that the client of Jewish culture would place a high i
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mportance on preventative health care and would consider mental health as equally importan
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t asphysical health. Women are also more likely to seek treatment for mental health proble
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ms than men. WE WE
Cognitive Level: Applicatio WE WE
nIntegrated Process: Plannin
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5. A psychiatric nurse intern states, This clients use of defense mechanisms should be elimina
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ted.Which is a correct evaluation of this nurses statement?
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1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
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2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety andsh
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ouldalways be eliminated.
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3. Defense mechanisms, used by individuals with weak ego integrity, should be discourage
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dandnot eliminated. W
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4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
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ANSWER: 1 WE
Rationale: The nurse should determine that defense mechanisms can be appropriate during ti
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mesof stress. The client with no defense mechanisms may have a lower tolerance for stress,
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thus leading to anxiety disorders. Defense mechanisms should be confronted when they imp
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ede the client from developing healthy coping skills.
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Cognitive Level: Application WE WE
Integrated Process: Evaluatio
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6. During an intake assessment, a nurse asks both physiological and psychosocial questions.
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Theclient angrily responds, Im here for my heart, not my head problems. Which is the nurse
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s best response?
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1. Its just a routine part of our assessment. All clients are asked these same questions.
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2. Why are you concerned about these types of questions?
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3. Psychological factors, like excessive stress, have been found to affect medical conditions.
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4. We can skip these questions, if you like. It isnt imperative that we complete this section.
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Essentials of Psychiatric Mental Health Nursing
9th Edition Karyn Morgan
Chapters 1 - 32 | Complete
,TABLE OF CONTENTS WE WE
INTRODUCTION TO PSYCHIATRIC MENTAL HEALTH CONCEPTS WE WE WE WE WE
1. Mental Health and Mental Illness
WE WE WE WE WE
2. Biological Implications
WE WE
3. Ethical and Legal Issues
WE WE WE WE
4. Psychopharmacology
WE
II. PSYCHIATRIC MENTAL HEALTH NURSING INTERVENTIONS
WE WE WE WE WE
5. Relationship Development and Therapeutic Communication
WE WE WE WE WE
6. The Nursing Process in Psychiatric/Mental Health Nursing
WE WE WE WE WE WE WE
7. Psychosocial Interventions and Spiritual Care
WE WE WE WE WE
8. Intervention in Groups
WE WE WE
9. Crisis Intervention
WE WE
10. The Recovery Model
WE WE WE
11. Suicide Prevention
WE WE
III. CARE OF PATIENTS WITH PSYCHIATRIC DISORDERS
WE WE WE WE WE WE
12. Caring for Patients with Mental Illness and Substance Use Disorders in General Practice Settings
WE WE WE WE WE WE WE WE WE WE WE WE WE WE
13. Neurocognitive Disorders
WE WE
14. Substance Use and Addiction Disorders
WE WE WE WE WE
15. Schizophrenia Spectrum and Other Psychotic Disorders
WE WE WE WE WE WE
16. Depressive Disorders
WE WE
17. Bipolar and Related Disorders
WE WE WE WE
18. Anxiety, Obsessive-Compulsive, and Related Disorders
WE WE WE WE WE
19. Trauma- and Stressor-Related Disorders
WE WE WE WE
20. Somatic Symptom and Dissociative Disorders
WE WE WE WE WE
21. Eating Disorders
WE WE
22. Personality Disorders
WE WE
IV. PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
WE WE WE WE WE WE WE
23. Children and Adolescents
WE WE WE
24. The Aging Individual
WE WE WE
25. Survivors of Abuse or Neglect
WE WE WE WE WE
26. Community Mental Health Nursing
WE WE WE WE
27. The Bereaved Individual
WE WE WE
28. Military Families
WE WE
V. ONLINE CHAPTERS
WE WE
29. Concepts of Personality Development
WE WE WE WE
30. Complementary and Integrative Therapies
WE WE WE WE
31. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
WE WE WE WE WE WE WE WE
32. Issues Related to Human Sexuality and Gender Dysphoria
WE WE WE WE WE WE WE WE WE
,Chapter 1. Mental Health and Mental Illne
WE WE WE WE WE WE
ssMultiple Choice
W
E WE
1. A nurse is assessing a client who is experiencing occasional feelings of sadness because o
WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE
f therecent death of a beloved pet. The clients appetite, sleep patterns, and daily routine hav
WE W
E WE WE WE WE WE WE WE WE WE WE WE WE WE WE
e not changed. How should the nurse interpret the clients behaviors?
WE WE WE WE WE WE WE WE WE WE
1. The clients behaviors demonstrate mental illness in the form of depression.
WE WE WE WE WE WE WE WE WE WE
2. The clients behaviors are extensive, which indicates the presence of mental illness.
WE WE WE WE WE WE WE WE WE WE WE
3. The clients behaviors are not congruent with cultural norms.
WE WE WE WE WE WE WE WE
4. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
WE WE WE WE WE WE WE WE WE WE
ANSWER: 4 WE
Rationale: The nurse should assess that the clients daily functioning is not impaired. The clie
WE WE WE WE WE WE WE WE WE WE WE WE WE WE
ntwho experiences feelings of sadness after the loss of a pet is responding within normal ex
W
E WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE
pectations. Without significant impairment, the clients distress does not indicate a mental illn
WE WE WE WE WE WE WE WE WE WE WE WE
ess.
Cognitive Level: Analysis Int WE WE WE
egrated Process: Assessment WE WE
2. At what point should the nurse determine that a client is at risk for developing a
WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE
mentalillness? W
E
1. When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
WE WE WE WE WE WE WE WE WE WE WE
2. When maladaptive responses to stress are coupled with interference in daily functioning.
WE WE WE WE WE WE WE WE WE WE WE
3. When a client communicates significant distress.
WE WE WE WE WE
4. When a client uses defense mechanisms as ego protection.
WE WE WE WE WE WE WE WE
ANSWER: 2 WE
Rationale: The nurse should determine that the client is at risk for mental illness when resp
WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE
onsesto stress are maladaptive and interfere with daily functioning. The DSM-
W
E WE WE WE WE WE WE WE WE WE WE
5 indicates that in orderto be diagnosed with a mental illness, daily functioning must be sig
WE WE WE WE W
E WE WE WE WE WE WE WE WE WE WE WE
nificantly impaired. The clients ability to communicate distress would be considered a positi
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ve attribute.
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Cognitive Level: Application WE WE WE
Integrated Process: Assessmen WE WE
t
3. A nurse is assessing a set of 15-year-
WE WE WE WE WE WE WE WE
old identical twins who respond very differently to stress.One twin becomes anxious and irri
WE WE WE WE WE WE WE WE W
E WE WE WE WE WE
table, and the other withdraws and cries. How should the nurse explain these different stres
WE WE WE WE WE WE WE WE WE WE WE WE WE WE
s responses to the parents?
WE WE WE WE
1. Reactions to stress are relative rather than absolute; individual responses to stress vary.
WE WE WE WE WE WE WE WE WE WE WE WE
2. It is abnormal for identical twins to react differently to similar stressors.
WE WE WE WE WE WE WE WE WE WE WE
3. Identical twins should share the same temperament and respond similarly to stress.
WE WE WE WE WE WE WE WE WE WE WE
4. Environmental influences to stress weigh more heavily than genetic influences.
WE WE WE WE WE WE WE WE WE
, ANSWER: 1 WE
Rationale: The nurse should explain to the parents that, although the twins have identical D
WE WE WE WE WE WE WE WE WE WE WE WE WE WE
NA,there are several other factors that affect reactions to stress. Mental health is a state of b
W
E WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE
eing thatis relative to the individual client. Environmental influences and temperament can a
WE W
E WE WE WE WE WE WE WE WE WE WE WE
ffect stress reactions.
WE WE
Cognitive Level: Application Inte WE WE WE
grated Process: Implementation
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4. Which client should the nurse anticipate to be most receptive to psychiatric treatme
WE WE WE WE WE WE WE WE WE WE WE WE WE
nt?1. A Jewish, female social worker.
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E WE WE WE WE WE
2. A Baptist, homeless male.
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3. A Catholic, black male.
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4. A Protestant, Swedish business executive.
WE WE WE WE
ANSWER: 1 WE
Rationale: The nurse should anticipate that the client of Jewish culture would place a high i
WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE
mportance on preventative health care and would consider mental health as equally importan
WE WE WE WE WE WE WE WE WE WE WE WE
t asphysical health. Women are also more likely to seek treatment for mental health proble
WE W
E WE WE WE WE WE WE WE WE WE WE WE WE WE
ms than men. WE WE
Cognitive Level: Applicatio WE WE
nIntegrated Process: Plannin
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E WE WE
g
5. A psychiatric nurse intern states, This clients use of defense mechanisms should be elimina
WE WE WE WE WE WE WE WE WE WE WE WE WE
ted.Which is a correct evaluation of this nurses statement?
W
E WE WE WE WE WE WE WE WE
1. Defense mechanisms can be appropriate responses to stress and need not be eliminated.
WE WE WE WE WE WE WE WE WE WE WE WE
2. Defense mechanisms are a maladaptive attempt of the ego to manage anxiety andsh
WE WE WE WE WE WE WE WE WE WE WE WE
ouldalways be eliminated.
W
E WE WE
3. Defense mechanisms, used by individuals with weak ego integrity, should be discourage
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dandnot eliminated. W
E WE
4. Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
WE WE WE WE WE WE WE WE WE WE WE WE
ANSWER: 1 WE
Rationale: The nurse should determine that defense mechanisms can be appropriate during ti
WE WE WE WE WE WE WE WE WE WE WE WE
mesof stress. The client with no defense mechanisms may have a lower tolerance for stress,
W
E WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE
thus leading to anxiety disorders. Defense mechanisms should be confronted when they imp
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ede the client from developing healthy coping skills.
WE WE WE WE WE WE WE
Cognitive Level: Application WE WE
Integrated Process: Evaluatio
WE WE WE
n
6. During an intake assessment, a nurse asks both physiological and psychosocial questions.
WE WE WE WE WE WE WE WE WE WE WE WE WE
Theclient angrily responds, Im here for my heart, not my head problems. Which is the nurse
W
E WE WE WE WE WE WE WE WE WE WE WE WE WE WE WE
s best response?
WE WE
1. Its just a routine part of our assessment. All clients are asked these same questions.
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2. Why are you concerned about these types of questions?
WE WE WE WE WE WE WE WE
3. Psychological factors, like excessive stress, have been found to affect medical conditions.
WE WE WE WE WE WE WE WE WE WE WE
4. We can skip these questions, if you like. It isnt imperative that we complete this section.
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